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| Section | Objectives |
|---|---|
| Topic 1: Documentation | |
| Topic 2: Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Topic 3: Performing the Ultrasound Examination | |
| Topic 4: Procedural Guidance | |
| Topic 5: Preparing the Patient and Environment | |
| Topic 6: Equipment Use and Management | |
| Topic 7: Interpretation and Integration |
Question 1
Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?
A. Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
B. Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
C. Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
D. Cartilage loss quantification in a patient with osteoarthritis
Question 2
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. D
B. B
C. C
D. A
Question 3
The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?
A. Polymyositis
B. Eosinophilic fasciitis
C. Sjogren's syndrome
D. Shoulder capsulitis
Question 4
At which angle is a dorsal scan of the elbow BEST performed?
A. Flexion of the elbow joint in a 90-degree angle
B. Flexion of the elbow joint in a 45-degree angle
C. Full extension of the elbow joint
D. Flexion of the elbow joint in a 60-degree angle
Question 5
Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?
A. 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
B. Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
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. 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
Solutions:
| Question 1 Answer: C | Question 2 Answer: A | Question 3 Answer: D | Question 4 Answer: C | Question 5 Answer: B |
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