Unique Top-selling RhMSUS Exams - New 2024 American College of Rheumatology Pratice Exam
ACR-MUCR Dumps RhMSUS Exam for Full Questions - Exam Study Guide
NEW QUESTION # 39
What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?
- A. All appropriate sonographic views of every joint examined
- B. Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
- C. Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only
- D. Images of the sonographic views with the presence of power Doppler synovitis only
Answer: B
NEW QUESTION # 40
This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?
- A. Chondromalacia of the patella
- B. Quadriceps tendinopathy with acoustic shadow
- C. Normal anatomy for age
- D. An effusion of the suprapatellar recess
Answer: D
NEW QUESTION # 41
Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?
- A. Cracks in the piezoelectric crystals
- B. Electrical leakage
- C. Dead elements
- D. Gouges on the lens material
Answer: C
NEW QUESTION # 42
The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?
- A. Eosinophilic fasciitis
- B. Sjogren's syndrome
- C. Polymyositis
- D. Shoulder capsulitis
Answer: D
NEW QUESTION # 43
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. Chondrocalcinosis
- B. Humeral head fracture
- C. Amyloidosis
- D. Rotator cuff tear
Answer: D
NEW QUESTION # 44
To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?
- A. Quadriceps contraction
- B. Tissue compression at the distal transducer edge
- C. Passive knee extension
- D. Rotation of the distal transducer edge
Answer: A
NEW QUESTION # 45
A practitioner wants to assess the structure marked with an asterisk (*).
What maneuver should the practitioner instruct the patient to perform of the examined joint?
- A. Internal rotation and adduction
- B. Neutral position
- C. External rotation
- D. Lateral abduction
Answer: B
NEW QUESTION # 46
A 38-year-old woman with recent history of right shoulder subacromial impingement presents for a two-week follow-up after an anatomically guided subacromial/subdeltoid corticosteroid injection. She reports some initial, but only short-lived, improvement of her right shoulder pain and discomfort with arm elevation.
Her right shoulder X-rays are normal. What would be the MOST appropriate next intervention?
- A. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
- B. Referral to occupational therapy for shoulder rehabilitation exercise
- C. Ultrasound-guided corticosteroid injection of the glenohumeral joint
- D. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
Answer: B
NEW QUESTION # 47
Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?
- A. The patient has a normal hip joint.
- B. The patient should be referred for plain radiography to evaluate for femoral neck fracture.
- C. The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.
- D. The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.
Answer: A
NEW QUESTION # 48
Which condition is the ultrasound examination of this nodular structure MOST suggestive of?
- A. Subcutaneous abscess
- B. Gouty tophus
- C. Ganglion cyst
- D. Rheumatoid nodule
Answer: C
NEW QUESTION # 49
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. B
- B. D
- C. C
- D. A
Answer: B
NEW QUESTION # 50
A practitioner wants to assess the structures on the right, distal portion of this image.
What should the practitioner do at this time?
- A. Place the focal point at the level of the area of interest.
- B. Depress the distal end of the probe.
- C. Choose a lower transducer frequency.
- D. Increase the overall gain to brighten the image.
Answer: A
NEW QUESTION # 51
Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?
- A. MSKUS is able to detect bone marrow edema around joints
- B. Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.
- C. Gray-scale ultrasound can predict the development of erosions.
- D. Power Doppler ultrasound is sensitive to change in disease activity.
Answer: D
NEW QUESTION # 52
Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"
- A. A femoral neck enchondroma in a patient complaining of hip pain
- B. Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
- C. Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
- D. A Morton's neuroma in a patient complaining of foot pain
Answer: B
NEW QUESTION # 53
The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?
- A. Tendon tear
- B. Tendinopathy
- C. Artifact from transducer placement
- D. Normal tendon variability
Answer: A
NEW QUESTION # 54
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 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 - B. 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 - C. 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 - 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: B
NEW QUESTION # 55
At which angle is a dorsal scan of the elbow BEST performed?
- A. Full extension of the elbow joint
- B. Flexion of the elbow joint in a 90-degree angle
- C. Flexion of the elbow joint in a 45-degree angle
- D. Flexion of the elbow joint in a 60-degree angle
Answer: A
NEW QUESTION # 56
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. Higher frequency
- B. Curvilinear structure
- C. Standoff pad
- D. Smaller footprint
Answer: B
NEW QUESTION # 57
In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:
- A. Transducer touches the point where the needle penetrates the skin.
- B. Needle angle relative to the transducer is minimized.
- 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 # 58
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 # 59
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 uses sound energy with no adverse effects found in clinical studies.
- B. It is the gold standard for preoperative planning for rotator cuff surgery.
- C. It obviates the need for X-ray examination when cortical margins are normal.
- D. It provides the same information as an MRI without gadolinium.
Answer: C
NEW QUESTION # 60
Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?
- A. Metacarpal volar plate
- B. Anterior glenoid labrum
- C. Posterior patellar cartilage
- D. Posterior cruciate ligament
Answer: C
NEW QUESTION # 61
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