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American College of Rheumatology ACR-MUCR RhMSUS

RhMSUS

Exam Code: RhMSUS

Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology

Updated: Jul 29, 2026

Q&A Number: 100 Q&As

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

1. A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

A) Extensor tendon tear
B) Rheumatoid nodulosis
C) Ganglion cyst rupture
D) Extensor tenosynovitis


2. What is the MOST appropriate conclusion for the image of this hip?

A) Iliopsoas bursitis in longitudinal view
B) Hip synovitis in longitudinal view
C) Normal longitudinal view of the hip
D) Hip effusion in longitudinal view


3. Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?

A) Image C
B) Image A
C) Image B
D) Image D


4. In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?

A) Arrow B
B) Arrow D
C) Arrow C
D) Arrow A


5. 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) Synovitis in rheumatoid arthritis.
C) Osteophytes in osteoarthritis.
D) Articular cartilage damage in osteoarthritis.


Solutions:

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

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