[2024年09月] 合格 American College of Rheumatology RhMSUS テストエンジンpdf – 完全版無料問題集 [Q29-Q50]

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[2024年09月] 合格させるAmerican College of Rheumatology RhMSUSテストエンジンPDFで完全版無料問題集

Musculoskeletal Ultrasound Certification in Rheumatology練習テスト2024年最新のRhMSUSストレスなしで合格！

質問 29
Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?

Rheumatoid synovitis

Osteoarthritis

Calcific tendinitis

Subacromial bursitis

質問 30
A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?

Gout

Calcium pyrophosphate arthritis

Rheumatoid arthritis

Psoriatic arthritis

質問 31
A practitioner obtains this image of a metacarpophalangeal joint of a patient with periodic joint swelling and warmth. Which of the following is the MOST likely diagnosis?

Gouty arthritis

Rheumatoid arthritis

Spondylarthritis

Osteoarthritis

質問 32
Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

Lateral epicondyle

Knee

Sacroiliac joint

Glenohumeral joint

質問 33
For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?

A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation

A 50-year-old woman with pain between the third and fourth metatarsals

A patient with psoriasis and posterior heel pain

A patient who has pain and numbness over the lateral calf

質問 34
In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:

Needle crosses the plane of the transducer.

Needle angle relative to the transducer is minimized.

Transducer touches the point where the needle penetrates the skin.

Target is as close as possible to the side of the transducer where the needle will be inserted.

質問 35
The second finger was examined. Which of the following is shown in the image below?

Metacarpophalangeal, palmar longitudinal view

Metacarpophalangeal, dorsal longitudinal view

Proximal interphalangeal, palmar longitudinal view

Proximal interphalangeal, dorsal longitudinal view

質問 36
In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?

The tip of an osteophyte

A metacarpal fragment from prior trauma

A foreign body

A normal sesamoid

質問 37
At which angle is a dorsal scan of the elbow BEST performed?

Flexion of the elbow joint in a 45-degree angle

Flexion of the elbow joint in a 60-degree angle

Flexion of the elbow joint in a 90-degree angle

Full extension of the elbow joint

質問 38
This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?

An effusion of the suprapatellar recess

Normal anatomy for age

Quadriceps tendinopathy with acoustic shadow

Chondromalacia of the patella

質問 39
Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?

An ultrasound image of a human body Description automatically generated

A close-up of a ultrasound Description automatically generated

A close-up of an ultrasound Description automatically generated

A close-up of a black and white image Description automatically generated

質問 40
What is the MOST appropriate conclusion for the image of this hip?

Iliopsoas bursitis in longitudinal view

Hip effusion in longitudinal view

Hip synovitis in longitudinal view

Normal longitudinal view of the hip

質問 41
A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?

Image A

Image B

Image C

Image D

質問 42
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?

Ultrasound can delineate volar wrist anatomy.

Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.

Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.

Ultrasound can identify the underlying etiology of carpal tunnel syndrome.

質問 43
In this image of a knee, what is the MOST obvious abnormality?

Asymmetric femoral cartilage thinning

Avascular necrosis

Cartilage interface sign

Chondrocalcinosis

質問 44
A practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

Choose a lower transducer frequency.

Place the focal point at the level of the area of interest.

Increase the overall gain to brighten the image.

Depress the distal end of the probe.

質問 45
The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?

Tendon tear

Normal tendon variability

Artifact from transducer placement

Tendinopathy

質問 46
Which effect is achieved by increasing the gain while in Doppler mode?

Increased image brightness

Increased sensitivity to flow

Increased tissue penetration

Reduced noise artifacts in the image

質問 47
What is the BEST assessment of these longitudinal images of the pes anserinus region?

Presence of enthesopathy with hyperemia

Reverberation artifact

Normal medial genicular artery signal

Tenosynovitis

質問 48
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?