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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions (Q67-Q72):
NEW QUESTION # 67
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. Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
- D. Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
Answer: C
NEW QUESTION # 68
What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?
- A. Osteophytes and meniscal cyst
- B. Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
- C. Osteophytes and distension and calcification of the medial collateral ligament
- D. Osteophytes and rupture of the medial collateral ligament
Answer: B
NEW QUESTION # 69
For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?
- A. A 50-year-old woman with pain between the third and fourth metatarsals
- B. A patient who has pain and numbness over the lateral calf
- C. A patient with psoriasis and posterior heel pain
- D. A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation
Answer: D
NEW QUESTION # 70
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. Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
- B. Ultrasound can delineate volar wrist anatomy.
- C. Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
- D. Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
Answer: B
NEW QUESTION # 71
Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?
- A. Flexor tendon rupture with reparative hyperemia
- B. Proximal interphalangeal synovitis
- C. Proximal interphalangeal osteophytes
- D. Flexor tenosynovitis
Answer: D
NEW QUESTION # 72
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