Updated: Aug 29, 2026
No. of Questions: 100 Questions & Answers with Testing Engine
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| Certification Vendor: | American College of Rheumatology (ACR) |
|---|---|
| Exam Name: | Musculoskeletal Ultrasound Certification in Rheumatology Examination |
| Exam Number: | RhMSUS |
| Exam Duration: | 120 minutes |
| Real Exam Qty: | 100 |
| Passing Score: | Not officially published |
| Available Languages: | English |
| 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 |
| Certificate Validity Period: | 10 years |
| Exam Format: | Online Proctored, Computer-Based Testing, Multiple Choice Questions |
| 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 |
| Section | Objectives |
|---|---|
| Topic 1: Interpretation and Integration | |
| Topic 2: Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Topic 3: Procedural Guidance | |
| Topic 4: Equipment Use and Management | |
| Topic 5: Performing the Ultrasound Examination | |
| Topic 6: Documentation | |
| Topic 7: Preparing the Patient and Environment |
Question 1
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. Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
B. A positive Doppler signal is a predictor of future joint damage.
C. Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
D. Severe (high-grade) synovial hyperemia, but not mild (low-grade) hyperemia, would be an indication to change therapy.
Question 2
The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?
A. Polymyositis
B. Eosinophilic fasciitis
C. Shoulder capsulitis
D. Sjogren's syndrome
Question 3
Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"
A. Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
B. A Morton's neuroma in a patient complaining of foot pain
C. A femoral neck enchondroma in a patient complaining of hip pain
D. Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
Question 4
A practitioner wants to assess the structures on the right, distal portion of this image.
What should the practitioner do at this time?
A. Place the focal point at the level of the area of interest.
B. Increase the overall gain to brighten the image.
C. Choose a lower transducer frequency.
D. Depress the distal end of the probe.
Question 5
How reliable is ultrasound as compared to other imaging modalities for diagnosing synovitis in the joints of the fingers?
A. Ultrasound is inferior to MRI but superior to X-ray in sensitivity.
B. Ultrasound is inferior to MRI but superior to clinical exam in sensitivity.
C. Ultrasound is inferior to MRI and X-ray in sensitivity.
D. Ultrasound is as sensitive as MRI but superior to X-ray.
Solutions:
| Question 1 Answer: A | Question 2 Answer: C | Question 3 Answer: D | Question 4 Answer: A | Question 5 Answer: A |
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