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| Section | Objectives |
|---|---|
| Equipment Use and Management | |
| Preparing the Patient and Environment | |
| Procedural Guidance | |
| Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Interpretation and Integration | |
| Documentation | |
| Performing the Ultrasound Examination |
1. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"
A) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
B) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
C) A Morton's neuroma in a patient complaining of foot pain
D) A femoral neck enchondroma in a patient complaining of hip pain
2. 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.

A) Intercarpal joint
B) Radiocarpal joint
C) Extensor tenosynovium
D) Radioulnar joint
3. The second finger was examined. Which of the following is shown in the image below?
A) Proximal interphalangeal, dorsal longitudinal view
B) Proximal interphalangeal, palmar longitudinal view
C) Metacarpophalangeal, palmar longitudinal view
D) Metacarpophalangeal, dorsal longitudinal view
4. Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?
A) Gouges on the lens material
B) Cracks in the piezoelectric crystals
C) Dead elements
D) Electrical leakage
5. A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?
A) Flexor hallucis
B) Flexor digitorum
C) Posterior tibial tendon
D) Subtalar joint
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: C |
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