American College of Rheumatology RhMSUS exam : Musculoskeletal Ultrasound Certification in Rheumatology

RhMSUS Exam Simulator
  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Sep 10, 2026
  • Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Topic 1: Equipment Use and Management
Topic 2: Preparing the Patient and Environment
Topic 3: Procedural Guidance
Topic 4: Documentation
Topic 5: Recognize Indications for the Use of Ultrasound in Rheumatology
Topic 6: Performing the Ultrasound Examination
Topic 7: Interpretation and Integration

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

Question #1

A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

  • A. Ganglion cyst rupture
  • B. Rheumatoid nodulosis
  • C. Extensor tendon tear
  • D. Extensor tenosynovitis
Answer: D
Question #2

To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?

  • A. Passive knee extension
  • B. Quadriceps contraction
  • C. Tissue compression at the distal transducer edge
  • D. Rotation of the distal transducer edge
Answer: B
Question #3

Which of the following images is MOST consistent with crystal-induced arthropathy?

  • A. Option A
  • B. Option D
  • C. Option C
  • D. Option B
Answer: C
Question #4

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

  • A. Knee
  • B. Sacroiliac joint
  • C. Lateral epicondyle
  • D. Glenohumeral joint
Answer: B
Question #5

What should be taken into consideration prior to any procedure?

  • A. The transducer should be aligned perpendicular to the plane of the needle.
  • B. The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.
  • C. The needle should be visualized only prior to its insertion to the target area.
  • D. A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
Answer: B

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