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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology : RhMSUS

RhMSUS

Exam Code: RhMSUS

Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology

Updated: Aug 22, 2026

Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Topic 1: Procedural Guidance
Topic 2: Equipment Use and Management
Topic 3: Interpretation and Integration
Topic 4: Recognize Indications for the Use of Ultrasound in Rheumatology
Topic 5: Documentation
Topic 6: Preparing the Patient and Environment
Topic 7: Performing the Ultrasound Examination

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

1. Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?

A) Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
B) Preoperative evaluation of a patient with suspected rotator cuff tear
C) Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
D) Assessment of pain and swelling of unclear etiology at the right temporomandibular joint


2. 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) A posteromedial approach at the level proximal to the joint line
D) An anteromedial approach at the level of the joint line


3. Which of the following is the MOST appropriate next step to confirm the presence of pathology in this metacarpophalangeal joint?

A) Decrease the depth.
B) Float the probe.
C) Use a "hockey stick" probe.
D) Check the transverse plane.


4. Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?

A) A person sitting in front of a machine Description automatically generated
B) A person in a hospital room Description automatically generated with medium confidence


C) A person sitting in a chair with a machine Description automatically generated


D) A person with no shirt Description automatically generated


5. In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?

A) Arrow B
B) Arrow C
C) Arrow D
D) Arrow A


Solutions:

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

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