Updated: Jul 26, 2026
No. of Questions: 100 Questions & Answers with Testing Engine
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| Certification Vendor: | American College of Rheumatology |
| Exam Name: | Musculoskeletal Ultrasound Certification in Rheumatology™ (RhMSUS™) |
| Exam Number: | RhMSUS |
| Exam Duration: | 120 minutes |
| Exam Price: | Varies by membership status |
| Available Languages: | English |
| Real Exam Qty: | 100 |
| Related Certifications: | USSONAR Training Program in MSUS Rheumatology Fellowship |
| Exam Format: | Multiple choice |
| Certificate Validity Period: | 10 years |
| Sample Questions: | American College of Rheumatology RhMSUS Sample Questions |
| Exam Way: | Written certification exam administered through scheduled testing windows; primarily paper-based or computer-based multiple-choice at authorized testing locations. |
| Pre Condition: | Candidates must meet eligibility requirements, which include documented musculoskeletal ultrasound experience and continuing medical education (CME) related to MSUS per the official candidate handbook pathways (e.g., minimum scans, CME credits, or specialized training). |
| Official Syllabus URL: | https://rheumatology.org/rhmsus-certification |
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Clinical indications and appropriate use cases - Ultrasound capabilities and limitations |
| Topic 2: Performing the Ultrasound Examination | - Scanning techniques for joints and soft tissue - Anatomical landmark recognition | |
| Topic 3: Equipment Use and Management | - Transducer selection and maintenance - Ultrasound machine controls and optimization | |
| Topic 4: Interpretation and Integration | - Integrating ultrasound findings into clinical decisions - Identifying normal and pathological findings | |
| Topic 5: Procedural Guidance | - Safety and procedural considerations - Ultrasound-guided injections and interventions | |
| Topic 6: Preparing the Patient and Environment | - Environment and equipment setup - Patient positioning and preparation | |
| Topic 7: Documentation | - Image archiving and record keeping - Reporting standards and required documentation |
1. A 30-year-old female patient with rheumatoid arthritis reports pain at the medial malleolus. The medial side of the ankle is tender and seems to be swollen. How should a practitioner interpret the transverse images at the medial malleolus?
A) Tenosynovitis of the tibialis anterior tendon
B) Tenosynovitis of the flexor digitorum
C) Tenosynovitis of the flexor hallucis longus
D) Neurom of the tibiatis posterior nerve
2. This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?
A) Fracture of the humeral head
B) Normal shoulder scan
C) Effusion of the glenohumeral joint
D) Effusion with an erosion of the humeral head
3. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?
A) Poor calibration
B) Radiation exposure
C) Examiner injury
D) Infection
4. What is the MAIN pathologic finding shown in this ultrasound image?
A) Erosion
B) Synovitis
C) Tendon rupture
D) Osteophytes
5. Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?
A) Adhesive capsulitis
B) Superior labral anterior-posterior lesion
C) Glenohumeral synovitis
D) Complex regional pain syndrome
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: C |
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