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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology : RhMSUS

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:

SectionObjectives
Topic 1: Upper Extremity Ultrasound- Shoulder joint evaluation
- Elbow, wrist, and hand structures
Topic 2: Ultrasound-Guided Procedures- Needle guidance and safety principles
- Joint aspiration and injection techniques
Topic 3: Inflammatory and Degenerative Pathology- Synovitis, effusions, and erosions
- Tendinopathy and enthesitis patterns
Topic 4: Lower Extremity Ultrasound- Hip joint assessment
- Knee, ankle, and foot evaluation
Topic 5: Foundations of Musculoskeletal Ultrasound- Image optimization and acquisition techniques
- Ultrasound physics and instrumentation

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

1. In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?

A) A foreign body
B) The tip of an osteophyte
C) A normal sesamoid
D) A metacarpal fragment from prior trauma


2. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?

A) Image A
B) Image B
C) Image C
D) Image D


3. A scratch along the rubber sole of a transducer is MOST likely to cause which of the following?

A) Increased risk of the spread of infection
B) No impact on image acquisition
C) Artifact in the B-Mode image
D) Risk of electrical shock


4. Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

A) Lateral epicondyle
B) Knee
C) Glenohumeral joint
D) Sacroiliac joint


5. Which of the following statements is CORRECT with regard to the use of ultrasound equipment for children?" followed by four answer choices:

A) Special "hockey stick" transducers are essential to adequately image pediatric joints
B) Ultrasonography has limitations in imaging the relatively small structures in pediatric joints
C) High-Trequency probes are necessary to adapt to the small pediatric joints
D) Pediatric joints can be imaged with the same ultrasound equipment used for adults


Solutions:

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

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