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

Updated: Jun 26, 2026

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

1. Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old 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


2. 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) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
C) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
D) 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.


3. Which of the following is MOST accurate regarding high-level disinfection of a probe?

A) High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
B) High-level disinfection of an internal-use probe is required between every patient
C) High-level disinfection of an external probe does not remove most fungi
D) High-level disinfection of an external probe removes all bacterial spores.


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

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


5. Which of the following represents the BEST method for storing ultrasound images and relevant reports?

A) Saved to a secure personal flash drive
B) Saved to a secure server with backup
C) Saved to the desktop in the exam room
D) Saved to the ultrasound machine only


Solutions:

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

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