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Question 1

Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?

Options :

A : An anteromedial approach at the level of the joint line

B : A posteromedial approach at the level of the joint line

C : A posteromedial approach at the level proximal to the joint line

D : A posteromedial approach at the level of the mid-gastrocnemius muscle

Answer: C

Question 2

This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?

Options :

A : Effusion of the glenohumeral joint

B : Effusion with an erosion of the humeral head

C : Normal shoulder scan

D : Fracture of the humeral head

Answer: A

Question 3

Which of the following is inappropriate for conventional musculoskeletal ultrasound?

Options :

A : Muscle involvement in polymyositis

B : Parotid involvement in Sjögren's syndrome

C : Median nerve entrapment in carpal tunnel syndrome

D : Supraspinatus tear in rotator cuff syndrome

Answer: A

Question 4

Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?

Options :

A : The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.

B : The patient has a normal hip joint.

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: B

Question 5

Which of the following should NOT be evaluated using a musculoskeletal ultrasound?”

Options :

A : Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis

B : A femoral neck enchondroma in a patient complaining of hip pain

C : Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome

D : A Morton's neuroma in a patient complaining of foot pain

Answer: C