最新のRhMSUS問題集で試験を準備する

American College of Rheumatology RhMSUS 試験概要:

American College of Rheumatology RhMSUS 試験シラバストピック:

American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology 認定 RhMSUS 試験問題：

1. What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?

A) Images of the sonographic views with the presence of power Doppler synovitis only
B) Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
C) All appropriate sonographic views of every joint examined
D) Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only

2. A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?

A) The ultrasound-guided technique takes additional time to perform.
B) The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
C) The ultrasound-guided technique results in more pain.
D) The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.

3. Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?

A) 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
B) 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
C) Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
D) Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27

4. A 37-year-old female with a history of rheumatoid arthritis presents for sonographic evaluation. She has been in clinical remission for six months and is considering discontinuation of her biologic agent. Sonography of the right third metacarpophalangeal joint is shown. Which of the following is the MOST accurate description regarding this image?

A) Abnormal hyperechoic intra-articular tissue with Doppler signal
B) Abnormal hypoechoic extra-articular tissue with Doppler signal
C) Abnormal hypoechoic intra-articular tissue with Doppler signal
D) Abnormal hyperechoic extra-articular tissue with Doppler signal

5. Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?

A) Image C
B) Image A
C) Image D
D) Image B

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