Free American College of Rheumatology RhMSUS Practice Exam Questions and Answers 2026

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Total 101 Questions | Updated On: Apr 03, 2026

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Question 1

Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?

A : The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.

B : The patient has a normal hip joint.

C : The patient should be referred for plain radiography to evaluate for femoral neck fracture.

D : The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.

Answer: B

Question 2

What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?

A : Images of the sonographic views with the presence of power Doppler synovitis only

B : Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only

C : Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint

D : All appropriate sonographic views of every joint examined

Answer: C

Question 3

Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?

A : An anteromedial approach at the level of the joint line

B : A posteromedial approach at the level of the joint line

C : A posteromedial approach at the level proximal to the joint line

D : A posteromedial approach at the level of the mid-gastrocnemius muscle

Answer: C

Question 4

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 femoral neck enchondroma in a patient complaining of hip pain

C : Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome

D : A Morton's neuroma in a patient complaining of foot pain

Answer: C

Question 5

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 radiocarpal recess should be the primary target.

B : The midcarpal recess should be the primary target.

C : Both the radiocarpal and midcarpal recesses should be targeted.

D : The fourth compartment ten synovium should be targeted.

Answer: C

Page: 1 / 21

Total 101 Questions | Updated On: Apr 03, 2026

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