Download American College of Rheumatology : RhMSUS Questions & Answers as PDF & Test Software
Updated: Jun 04, 2026
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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?
A) Passive knee extension
B) Rotation of the distal transducer edge
C) Tissue compression at the distal transducer edge
D) Quadriceps contraction
2. 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 fourth compartment ten synovium should be targeted.
B) The midcarpal recess should be the primary target.
C) The radiocarpal recess should be the primary target.
D) Both the radiocarpal and midcarpal recesses should be targeted.
3. A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?
A) Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
B) Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
C) Ultrasound can delineate volar wrist anatomy.
D) Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
4. A practitioner wants to assess the structure marked with an asterisk (*).
What maneuver should the practitioner instruct the patient to perform of the examined joint?
A) Neutral position
B) Lateral abduction
C) External rotation
D) Internal rotation and adduction
5. Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?
A) Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
B) Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level
C) Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph
D) Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: A |
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