Musculoskeletal Ultrasound Certification in Rheumatology
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American College of Rheumatology RhMSUS Questions and Answers
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Question 1:
A practitioner is counseling a patient with suspected rotator cuff tendinopathy on imaging options. Which of the following is CORRECT regarding diagnostic ultrasound examination?
A. It uses sound energy with no adverse effects found in clinical studies.
B. It provides the same information as an MRI without gadolinium.
C. It obviates the need for X-ray examination when cortical margins are normal.
D. It is the gold standard for preoperative planning for rotator cuff surgery.
Answer: C
Question 2:
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. Osteophytes in osteoarthritis.
C. Synovitis in rheumatoid arthritis.
D. Articular cartilage damage in osteoarthritis.
Answer: C
Question 3:
In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?
A. In gout, using the double contour sign alone as diagnostic confirmation of the disease
B. In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling
C. In rheumatoid arthritis, to diagnose carpal tunnel syndrome
D. In fibromyalgia, to confirm the absence of joint and tendon pathology
Answer: B
Question 4:
In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:
A. Needle crosses the plane of the transducer.
B. Needle angle relative to the transducer is minimized.
C. Transducer touches the point where the needle penetrates the skin.
D. Target is as close as possible to the side of the transducer where the needle will be inserted.
Answer: D
Question 5:
Which probe is the BEST choice for ultrasound examination of the adult wrist?
A. Linear 20-25 mm, 3-8 MHz transducer
B. Linear 20-25 mm, 10-18 MHz transducer
C. Linear 40-50 mm, 3-8 MHz transducer
D. Linear 40-50 mm, 10-18 MHz transducer
Answer: B
RhMSUS (Registered in Musculoskeletal™ Ultrasound) certification, offered by the American College of Rheumatology (ACR), is for healthcare professionals specializing in musculoskeletal (MSK) ultrasound within the field of rheumatology. Mastery of these skills enables rheumatologists to perform detailed joint and soft tissue assessments, guide needle placements for injections or aspirations, and monitor disease progression or treatment responses with greater precision.
Exam Structure:
RhMSUS exam is a comprehensive assessment that evaluates your knowledge and skills in various aspects of MSK ultrasound, including:
Image acquisition and interpretation
Anatomy and pathology of musculoskeletal structures
Ultrasound-guided procedures
Integration of ultrasound findings into clinical decision-making
Stop the stress of unpredictable exam. Our RhMSUS practice test is engineered to simulate the exact format, pacing, and pressure of the real ACR-MUCR exam. Go beyond simple Musculoskeletal Ultrasound Certification in Rheumatology exam questions and answers; practice with RhMSUS exam dumps in an interface that mirrors the actual American College of Rheumatology test, building the muscle memory and confidence you need to pass on your first try.
Real Exam Simulation:
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Verified & Updated Questions:
Our team of American College of Rheumatology experts continuously updates the question bank to ensure all content is relevant, accurate, and aligned with the latest RhMSUS exam objectives.
Interactive Learning:
Read the explanation for every answer right or wrong. Understand the why behind each concept to solidify your Musculoskeletal Ultrasound Certification in Rheumatology knowledge, not just memorize a answer.
Build Exam Stamina:
Taking our full-length, timed RhMSUS practice test builds the mental endurance required to maintain focus and performance throughout the entire ACR-MUCR exam.
A rheumatologist is a medical doctor with additional training in diagnosing and treating musculoskeletal diseases and systemic autoimmune conditions, often called rheumatic diseases. These conditions can affect your joints, muscles, and bones.
Rheumatologists treat a wide range of conditions, including:
While both deal with the musculoskeletal system, rheumatologists focus on non-surgical diagnosis and treatment, while orthopedic surgeons perform surgeries on bones and joints.
Rheumatologists complete medical or osteopathic school followed by residency training in internal medicine or pediatrics. They then undergo a two-to-three-year fellowship specializing in rheumatology. Many are board-certified and participate in continuing medical education programs.
Proper probe placement and scanning protocol setup is critical, as Exams4sure highlights.

TESTED 12 Dec 2025
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