Question 1

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?

Options :

A : An anteromedial approach at the level of the joint line

B : A posteromedial approach at the level of the joint line

C : A posteromedial approach at the level proximal to the joint line

D : A posteromedial approach at the level of the mid-gastrocnemius muscle

Answer: C

Question 2

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 3

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 4

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

Question 5

The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?

Options :

A : The radiocarpal recess should be the primary target.

B : The midcarpal recess should be the primary target.

C : Both the radiocarpal and midcarpal recesses should be targeted.

D : The fourth compartment ten synovium should be targeted.

Answer: C