Try American College of Rheumatology : RhMSUS valid & accurate questions and answers
Updated: Jul 11, 2026
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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. 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) Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
B) A positive Doppler signal is a predictor of future joint damage.
C) Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
D) Severe (high-grade) synovial hyperemia, but not mild (low-grade) hyperemia, would be an indication to change therapy.
2. The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?
A) Polymyositis
B) Eosinophilic fasciitis
C) Shoulder capsulitis
D) Sjogren's syndrome
3. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"
A) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
B) A Morton's neuroma in a patient complaining of foot pain
C) A femoral neck enchondroma in a patient complaining of hip pain
D) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
4. A practitioner wants to assess the structures on the right, distal portion of this image.
What should the practitioner do at this time?
A) Place the focal point at the level of the area of interest.
B) Increase the overall gain to brighten the image.
C) Choose a lower transducer frequency.
D) Depress the distal end of the probe.
5. How reliable is ultrasound as compared to other imaging modalities for diagnosing synovitis in the joints of the fingers?
A) Ultrasound is inferior to MRI but superior to X-ray in sensitivity.
B) Ultrasound is inferior to MRI but superior to clinical exam in sensitivity.
C) Ultrasound is inferior to MRI and X-ray in sensitivity.
D) Ultrasound is as sensitive as MRI but superior to X-ray.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: A |
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