Question 1

Order these tissues from lowest to highest ultrasound signal intensity:

Accepted Answer

A)  Bone, tendon, muscle, hyaline cartilage 
B)  Hyaline cartilage, bone, tendon, muscle 
C)  Hyaline cartilage, muscle, tendon, bone 
D)  Muscle, hyaline cartilage, tendon, bone 
A)  Bone, tendon, muscle, hyaline cartilage 
B)  Hyaline cartilage, bone, tendon, muscle 
C)  Hyaline cartilage, muscle, tendon, bone 
D)  Muscle, hyaline cartilage, tendon, bone C

Question 2

Which is true of the imaging characteristics of an injured tendon?

Accepted Answer

A)  Strains are displayed as increased signal intensity 
B)  It shows a hyperechoic, parallel fiber pattern 
C)  Strains show thinning of the tendon 
D)  The site of a tendon rupture may initially be hypoechoic 
A)  Strains are displayed as increased signal intensity 
B)  It shows a hyperechoic, parallel fiber pattern 
C)  Strains show thinning of the tendon 
D)  The site of a tendon rupture may initially be hypoechoic D

Question 3

The advantages of ultrasound imaging include all except:

Accepted Answer

A)  Wide field of view 
B)  Higher resolution 
C)  Ability to modify the imaging while it is being done 
D)  Lower cost 
A)  Wide field of view 
B)  Higher resolution 
C)  Ability to modify the imaging while it is being done 
D)  Lower cost A

Question 4

-Refer to the figure. What are the structures marked a-d in this normal longitudinal ultrasound of the shoulder?

Accepted Answer

A)  (a) deltoid muscle, (b) subacromial bursa, (c) cancellous bone, (d) synovial fluid 
B)  (a) subacromial bursa, (b) supraspinatus muscle, (c) cortical bone, (d) articular cartilage 
C)  (a) subdeltoid bursa, (b) supraspinatus tendon, (c) cancellous, (d) articular capsule 
D)  (a) deltoid muscle, (b) supraspinatus tendon, (c) cortical bone, (d) articular cartilage 
A)  (a) deltoid muscle, (b) subacromial bursa, (c) cancellous bone, (d) synovial fluid 
B)  (a) subacromial bursa, (b) supraspinatus muscle, (c) cortical bone, (d) articular cartilage 
C)  (a) subdeltoid bursa, (b) supraspinatus tendon, (c) cancellous, (d) articular capsule 
D)  (a) deltoid muscle, (b) supraspinatus tendon, (c) cortical bone, (d) articular cartilage

Question 5

-Refer to the figure. What is the structure between the arrowheads?

Accepted Answer

A)  Muscle 
B)  Ligament 
C)  Bursa 
D)  Subcutaneous fat 
A)  Muscle 
B)  Ligament 
C)  Bursa 
D)  Subcutaneous fat

Question 6

The scanning planes in musculoskeletal ultrasound can best be described as:

Accepted Answer

A)  Comparable to CT and MRI 
B)  Transverse, when viewing muscles 
C)  A direct continuation of the transducer orientation 
D)  An extended field of view, when looking at a muscle longitudinally 
A)  Comparable to CT and MRI 
B)  Transverse, when viewing muscles 
C)  A direct continuation of the transducer orientation 
D)  An extended field of view, when looking at a muscle longitudinally

Question 7

In Doppler ultrasound, a red color indicates:

Accepted Answer

A)  A high velocity of blood flow toward the transducer 
B)  Irregular blood flow in a tortuous vessel 
C)  Slow blood flow 
D)  A small blood vessel 
A)  A high velocity of blood flow toward the transducer 
B)  Irregular blood flow in a tortuous vessel 
C)  Slow blood flow 
D)  A small blood vessel

Question 8

High signal intensity in ultrasound images is seen when there is:

Accepted Answer

A)  High absorption of ultrasound 
B)  Reflection of ultrasound waves tissue off interfaces with similar impedance
AU: Is a word missing here between waves and tissue?
It should read "…ultrasound waves off tissue". 
C)  Scattering of the ultrasound energy 
D)  Ultrasound is reflected off smooth surfaces 
A)  High absorption of ultrasound 
B)  Reflection of ultrasound waves tissue off interfaces with similar impedance
AU: Is a word missing here between waves and tissue?
It should read "…ultrasound waves off tissue". 
C)  Scattering of the ultrasound energy 
D)  Ultrasound is reflected off smooth surfaces

Question 9

-Refer to the figure. If you compare the longitudinal ultrasound scan of the supraspinatus muscle and tendon (arrowheads) on the right with the normal supraspinatus on the left, what are your findings?

