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American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology
Exam Code: RhMSUS
Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
Updated: Sep 11, 2026
Q & A: 100 Questions and Answers
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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Procedural Guidance | |
| Preparing the Patient and Environment | |
| Equipment Use and Management | |
| Interpretation and Integration | |
| Performing the Ultrasound Examination | |
| Documentation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Question #1
By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:
- A. Erosions in rheumatoid arthritis.
- B. Osteophytes in osteoarthritis.
- C. Synovitis in rheumatoid arthritis.
- D. Articular cartilage damage in osteoarthritis.
Answer: C
Question #2
Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?
- A. Preoperative evaluation of a patient with suspected rotator cuff tear
- B. Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
- C. Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
- D. Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
Answer: A
Question #3
A practitioner is counseling a patient with suspected rotator cuff tendinopathy on imaging options. Which of the following is CORRECT regarding diagnostic ultrasound examination?
- A. It uses sound energy with no adverse effects found in clinical studies.
- B. It provides the same information as an MRI without gadolinium.
- C. It obviates the need for X-ray examination when cortical margins are normal.
- D. It is the gold standard for preoperative planning for rotator cuff surgery.
Answer: C
Question #4
What is the MAIN pathologic finding shown in this ultrasound image?
- A. Osteophytes
- B. Erosion
- C. Synovitis
- D. Tendon rupture
Answer: A
Question #5
Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?
- A. Adhesive capsulitis
- B. Superior labral anterior-posterior lesion
- C. Glenohumeral synovitis
- D. Complex regional pain syndrome
Answer: C
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