American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

RhMSUS real exams

Exam Code: RhMSUS

Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology

Updated: Sep 08, 2026

Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionWeightObjectives
Preparing the Patient and Environment- Patient positioning and preparation
- Environment and equipment setup
Equipment Use and Management- Transducer selection and maintenance
- Ultrasound machine controls and optimization
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
Performing the Ultrasound Examination- Anatomical landmark recognition
- Scanning techniques for joints and soft tissue
Recognize Indications for Use of Ultrasound in Rheumatology9%- Clinical indications and appropriate use cases
- Ultrasound capabilities and limitations
Documentation- Image archiving and record keeping
- Reporting standards and required documentation

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

Question #1

A 62-year-old man presents with left shoulder pain. The ultrasound image was taken at the patient's maximum abduction (45 degrees). Which of the following rotator cuff pathologies is BEST evaluated with this shoulder position?

  • A. Enthesopathy
  • B. Intrasubstance tear
  • C. Impingement
  • D. Complete tear
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Question #2

What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?

  • A. Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
  • B. Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only
  • C. All appropriate sonographic views of every joint examined
  • D. Images of the sonographic views with the presence of power Doppler synovitis only
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #3

What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

  • A. 9 mm in adults
  • B. 7 mm in children less than 5 years old
  • C. 9 mm in children less than 5 years old
  • D. 7 mm in adults
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #4

This image shows the sequence of a guided procedure in a patient with rheumatoid arthritis and a mass of the right shoulder. Although guided aspiration was useful for the fluid examination, surgery was performed for a definitive diagnosis of the acromioclavicular cyst. Which condition is the finding MOST associated with this pathology?

  • A. Chondrocalcinosis
  • B. Rotator cuff tear
  • C. Humeral head fracture
  • D. Amyloidosis
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #5

An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?

  • A. B
  • B. C
  • C. A
  • D. D
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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