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Real American College of Rheumatology RhMSUS practice exam questions for easy pass!

Updated: Sep 11, 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 Examination
Exam Number:RhMSUS
Passing Score:Not officially published
Exam Format:Computer-Based Testing, Online Proctored, Multiple Choice Questions
Certificate Validity Period:10 years
Exam Duration:120 minutes
Real Exam Qty:100
Exam Price:ACR/ARP Member: $1,500 USD; Non-Member: $1,750 USD; Fellow-in-Training Member: $950 USD; Non-Member Fellow-in-Training: $1,025 USD
Available Languages:English
Recommended Training:ACR Musculoskeletal Ultrasound Education
Exam Registration:ACR RhMSUS Registration
Sample Questions:American College of Rheumatology RhMSUS Sample Questions
Exam Way:Online live proctored or in-person at Meazure Learning test centers in the United States
Pre Condition:Four eligibility pathways: 1) U.S.-Trained Rheumatologist; 2) Non-U.S. Trained Rheumatologist; 3) Rheumatology Fellow-in-Training; 4) Physician Assistant or Nurse Practitioner. Requires active medical license, relevant training, and documented ultrasound experience
Official Syllabus URL:https://rheumatology.org/rhmsus-certification

American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Interpretation and Integration
Procedural Guidance
Preparing the Patient and Environment
Documentation
Equipment Use and Management
Performing the Ultrasound Examination
Recognize Indications for the Use of Ultrasound in Rheumatology

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

Question #1

A practitioner wants to assess the structure marked with an asterisk (*).

What maneuver should the practitioner instruct the patient to perform of the examined joint?

  • A. Internal rotation and adduction
  • B. External rotation
  • C. Lateral abduction
  • D. Neutral position
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Question #2

Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?

  • A. Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
  • B. Preoperative evaluation of a patient with suspected rotator cuff tear
  • C. Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
  • D. Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #3

Which of the following is TRUE for document storage and record-keeping guidelines and requirements?

  • A. Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.
  • B. All images must be part of the electronic or paper patient file.
  • C. There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
  • D. The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #4

For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?

  • A. A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation
  • B. A patient who has pain and numbness over the lateral calf
  • C. A 50-year-old woman with pain between the third and fourth metatarsals
  • D. A patient with psoriasis and posterior heel pain
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #5

The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?

  • A. The midcarpal recess should be the primary target.
  • B. The fourth compartment ten synovium should be targeted.
  • C. The radiocarpal recess should be the primary target.
  • D. Both the radiocarpal and midcarpal recesses should be targeted.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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