American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

RhMSUS real exams

Exam Code: RhMSUS

Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology

Updated: Sep 05, 2026

Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Topic 1: Inflammatory and Degenerative Pathology- Synovitis, effusions, and erosions
- Tendinopathy and enthesitis patterns
Topic 2: Upper Extremity Ultrasound- Elbow, wrist, and hand structures
- Shoulder joint evaluation
Topic 3: Foundations of Musculoskeletal Ultrasound- Image optimization and acquisition techniques
- Ultrasound physics and instrumentation
Topic 4: Lower Extremity Ultrasound- Knee, ankle, and foot evaluation
- Hip joint assessment
Topic 5: Ultrasound-Guided Procedures- Needle guidance and safety principles
- Joint aspiration and injection techniques

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

Question 1

To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?

A. Quadriceps contraction
B. Rotation of the distal transducer edge
C. Passive knee extension
D. Tissue compression at the distal transducer edge


Question 2

What should be adjusted to improve the quality of the image of the tibiotalar joint?

A. Frame average and depths
B. Focus and frequency
C. Frame average and frequency
D. Focus and map


Question 3

The best way to facilitate visualization of ultrasound images in an exam room.

A. Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
B. Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
C. Brighten the ambient lighting to improve the signal-to-noise ratio
D. Decrease high-frequency ambient noise to minimize interfering sound waves


Question 4

What is the MOST prominent ultrasound artifact depicted in this image?

A. Enhancement
B. Comet tail
C. Shadowing
D. Ring down


Question 5

The second finger was examined. Which of the following is shown in the image below?

A. Proximal interphalangeal, dorsal longitudinal view
B. Metacarpophalangeal, dorsal longitudinal view
C. Metacarpophalangeal, palmar longitudinal view
D. Proximal interphalangeal, palmar longitudinal view


Solutions:

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

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