Free American College of Rheumatology RhMSUS Exam Questions

Become American College of Rheumatology Certified with updated RhMSUS exam questions and correct answers

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Total 101 Questions | Updated On: Dec 18, 2025

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Question 1

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 2

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 3

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?

A : An anteromedial approach at the level of the joint line

B : A posteromedial approach at the level of the joint line

C : A posteromedial approach at the level proximal to the joint line

D : A posteromedial approach at the level of the mid-gastrocnemius muscle

Answer: C

Question 4

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?

A : Images of the sonographic views with the presence of power Doppler synovitis only

B : Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only

C : Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint

D : All appropriate sonographic views of every joint examined

Answer: C

Question 5

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

Page: 1 / 21

Total 101 Questions | Updated On: Dec 18, 2025

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