Nuclear Medicine Board Review Exam
Questions and Correct Answers
Question 1
Which of the following variables does not affect spatial resolution in nuclear medicine
imaging systems:
a. Physical design of the collimator
b. Material of which the collimator is constructed
c. Energy of the gamma rays being counted
d. Computer matrix pixel size
e. Byte vs. word acquisition mode
Correct Answer
E
Question 2
Ventricular depolarization occurs just before the ventricles contract, expelling blood
forward into the pulmonary artery and aorta. This action is represented on the EKG
strip by:
a. QA complex
b. ST complex
c. QRS complex
d. RS complex
e. PQR complex
Correct Answer
C
Page 1 of 202
,Question 3
Full width at half maximum (FWHM) is often used as a measure of:
a. Uniformity
b. Sensitivity
c. Intensity
d. Resolution
e. Dead time
Correct Answer
D
Question 4
The following request should be questioned because:
Name: John Doe
Number: 123456
Age: 40
Clinical History: Suspected polycythemia vera
Study Requested: RBC mass determination
Nuclear Medicine Physician orders:
Radiopharmaceutical: I-125 RISA
Dose: 30 uCi
Route of administration: IV
a. The radiopharmaceutical prescribed is incorrect
b. The dose is too low
c. The study requested is inappropriate
d. The route of administration is incorrect
e. Everything is correct for this procedure
Correct Answer
A
Page 2 of 202
,Question 5
The action of the ACD solution in labeling RBCs for a red cell mass determination is as
a(n):
a. Cell preservative
b. pH stabilizer
c. A reducing agent
d. Oxidizing agent
e. Anticoagulant
Correct Answer
E
Question 6
The use of elliptical and/or body contour orbits in SPECT imaging should result in
improved:
a. Temporal resolution
b. Spatial resolution
c. Reconstruction times
d. Acquisition times
e. Patient comfort
Correct Answer
B
Question 7
Which of the following situations would be considered an absolute contraindication
for performing adenosine pharmacological stress testing?
a. Patient drank a couple cups of caffeinated coffee 2 hours prior
b. Patient ate a solid meal 2 hours prior
c. Patient had a colonoscopy 1 week prior
d. Patient had a known myocardial infarction 6 months previously
e. SPECT imaging is not available at this site
Correct Answer
A
Page 3 of 202
, Question 8
A patient is to undergo a multiple-gated cardiac blood-pool study with the heart
cycle divided in 20 frames. The patient is in normal sinus rhythm and has a heart rate
of 68 bpm. The computer should lock in at what time per frame for this study?
a. 44 milliseconds
b. 56 milliseconds
c. 0.29 seconds
d. 1.5 seconds
e. 3.4 seconds
Correct Answer
A
Question 9
According to NRC criteria, which of the following is a misadministration?
a. Infiltration of an attempted intravenous injection
b. Administration of 10 mCi I-131 instead of the prescribed 9 mCi
c. Administration of 20 mCi Tc-99m pertechnetate instead of the prescribed 10 mCi
d. Administration of 15 mCi I-131 sodium iodide intravenously instead of orally as
prescribed.
e. Administration of 5 mCi Tc-99m sulfur colloid to the wrong patient.
Correct Answer
D
Question 10
High Radiation Area signs are to be posted in areas where exposures greater than
____________ mrem/hr are measured at 30 cm from the source or from any surface
through which the radiation penetrates:
a. 5
b. 10
c. 50
d. 100
e. 500
Correct Answer
D
Page 4 of 202
Questions and Correct Answers
Question 1
Which of the following variables does not affect spatial resolution in nuclear medicine
imaging systems:
a. Physical design of the collimator
b. Material of which the collimator is constructed
c. Energy of the gamma rays being counted
d. Computer matrix pixel size
e. Byte vs. word acquisition mode
Correct Answer
E
Question 2
Ventricular depolarization occurs just before the ventricles contract, expelling blood
forward into the pulmonary artery and aorta. This action is represented on the EKG
strip by:
a. QA complex
b. ST complex
c. QRS complex
d. RS complex
e. PQR complex
Correct Answer
C
Page 1 of 202
,Question 3
Full width at half maximum (FWHM) is often used as a measure of:
a. Uniformity
b. Sensitivity
c. Intensity
d. Resolution
e. Dead time
Correct Answer
D
Question 4
The following request should be questioned because:
Name: John Doe
Number: 123456
Age: 40
Clinical History: Suspected polycythemia vera
Study Requested: RBC mass determination
Nuclear Medicine Physician orders:
Radiopharmaceutical: I-125 RISA
Dose: 30 uCi
Route of administration: IV
a. The radiopharmaceutical prescribed is incorrect
b. The dose is too low
c. The study requested is inappropriate
d. The route of administration is incorrect
e. Everything is correct for this procedure
Correct Answer
A
Page 2 of 202
,Question 5
The action of the ACD solution in labeling RBCs for a red cell mass determination is as
a(n):
a. Cell preservative
b. pH stabilizer
c. A reducing agent
d. Oxidizing agent
e. Anticoagulant
Correct Answer
E
Question 6
The use of elliptical and/or body contour orbits in SPECT imaging should result in
improved:
a. Temporal resolution
b. Spatial resolution
c. Reconstruction times
d. Acquisition times
e. Patient comfort
Correct Answer
B
Question 7
Which of the following situations would be considered an absolute contraindication
for performing adenosine pharmacological stress testing?
a. Patient drank a couple cups of caffeinated coffee 2 hours prior
b. Patient ate a solid meal 2 hours prior
c. Patient had a colonoscopy 1 week prior
d. Patient had a known myocardial infarction 6 months previously
e. SPECT imaging is not available at this site
Correct Answer
A
Page 3 of 202
, Question 8
A patient is to undergo a multiple-gated cardiac blood-pool study with the heart
cycle divided in 20 frames. The patient is in normal sinus rhythm and has a heart rate
of 68 bpm. The computer should lock in at what time per frame for this study?
a. 44 milliseconds
b. 56 milliseconds
c. 0.29 seconds
d. 1.5 seconds
e. 3.4 seconds
Correct Answer
A
Question 9
According to NRC criteria, which of the following is a misadministration?
a. Infiltration of an attempted intravenous injection
b. Administration of 10 mCi I-131 instead of the prescribed 9 mCi
c. Administration of 20 mCi Tc-99m pertechnetate instead of the prescribed 10 mCi
d. Administration of 15 mCi I-131 sodium iodide intravenously instead of orally as
prescribed.
e. Administration of 5 mCi Tc-99m sulfur colloid to the wrong patient.
Correct Answer
D
Question 10
High Radiation Area signs are to be posted in areas where exposures greater than
____________ mrem/hr are measured at 30 cm from the source or from any surface
through which the radiation penetrates:
a. 5
b. 10
c. 50
d. 100
e. 500
Correct Answer
D
Page 4 of 202