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| Section | Objectives |
|---|---|
| Topic 1: Procedural Guidance | |
| Topic 2: Documentation | |
| Topic 3: Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Topic 4: Interpretation and Integration | |
| Topic 5: Equipment Use and Management | |
| Topic 6: Performing the Ultrasound Examination | |
| Topic 7: Preparing the Patient and Environment |
1. A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?
A) C
B) D
C) A
D) B
2. This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?
A) Chondromalacia of the patella
B) Quadriceps tendinopathy with acoustic shadow
C) An effusion of the suprapatellar recess
D) Normal anatomy for age
3. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?
A) Increased gain
B) Decreased frequency
C) Decreased synovitis
D) Decreased transducer pressure
4. In setting up an ultrasound machine to examine blood flow, which of the following statements BEST reflects the difference between color Doppler and power Doppler ultrasound?
A) Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.
B) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.
C) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.
D) Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.
5. To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?
A) Rotation of the distal transducer edge
B) Tissue compression at the distal transducer edge
C) Quadriceps contraction
D) Passive knee extension
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: C |
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