有効なRhMSUSテスト解答American College of Rheumatology RhMSUS試験PDF問題を試そう [Q51-Q69]

有効なRhMSUSテスト解答American College of Rheumatology RhMSUS試験PDF問題を試そう

American College of Rheumatology RhMSUS認定リアル2024年最新の模擬試験合格させます

質問 # 51
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 the direction of flow.
B. Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.
C. Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.
D. Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.

正解：C

質問 # 52
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 is the gold standard for preoperative planning for rotator cuff surgery.
D. It obviates the need for X-ray examination when cortical margins are normal.

正解：D

質問 # 53
A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?

A. Flexor hallucis
B. Subtalar joint
C. Posterior tibial tendon
D. Flexor digitorum

正解：C

質問 # 54
Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?

A. Glenohumeral synovitis
B. Complex regional pain syndrome
C. Adhesive capsulitis
D. Superior labral anterior-posterior lesion

正解：A

質問 # 55
This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?

A. Fracture of the humeral head
B. Effusion of the glenohumeral joint
C. Effusion with an erosion of the humeral head
D. Normal shoulder scan

正解：B

質問 # 56
In this image of a knee, what is the MOST obvious abnormality?

A. Cartilage interface sign
B. Asymmetric femoral cartilage thinning
C. Chondrocalcinosis
D. Avascular necrosis

正解：B

質問 # 57
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. A
B. C
C. D
D. B

正解：D

質問 # 58
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. Amyloidosis
B. Chondrocalcinosis
C. Humeral head fracture
D. Rotator cuff tear

正解：D

質問 # 59
Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?

A. Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
B. The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
C. Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
D. 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.

正解：D

質問 # 60
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. Extensor tenosynovium
B. Intercarpal joint
C. Radioulnar joint
D. Radiocarpal joint

正解：B

質問 # 61
Which of the following is TRUE for document storage and record-keeping guidelines and requirements?

A. Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.
B. All images must be part of the electronic or paper patient file.
C. There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
D. The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.

正解：B

質問 # 62
A 37-year-old female with a history of rheumatoid arthritis presents for sonographic evaluation. She has been in clinical remission for six months and is considering discontinuation of her biologic agent. Sonography of the right third metacarpophalangeal joint is shown. Which of the following is the MOST accurate description regarding this image?

A. Abnormal hyperechoic intra-articular tissue with Doppler signal
B. Abnormal hypoechoic intra-articular tissue with Doppler signal
C. Abnormal hypoechoic extra-articular tissue with Doppler signal
D. Abnormal hyperechoic extra-articular tissue with Doppler signal

正解：B

質問 # 63
Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

A. Knee
B. Glenohumeral joint
C. Sacroiliac joint
D. Lateral epicondyle

正解：C

質問 # 64
In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

A. Anomalous radial artery
B. Persistent median artery
C. Flexor tenosynovitis
D. Median nerve impingement

正解：B

質問 # 65
The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?

A. Sjogren's syndrome
B. Eosinophilic fasciitis
C. Polymyositis
D. Shoulder capsulitis

正解：D

質問 # 66
For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?

A. The monitor is between the patient and the examiner.
B. The monitor is on the left of the patient for a left-handed examiner.
C. The examiner is closest to the limb of the patient being scanned while facing toward the monitor.
D. The examiner is between the patient and the monitor.

正解：C

質問 # 67
A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?