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NEW QUESTION # 55
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. Tissue compression at the distal transducer edge
- B. Passive knee extension
- C. Quadriceps contraction
- D. Rotation of the distal transducer edge
Answer: C
NEW QUESTION # 56
Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?
- A. Glenohumeral joint
- B. Trochanteric bursa
- C. Subacromial bursa
- D. Flexor digitorum tendon at the A1 pulley
Answer: A
NEW QUESTION # 57
At approximately how many degrees of flexion is the MOST sensitive resting position of the knee for imaging fluid in the suprapatellar recess?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
NEW QUESTION # 58
Which of the following is MOST accurate regarding high-level disinfection of a probe?
- A. High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
- B. High-level disinfection of an external probe does not remove most fungi
- C. High-level disinfection of an internal-use probe is required between every patient
- D. High-level disinfection of an external probe removes all bacterial spores.
Answer: A
NEW QUESTION # 59
For which of the following conditions is the use of diagnostic musculoskeletal ultrasound appropriate?
- A. Meniscal tear
- B. Tibial stress fracture
- C. Anterior cruciate ligament tear
- D. Osgood-Schlatter disease
Answer: D
NEW QUESTION # 60
Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?
- A. Superior labral anterior-posterior lesion
- B. Glenohumeral synovitis
- C. Complex regional pain syndrome
- D. Adhesive capsulitis
Answer: B
NEW QUESTION # 61
Which of the following images is MOST consistent with crystal-induced arthropathy?
- A. Option A
- B. Option D
- C. Option B
- D. Option C
Answer: D
NEW QUESTION # 62
What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?
- A. Neer impingement
- B. External rotation
- C. Modified Crass
- D. Crass
Answer: C
NEW QUESTION # 63
What is the MAXIMUM normal distance between the markers in this plantar longitudinal view of the foot?
- A. 7.3 mm
- B. 3.3 mm
- C. 5.3 mm
- D. 9.3 mm
Answer: A
NEW QUESTION # 64
How reliable is ultrasound as compared to other imaging modalities for diagnosing synovitis in the joints of the fingers?
- A. Ultrasound is as sensitive as MRI but superior to X-ray.
- B. Ultrasound is inferior to MRI but superior to clinical exam in sensitivity.
- C. Ultrasound is inferior to MRI and X-ray in sensitivity.
- D. Ultrasound is inferior to MRI but superior to X-ray in sensitivity.
Answer: D
NEW QUESTION # 65
What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?
- A. Osteophytes and distension and calcification of the medial collateral ligament
- B. Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
- C. Osteophytes and meniscal cyst
- D. Osteophytes and rupture of the medial collateral ligament
Answer: B
NEW QUESTION # 66
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. Neutral position
- B. External rotation
- C. Internal rotation and adduction
- D. Lateral abduction
Answer: A
NEW QUESTION # 67
In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?
- A. A foreign body
- B. A metacarpal fragment from prior trauma
- C. The tip of an osteophyte
- D. A normal sesamoid
Answer: D
NEW QUESTION # 68
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 # 69
In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?
- A. In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling
- B. In gout, using the double contour sign alone as diagnostic confirmation of the disease
- C. In fibromyalgia, to confirm the absence of joint and tendon pathology
- D. In rheumatoid arthritis, to diagnose carpal tunnel syndrome
Answer: A
NEW QUESTION # 70
In this ultrasound image of a hip, where is the transducer positioned?
- A. Parallel to the femoral neck
- B. Parallel to the femoral shaft
- C. Parallel to the inguinal ligament
- D. Parallel to the greater trochanter
Answer: C
NEW QUESTION # 71
What is the MAIN pathologic finding shown in this ultrasound image?
- A. Tendon rupture
- B. Osteophytes
- C. Erosion
- D. Synovitis
Answer: B
NEW QUESTION # 72
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 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 - D. 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
Answer: A
NEW QUESTION # 73
Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?
- A. Option C
- B. Option D
- C. Option A
- D. Option B
Answer: B
NEW QUESTION # 74
In setting up an ultrasound machine to examine blood flow, which of the following statements BEST reflects the difference between color Doppler and power Doppler ultrasound?
- A. Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.
- B. Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.
- C. Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.
- D. Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.
Answer: C
NEW QUESTION # 75
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. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
- B. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
- C. Referral to occupational therapy for shoulder rehabilitation exercise
- D. Ultrasound-guided corticosteroid injection of the glenohumeral joint
Answer: C
NEW QUESTION # 76
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. Radiocarpal joint
- B. Extensor tenosynovium
- C. Radioulnar joint
- D. Intercarpal joint
Answer: D
NEW QUESTION # 77
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. Higher frequency
- C. Standoff pad
- D. Curvilinear structure
Answer: D
NEW QUESTION # 78
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