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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions (Q99-Q104):

NEW QUESTION # 99
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. Passive knee extension
B. Tissue compression at the distal transducer edge
C. Rotation of the distal transducer edge
D. Quadriceps contraction

Answer: D

NEW QUESTION # 100
A practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

A. Choose a lower transducer frequency.
B. Place the focal point at the level of the area of interest.
C. Increase the overall gain to brighten the image.
D. Depress the distal end of the probe.

Answer: B

NEW QUESTION # 101
Which effect is achieved by increasing the gain while in Doppler mode?

A. Increased tissue penetration
B. Reduced noise artifacts in the image
C. Increased sensitivity to flow
D. Increased image brightness

Answer: C

NEW QUESTION # 102
Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?

A. Power Doppler ultrasound is sensitive to change in disease activity.
B. Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.
C. MSKUS is able to detect bone marrow edema around joints
D. Gray-scale ultrasound can predict the development of erosions.

Answer: A

NEW QUESTION # 103
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. Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
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

NEW QUESTION # 104
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