American College of Rheumatology Certified RhMSUS Dumps Questions Valid RhMSUS Materials
Current RhMSUS Exam Dumps [2024] Complete American College of Rheumatology Exam Smoothly
NEW QUESTION # 24
Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?
- A. Posterior cruciate ligament
- B. Metacarpal volar plate
- C. Posterior patellar cartilage
- D. Anterior glenoid labrum
Answer: C
NEW QUESTION # 25
In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?
- A. In rheumatoid arthritis, to diagnose carpal tunnel syndrome
- B. In fibromyalgia, to confirm the absence of joint and tendon pathology
- C. In gout, using the double contour sign alone as diagnostic confirmation of the disease
- D. In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling
Answer: D
NEW QUESTION # 26
This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?
- A. Urate deposition
- B. Chondrocalcinosis
- C. Meniscus tear
- D. Osteophyte formation
Answer: D
NEW QUESTION # 27
Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?
- A. MSKUS is able to detect bone marrow edema around joints
- B. Power Doppler ultrasound is sensitive to change in disease activity.
- C. Gray-scale ultrasound can predict the development of erosions.
- D. Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.
Answer: B
NEW QUESTION # 28
Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?
- A. Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
- B. Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
- C. Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
- D. Preoperative evaluation of a patient with suspected rotator cuff tear
Answer: D
NEW QUESTION # 29
Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?
- A. Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
- B. Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
- C. Cartilage loss quantification in a patient with osteoarthritis
- D. Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
Answer: A
NEW QUESTION # 30
For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?
- A. The monitor is on the left of the patient for a left-handed examiner.
- B. The monitor is between the patient and the examiner.
- C. The examiner is closest to the limb of the patient being scanned while facing toward the monitor.
- D. The examiner is between the patient and the monitor.
Answer: C
NEW QUESTION # 31
Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?
- A. The typical appearance of pes equinovarus
- B. An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
- C. Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
- D. The normal appearance of irregular ossification centers of the respective midfoot bones
Answer: D
NEW QUESTION # 32
Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?
- A. Option B
- B. Option C
- C. Option A
- D. Option D
Answer: B
NEW QUESTION # 33
Which of the following statements is CORRECT with regard to the use of ultrasound equipment for children?" followed by four answer choices:
- A. Ultrasonography has limitations in imaging the relatively small structures in pediatric joints
- B. Pediatric joints can be imaged with the same ultrasound equipment used for adults
- C. High-Trequency probes are necessary to adapt to the small pediatric joints
- D. Special "hockey stick" transducers are essential to adequately image pediatric joints
Answer: A
NEW QUESTION # 34
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. An anteromedial approach at the level of the joint line
- C. A posteromedial approach at the level of the mid-gastrocnemius muscle
- D. A posteromedial approach at the level of the joint line
Answer: A
NEW QUESTION # 35
What is the MAIN pathologic finding shown in this ultrasound image?
- A. Osteophytes
- B. Erosion
- C. Synovitis
- D. Tendon rupture
Answer: A
NEW QUESTION # 36
The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?
- A. Tendinopathy
- B. Tendon tear
- C. Normal tendon variability
- D. Artifact from transducer placement
Answer: B
NEW QUESTION # 37
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. 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
- D. 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
Answer: A
NEW QUESTION # 38
Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?
- A. Sacroiliac joint
- B. Knee
- C. Glenohumeral joint
- D. Lateral epicondyle
Answer: A
NEW QUESTION # 39
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. Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
- B. Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
- C. Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
- D. Ultrasound can delineate volar wrist anatomy.
Answer: D
NEW QUESTION # 40
A practitioner wants to assess the structure marked with an asterisk (*).
What maneuver should the practitioner instruct the patient to perform of the examined joint?
- A. Internal rotation and adduction
- B. External rotation
- C. Neutral position
- D. Lateral abduction
Answer: C
NEW QUESTION # 41
Which of the following is MOST accurate regarding high-level disinfection of a probe?
- A. High-level disinfection of an internal-use probe is required between every patient
- B. High-level disinfection of an external probe removes all bacterial spores.
- C. High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
- D. High-level disinfection of an external probe does not remove most fungi
Answer: C
NEW QUESTION # 42
Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?
- A. The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
- B. Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.
- C. Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
- D. Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
Answer: B
NEW QUESTION # 43
Which of the following is the MOST appropriate next step to confirm the presence of pathology in this metacarpophalangeal joint?
- A. Use a "hockey stick" probe.
- B. Decrease the depth.
- C. Float the probe.
- D. Check the transverse plane.
Answer: A
NEW QUESTION # 44
Which probe is the BEST choice for ultrasound examination of the adult wrist?
- A. Linear 20-25 mm, 3-8 MHz transducer
- B. Linear 20-25 mm, 10-18 MHz transducer
- C. Linear 40-50 mm, 3-8 MHz transducer
- D. Linear 40-50 mm, 10-18 MHz transducer
Answer: B
NEW QUESTION # 45
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?
- A. Calcium pyrophosphate arthritis
- B. Psoriatic arthritis
- C. Rheumatoid arthritis
- D. Gout
Answer: D
NEW QUESTION # 46
A 72-year-old male with morbid obesity and a known history of knee osteoarthritis presents for an ultrasound-guided knee injection. From which of the following sites should the needle be inserted so that the needle path can be BEST visualized?
- A. D
- B. A
- C. C
- D. B
Answer: D
NEW QUESTION # 47
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. Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
- C. A positive Doppler signal is a predictor of future joint damage.
- D. Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
Answer: D
NEW QUESTION # 48
Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?
- A. Dead elements
- B. Electrical leakage
- C. Cracks in the piezoelectric crystals
- D. Gouges on the lens material
Answer: A
NEW QUESTION # 49
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