Question 1

Which of the following should NOT be evaluated using a musculoskeletal ultrasound?”

Options :

A : Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis

B : A femoral neck enchondroma in a patient complaining of hip pain

C : Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome

D : A Morton's neuroma in a patient complaining of foot pain

Answer: C

Question 2

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?

Options :

A : The radiocarpal recess should be the primary target.

B : The midcarpal recess should be the primary target.

C : Both the radiocarpal and midcarpal recesses should be targeted.

D : The fourth compartment ten synovium should be targeted.

Answer: C

Question 3

Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a 15-yearold girl?

Options :

A : The typical appearance of pes equinovarus

B : The normal appearance of irregular ossification centers of the respective midfoot bones

C : Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions

D : An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces

Answer: B

Question 4

What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?

Options :

A : External rotation

B : Crass

C : Modified Crass

D : Neer impingement

Answer: C

Question 5

Which of the following is inappropriate for conventional musculoskeletal ultrasound?

Options :

A : Muscle involvement in polymyositis

B : Parotid involvement in Sjögren's syndrome

C : Median nerve entrapment in carpal tunnel syndrome

D : Supraspinatus tear in rotator cuff syndrome

Answer: A

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