Updated Free American College of Rheumatology RhMSUS Test Engine Questions with 100 Q&As
The Best ACR-MUCR RhMSUS Professional Exam Questions
NEW QUESTION # 55
A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
- A. Image D
- B. Image A
- C. Image B
- D. Image C
Answer: C
NEW QUESTION # 56
A practitioner wants to assess the structure marked with an asterisk (*).
What maneuver should the practitioner instruct the patient to perform of the examined joint?
- A. Lateral abduction
- B. External rotation
- C. Internal rotation and adduction
- D. Neutral position
Answer: D
NEW QUESTION # 57
Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?
- A. Complex regional pain syndrome
- B. Adhesive capsulitis
- C. Glenohumeral synovitis
- D. Superior labral anterior-posterior lesion
Answer: C
NEW QUESTION # 58
Which of the following is MOST likely to cause vertical lines on every image obtained from a piece of ultrasound equipment?
- A. Cracks in the transducer that may indicate breakage of piezoelectric crystal elements
- B. Damage to the transducer cable
- C. Misaligned time-gain compensation
- D. Increased number of air bubbles in the transducer gel that may impede sound waves
Answer: D
NEW QUESTION # 59
To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?
- A. Higher frequency
- B. Smaller footprint
- C. Standoff pad
- D. Curvilinear structure
Answer: D
NEW QUESTION # 60
For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?
- A. The examiner is closest to the limb of the patient being scanned while facing toward the monitor.
- B. The monitor is between the patient and the examiner.
- C. The examiner is between the patient and the monitor.
- D. The monitor is on the left of the patient for a left-handed examiner.
Answer: A
NEW QUESTION # 61
The best way to facilitate visualization of ultrasound images in an exam room.
- A. Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
- B. Brighten the ambient lighting to improve the signal-to-noise ratio
- C. Decrease high-frequency ambient noise to minimize interfering sound waves
- D. Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
Answer: D
NEW QUESTION # 62
The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?
- A. Normal tendon variability
- B. Tendon tear
- C. Tendinopathy
- D. Artifact from transducer placement
Answer: B
NEW QUESTION # 63
Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?
- A. A person in a hospital room Description automatically generated with medium confidence
- B. A person sitting in a chair with a machine Description automatically generated
- C. A person sitting in front of a machine Description automatically generated
- D. A person with no shirt Description automatically generated
Answer: D
NEW QUESTION # 64
Which of the following is required in a report documenting an ultrasound-guided procedure?
- A. Image labeled with exam date, patient identification, image orientation, and image views of the target area
- B. Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions
- C. Image showing needle in the target structure or orthogonal images of the target structure before and after injection
- D. Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
Answer: B
NEW QUESTION # 65
In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?
- A. Persistent median artery
- B. Flexor tenosynovitis
- C. Anomalous radial artery
- D. Median nerve impingement
Answer: A
NEW QUESTION # 66
A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?
- A. Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
- B. Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
- C. Ultrasound can delineate volar wrist anatomy.
- D. Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
Answer: C
NEW QUESTION # 67
Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?
- A. The patient has a normal hip joint.
- B. The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.
- C. The patient should be referred for plain radiography to evaluate for femoral neck fracture.
- D. The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.
Answer: A
NEW QUESTION # 68
Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?
- A. Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
- B. The normal appearance of irregular ossification centers of the respective midfoot bones
- C. An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
- D. The typical appearance of pes equinovarus
Answer: B
NEW QUESTION # 69
This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?
- A. Osteophyte formation
- B. Meniscus tear
- C. Urate deposition
- D. Chondrocalcinosis
Answer: A
NEW QUESTION # 70
A practitioner is counseling a patient with suspected rotator cuff tendinopathy on imaging options. Which of the following is CORRECT regarding diagnostic ultrasound examination?
- A. It provides the same information as an MRI without gadolinium.
- B. It uses sound energy with no adverse effects found in clinical studies.
- C. It is the gold standard for preoperative planning for rotator cuff surgery.
- D. It obviates the need for X-ray examination when cortical margins are normal.
Answer: D
NEW QUESTION # 71
What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?
- A. Osteophytes and meniscal cyst
- B. Osteophytes and distension and calcification of the medial collateral ligament
- C. Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
- D. Osteophytes and rupture of the medial collateral ligament
Answer: C
NEW QUESTION # 72
An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?
- A. A
- B. D
- C. C
- D. B
Answer: B
NEW QUESTION # 73
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
Answer: B
NEW QUESTION # 74
Which of the following images is MOST consistent with crystal-induced arthropathy?
- A. Option A
- B. Option C
- C. Option D
- D. Option B
Answer: B
NEW QUESTION # 75
What is the MAXIMUM normal dimension of the structure indicated by the line in this image?
- A. 9 mm in children less than 5 years old
- B. 7 mm in children less than 5 years old
- C. 7 mm in adults
- D. 9 mm in adults
Answer: D
NEW QUESTION # 76
What is the MAIN pathologic finding shown in this ultrasound image?
- A. Erosion
- B. Tendon rupture
- C. Synovitis
- D. Osteophytes
Answer: D
NEW QUESTION # 77
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