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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions (Q90-Q95):
NEW QUESTION # 90
How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?
- A. By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
- B. By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
- C. By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm
- D. By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm
Answer: B
NEW QUESTION # 91
Which of the following is inappropriate for conventional musculoskeletal ultrasound?
- A. Muscle involvement in polymyositis
- B. Median nerve entrapment in carpal tunnel syndrome
- C. Supraspinatus tear in rotator cuff syndrome
- D. Parotid involvement in Sjogren's syndrome
Answer: A
NEW QUESTION # 92
What should be taken into consideration prior to any procedure?
- A. The needle should be visualized only prior to its insertion to the target area.
- B. The transducer should be aligned perpendicular to the plane of the needle.
- C. The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.
- D. A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
Answer: C
NEW QUESTION # 93
Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?
- A. Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
- B. Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph
- C. Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level
- D. Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
Answer: D
NEW QUESTION # 94
Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?
- A. Rheumatoid synovitis
- B. Subacromial bursitis
- C. Osteoarthritis
- D. Calcific tendinitis
Answer: B
NEW QUESTION # 95
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