Question 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?

Options :

A : Images of the sonographic views with the presence of power Doppler synovitis only

B : Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only

C : Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint

D : All appropriate sonographic views of every joint examined

Answer: C

Question 2

What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?

Options :

A : External rotation

B : Crass

C : Modified Crass

D : Neer impingement

Answer: C

Question 3

Which of the following should NOT be evaluated using a musculoskeletal ultrasound?”

Options :

A : Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis

B : A femoral neck enchondroma in a patient complaining of hip pain

C : Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome

D : A Morton's neuroma in a patient complaining of foot pain

Answer: C

Question 4

This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?

Options :

A : Effusion of the glenohumeral joint

B : Effusion with an erosion of the humeral head

C : Normal shoulder scan

D : Fracture of the humeral head

Answer: A

Question 5

Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a 15-yearold girl?

Options :

A : The typical appearance of pes equinovarus

B : The normal appearance of irregular ossification centers of the respective midfoot bones

C : Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions

D : An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces

Answer: B