Try and practice the latest American College of Rheumatology : RhMSUS real questions & answers
Updated: Jul 21, 2026
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American College of Rheumatology RhMSUS Exam Overview:
| Certification Vendor: | American College of Rheumatology (ACR) |
| Exam Name: | Musculoskeletal Ultrasound Certification in Rheumatology (RhMSUS) Examination |
| Exam Number: | RhMSUS |
| Exam Format: | Computer-based exam, Multiple-choice questions, Online proctored (varies by testing cycle) |
| Available Languages: | English |
| Recommended Training: | American College of Rheumatology Musculoskeletal Ultrasound Courses |
| Exam Registration: | ACR RhMSUS Certification Information and Registration |
| Sample Questions: | American College of Rheumatology RhMSUS Sample Questions |
| Exam Way: | Computer-based, typically remotely proctored or at designated testing centers depending on administration cycle. |
| Pre Condition: | Intended for licensed rheumatologists or rheumatology trainees with documented musculoskeletal ultrasound training and supervised clinical experience (specific eligibility requirements may vary by ACR cycle). |
| Official Syllabus URL: | https://rheumatology.org |
American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Topic 2: Upper Extremity Ultrasound | - Shoulder joint evaluation - Elbow, wrist, and hand structures |
| Topic 3: Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
| Topic 4: Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
| 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:
1. This image shows the sequence of a guided procedure in a patient with rheumatoid arthritis and a mass of the right shoulder. Although guided aspiration was useful for the fluid examination, surgery was performed for a definitive diagnosis of the acromioclavicular cyst. Which condition is the finding MOST associated with this pathology?
A) Amyloidosis
B) Humeral head fracture
C) Rotator cuff tear
D) Chondrocalcinosis
2. 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 with no shirt Description automatically generated
D) A person sitting in a chair with a machine Description automatically generated
3. A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?
A) Psoriatic arthritis
B) Gout
C) Rheumatoid arthritis
D) Calcium pyrophosphate arthritis
4. Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?
A) Pisiform
B) Triquetrum
C) Capitate
D) Hamate
5. In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?
A) Median nerve impingement
B) Flexor tenosynovitis
C) Anomalous radial artery
D) Persistent median artery
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |
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