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American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

RhMSUS

Exam Code: RhMSUS

Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology

Updated: Aug 18, 2026

Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

1. How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?

A) By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm
B) By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
C) By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
D) By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm


2. 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) D
B) B
C) A
D) C


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

A) Osteophytes
B) Erosion
C) Tendon rupture
D) Synovitis


4. A practitioner wants to assess the structure marked with an asterisk (*).

What maneuver should the practitioner instruct the patient to perform of the examined joint?

A) External rotation
B) Internal rotation and adduction
C) Lateral abduction
D) Neutral position


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

A) Anterior glenoid labrum
B) Posterior patellar cartilage
C) Metacarpal volar plate
D) Posterior cruciate ligament


Solutions:

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

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RhMSUS - Musculoskeletal Ultrasound Certification in Rheumatology
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