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 Format: | Multiple choice |
| Certificate Validity Period: | 10 years |
| Exam Duration: | 120 minutes |
| Real Exam Qty: | 100 |
| Available Languages: | English |
| Related Certifications: | USSONAR Training Program in MSUS Rheumatology Fellowship |
| Exam Price: | Varies by membership status |
| 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 |
|---|---|---|
| Topic 1: Preparing the Patient and Environment | - Patient positioning and preparation - Environment and equipment setup | |
| Topic 2: Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Topic 3: Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Ultrasound capabilities and limitations - Clinical indications and appropriate use cases |
| Topic 4: Procedural Guidance | - Ultrasound-guided injections and interventions - Safety and procedural considerations | |
| Topic 5: Interpretation and Integration | - Integrating ultrasound findings into clinical decisions - Identifying normal and pathological findings | |
| Topic 6: Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance | |
| Topic 7: Performing the Ultrasound Examination | - Scanning techniques for joints and soft tissue - Anatomical landmark recognition |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?
A) External rotation
B) Crass
C) Neer impingement
D) Modified Crass
2. How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?
A) By placing the probe in a transverse position between the greater tuberosity and acromion 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 over the distal clavicle and asking the patient to raise the arm
3. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
A) Image A
B) Image C
C) Image D
D) Image B
4. A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?
A) Inflammatory arthritis
B) Ruling out of inflammatory arthritis
C) Ruling out of infection
D) Ankle pain
5. Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?
A) A close-up of an ultrasound Description automatically generated
B) An ultrasound image of a human body Description automatically generated
C) A close-up of a black and white image Description automatically generated
D) A close-up of a ultrasound Description automatically generated
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: B |


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