American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Sep 09, 2026
  • Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Procedural Guidance- Ultrasound-guided injections and interventions
- Safety and procedural considerations
Topic 2: Documentation- Reporting standards and required documentation
- Image archiving and record keeping
Topic 3: Performing the Ultrasound Examination- Scanning techniques for joints and soft tissue
- Anatomical landmark recognition
Topic 4: Equipment Use and Management- Transducer selection and maintenance
- Ultrasound machine controls and optimization
Topic 5: Preparing the Patient and Environment- Patient positioning and preparation
- Environment and equipment setup
Topic 6: Recognize Indications for Use of Ultrasound in Rheumatology9%- Clinical indications and appropriate use cases
- Ultrasound capabilities and limitations
Topic 7: Interpretation and Integration- Identifying normal and pathological findings
- Integrating ultrasound findings into clinical decisions

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

Question #1

What is the MAIN pathologic finding shown in this ultrasound image?

  • A. Osteophytes
  • B. Synovitis
  • C. Erosion
  • D. Tendon rupture
Answer: A
Question #2

Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?

  • A. Complex regional pain syndrome
  • B. Superior labral anterior-posterior lesion
  • C. Glenohumeral synovitis
  • D. Adhesive capsulitis
Answer: C
Question #3

What is the BEST assessment of these longitudinal images of the pes anserinus region?

  • A. Normal medial genicular artery signal
  • B. Presence of enthesopathy with hyperemia
  • C. Tenosynovitis
  • D. Reverberation artifact
Answer: C
Question #4

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

  • A. Saved to the desktop in the exam room
  • B. Saved to a secure server with backup
  • C. Saved to a secure personal flash drive
  • D. Saved to the ultrasound machine only
Answer: B
Question #5

At approximately how many degrees of flexion is the MOST sensitive resting position of the knee for imaging fluid in the suprapatellar recess?

  • A. 15
  • B. 30
  • C. 45
  • D. 0
Answer: D

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