American College of Rheumatologyは2024年最新のRhMSUSサンプル問題は信頼され続けるRhMSUSテストエンジン
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質問 # 58
Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?
- A. Gray-scale ultrasound can predict the development of erosions.
- B. Power Doppler ultrasound is sensitive to change in disease activity.
- C. Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.
- D. MSKUS is able to detect bone marrow edema around joints
正解：B
質問 # 59
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. B
- B. A
- C. C
- D. D
正解：A
質問 # 60
Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?
- A. A person sitting in front of a machine Description automatically generated
- B. A person with no shirt Description automatically generated
- C. A person in a hospital room Description automatically generated with medium confidence
- D. A person sitting in a chair with a machine Description automatically generated
正解：B
質問 # 61
Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?
- A. Cracks in the piezoelectric crystals
- B. Dead elements
- C. Electrical leakage
- D. Gouges on the lens material
正解：B
質問 # 62
Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?
- A. A close-up of a ultrasound Description automatically generated
- B. An ultrasound image of a human body Description automatically generated
- C. A close-up of an ultrasound Description automatically generated
- D. A close-up of a black and white image Description automatically generated
正解：B
質問 # 63
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. Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
- C. Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
- D. 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.
正解：D
質問 # 64
This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?
- A. Calcification of the supraspinatus tendon
- B. Normal deltoid muscle
- C. Subacromial bursa calcification
- D. A probe-generated artifact
正解：B
質問 # 65
Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?
- A. Glenohumeral joint
- B. Flexor digitorum tendon at the A1 pulley
- C. Subacromial bursa
- D. Trochanteric bursa
正解：A
質問 # 66
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. B
- B. A
- C. C
- D. D
正解：A
質問 # 67
Which of the following is MOST accurate regarding high-level disinfection of a probe?
- A. High-level disinfection of an external probe removes all bacterial spores.
- B. High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
- C. High-level disinfection of an internal-use probe is required between every patient
- D. High-level disinfection of an external probe does not remove most fungi
正解：B
質問 # 68
A 38-year-old woman with recent history of right shoulder subacromial impingement presents for a two-week follow-up after an anatomically guided subacromial/subdeltoid corticosteroid injection. She reports some initial, but only short-lived, improvement of her right shoulder pain and discomfort with arm elevation.
Her right shoulder X-rays are normal. What would be the MOST appropriate next intervention?
- A. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
- B. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
- C. Referral to occupational therapy for shoulder rehabilitation exercise
- D. Ultrasound-guided corticosteroid injection of the glenohumeral joint
正解：C
質問 # 69
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. Tissue compression at the distal transducer edge
- B. Rotation of the distal transducer edge
- C. Passive knee extension
- D. Quadriceps contraction
正解：D
質問 # 70
What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?
- A. Crass
- B. External rotation
- C. Modified Crass
- D. Neer impingement
正解：C
質問 # 71
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 of the mid-gastrocnemius muscle
- B. A posteromedial approach at the level proximal to the joint line
- C. A posteromedial approach at the level of the joint line
- D. An anteromedial approach at the level of the joint line
正解：B
質問 # 72
What is the BEST assessment of these longitudinal images of the pes anserinus region?
- A. Presence of enthesopathy with hyperemia
- B. Reverberation artifact
- C. Normal medial genicular artery signal
- D. Tenosynovitis
正解：D
質問 # 73
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