Pre-test for 2024 Advanced Ultrasound: Inflammatory Arthropathies, Lupus, Sjögren's Disease, Interstitial Lung Disease, and Vasculitis

CME/MOC Eligibility

In order to receive credit, you are required to complete this post-test survey.

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* 1. Please enter your full name:

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* 2. Please enter your email address:(Please use the email address to which your registration confirmation email was sent)

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* 3. Please select your credentials:

MD/DO

NP

RN

ANP

PharmD

PA

LCSW

OTR

PT

Other or N/A (please specify)

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* 4. According to the OMERACT scoring system for glandular alterations in primary Sjogren’s Syndrome, which gland carries a grade of 3?

Homogeneity of the entire glandular surface

Extensive inhomogeneity with hypo/anechoic areas occupying the entire glandular surface

Mild inhomogeneic changes with hypoechoic areas of the glandular surface

Moderate inhomogeneity with some hypoechoic/anechoic areas of the glandular surface.

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* 5. There are various modalities for imaging giant cell arteritis. Based on a systematic literature review and meta-analysis looking at low risk of bias studies, which of the following best describes the overall ability of ultrasound to aid in the diagnosis of GCA?

Sensitivity 88%, specificity 96%

Sensitivity 81%, specificity 98%

Sensitivity 76%, specificity 95%

Sensitivity 93%, specificity 94%

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* 6. Which of the following features is most likely associated with interstitial lung disease?

A lines, lung sliding

Anechogenicity with sinusoid sign on M mode and positive doppler

Multiple B lines, pleural irregularity or thickening

Tissue-like echogenicity similar to the liver

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* 7. Which of the following is the most important property in distinguishing myositis from normal muscle?

Doppler Signal

Echogenicity

Size

Texture

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* 8. OMERACT has established qualities of various grades of rheumatoid arthritis activity by ultrasound. Which of the following images of the second metacarpophalangeal joint most likely shows grade 2 synovitis? (Images by Geisinger Health-Rheumatology Fellowship Program)