Nuclear medicine board review Exam2025-2026
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
one advantage of the in vivo method of Tc99m red cell tagging is that: - CORRECT ANSWERS
no manipulation of blood samples outside the body is required
boiling a Tc99m sulfur colloid preparation for too long will result in colloidal particles that are: -
CORRECT ANSWERS too large
Which of the following components in a Tc99m medronate prep is a radiochemical impurity?
a. aluminum
b. Mo99
c. 0.9% NaCl
d. Tc99m pertechnetate
e. ascrobic acid - CORRECT ANSWERS Tc99m pertechnetate
which of the following image findings is most consistent with chromatography results of a tc99m
oxidronate sample demonstrating 65% radiochemical purity?
a. well-defined bone uptake
b. stomach and thyroid uptake
c. lung uptake
d. gi activity
e. heart uptake - CORRECT ANSWERS b. stomach and thyroid uptake
In what way does the modified in vivo method of labeling RBCs with Tc99m pertechnetate differ from
the in vivo method? - CORRECT ANSWERS the modified method mixes Tc99m
pertechnetate with only a small volume of the patient's blood
,What is true about the modified in vivo method for labeling red blood cells with Tc99m pertechnetate? -
CORRECT ANSWERS a sample of the patien'ts "pretinned" blood is incubaed with
Tc99m pertechnetate outside of the patient
If a Mo99/Tc99m generator is eluted at 0700 and again at 1300, the next day's Tc99m yield at 0700: -
CORRECT ANSWERS will be decreased
127 millicuries is equivalent to how many gigabecquerels? - CORRECT ANSWERS
4.70 GBq
if a new generator is eluted several times and each time the amount of alumnum in the eluate exceeds
the USP limit, the tech should: - CORRECT ANSWERS contact the generator
manufacturer
the shelf life of most tc99m labeled RP's is: - CORRECT ANSWERS 6-8 hours
Which of the following medical history is relevant to In111 capromab pendetide imaging?
a. breast feeding schedule
b. mammogram result
c. last menstrual cycle
d. pregnancy status
e. PSA level - CORRECT ANSWERS PSA level
Which of the following is not recommended during HMPAO/ECD administration?
a. dim the lights
b. inject using an IV line
c. talk calmingly to the patient during injection
,d. ask them to keep eyes and ears open - CORRECT ANSWERS talk calmingly to
the patient during injection
pentagastrin is commonly used in which of the following scans? - CORRECT ANSWERS
Meckel's diverticulum
If an anticoagulant is added to a blood sample, the fluid portion of the blood sample is known as: -
CORRECT ANSWERS plasma
Contraindication for performing MPI resting study is: - CORRECT ANSWERS
having a nitroglycerin drip
to help clear the thyroid, liver, and bowel when performing a cardiac perfusion study with sestamibi, a
tech should give what before imaging? - CORRECT ANSWERS a glass of cold water
where is the x-ray generator located in a CT scanner? - CORRECT ANSWERS inside
the gantry
In performing a GET, imaging should begin: - CORRECT ANSWERS immediately
after meal consumption, then every 15 minutes for at least 2 hours
every hour for 2 minutes at ku
administration technique for Tc99m bicisate includes which of the following?
a. direct venous stick
b. infusion at peak cardiac stress
c. bolus injection technique
, d. infusion over 3 hours
e. minimize environmental stimuli - CORRECT ANSWERS e. minimize
environmental stimuli
patient prep for instilling colloidal P32 chromic phosphate into the peritoneal cavity includes: - CORRECT
ANSWERS introducing tc99m sulfur colloid into the cavity to confirm that the P32
will disperse evenly
SPECT brain imaging may begin how soon after the administration of tc99m exametazime? - CORRECT
ANSWERS 1-2 hours
What dont you have to do when a tech cares for a patient who is not known to have a communicable
disease and following infection control measures are still implemented? - CORRECT ANSWERS
do not need to decontaminate imaging equipment with an antiseptic
Normal sinus rhythm is characterized by: - CORRECT ANSWERS 60-100 beats/min
R wave occuring at constant intervals
PR interval 0.12-0.20 sec long
After stress myocardial imaging with Tl201 thallous chloride, 1-1.5 mCi of Tl201 thallous chloride may be
given before rest imaging to: - CORRECT ANSWERS demonstrate reversible
ischemia more readily
prep for the patient for Meckel's diverticulum localization includes: - CORRECT ANSWERS
fasting for at least 2 hour before imaging
which of the following Tc99m labeled agents is the preferred tracer for demonstrating intermittent GI
bleeding? - CORRECT ANSWERS RBC's
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
one advantage of the in vivo method of Tc99m red cell tagging is that: - CORRECT ANSWERS
no manipulation of blood samples outside the body is required
boiling a Tc99m sulfur colloid preparation for too long will result in colloidal particles that are: -
CORRECT ANSWERS too large
Which of the following components in a Tc99m medronate prep is a radiochemical impurity?
