Free American College of Rheumatology RhMSUS Exam Questions

Question 1

The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?

A : The radiocarpal recess should be the primary target.

B : The midcarpal recess should be the primary target.

C : Both the radiocarpal and midcarpal recesses should be targeted.

D : The fourth compartment ten synovium should be targeted.

Answer: C

Question 2

For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?

A : The examiner is closest to the limb of the patient being scanned while facing toward the monitor.

B : The examiner is between the patient and the monitor.

C : The monitor is on the left of the patient for a left-handed examiner.

D : The monitor is between the patient and the examiner.

Answer: A

Question 3

Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a 15-yearold girl?

A : The typical appearance of pes equinovarus

B : The normal appearance of irregular ossification centers of the respective midfoot bones

C : Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions

D : An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces

Answer: B

Question 4

This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?

A : Effusion of the glenohumeral joint

B : Effusion with an erosion of the humeral head

C : Normal shoulder scan

D : Fracture of the humeral head