Pass American College of Rheumatology RhMSUS Exam Info and Free Practice Test
New 2024 Latest Questions RhMSUS Dumps - Use Updated American College of Rheumatology Exam
NEW QUESTION # 31
What is the MAXIMUM normal distance between the markers in this plantar longitudinal view of the foot?
- A. 9.3 mm
- B. 3.3 mm
- C. 7.3 mm
- D. 5.3 mm
Answer: C
NEW QUESTION # 32
Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?
- A. Posterior cruciate ligament
- B. Posterior patellar cartilage
- C. Anterior glenoid labrum
- D. Metacarpal volar plate
Answer: B
NEW QUESTION # 33
A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?
- A. Ganglion cyst rupture
- B. Extensor tenosynovitis
- C. Extensor tendon tear
- D. Rheumatoid nodulosis
Answer: B
NEW QUESTION # 34
This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?
- A. Quadriceps tendinopathy with acoustic shadow
- B. An effusion of the suprapatellar recess
- C. Normal anatomy for age
- D. Chondromalacia of the patella
Answer: B
NEW QUESTION # 35
To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?
- A. Smaller footprint
- B. Curvilinear structure
- C. Higher frequency
- D. Standoff pad
Answer: B
NEW QUESTION # 36
In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?
- A. Persistent median artery
- B. Flexor tenosynovitis
- C. Anomalous radial artery
- D. Median nerve impingement
Answer: A
NEW QUESTION # 37
In this ultrasound image of a hip, where is the transducer positioned?
- A. Parallel to the femoral neck
- B. Parallel to the greater trochanter
- C. Parallel to the femoral shaft
- D. Parallel to the inguinal ligament
Answer: D
NEW QUESTION # 38
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. An anteromedial approach at the level of the joint line
- B. A posteromedial approach at the level proximal to the joint line
- C. A posteromedial approach at the level of the mid-gastrocnemius muscle
- D. A posteromedial approach at the level of the joint line
Answer: B
NEW QUESTION # 39
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. No sonographic evidence for abnormality
- B. Rheumatoid arthritis with erosion formation
- C. Topheaceous gout with displacement of the medial collateral ligament
- D. Osteoarthritis with bone spur and extrusion of the medial meniscus
Answer: D
NEW QUESTION # 40
A 72-year-old male with morbid obesity and a known history of knee osteoarthritis presents for an ultrasound-guided knee injection. From which of the following sites should the needle be inserted so that the needle path can be BEST visualized?
- A. D
- B. C
- C. B
- D. A
Answer: C
NEW QUESTION # 41
A practitioner is counseling a patient with suspected rotator cuff tendinopathy on imaging options. Which of the following is CORRECT regarding diagnostic ultrasound examination?
- A. It provides the same information as an MRI without gadolinium.
- B. It uses sound energy with no adverse effects found in clinical studies.
- C. It obviates the need for X-ray examination when cortical margins are normal.
- D. It is the gold standard for preoperative planning for rotator cuff surgery.
Answer: C
NEW QUESTION # 42
What should be adjusted to improve the quality of the image of the tibiotalar joint?
- A. Frame average and frequency
- B. Focus and frequency
- C. Focus and map
- D. Frame average and depths
Answer: C
NEW QUESTION # 43
Which of the following is inappropriate for conventional musculoskeletal ultrasound?
- A. Parotid involvement in Sjogren's syndrome
- B. Supraspinatus tear in rotator cuff syndrome
- C. Muscle involvement in polymyositis
- D. Median nerve entrapment in carpal tunnel syndrome
Answer: C
NEW QUESTION # 44
Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?
- A. Poor calibration
- B. Infection
- C. Radiation exposure
- D. Examiner injury
Answer: B
NEW QUESTION # 45
In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:
- A. Needle angle relative to the transducer is minimized.
- B. Transducer touches the point where the needle penetrates the skin.
- C. Target is as close as possible to the side of the transducer where the needle will be inserted.
- D. Needle crosses the plane of the transducer.
Answer: C
NEW QUESTION # 46
What should be taken into consideration prior to any procedure?
- A. The transducer should be aligned perpendicular to the plane of the needle.
- B. The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.
- C. The needle should be visualized only prior to its insertion to the target area.
- D. A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
Answer: B
NEW QUESTION # 47
Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?
- A. Glenohumeral joint
- B. Subacromial bursa
- C. Trochanteric bursa
- D. Flexor digitorum tendon at the A1 pulley
Answer: A
NEW QUESTION # 48
What is the MAIN pathologic finding shown in this ultrasound image?
- A. Synovitis
- B. Tendon rupture
- C. Osteophytes
- D. Erosion
Answer: C
NEW QUESTION # 49
What is the MOST appropriate conclusion for the image of this hip?
- A. Hip effusion in longitudinal view
- B. Iliopsoas bursitis in longitudinal view
- C. Hip synovitis in longitudinal view
- D. Normal longitudinal view of the hip
Answer: C
NEW QUESTION # 50
Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?
- A. Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.
- B. Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
- C. The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
- D. Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
Answer: A
NEW QUESTION # 51
For which of the following conditions is the use of diagnostic musculoskeletal ultrasound appropriate?
- A. Tibial stress fracture
- B. Anterior cruciate ligament tear
- C. Meniscal tear
- D. Osgood-Schlatter disease
Answer: D
NEW QUESTION # 52
Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?
- A. Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
- B. Cartilage loss quantification in a patient with osteoarthritis
- C. Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
- D. Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
Answer: D
NEW QUESTION # 53
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