American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Aug 26, 2026
  • Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

Question 1

Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?

A. Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
B. Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
C. Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
D. Cartilage loss quantification in a patient with osteoarthritis


Question 2

An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?

A. D
B. B
C. C
D. A


Question 3

The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?

A. Polymyositis
B. Eosinophilic fasciitis
C. Sjogren's syndrome
D. Shoulder capsulitis


Question 4

At which angle is a dorsal scan of the elbow BEST performed?

A. Flexion of the elbow joint in a 90-degree angle
B. Flexion of the elbow joint in a 45-degree angle
C. Full extension of the elbow joint
D. Flexion of the elbow joint in a 60-degree angle


Question 5

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


Solutions:

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

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