2024 Latest American College of Rheumatology RhMSUS Real Exam Dumps PDF
RhMSUS Exam Dumps, RhMSUS Practice Test Questions
NEW QUESTION # 44
Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?
- A. Power Doppler ultrasound is sensitive to change in disease activity.
- B. Gray-scale ultrasound can predict the development of erosions.
- C. MSKUS is able to detect bone marrow edema around joints
- D. Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.
Answer: A
NEW QUESTION # 45
The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?
- A. Tendinopathy
- B. Tendon tear
- C. Normal tendon variability
- D. Artifact from transducer placement
Answer: B
NEW QUESTION # 46
What is the MOST prominent ultrasound artifact depicted in this image?
- A. Comet tail
- B. Ring down
- C. Shadowing
- D. Enhancement
Answer: D
NEW QUESTION # 47
Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?
- A. Cracks in the piezoelectric crystals
- B. Dead elements
- C. Electrical leakage
- D. Gouges on the lens material
Answer: B
NEW QUESTION # 48
In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?
- A. Arrow A
- B. Arrow B
- C. Arrow C
- D. Arrow D
Answer: C
NEW QUESTION # 49
Which effect is achieved by increasing the gain while in Doppler mode?
- A. Increased image brightness
- B. Increased tissue penetration
- C. Increased sensitivity to flow
- D. Reduced noise artifacts in the image
Answer: C
NEW QUESTION # 50
Which condition is the ultrasound examination of this nodular structure MOST suggestive of?
- A. Ganglion cyst
- B. Rheumatoid nodule
- C. Subcutaneous abscess
- D. Gouty tophus
Answer: A
NEW QUESTION # 51
Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?
- A. Option B
- B. Option C
- C. Option D
- D. Option A
Answer: B
NEW QUESTION # 52
This image shows the sequence of a guided procedure in a patient with rheumatoid arthritis and a mass of the right shoulder. Although guided aspiration was useful for the fluid examination, surgery was performed for a definitive diagnosis of the acromioclavicular cyst. Which condition is the finding MOST associated with this pathology?
- A. Rotator cuff tear
- B. Amyloidosis
- C. Humeral head fracture
- D. Chondrocalcinosis
Answer: A
NEW QUESTION # 53
An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?
- A. A
- B. C
- C. D
- D. B
Answer: C
NEW QUESTION # 54
The best way to facilitate visualization of ultrasound images in an exam room.
- A. Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
- B. Decrease high-frequency ambient noise to minimize interfering sound waves
- C. Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
- D. Brighten the ambient lighting to improve the signal-to-noise ratio
Answer: C
NEW QUESTION # 55
Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?
- A. A posteromedial approach at the level of the joint line
- B. An anteromedial approach at the level of the joint line
- C. A posteromedial approach at the level of the mid-gastrocnemius muscle
- D. A posteromedial approach at the level proximal to the joint line
Answer: D
NEW QUESTION # 56
Which of the following protocols would be MOST consistent with a complete routine ultrasound examination of the shoulder?
- A. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the subscapularis tendon in external rotation
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterolateral view of the infraspinatus tendon oPosterior view of the glenohumeral joint recess oView from cranial at the acromioclavicular joint - B. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oDynamic lateral long-axis assessment of impingement with abduction of the arm oPosterior transverse view of the suprascapular notch oView from cranial at the acromioclavicular joint - C. Anterior long- and short-axis views of the biceps tendon
oAnterior views of the pectoralis tendon insertion
oAnterior view of the coracoid ligament and rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior long- and short-axis views of the infraspinatus tendon insertion oAxillary long-axis view with arm raised - D. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLateral views of the subscapularis tendon
oLateral long- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior view of the glenohumeral joint recess oDynamic lateral long-axis assessment of impingement with abduction of the arm
Answer: A
NEW QUESTION # 57
A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?
- A. C
- B. A
- C. D
- D. B
Answer: A
NEW QUESTION # 58
In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?
- A. A normal sesamoid
- B. A metacarpal fragment from prior trauma
- C. A foreign body
- D. The tip of an osteophyte
Answer: A
NEW QUESTION # 59
A practitioner reviews this long-axis ultrasound image of the medial aspect of the knee. Which of the following is the MOST likely differential diagnosis?
- A. Rheumatoid arthritis with erosion formation
- B. Osteoarthritis with bone spur and extrusion of the medial meniscus
- C. Topheaceous gout with displacement of the medial collateral ligament
- D. No sonographic evidence for abnormality
Answer: B
NEW QUESTION # 60
The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?
- A. The fourth compartment ten synovium should be targeted.
- B. The radiocarpal recess should be the primary target.
- C. Both the radiocarpal and midcarpal recesses should be targeted.
- D. The midcarpal recess should be the primary target.
Answer: C
NEW QUESTION # 61
A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.
- A. Intercarpal joint
- B. Radiocarpal joint
- C. Radioulnar joint
- D. Extensor tenosynovium
Answer: A
NEW QUESTION # 62
Which of the following is required in a report documenting an ultrasound-guided procedure?
- A. Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
- B. Image showing needle in the target structure or orthogonal images of the target structure before and after injection
- C. Image labeled with exam date, patient identification, image orientation, and image views of the target area
- D. Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions
Answer: D
NEW QUESTION # 63
Which of the following images is MOST consistent with crystal-induced arthropathy?
- A. Option B
- B. Option C
- C. Option D
- D. Option A
Answer: B
NEW QUESTION # 64
In this ultrasound image of a hip, where is the transducer positioned?
- A. Parallel to the femoral neck
- B. Parallel to the inguinal ligament
- C. Parallel to the greater trochanter
- D. Parallel to the femoral shaft
Answer: B
NEW QUESTION # 65
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