Accepted Answer

A)  Thickened supraspinatus tendon 
B)  Swollen subacromial bursa 
C)  Cortical irregularities and a partial tear 
D)  Hyperechoic focus in the distal tendon 
A)  Thickened supraspinatus tendon 
B)  Swollen subacromial bursa 
C)  Cortical irregularities and a partial tear 
D)  Hyperechoic focus in the distal tendon

Question 10

What are the differences between linear and curvilinear transducers?

Accepted Answer

A)  The linear transducer is often used for abdominopelvic ultrasound 
B)  The linear transducer displays a field of view wider than the transducer itself 
C)  The linear transducer is predominantly used for musculoskeletal imaging 
D)  A curved transducer displays a wider field of view for structures that are close to the transducer 
A)  The linear transducer is often used for abdominopelvic ultrasound 
B)  The linear transducer displays a field of view wider than the transducer itself 
C)  The linear transducer is predominantly used for musculoskeletal imaging 
D)  A curved transducer displays a wider field of view for structures that are close to the transducer

Order these tissues from lowest to highest ultrasound signal intensity:

Which is true of the imaging characteristics of an injured tendon?

The advantages of ultrasound imaging include all except:

-Refer to the figure. What are the structures marked a-d in this normal longitudinal ultrasound of the shoulder?

-Refer to the figure. What is the structure between the arrowheads?

The scanning planes in musculoskeletal ultrasound can best be described as:

In Doppler ultrasound, a red color indicates:

High signal intensity in ultrasound images is seen when there is:

-Refer to the figure. If you compare the longitudinal ultrasound scan of the supraspinatus muscle and tendon (arrowheads) on the right with the normal supraspinatus on the left, what are your findings?

What are the differences between linear and curvilinear transducers?

General Principles of Musculoskeletal Imaging

Radiologic Evaluation, Search Patterns, and Diagnosis

Radiologic Evaluation of Fracture

Computed Tomography

Magnetic Resonance Imaging

Radiologic Evaluation of the Cervical Spine

Radiologic Evaluation of the Temporomandibular Joint

Radiologic Evaluation of the Thoracic Spine, Sternum, and Ribs

The Chest Radiograph and Cardiopulmonary Imaging

Radiologic Evaluation of the Lumbosacral Spine and Sacroiliac Joints

Radiologic Evaluation of the Pelvis and Hip

Radiologic Evaluation of the Knee

Radiologic Evaluation of the Ankle and Foot

Radiologic Evaluation of the Shoulder

Radiologic Evaluation of the Elbow

Radiologic Evaluation of the Hand and Wrist

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Exam 6: Diagnostic Ultrasound

Order these tissues from lowest to highest ultrasound signal intensity:

Which is true of the imaging characteristics of an injured tendon?

The advantages of ultrasound imaging include all except:

-Refer to the figure. What are the structures marked a-d in this normal longitudinal ultrasound of the shoulder?

-Refer to the figure. What is the structure between the arrowheads?

The scanning planes in musculoskeletal ultrasound can best be described as:

In Doppler ultrasound, a red color indicates:

High signal intensity in ultrasound images is seen when there is:

-Refer to the figure. If you compare the longitudinal ultrasound scan of the supraspinatus muscle and tendon (arrowheads) on the right with the normal supraspinatus on the left, what are your findings?

What are the differences between linear and curvilinear transducers?

General Principles of Musculoskeletal Imaging

Radiologic Evaluation, Search Patterns, and Diagnosis

Radiologic Evaluation of Fracture

Computed Tomography

Magnetic Resonance Imaging

Radiologic Evaluation of the Cervical Spine

Radiologic Evaluation of the Temporomandibular Joint

Radiologic Evaluation of the Thoracic Spine, Sternum, and Ribs

The Chest Radiograph and Cardiopulmonary Imaging

Radiologic Evaluation of the Lumbosacral Spine and Sacroiliac Joints

Radiologic Evaluation of the Pelvis and Hip

Radiologic Evaluation of the Knee

Radiologic Evaluation of the Ankle and Foot

Radiologic Evaluation of the Shoulder

Radiologic Evaluation of the Elbow

Radiologic Evaluation of the Hand and Wrist

Filters