Learn with American College of Rheumatology : RhMSUS training material for 100% pass
Updated: Jun 30, 2026
No. of Questions: 100 Questions & Answers with Testing Engine
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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. What is the MOST appropriate conclusion for the image of this hip?
A) Hip effusion in longitudinal view
B) Hip synovitis in longitudinal view
C) Iliopsoas bursitis in longitudinal view
D) Normal longitudinal view of the hip
2. A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?
A) The ultrasound-guided technique results in more pain.
B) The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
C) The ultrasound-guided technique takes additional time to perform.
D) The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
3. 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?
A) Severe (high-grade) synovial hyperemia, but not mild (low-grade) hyperemia, would be an indication to change therapy.
B) Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
C) A positive Doppler signal is a predictor of future joint damage.
D) Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
4. Which of the following is MOST accurate regarding high-level disinfection of a probe?
A) High-level disinfection of an external probe removes all bacterial spores.
B) High-level disinfection of an internal-use probe is required between every patient
C) High-level disinfection of an external probe does not remove most fungi
D) High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
5. What should be adjusted to improve the quality of the image of the tibiotalar joint?
A) Frame average and frequency
B) Frame average and depths
C) Focus and map
D) Focus and frequency
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: C |
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