Download American College of Rheumatology : RhMSUS Questions & Answers as PDF & Test Software
Updated: Sep 18, 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: | Online proctored (varies by testing cycle), Multiple-choice questions, Computer-based exam |
| 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 |
|---|---|
| Foundations of Musculoskeletal Ultrasound | - Ultrasound physics and instrumentation - Image optimization and acquisition techniques |
| Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Ultrasound-Guided Procedures | - Joint aspiration and injection techniques - Needle guidance and safety principles |
| Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
| Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
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. Passive knee extension
- B. Rotation of the distal transducer edge
- C. Tissue compression at the distal transducer edge
- D. Quadriceps contraction
Correct Answer: D 🗳️
The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?
- A. The fourth compartment ten synovium should be targeted.
- B. The midcarpal recess should be the primary target.
- C. The radiocarpal recess should be the primary target.
- D. Both the radiocarpal and midcarpal recesses should be targeted.
Correct Answer: D 🗳️
A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?
- A. Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
- B. Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
- C. Ultrasound can delineate volar wrist anatomy.
- D. Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
Correct Answer: C 🗳️
A practitioner wants to assess the structure marked with an asterisk (*).
What maneuver should the practitioner instruct the patient to perform of the examined joint?
- A. Neutral position
- B. Lateral abduction
- C. External rotation
- D. Internal rotation and adduction
Correct Answer: A 🗳️
Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?
- A. Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
- B. 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
- C. 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
- D. Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
Correct Answer: A 🗳️
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