American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology : RhMSUS exam

American College of Rheumatology RhMSUS Actual PDF
  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Sep 04, 2026
  • Q & A: 100 Questions and Answers
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About American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology : RhMSUS Exam

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

Question 1

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



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


Question 2

Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?

A. Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
B. Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
C. Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
D. Preoperative evaluation of a patient with suspected rotator cuff tear


Question 3

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 fourth compartment ten synovium should be targeted.
B. Both the radiocarpal and midcarpal recesses should be targeted.
C. The midcarpal recess should be the primary target.
D. The radiocarpal recess should be the primary target.


Question 4

In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

A. Flexor tenosynovitis
B. Persistent median artery
C. Anomalous radial artery
D. Median nerve impingement


Question 5

Which effect is achieved by increasing the gain while in Doppler mode?

A. Increased tissue penetration
B. Reduced noise artifacts in the image
C. Increased sensitivity to flow
D. Increased image brightness


Solutions:

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

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