American College of Rheumatology RhMSUS exam dumps : Musculoskeletal Ultrasound Certification in Rheumatology

  • Exam Code: RhMSUS
  • Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
  • Updated: Sep 12, 2026     Q & A: 100 Questions and Answers

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Topic 1: Equipment Use and Management
Topic 2: Performing the Ultrasound Examination
Topic 3: Recognize Indications for the Use of Ultrasound in Rheumatology
Topic 4: Interpretation and Integration
Topic 5: Documentation
Topic 6: Preparing the Patient and Environment
Topic 7: Procedural Guidance

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

Question #1

Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?

  • A. Flexor tenosynovitis
  • B. Proximal interphalangeal synovitis
  • C. Proximal interphalangeal osteophytes
  • D. Flexor tendon rupture with reparative hyperemia
Answer: A
Question #2

A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?

  • A. The ultrasound-guided technique results in more pain.
  • B. The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
  • C. The ultrasound-guided technique takes additional time to perform.
  • D. The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
Answer: D
Question #3

A practitioner obtains the following ultrasound image of a patient with a positive rheumatoid factor and normal ESR, CRP, and hand X-rays.

Which of the following options would be an evidence-based statement during a discussion of the management plan?

  • A. Severe (high-grade) synovial hyperemia, but not mild (low-grade) hyperemia, would be an indication to change therapy.
  • B. Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
  • C. A positive Doppler signal is a predictor of future joint damage.
  • D. Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
Answer: D
Question #4

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. Synovitis in rheumatoid arthritis.
  • B. Articular cartilage damage in osteoarthritis.
  • C. Erosions in rheumatoid arthritis.
  • D. Osteophytes in osteoarthritis.
Answer: A
Question #5

Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?

  • A. Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
  • B. Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
  • C. The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
  • D. 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.
Answer: D

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