American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Jul 26, 2026     Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

1. This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?

A) Chondrocalcinosis
B) Osteophyte formation
C) Urate deposition
D) Meniscus tear


2. For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?

A) The examiner is between the patient and the monitor.
B) The monitor is on the left of the patient for a left-handed examiner.
C) The monitor is between the patient and the examiner.
D) The examiner is closest to the limb of the patient being scanned while facing toward the monitor.


3. A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?

A) Inflammatory arthritis
B) Ruling out of inflammatory arthritis
C) Ruling out of infection
D) Ankle pain


4. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?

A) Radiation exposure
B) Poor calibration
C) Infection
D) Examiner injury


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

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


Solutions:

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

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