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| Section | Weight | Objectives |
|---|---|---|
| Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance | |
| Performing the Ultrasound Examination | - Scanning techniques for joints and soft tissue - Anatomical landmark recognition | |
| Interpretation and Integration | - Identifying normal and pathological findings - Integrating ultrasound findings into clinical decisions | |
| Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Clinical indications and appropriate use cases - Ultrasound capabilities and limitations |
| Procedural Guidance | - Ultrasound-guided injections and interventions - Safety and procedural considerations | |
| Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Preparing the Patient and Environment | - Patient positioning and preparation - Environment and equipment setup |
This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?
Correct Answer: C 🗳️
Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?
Correct Answer: A 🗳️
Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?
Correct Answer: B 🗳️
For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?
Correct Answer: D 🗳️
An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?
Correct Answer: D 🗳️
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