A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?
A. The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
B. The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
C. The ultrasound-guided technique takes additional time to perform.
D. The ultrasound-guided technique results in more pain.
正解:A
質問 2:
Which of the following is TRUE for document storage and record-keeping guidelines and requirements?
A. There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
B. All images must be part of the electronic or paper patient file.
C. The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.
D. Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.
正解:B
質問 3:
Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?
A. Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
B. Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
C. Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
D. Preoperative evaluation of a patient with suspected rotator cuff tear
正解:D
質問 4:
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
正解:C
質問 5:
Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?
A. Pisiform
B. Capitate
C. Hamate
D. Triquetrum
正解:A
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