NO.51 In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?

NO.52 What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?

NO.53 The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?

NO.54 Which of the following should NOT be evaluated using a musculoskeletal ultrasound?”

NO.55 Which of the following protocols would be MOST consistent with a complete routine ultrasound examination of the shoulder?

NO.56 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?

NO.57 A practitioner obtains the following ultrasound image of a patient with a positive rheumatoid factor and normal ESR, CRP, and hand X-rays.

Which of the following options would be an evidence-based statement during a discussion of the management plan?

NO.58 Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?

NO.59 This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?

NO.60 A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?

NO.61 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?

NO.62 A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient’s ultrasound images demonstrate?

NO.63 In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

NO.64 Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?

NO.65 What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

NO.66 What is the BEST assessment of these longitudinal images of the pes anserinus region?

NO.67 A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?

NO.68 Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?

NO.69 For which of the following conditions is the use of diagnostic musculoskeletal ultrasound appropriate?

NO.70 A practitioner wants to assess the structure marked with an asterisk (*).

What maneuver should the practitioner instruct the patient to perform of the examined joint?

NO.71 A scratch along the rubber sole of a transducer is MOST likely to cause which of the following?