American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Sep 12, 2026     Q & A: 100 Questions and Answers

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Following are some reference material for actual American College of Rheumatology RhMSUS exam test

American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

Question #1

A practitioner obtains this image of a metacarpophalangeal joint of a patient with periodic joint swelling and warmth. Which of the following is the MOST likely diagnosis?

  • A. Rheumatoid arthritis
  • B. Osteoarthritis
  • C. Spondylarthritis
  • D. Gouty arthritis
Answer: A
Question #2

Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?

  • A. Subacromial bursitis
  • B. Osteoarthritis
  • C. Rheumatoid synovitis
  • D. Calcific tendinitis
Answer: A
Question #3

Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?

  • A. Anterior glenoid labrum
  • B. Posterior cruciate ligament
  • C. Posterior patellar cartilage
  • D. Metacarpal volar plate
Answer: C
Question #4

Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?

  • A. Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
  • B. An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
  • C. The normal appearance of irregular ossification centers of the respective midfoot bones
  • D. The typical appearance of pes equinovarus
Answer: C
Question #5

A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?

  • A. B
  • B. C
  • C. D
  • D. A
Answer: B

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