Registered in Musculoskeletal Sonography (RMSK)
RMSK Practice Exam — 231 Questions with Hotspot Images
Page last updated: August 2026
The Registered Musculoskeletal Sonographer (RMSK) exam has a pass rate that has ranged from 50% to 87% since it became a physician-level examination in 2015 (see current pass rates here). Passive review is less effective preparation than answering practice questions under exam conditions.
Quick facts:
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201 questions in the main exam, plus 30 bonus questions across three 10-question quizzes (231 total)
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Includes hotspot questions — click-to-identify anatomy/pathology images, a required skill on the actual RMSK
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Unlimited retakes
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Study mode (save/resume) and exam mode available
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Detailed feedback with references provided after most questions
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Free sample quiz available before purchase
What content areas does this exam cover?
The question breakdown matches the prior ARDMS content outline for the RMSK:
Sonographic anatomy 26% (52 questions)
Physics 26% (52 questions)
Sonographic pathology 23% (46 +1 bonus question)
Interventions 18% (36 questions)
Integration of data 7% (14 questions)
The RMSK was recently updated to focus more on pathology (now 42% of the exam, see here). The thirty additional bonus questions focus more on pathology to more completely reflect current examination material.
What body regions are tested?
Hip 25 questions
Wrist/hand 24 questions
Foot/ankle 24 questions
Shoulder 24 questions
Elbow 23 questions
Knee 23 questions
Abdominal wall 7 questions
Chest wall 7 questions
Body-region agnostic 44 questions
Who created this exam?
The exam creator passed the RMSK in 2022 with an overall score of 627 out of a 300–700 scale (555 required to pass), earning satisfactory or excellent marks in every content area. A satisfactory score requires 80–94% correct in a content area; an excellent score requires 95%+.
Frequently Asked Questions
How many questions are in the RMSK practice exam?
201 questions in the main exam, plus 30 bonus questions (three 10-question quizzes), for 231 total.
Does this practice exam include hotspot/image questions?
Yes. It's the first full-length RMSK practice exam publicly available that includes hotspot questions, where you click on an image to identify anatomy or pathology — a required skill on the real exam.
How difficult is this practice exam compared to the real RMSK?
It's designed to be more difficult than the actual RMSK, intentionally, so you don't walk into the real exam overconfident.
Is there a money-back guarantee?
Yes, conditional. You qualify for a refund if you score 80%+ on your first attempt in exam mode (not study mode — the software tracks this) and later provide proof you failed the actual RMSK via an emailed score report. Taking the practice test in study mode first, or not scoring 80%+ on the first exam-mode attempt, disqualifies you.
Does passing this practice exam mean I'll pass the RMSK?
No. Passing this exam doesn't guarantee an RMSK pass, and failing it doesn't mean you'll fail the RMSK. It's one preparation tool among several you should use.
Can I take this exam on my phone?
It works on mobile, but a computer is recommended — the exam window is easier to navigate at full desktop size.
Is there a free sample? Yes, a free sample quiz is available. Its questions are separate from the 201-question main exam and the 30 bonus questions.
What other resources are recommended alongside this exam? For hands-on scanning practice and mentorship: Pura Health. Also keep an eye out for a online/hands on hybrid MSK scanning course from Specialized Clinician in the future. For additional MSK prep material: MSK Masters, Gulf Coast Ultrasound Institute, Pegasus Lectures, and the AIUM website. A full RMSK prep course would be helpful. For scanning technique and condition research: PubMed and Open Evidence.