American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

RhMSUS pass collection

Exam Code: RhMSUS

Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology

Updated: Aug 17, 2026

Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Documentation
Performing the Ultrasound Examination
Equipment Use and Management
Recognize Indications for the Use of Ultrasound in Rheumatology
Preparing the Patient and Environment
Interpretation and Integration
Procedural Guidance

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

1. A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?

A) The ultrasound-guided technique results in more pain.
B) The ultrasound-guided technique takes additional time to perform.
C) The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
D) The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.


2. 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) Neurom of the tibiatis posterior nerve
B) Tenosynovitis of the flexor hallucis longus
C) Tenosynovitis of the flexor digitorum
D) Tenosynovitis of the tibialis anterior tendon


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

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


4. Which of the following images is MOST consistent with crystal-induced arthropathy?

A) Option C
B) Option B
C) Option D
D) Option A


5. An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?

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


Solutions:

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

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