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Pass your actual test at first attempt with American College of Rheumatology RhMSUS training material

Updated: Sep 05, 2025

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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:

1. Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?

A) Subacromial bursitis
B) Osteoarthritis
C) Rheumatoid synovitis
D) Calcific tendinitis


2. Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?

A) Adhesive capsulitis
B) Complex regional pain syndrome
C) Superior labral anterior-posterior lesion
D) Glenohumeral synovitis


3. An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?

A) D
B) B
C) A
D) C


4. Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?

A) Image B
B) Image D
C) Image A
D) Image C


5. A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?

A) Flexor hallucis
B) Subtalar joint
C) Posterior tibial tendon
D) Flexor digitorum


Solutions:

Question # 1
Answer: A
Question # 2
Answer: D
Question # 3
Answer: B
Question # 4
Answer: D
Question # 5
Answer: C

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