Exam 3/8 Review of Nuclear Medicine
Technology Questions with Complete
Solutions
In which RP is 99mTc left in the valance state of +7?
a. SC
b. MAA
c. MAG 3
d. Sestamibi - Answer-a. SC
A technologist receives a request for a patient to receive 153Sm for palliation of pain
from bone metastases. The patient has a leukocyte count of 3,500 and 40,000 platelets.
What should happen next?
a. The order should be changed to 89Sr
b. The therapy should be delayed until platelet count is at least 60,000
c. The therapy should be delayed until the leukocyte count is below 2,400
d. The 153Sm dose should be ordered - Answer-b. The therapy should be delayed until
platelet count is at least 60,000
A SC kit requires the addition of 1-3 mL containing no more than 500mCi of 99mTc
Pertechnetate. In addition, 1.5 mL of Solution A must be added before boiling, and 1.5
mL of Solution B must be added after cooling. If the kit is correctly prepared, what is the
maximum concentration of 99mTc it could contain?
a. 83mCi/ mL
b. 125 mCi/ mL
c. 167mCi / mL
d. 500mCi/ mL - Answer-b. 125mCi/ mL
A Hine-Duley phantom is useful for testing the spatial resolution and spatial linearity
with only one image.
a. True
b. False - Answer-b. False
The advantages of a lung ventilation scan performed with 133Xe is:
a. The ability to match perfusion and ventilation positioning
b. The ability to detect delayed washout
c. The ability to perform the exam at the patients bedside
, d. The ability to perform perfusion before ventilation washout increasing the dose given
for the ventilation study. - Answer-b. The ability to detect delayed washout
A whole body bone scan film shows a good posterior image, but the anterior view
appears diffuse and with greater soft tissue activity. What is the probable cause?
a. Wrong collimator used for the anterior
b. Increased patient to detector distance on the anterior relative to the posterior
c. Low tagging efficiency of the RP
d. Patient was not sufficiently hydrated
e. None of the above - Answer-b. Increased patient to detector distance on the anterior
relative to the posterior
According to the NRC, departmental records of "medical events" must include all of the
following pieces of information except:
a. identity of the patient
b. referring physician's name
c. nuclear medicine staff involved in the medical event
d. estimated dose to personnel involved - Answer-d. estimated dose to personnel
involved
A DOT II radioactive label is on a package that reads 9 mR/hr at 1 m. What is the
appropriate action to take?
a. Log in the package as you normally would
b. Contact the regional office of the NRC
c. Inform the vendor that the wrong label was on the container
d. Notify the DOT that a "shipment event" has occurred - Answer-c. Inform the vendor
that the wrong label was on the container
An occupational worker has received 14,000 mrem of exposure to the eyes in 1 year on
his/her eye dose dosimeter; which following course of action would be appropriate?
a. Recommend eye chelation therapy
b. Review ALARA standards to reduce exposure because they have exceeded their
annual eye dose limit
c. Review ALARA standards to reduce exposure because they are close to exceeding
their annual eye dose limit
d. Recommend they use leaded eyeglasses to reduce exposure - Answer-c. Review
ALARA standards to reduce exposure because they are close to exceeding their annual
eye dose limit
An unrestricted nuclear medicine waiting room is on the other side of the wall from the
hot lab. G-M meter readings in the hot lab read 50 mR/hr. Readings on the other side of
the wall in the waiting room read 25mR/hr. What is the minimum number of HVLs of Pb
Technology Questions with Complete
Solutions
In which RP is 99mTc left in the valance state of +7?
a. SC
b. MAA
c. MAG 3
d. Sestamibi - Answer-a. SC
A technologist receives a request for a patient to receive 153Sm for palliation of pain
from bone metastases. The patient has a leukocyte count of 3,500 and 40,000 platelets.
What should happen next?
a. The order should be changed to 89Sr
b. The therapy should be delayed until platelet count is at least 60,000
c. The therapy should be delayed until the leukocyte count is below 2,400
d. The 153Sm dose should be ordered - Answer-b. The therapy should be delayed until
platelet count is at least 60,000
A SC kit requires the addition of 1-3 mL containing no more than 500mCi of 99mTc
Pertechnetate. In addition, 1.5 mL of Solution A must be added before boiling, and 1.5
mL of Solution B must be added after cooling. If the kit is correctly prepared, what is the
maximum concentration of 99mTc it could contain?
a. 83mCi/ mL
b. 125 mCi/ mL
c. 167mCi / mL
d. 500mCi/ mL - Answer-b. 125mCi/ mL
A Hine-Duley phantom is useful for testing the spatial resolution and spatial linearity
with only one image.
a. True
b. False - Answer-b. False
The advantages of a lung ventilation scan performed with 133Xe is:
a. The ability to match perfusion and ventilation positioning
b. The ability to detect delayed washout
c. The ability to perform the exam at the patients bedside
, d. The ability to perform perfusion before ventilation washout increasing the dose given
for the ventilation study. - Answer-b. The ability to detect delayed washout
A whole body bone scan film shows a good posterior image, but the anterior view
appears diffuse and with greater soft tissue activity. What is the probable cause?
a. Wrong collimator used for the anterior
b. Increased patient to detector distance on the anterior relative to the posterior
c. Low tagging efficiency of the RP
d. Patient was not sufficiently hydrated
e. None of the above - Answer-b. Increased patient to detector distance on the anterior
relative to the posterior
According to the NRC, departmental records of "medical events" must include all of the
following pieces of information except:
a. identity of the patient
b. referring physician's name
c. nuclear medicine staff involved in the medical event
d. estimated dose to personnel involved - Answer-d. estimated dose to personnel
involved
A DOT II radioactive label is on a package that reads 9 mR/hr at 1 m. What is the
appropriate action to take?
a. Log in the package as you normally would
b. Contact the regional office of the NRC
c. Inform the vendor that the wrong label was on the container
d. Notify the DOT that a "shipment event" has occurred - Answer-c. Inform the vendor
that the wrong label was on the container
An occupational worker has received 14,000 mrem of exposure to the eyes in 1 year on
his/her eye dose dosimeter; which following course of action would be appropriate?
a. Recommend eye chelation therapy
b. Review ALARA standards to reduce exposure because they have exceeded their
annual eye dose limit
c. Review ALARA standards to reduce exposure because they are close to exceeding
their annual eye dose limit
d. Recommend they use leaded eyeglasses to reduce exposure - Answer-c. Review
ALARA standards to reduce exposure because they are close to exceeding their annual
eye dose limit
An unrestricted nuclear medicine waiting room is on the other side of the wall from the
hot lab. G-M meter readings in the hot lab read 50 mR/hr. Readings on the other side of
the wall in the waiting room read 25mR/hr. What is the minimum number of HVLs of Pb
