American College of Rheumatology RhMSUS Exam Questions : Musculoskeletal Ultrasound Certification in Rheumatology

  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Aug 27, 2026
  • Q&As: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

Question 1

Which of the following is required in a report documenting an ultrasound-guided procedure?

A. Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions
B. Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
C. Image labeled with exam date, patient identification, image orientation, and image views of the target area
D. Image showing needle in the target structure or orthogonal images of the target structure before and after injection


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


Question 3

To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?

A. Curvilinear structure
B. Higher frequency
C. Smaller footprint
D. Standoff pad


Question 4

What is the MOST prominent ultrasound artifact depicted in this image?

A. Shadowing
B. Comet tail
C. Enhancement
D. Ring down


Question 5

This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?

A. A probe-generated artifact
B. Calcification of the supraspinatus tendon
C. Normal deltoid muscle
D. Subacromial bursa calcification


Solutions:

Question 1
Answer: A
Question 2
Answer: A
Question 3
Answer: A
Question 4
Answer: C
Question 5
Answer: C

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