RhMSUS無料問題集「American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology」

質問 1

A scratch along the rubber sole of a transducer is MOST likely to cause which of the following?

（A）Artifact in the B-Mode image

（B）Risk of electrical shock

（C）Increased risk of the spread of infection

（D）No impact on image acquisition

正解：C 解答を投票する

質問 2

By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:

（A）Erosions in rheumatoid arthritis.

（B）Osteophytes in osteoarthritis.

（C）Articular cartilage damage in osteoarthritis.

（D）Synovitis in rheumatoid arthritis.

正解：D 解答を投票する

質問 3

How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?

（A）By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm

（B）By placing the probe in a coronal-oblique position over the distal clavicle 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 longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.

正解：D 解答を投票する

質問 4

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）Topheaceous gout with displacement of the medial collateral ligament

（B）Osteoarthritis with bone spur and extrusion of the medial meniscus

（C）Rheumatoid arthritis with erosion formation

（D）No sonographic evidence for abnormality

正解：B 解答を投票する

質問 5

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 解答を投票する

質問 6

This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?

（A）Normal anatomy for age

（B）Chondromalacia of the patella

（C）Quadriceps tendinopathy with acoustic shadow

（D）An effusion of the suprapatellar recess

正解：D 解答を投票する

質問 7

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 as sensitive as MRI but superior to X-ray.

（C）Ultrasound is inferior to MRI and X-ray in sensitivity.

（D）Ultrasound is inferior to MRI but superior to clinical exam in sensitivity.

正解：A 解答を投票する

質問 8

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.