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Updated: Sep 10, 2026
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American College of Rheumatology RhMSUS Exam Overview:
| Certification Vendor: | American College of Rheumatology |
|---|---|
| Exam Name: | Musculoskeletal Ultrasound Certification in Rheumatology™ (RhMSUS™) |
| Exam Number: | RhMSUS |
| Exam Price: | Varies by membership status |
| Certificate Validity Period: | 10 years |
| Related Certifications: | USSONAR Training Program in MSUS Rheumatology Fellowship |
| Available Languages: | English |
| Real Exam Qty: | 100 |
| Exam Format: | Multiple choice |
| Exam Duration: | 120 minutes |
| Sample Questions: | American College of Rheumatology RhMSUS Sample Questions |
| Exam Way: | Written certification exam administered through scheduled testing windows; primarily paper-based or computer-based multiple-choice at authorized testing locations. |
| Pre Condition: | Candidates must meet eligibility requirements, which include documented musculoskeletal ultrasound experience and continuing medical education (CME) related to MSUS per the official candidate handbook pathways (e.g., minimum scans, CME credits, or specialized training). |
| Official Syllabus URL: | https://rheumatology.org/rhmsus-certification |
American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Documentation | - Reporting standards and required documentation - Image archiving and record keeping | |
| Procedural Guidance | - Ultrasound-guided injections and interventions - Safety and procedural considerations | |
| Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Ultrasound capabilities and limitations - Clinical indications and appropriate use cases |
| Performing the Ultrasound Examination | - Scanning techniques for joints and soft tissue - Anatomical landmark recognition | |
| Equipment Use and Management | - Transducer selection and maintenance - Ultrasound machine controls and optimization | |
| Interpretation and Integration | - Identifying normal and pathological findings - Integrating ultrasound findings into clinical decisions | |
| Preparing the Patient and Environment | - Environment and equipment setup - Patient positioning and preparation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?
- A. By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm
- B. By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
- C. By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
- D. By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm
Correct Answer: B 🗳️
Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?
- A. The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
- B. Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
- C. Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.
- D. Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
Correct Answer: C 🗳️
A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?
- A. Subtalar joint
- B. Posterior tibial tendon
- C. Flexor digitorum
- D. Flexor hallucis
Correct Answer: B 🗳️
Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?
- A. Lateral epicondyle
- B. Knee
- C. Glenohumeral joint
- D. Sacroiliac joint
Correct Answer: D 🗳️
The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?
- A. Normal tendon variability
- B. Artifact from transducer placement
- C. Tendon tear
- D. Tendinopathy
Correct Answer: C 🗳️
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