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Updated: Jul 30, 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 |
|---|---|
| Ultrasound-Guided Procedures | - Needle guidance and safety principles - Joint aspiration and injection techniques |
| Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
| Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
| Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
A) Image C
B) Image A
C) Image D
D) Image B
2. At which angle is a dorsal scan of the elbow BEST performed?
A) Flexion of the elbow joint in a 45-degree angle
B) Flexion of the elbow joint in a 60-degree angle
C) Flexion of the elbow joint in a 90-degree angle
D) Full extension of the elbow joint
3. What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?
A) Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
B) All appropriate sonographic views of every joint examined
C) Images of the sonographic views with the presence of power Doppler synovitis only
D) Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only
4. What is the MOST appropriate conclusion for the image of this hip?
A) Hip effusion in longitudinal view
B) Hip synovitis in longitudinal view
C) Iliopsoas bursitis in longitudinal view
D) Normal longitudinal view of the hip
5. Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?
A) Image C
B) Image A
C) Image D
D) Image B
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: A |
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