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American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

RhMSUS

Exam Code: RhMSUS

Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology

Updated: Oct 24, 2026

Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

Question #1
This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?

A. Normal anatomy for age
B. An effusion of the suprapatellar recess
C. Chondromalacia of the patella
D. Quadriceps tendinopathy with acoustic shadow


Question #2
This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?

A. Normal shoulder scan
B. Effusion of the glenohumeral joint
C. Effusion with an erosion of the humeral head
D. Fracture of the humeral head


Question #3
Which of the following is TRUE for document storage and record-keeping guidelines and requirements?

A. There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
B. Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.
C. The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.
D. All images must be part of the electronic or paper patient file.


Question #4
A practitioner is counseling a patient with suspected rotator cuff tendinopathy on imaging options. Which of the following is CORRECT regarding diagnostic ultrasound examination?

A. It is the gold standard for preoperative planning for rotator cuff surgery.
B. It provides the same information as an MRI without gadolinium.
C. It obviates the need for X-ray examination when cortical margins are normal.
D. It uses sound energy with no adverse effects found in clinical studies.


Question #5
Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?

A. A person in a hospital room Description automatically generated with medium confidence


B. A person sitting in front of a machine Description automatically generated
C. A person with no shirt Description automatically generated
D. A person sitting in a chair with a machine Description automatically generated


Solutions:

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

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