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

  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Jul 25, 2026
  • Q&As: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

1. Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?

A) An ultrasound image of a human body Description automatically generated


B) A close-up of an ultrasound Description automatically generated

C) A close-up of a black and white image Description automatically generated

D) A close-up of a ultrasound Description automatically generated


2. Which condition is the ultrasound examination of this nodular structure MOST suggestive of?

A) Rheumatoid nodule
B) Subcutaneous abscess
C) Ganglion cyst
D) Gouty tophus


3. Which probe is the BEST choice for ultrasound examination of the adult wrist?

A) Linear 40-50 mm, 10-18 MHz transducer
B) Linear 20-25 mm, 10-18 MHz transducer
C) Linear 40-50 mm, 3-8 MHz transducer
D) Linear 20-25 mm, 3-8 MHz transducer


4. Which of the following statements regarding ultrasound probe care is MOST accurate?

A) External probes, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.
B) External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.
C) Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.
D) Internal-use probes are considered critical devices and require sterilization after each use.


5. 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) Impingement
C) Complete tear
D) Intrasubstance tear


Solutions:

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

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