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Updated: Oct 28, 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 |
| Certificate Validity Period: | 10 years |
| 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 |
| Exam Duration: | 120 minutes |
| Passing Score: | Not officially published |
| Exam Format: | Computer-Based Testing, Multiple Choice Questions, Online Proctored |
| Real Exam Qty: | 100 |
| 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:
| Section | Objectives |
|---|---|
| Topic 1: Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Topic 2: Equipment Use and Management | |
| Topic 3: Procedural Guidance | |
| Topic 4: Performing the Ultrasound Examination | |
| Topic 5: Preparing the Patient and Environment | |
| Topic 6: Documentation | |
| Topic 7: Interpretation and Integration |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
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.
Correct Answer: D 🗳️
A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?
- A. Ruling out of inflammatory arthritis
- B. Ankle pain
- C. Ruling out of infection
- D. Inflammatory arthritis
Correct Answer: A 🗳️
Which of the following is required in a report documenting an ultrasound-guided procedure?
- A. Image showing needle in the target structure or orthogonal images of the target structure before and after injection
- B. Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions
- C. Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
- D. Image labeled with exam date, patient identification, image orientation, and image views of the target area
Correct Answer: B 🗳️
At which angle is a dorsal scan of the elbow BEST performed?
- A. Flexion of the elbow joint in a 90-degree angle
- B. Flexion of the elbow joint in a 45-degree angle
- C. Flexion of the elbow joint in a 60-degree angle
- D. Full extension of the elbow joint
Correct Answer: D 🗳️
In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?
- A. A foreign body
- B. The tip of an osteophyte
- C. A normal sesamoid
- D. A metacarpal fragment from prior trauma
Correct Answer: C 🗳️
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