American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Aug 17, 2026
  • Q & A: 100 Questions and Answers

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About American College of Rheumatology RhMSUS Exam

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Topic 1: Ultrasound-Guided Procedures- Joint aspiration and injection techniques
- Needle guidance and safety principles
Topic 2: Upper Extremity Ultrasound- Shoulder joint evaluation
- Elbow, wrist, and hand structures
Topic 3: Lower Extremity Ultrasound- Knee, ankle, and foot evaluation
- Hip joint assessment
Topic 4: Inflammatory and Degenerative Pathology- Tendinopathy and enthesitis patterns
- Synovitis, effusions, and erosions
Topic 5: Foundations of Musculoskeletal Ultrasound- Image optimization and acquisition techniques
- Ultrasound physics and instrumentation

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

1. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?

A) Examiner injury
B) Infection
C) Radiation exposure
D) Poor calibration


2. Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?

A) Proximal interphalangeal osteophytes
B) Flexor tenosynovitis
C) Proximal interphalangeal synovitis
D) Flexor tendon rupture with reparative hyperemia


3. A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?

A) Ruling out of inflammatory arthritis
B) Inflammatory arthritis
C) Ankle pain
D) Ruling out of infection


4. Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?

A) A close-up of a black and white image Description automatically generated

B) A close-up of an ultrasound Description automatically generated

C) A close-up of a ultrasound Description automatically generated
D) An ultrasound image of a human body Description automatically generated


5. 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 MRI to confirm a paralabral cyst and evaluate for labral tear.
D) The patient should be referred for plain radiography to evaluate for femoral neck fracture.


Solutions:

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

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