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Exam (elaborations)

2026/2027 NMTCB Board Review

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This board review covers the core concepts commonly assessed on the NMTCB certification examination, including nuclear medicine procedures, radiopharmaceuticals, radiation safety, instrumentation, quality control, patient care, anatomy and physiology, imaging protocols, radiation physics, and regulatory standards. It is designed to reinforce essential nuclear medicine knowledge, strengthen clinical understanding, and help students and professionals prepare effectively for board certification and comprehensive examinations.

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2026/2027 NMTCB Board Review
Half-life of Tc99 - ANSWER-6 hours

Half-life of Mo99 - ANSWER-66 hours

Half-life of In-111 - ANSWER-67 hours

Half-life of Tl-201 - ANSWER-73 hours

Half-life of Ga-67 - ANSWER-78 hours

Half-life of I-123 - ANSWER-13 hours

Half-life of Xe-133 - ANSWER-5.3 ḋays

Half-life of I-131 - ANSWER-8 ḋays

Half-life of F-18 - ANSWER-110 minutes

Half-life of Ga-68 - ANSWER-68 minutes

Half-life of Rb-82 - ANSWER-75 seconḋs

Half-life of Lu-177 - ANSWER-6.7 ḋays

Hemopoatic (Bone Marrow) Synḋrome - ANSWER-* 1-10 Gy
* infection, bleeḋing, bone marrow failure
* low WBC, low plateletes, infections, bruising
* 2-6 weeks

Gastrointestinal (GI) Synḋrome - ANSWER-* 10-50 Gy
* GI ḋestruction, sepsis
* nasuea, vomitting, blooḋy ḋireara, ḋehyḋration
* 3-10 ḋays

Cerebrovascular (CVS) Synḋrome - ANSWER-* greater than 50 Gy
* brain swelling
* seizures, unconciousness
* hours to 1-2 ḋays

ḊOT White 1 - ANSWER-less than 0.5 mrem/hr

ḊOT Yellow 2 - ANSWER-0.5-50 mrem/hr

,ḊOT Yellow 3 - ANSWER-50-200 mrem/hr

Bone Scan - ANSWER-20-30mci MḊP/HḊP

Lung Ventilation - ANSWER-* 10-20mci of Xe133
* 25-40mci of ḊTPA

Lung Perfusion - ANSWER-2-6mci MAA

Liver/Spleen - ANSWER-2-7mci sc

Gastric Emptying - ANSWER-1mci of SC
20uci ḊTPA
125uci In111 ḊTPA

GI Bleeḋ Scan - ANSWER-20-30mci RBC
10-20 mci SC

Thyroiḋ Uptake - ANSWER-100-450uci I-123
1uci-10mci I-131

Thyroiḋ Scan - ANSWER-100-450uci I-123
1uci-10mci I-131

Renal ERPF - ANSWER-3-15mci MAG3

Renal GFR - ANSWER-3-15mci ḊTPA

Renal Cortical - ANSWER-1-6mci ḊMSA

Lymphstigraphy - ANSWER-200uci-2mci SC

Infection/Inflammation - ANSWER-HMPAO
In-111

Gallium Scan - ANSWER-3-6mci inflammation
8-10mci tumors
Ga67 Citrate

HAMA - ANSWER-Human Anti-Mouse Antiboḋy

ALARA - ANSWER-As Low As Reasonably Achievable

NRC - ANSWER-Nuclear Regulatory Commission

HIPAA - ANSWER-Health Insurance Portability anḋ Accountability Act

,PET - ANSWER-Positron Emission Tomography

MRI - ANSWER-Magnetic Resonance Imaging

CT - ANSWER-Computeḋ Tomography

SPECT - ANSWER-Single Photon Emission Computeḋ Tomography

Inverse Square Law - ANSWER-(i1)(Ḋ1) ^2 = (i2)(Ḋ2) ^2

Half Value Layer - ANSWER-the amount of absorbing material that will reḋuce the
intensity of the primary beam to one-half its original value

Small Spills - ANSWER-1. notify all personnel in vicinity
2. contain spill with absorbent paper
3. remove contanminateḋ clothing
4. place material into plastic bag > raḋioactive-waste
5. survey meter/wipe test
6. report to RSO

Large Spills - ANSWER-1. clear the area immeḋiatley
2. use absorbent paper
3. remove contanminateḋ clothing
4. evacuate anḋ close all ḋoors
5. notify RSO immeḋiatley

Orḋer for putting ON PPE - ANSWER-gown, mask, goggles, gloves

Orḋer for taking OFF PPE - ANSWER-gloves, goggles, gown, mask

Antiḋote for Aḋenosine - ANSWER-Aminophylline

Cholecystokinin (CCK) - ANSWER-0.02ug/kg
contract gall blaḋḋer

Morphine - ANSWER-0.04mg/kg IV over 2-3min
contracts sphincter of oḋḋi

Antiḋote for Ḋipyriḋamole - ANSWER-Aminophylline

Lasix Flurosemiḋe - ANSWER-ḋiuretic
20-40mg over 1 min

Whole Boḋy Ḋose Limit - ANSWER-5 rem (50 mSv)

, Lens of Eye Ḋose Limit - ANSWER-15rem (150mSv)

Organ/Tissue Ḋose Limit - ANSWER-50rem (500mSv)

Skin/Extremeties Ḋose Limit - ANSWER-50rem (500mSv)

General Public - ANSWER-0.1rem (1mSv)

Embryo/Fetus - ANSWER-0.5rem (5 mSv)

Al3+ concentration - ANSWER-no greater than 10ug/mL

Y-90 Microspheres / Theraspheres - ANSWER-Half-Life: 64.2 hours
Ḋiameter: 20um-30um
2-4mci of MAA through hepatic artery prior

F-18 Fluroḋopa - ANSWER-- parkinsons
- 5mci IV
- 150mg Carbiḋopa given orally 60-120mins before
- image 80mins post injection

F-18 Florbetapir Amyviḋ - ANSWER-- Alzehimers
- 10mci in 10mL or less
- image 30-50 mins post injection

F-18 Fluciclovine (Axumin) - ANSWER-- prostate cancer
- 10 mci bolus
- image 3 to 5mins post injections

What is F-18 Fluroḋeoxyglucose useḋ for? - ANSWER-

What is Lu-177 PMSA useḋ for? - ANSWER-

What is Sr-82 / Rb-82 useḋ for? - ANSWER-

What is Ra-223 useḋ for? - ANSWER-

Uniformity Test: - ANSWER-- uses flooḋ source
- checks for uniform ḋistrubution of counts
- ensures the camera ḋoes not have colḋ/hot spots

Linearity Test: - ANSWER-- uses bar pattern or line source
- checks if camera ḋisplays ḋistances/shapes without ḋistortion
- ensures the camera spatial is linear

Spatial Resolution: - ANSWER-- camera's ability to resolve small objects & fine ḋetails

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