NUCLEAR MEDICINE: EXIT EXAM
PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED
A+ LATEST UPDATE | 2024-2025W
A patient with a chest tube arrives in the nuclear medicine department for an Imaging study.
The technologist should:
A. Cancel the procedure because the chest tube apparatus will interfere with the study
B. Place the chest tubes external apparatus on the Imaging table next to the patient
C.Hang the chest tubes external apparatus from an IV pole and raise it above the patient's
chest
D.Place the chest tubes external apparatus on a level lower than the patient's chest
✓ D. Place the chest tubes external apparatus on a level lower than the patient's chest
✓ for proper drainage, chest tube apparatus must always remain lower than the patient's
chest
✓ (Bolus: (2011) Steve's Review of Nuclear Medicine Technology: Preparation for
certification examination)
99mTc-Oxidronate image of the region shown would demonstrate all the following structures
except the:
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A. Costochondral Junctions
B. Acromion processes
C. Sternum
D. Clavicles
✓ B. Acromion processes
✓
✓ The image depicts an anterior view of the rib cage and proximal upper extremities. The
acromion processes would be demonstrated on a posterior view of the upper thorax that
includes the scapulae.
Which of the following is common to imaging gastroesophageal reflux in both adults and
children?
A. The patient ingests diluted hydrochloric acid with the radiopharmaceutical
B. 99mtc sulfur colloid is the radiopharmaceutical of choice
C. The patient must fast from Midnight before the test
D. An abdominal binder is used to increase pressure over the abdomen
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✓ B. 99mtc sulfur colloid is the radiopharmaceutical of choice
✓
✓ 99mTc-Sulfur Colloid is the radiopharmaceutical used to image gastroesophageal reflux
in both adults and children. However, adults are administered a mixture of dilute
hydrochloric acid, orange juice and tracer after fasting from midnight. In infants and
toddlers, the procedure is performed at the time of a scheduled feeding, so they may fast
as little as two hours before receiving the tracer. In adults, an abdominal binder is used to
increase external abdominal pressure to demonstrate more subtle instances of reflux.
Because the abdominal muscles are important in pediatric respiration, the binder is
typically not used with children, particularly infants.
The shelf life of most 99mTc-labeled radiopharmaceuticals is:
A. 4-6 hrs
B. 6-8 hrs
C. 10-12 hrs
D. 16-18 hrs
✓ B. 6-8hrs
✓
✓ For most 99mTc-Radiopharmaceuticals, the expiration time is 6 hrs, equal to the physical
half-life of 99mTC (t1/2= 6 hrs)
On an intrinsic field uniformity image, the area of increased activity around the image is
called:
A. Flare phenomenon
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B. Septal penetration
C. Edge packing
D. Halo effect
✓ C. Edge packing
✓
✓ The phenomenon known as Edge packing can show up as a bright rim of activity around
the perimeter of the [intrinsic flood]. To prevent Edge packing, most manufacturers
provide a lead- shielded ring that masks the effect when attached to the edge of the
camera head.
A patient who becomes hypoglycemic may exhibit all the following signs and symptoms
except:
A. Weakness and shakiness
B. Irritability
C. Nausea and vomiting
D. Confusion
✓ C. Nausea and vomiting
✓
✓ The onset of symptoms of hypoglycemia may be sudden and include general weakness,
sweating, clammy, cold skin, tremors, nervousness, irritability, hunger, blurred vision and
loss of consciousness. The condition can be remedied quickly with the administration of
sugar (3 pieces of candy or fruit juice)
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