RhMSUS by American College of Rheumatology Valid Free Exam Practice Test

Question 1

In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?

A. In fibromyalgia, to confirm the absence of joint and tendon pathology B. In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling C. In rheumatoid arthritis, to diagnose carpal tunnel syndrome D. In gout, using the double contour sign alone as diagnostic confirmation of the disease

Correct Answer: B

Question 2

How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?

A. By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm. B. By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm C. By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm D. By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm

Correct Answer: A

Question 3

Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?

A. Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis. B. Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip. C. The needle can touch the uncovered probe during the procedure as long as sterile gel is used. D. Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.

Correct Answer: B

Question 4

A 37-year-old female with a history of rheumatoid arthritis presents for sonographic evaluation. She has been in clinical remission for six months and is considering discontinuation of her biologic agent. Sonography of the right third metacarpophalangeal joint is shown. Which of the following is the MOST accurate description regarding this image?

A. Abnormal hyperechoic intra-articular tissue with Doppler signal B. Abnormal hyperechoic extra-articular tissue with Doppler signal C. Abnormal hypoechoic extra-articular tissue with Doppler signal D. Abnormal hypoechoic intra-articular tissue with Doppler signal

Correct Answer: D

Question 5

Which of the following is inappropriate for conventional musculoskeletal ultrasound?

A. Supraspinatus tear in rotator cuff syndrome B. Parotid involvement in Sjogren's syndrome C. Muscle involvement in polymyositis D. Median nerve entrapment in carpal tunnel syndrome

Correct Answer: C

Question 6

Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?

A. Option B B. Option A C. Option D D. Option C

Correct Answer: D

Question 7

By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:

A. Osteophytes in osteoarthritis. B. Articular cartilage damage in osteoarthritis. C. Erosions in rheumatoid arthritis. D. Synovitis in rheumatoid arthritis.

Correct Answer: D

Question 8

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

A. Effusion with an erosion of the humeral head B. Normal shoulder scan C. Fracture of the humeral head D. Effusion of the glenohumeral joint

Correct Answer: D

Question 9

A practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

A. Choose a lower transducer frequency. B. Place the focal point at the level of the area of interest. C. Depress the distal end of the probe. D. Increase the overall gain to brighten the image.

Correct Answer: B

Question 10

A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.

A. Radiocarpal joint B. Extensor tenosynovium C. Intercarpal joint D. Radioulnar joint

Correct Answer: C

American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology - RhMSUS Exam Practice Test