a. aluminum
b. Mo99
c. 0.9% NaCl
d. Tc99m pertechnetate
e. ascrobic acid - CORRECT ANSWERS Tc99m pertechnetate
which of the following image findings is most consistent with chromatography results of a tc99m
oxidronate sample demonstrating 65% radiochemical purity?
a. well-defined bone uptake
b. stomach and thyroid uptake
c. lung uptake
d. gi activity
e. heart uptake - CORRECT ANSWERS b. stomach and thyroid uptake
In what way does the modified in vivo method of labeling RBCs with Tc99m pertechnetate differ from
the in vivo method? - CORRECT ANSWERS the modified method mixes Tc99m
pertechnetate with only a small volume of the patient's blood
,What is true about the modified in vivo method for labeling red blood cells with Tc99m pertechnetate? -
CORRECT ANSWERS a sample of the patien'ts "pretinned" blood is incubaed with
Tc99m pertechnetate outside of the patient
If a Mo99/Tc99m generator is eluted at 0700 and again at 1300, the next day's Tc99m yield at 0700: -
CORRECT ANSWERS will be decreased
127 millicuries is equivalent to how many gigabecquerels? - CORRECT ANSWERS
4.70 GBq
if a new generator is eluted several times and each time the amount of alumnum in the eluate exceeds
the USP limit, the tech should: - CORRECT ANSWERS contact the generator
manufacturer
the shelf life of most tc99m labeled RP's is: - CORRECT ANSWERS 6-8 hours
Which of the following medical history is relevant to In111 capromab pendetide imaging?
a. breast feeding schedule
b. mammogram result
c. last menstrual cycle
d. pregnancy status
e. PSA level - CORRECT ANSWERS PSA level
Which of the following is not recommended during HMPAO/ECD administration?
a. dim the lights
b. inject using an IV line
c. talk calmingly to the patient during injection
,d. ask them to keep eyes and ears open - CORRECT ANSWERS talk calmingly to
the patient during injection
pentagastrin is commonly used in which of the following scans? - CORRECT ANSWERS
Meckel's diverticulum
If an anticoagulant is added to a blood sample, the fluid portion of the blood sample is known as: -
CORRECT ANSWERS plasma
Contraindication for performing MPI resting study is: - CORRECT ANSWERS
having a nitroglycerin drip
to help clear the thyroid, liver, and bowel when performing a cardiac perfusion study with sestamibi, a
tech should give what before imaging? - CORRECT ANSWERS a glass of cold water
where is the x-ray generator located in a CT scanner? - CORRECT ANSWERS inside
the gantry
In performing a GET, imaging should begin: - CORRECT ANSWERS immediately
after meal consumption, then every 15 minutes for at least 2 hours
every hour for 2 minutes at ku
administration technique for Tc99m bicisate includes which of the following?
a. direct venous stick
b. infusion at peak cardiac stress
c. bolus injection technique
, d. infusion over 3 hours
e. minimize environmental stimuli - CORRECT ANSWERS e. minimize
environmental stimuli
patient prep for instilling colloidal P32 chromic phosphate into the peritoneal cavity includes: - CORRECT
ANSWERS introducing tc99m sulfur colloid into the cavity to confirm that the P32
will disperse evenly
SPECT brain imaging may begin how soon after the administration of tc99m exametazime? - CORRECT
ANSWERS 1-2 hours
What dont you have to do when a tech cares for a patient who is not known to have a communicable
disease and following infection control measures are still implemented? - CORRECT ANSWERS
do not need to decontaminate imaging equipment with an antiseptic
Normal sinus rhythm is characterized by: - CORRECT ANSWERS 60-100 beats/min
R wave occuring at constant intervals
PR interval 0.12-0.20 sec long
After stress myocardial imaging with Tl201 thallous chloride, 1-1.5 mCi of Tl201 thallous chloride may be
given before rest imaging to: - CORRECT ANSWERS demonstrate reversible
ischemia more readily
prep for the patient for Meckel's diverticulum localization includes: - CORRECT ANSWERS
fasting for at least 2 hour before imaging
which of the following Tc99m labeled agents is the preferred tracer for demonstrating intermittent GI
bleeding? - CORRECT ANSWERS RBC's
