American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology : RhMSUS

  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Aug 30, 2026     Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

Question 1

Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?

A. A posteromedial approach at the level of the mid-gastrocnemius muscle
B. A posteromedial approach at the level of the joint line
C. An anteromedial approach at the level of the joint line
D. A posteromedial approach at the level proximal to the joint line


Question 2

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

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

B. A close-up of a ultrasound Description automatically generated
C. An ultrasound image of a human body Description automatically generated


D. A close-up of an ultrasound Description automatically generated


Question 3

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. Quadriceps contraction
B. Passive knee extension
C. Tissue compression at the distal transducer edge
D. Rotation of the distal transducer edge


Question 4

What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

A. 9 mm in children less than 5 years old
B. 9 mm in adults
C. 7 mm in adults
D. 7 mm in children less than 5 years old


Question 5

The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?

A. Artifact from transducer placement
B. Tendon tear
C. Normal tendon variability
D. Tendinopathy


Solutions:

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

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