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質問 # 23
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 examiner is between the patient and the monitor.
- C. The examiner is closest to the limb of the patient being scanned while facing toward the monitor.
- D. The monitor is on the left of the patient for a left-handed examiner.
正解：C
質問 # 24
Which probe is the BEST choice for ultrasound examination of the adult wrist?
- A. Linear 20-25 mm, 10-18 MHz transducer
- B. Linear 40-50 mm, 10-18 MHz transducer
- C. Linear 20-25 mm, 3-8 MHz transducer
- D. Linear 40-50 mm, 3-8 MHz transducer
正解：A
質問 # 25
This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?
- A. Chondromalacia of the patella
- B. Normal anatomy for age
- C. An effusion of the suprapatellar recess
- D. Quadriceps tendinopathy with acoustic shadow
正解：C
質問 # 26
How reliable is ultrasound as compared to other imaging modalities for diagnosing synovitis in the joints of the fingers?
- A. Ultrasound is inferior to MRI but superior to X-ray in sensitivity.
- 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 as sensitive as MRI but superior to X-ray.
正解：A
質問 # 27
The change between the ankle depicted in the first and second images would BEST be explained by which of the following?
- A. Increased gain
- B. Decreased frequency
- C. Decreased transducer pressure
- D. Decreased synovitis
正解：D
質問 # 28
The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?
- A. Both the radiocarpal and midcarpal recesses should be targeted.
- B. The midcarpal recess should be the primary target.
- C. The radiocarpal recess should be the primary target.
- D. The fourth compartment ten synovium should be targeted.
正解：A
質問 # 29
Which of the following is inappropriate for conventional musculoskeletal ultrasound?
- A. Supraspinatus tear in rotator cuff syndrome
- B. Parotid involvement in Sjogren's syndrome
- C. Median nerve entrapment in carpal tunnel syndrome
- D. Muscle involvement in polymyositis
正解：D
質問 # 30
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 obviates the need for X-ray examination when cortical margins are normal.
- C. It uses sound energy with no adverse effects found in clinical studies.
- D. It is the gold standard for preoperative planning for rotator cuff surgery.
正解：B
質問 # 31
Which of the following is the MOST appropriate next step to confirm the presence of pathology in this metacarpophalangeal joint?
- A. Float the probe.
- B. Use a "hockey stick" probe.
- C. Decrease the depth.
- D. Check the transverse plane.
正解：B
質問 # 32
A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?
- A. Ganglion cyst rupture
- B. Rheumatoid nodulosis
- C. Extensor tenosynovitis
- D. Extensor tendon tear
正解：C
質問 # 33
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. Referral to occupational therapy for shoulder rehabilitation exercise
- B. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
- C. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
- D. Ultrasound-guided corticosteroid injection of the glenohumeral joint
正解：A
質問 # 34
The best way to facilitate visualization of ultrasound images in an exam room.
- A. Brighten the ambient lighting to improve the signal-to-noise ratio
- B. Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
- C. Decrease high-frequency ambient noise to minimize interfering sound waves
- D. Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
正解：B
質問 # 35
Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?
- A. A person in a hospital room Description automatically generated with medium confidence
- B. A person sitting in front of a machine Description automatically generated
- C. A person sitting in a chair with a machine Description automatically generated
- D. A person with no shirt Description automatically generated
正解：D
質問 # 36
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 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 - B. 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 - 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 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
正解：D
質問 # 37
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. A posteromedial approach at the level proximal to the joint line
- B. A posteromedial approach at the level of the joint line
- C. A posteromedial approach at the level of the mid-gastrocnemius muscle
- D. An anteromedial approach at the level of the joint line
正解：A
質問 # 38
A practitioner reviews this long-axis ultrasound image of the medial aspect of the knee. Which of the following is the MOST likely differential diagnosis?
- A. No sonographic evidence for abnormality
- B. Rheumatoid arthritis with erosion formation
- C. Topheaceous gout with displacement of the medial collateral ligament
- D. Osteoarthritis with bone spur and extrusion of the medial meniscus
正解：D
質問 # 39
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. Radioulnar joint
- B. Radiocarpal joint
- C. Intercarpal joint
- D. Extensor tenosynovium
正解：C
質問 # 40
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 60-degree angle
- D. Flexion of the elbow joint in a 45-degree angle
正解：A
質問 # 41
Which of the following is required in a report documenting an ultrasound-guided procedure?
- A. Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
- B. Image labeled with exam date, patient identification, image orientation, and image views of the target area
- C. Image showing needle in the target structure or orthogonal images of the target structure before and after injection
- D. Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions
正解：D
質問 # 42
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American College of Rheumatology RhMSUSオフィシャル認証ガイドPDF：https://jp.fast2test.com/RhMSUS-premium-file.html