Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
Certification Provider: American College of Rheumatology
Corresponding Certification: ACR-MUCR
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Instant Download American College of Rheumatology : RhMSUS Questions & Answers as PDF & Test Engine
Updated: Sep 07, 2026
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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Procedural Guidance | - Safety and procedural considerations - Ultrasound-guided injections and interventions | |
| Topic 2: Interpretation and Integration | - Integrating ultrasound findings into clinical decisions - Identifying normal and pathological findings | |
| Topic 3: Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Topic 4: Performing the Ultrasound Examination | - Scanning techniques for joints and soft tissue - Anatomical landmark recognition | |
| Topic 5: Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Ultrasound capabilities and limitations - Clinical indications and appropriate use cases |
| Topic 6: Preparing the Patient and Environment | - Environment and equipment setup - Patient positioning and preparation | |
| Topic 7: Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?
- A. In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling
- B. In fibromyalgia, to confirm the absence of joint and tendon pathology
- C. In gout, using the double contour sign alone as diagnostic confirmation of the disease
- D. In rheumatoid arthritis, to diagnose carpal tunnel syndrome
Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?
- A. Metacarpal volar plate
- B. Posterior cruciate ligament
- C. Anterior glenoid labrum
- D. Posterior patellar cartilage
What should be adjusted to improve the quality of the image of the tibiotalar joint?
- A. Frame average and depths
- B. Frame average and frequency
- C. Focus and map
- D. Focus and frequency
Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?
- A. Proximal interphalangeal synovitis
- B. Proximal interphalangeal osteophytes
- C. Flexor tendon rupture with reparative hyperemia
- D. Flexor tenosynovitis
Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?
- A. Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
- B. Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
- C. Cartilage loss quantification in a patient with osteoarthritis
- D. Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
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