The American College of Rheumatology has listed five procedures that patients should strongly question: A) Getting tested for Lyme disease as the cause for musculoskeletal problems when there is no exposure history; B) Getting an MRI of peripheral joints to routinely monitor inflammatory arthritis; C) Taking biologic drugs for Rheumatoid Arthritis before a trial of methotrexate or other conventional non-biologic meds; D) Repeating DEXA scans to follow osteoporosis more than once every two years; E) Getting sub-serology ANA blood tests without a previously positive ANA.