American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

RhMSUS real exams

Exam Code: RhMSUS

Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology

Updated: Aug 24, 2026

Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

1. In this image of a knee, what is the MOST obvious abnormality?

A) Asymmetric femoral cartilage thinning
B) Avascular necrosis
C) Cartilage interface sign
D) Chondrocalcinosis


2. A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.

A) Extensor tenosynovium
B) Intercarpal joint
C) Radioulnar joint
D) Radiocarpal joint


3. What is the MAIN pathologic finding shown in this ultrasound image?

A) Synovitis
B) Osteophytes
C) Tendon rupture
D) Erosion


4. What is the BEST assessment of these longitudinal images of the pes anserinus region?

A) Tenosynovitis
B) Presence of enthesopathy with hyperemia
C) Normal medial genicular artery signal
D) Reverberation artifact


5. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?

A) Image D
B) Image C
C) Image B
D) Image A


Solutions:

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

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American College of Rheumatology Related Exams

  • RhMSUS

    Musculoskeletal Ultrasound Certification in Rheumatology

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