Last Updated: Jul 15, 2026
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1. In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?
A) Median nerve impingement
B) Persistent median artery
C) Flexor tenosynovitis
D) Anomalous radial artery
2. Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?
A) Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
B) Preoperative evaluation of a patient with suspected rotator cuff tear
C) Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
D) Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
3. Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?
A) 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
B) 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
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) Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
4. A 38-year-old woman with recent history of right shoulder subacromial impingement presents for a two-week follow-up after an anatomically guided subacromial/subdeltoid corticosteroid injection. She reports some initial, but only short-lived, improvement of her right shoulder pain and discomfort with arm elevation.
Her right shoulder X-rays are normal. What would be the MOST appropriate next intervention?
A) Referral to occupational therapy for shoulder rehabilitation exercise
B) Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
C) Ultrasound-guided corticosteroid injection of the glenohumeral joint
D) Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
5. Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?



A) Option D
B) Option A
C) Option B
D) Option C
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: D |
Benjamin
Charles
Ed
Griffith
Jesse
Marico
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