RhMSUS Free Exam Study Guide! (Updated 100 Questions)
RhMSUS Dumps for ACR-MUCR Certified Exam Questions and Answer
NEW QUESTION # 30
This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?
- A. Urate deposition
- B. Osteophyte formation
- C. Chondrocalcinosis
- D. Meniscus tear
Answer: B
NEW QUESTION # 31
This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?
- A. Chondromalacia of the patella
- B. Quadriceps tendinopathy with acoustic shadow
- C. Normal anatomy for age
- D. An effusion of the suprapatellar recess
Answer: D
NEW QUESTION # 32
Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?
- A. Flexor tenosynovitis
- B. Proximal interphalangeal osteophytes
- C. Proximal interphalangeal synovitis
- D. Flexor tendon rupture with reparative hyperemia
Answer: A
NEW QUESTION # 33
Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?
- A. Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
- B. Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
- C. Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level
- D. Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph
Answer: A
NEW QUESTION # 34
What should be adjusted to improve the quality of the image of the tibiotalar joint?
- A. Frame average and frequency
- B. Focus and map
- C. Frame average and depths
- D. Focus and frequency
Answer: B
NEW QUESTION # 35
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
Answer: B
NEW QUESTION # 36
What is the MOST prominent ultrasound artifact depicted in this image?
- A. Enhancement
- B. Comet tail
- C. Shadowing
- D. Ring down
Answer: A
NEW QUESTION # 37
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 internal-use probe is required between every patient
- C. High-level disinfection of an external probe does not remove most fungi
- D. High-level disinfection of an external probe removes all bacterial spores.
Answer: A
NEW QUESTION # 38
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?
- A. A
- B. C
- C. B
- D. D
Answer: B
NEW QUESTION # 39
A practitioner obtains the following ultrasound image of a patient with a positive rheumatoid factor and normal ESR, CRP, and hand X-rays.
Which of the following options would be an evidence-based statement during a discussion of the management plan?
- A. Severe (high-grade) synovial hyperemia, but not mild (low-grade) hyperemia, would be an indication to change therapy.
- B. A positive Doppler signal is a predictor of future joint damage.
- C. Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
- D. Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
Answer: D
NEW QUESTION # 40
A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?
- A. The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
- B. The ultrasound-guided technique results in more pain.
- C. The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
- D. The ultrasound-guided technique takes additional time to perform.
Answer: A
NEW QUESTION # 41
A 62-year-old man presents with left shoulder pain. The ultrasound image was taken at the patient's maximum abduction (45 degrees). Which of the following rotator cuff pathologies is BEST evaluated with this shoulder position?
- A. Enthesopathy
- B. Complete tear
- C. Impingement
- D. Intrasubstance tear
Answer: C
NEW QUESTION # 42
A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
- A. Image D
- B. Image C
- C. Image B
- D. Image A
Answer: C
NEW QUESTION # 43
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. The midcarpal recess should be the primary target.
- B. The radiocarpal recess should be the primary target.
- C. The fourth compartment ten synovium should be targeted.
- D. Both the radiocarpal and midcarpal recesses should be targeted.
Answer: D
NEW QUESTION # 44
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. Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
- C. Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
- D. Decrease high-frequency ambient noise to minimize interfering sound waves
Answer: C
NEW QUESTION # 45
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: C
NEW QUESTION # 46
In this ultrasound image of a hip, where is the transducer positioned?
- A. Parallel to the femoral shaft
- B. Parallel to the femoral neck
- C. Parallel to the inguinal ligament
- D. Parallel to the greater trochanter
Answer: C
NEW QUESTION # 47
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 extra-articular tissue with Doppler signal
- C. Abnormal hyperechoic extra-articular tissue with Doppler signal
- D. Abnormal hypoechoic intra-articular tissue with Doppler signal
Answer: D
NEW QUESTION # 48
Which of the following is required in a report documenting an ultrasound-guided procedure?
- A. Image labeled with exam date, patient identification, image orientation, and image views of the target area
- B. Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions
- C. Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
- D. Image showing needle in the target structure or orthogonal images of the target structure before and after injection
Answer: B
NEW QUESTION # 49
A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?
- A. Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
- B. Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
- C. Ultrasound can delineate volar wrist anatomy.
- D. Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
Answer: C
NEW QUESTION # 50
For which of the following conditions is the use of diagnostic musculoskeletal ultrasound appropriate?
- A. Osgood-Schlatter disease
- B. Tibial stress fracture
- C. Meniscal tear
- D. Anterior cruciate ligament tear
Answer: A
NEW QUESTION # 51
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. Quadriceps contraction
- B. Rotation of the distal transducer edge
- C. Passive knee extension
- D. Tissue compression at the distal transducer edge
Answer: A
NEW QUESTION # 52
An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?
- A. A
- B. B
- C. D
- D. C
Answer: B
NEW QUESTION # 53
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