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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology : RhMSUS
- Exam Code: RhMSUS
- Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
- Updated: Sep 12, 2026
- Q & A: 100 Questions and Answers
About American College of Rheumatology RhMSUS Exam Questions
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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Performing the Ultrasound Examination | |
| Topic 2: Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Topic 3: Interpretation and Integration | |
| Topic 4: Equipment Use and Management | |
| Topic 5: Documentation | |
| Topic 6: Preparing the Patient and Environment | |
| Topic 7: Procedural Guidance |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Question #1
Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?
- A. Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph
- B. Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
- C. Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
- D. Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level
Correct Answer: B 🗳️
Question #2
How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?
- A. By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
- B. By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm
- C. By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
- D. By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm
Correct Answer: C 🗳️
Question #3
Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?
- A. Capitate
- B. Pisiform
- C. Hamate
- D. Triquetrum
Correct Answer: B 🗳️
Question #4
The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?
- A. The radiocarpal recess should be the primary target.
- B. Both the radiocarpal and midcarpal recesses should be targeted.
- C. The midcarpal recess should be the primary target.
- D. The fourth compartment ten synovium should be targeted.
Correct Answer: B 🗳️
Question #5
A 37-year-old female with a history of rheumatoid arthritis presents for sonographic evaluation. She has been in clinical remission for six months and is considering discontinuation of her biologic agent. Sonography of the right third metacarpophalangeal joint is shown. Which of the following is the MOST accurate description regarding this image?
- A. Abnormal hyperechoic extra-articular tissue with Doppler signal
- B. Abnormal hypoechoic extra-articular tissue with Doppler signal
- C. Abnormal hyperechoic intra-articular tissue with Doppler signal
- D. Abnormal hypoechoic intra-articular tissue with Doppler signal
Correct Answer: D 🗳️
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