Nuclear medicine exam review UPDATED ACTUAL Questions and CORRECT
Answers
veins on top of each foot D)either basilic vein
Static bone imaging is routinely performed how long after
tracer administration to an adult: A)30min B)1hr C)2-3hr
D)24hr
Which of the following structures normally appear as ar-
eas of increased activity on the bone images of adults:
A)anterior iliac crests B)glenoid fossa C)sternoclavicular
joints D)all of the above
Which of the following conditions is visualized on a bone
image as a photopenic area: A)attenuation B)tracer infil-
tration C)acute myocardial infarction D)osteomyelitis
It is safe to block a portion of the pulmonary circulation
with MAA particles in patients with suspected PE because:
A)# of injected particles block only a small number of
precapillary arterioles B)particles are made from albumin
isolated from human serum
A nebulizer is used to administer which of the follow-
ing lung ventilation radiopharmaceuticals: A)81mKr gas
B)133Xe gas C)99mTc-pentetate D)99mTc-MAA
Which of the following radiopharmaceuticals may be used
to image acute deep vein thrombosis in the lower extrem-
ities: A)99mTc-MAA B)99mTc-arcitumomab C)131I-ioben-
guane D)111In-oxyquinoline
In performing radionuclide venography with 99mTc-MAA,
the radiopharmaceutical is administered at what site:
A)antecubital of either arm B)either femoral vein C)dorsal
, Therefore, the tracer is administered into the dorsal vein
C) 2-3hr. Static bone imaging performed with a labeled
of each foot.
diphosphonate compound is routinely performed 2-
3hrafter tracer administration.
D) all the above. On bone images of adults, areas of
nor- mally increased tracer activity include all those
listed as well as the sacroiliac, hip, and
acromioclavicular joints andvertebral column.
A)attenuation. A photopenic area is one in which a
smallernumber of photons is visualized-a cold spot. A
material that absorbs photons may cause an
attenuation artifact, an area of falsely decreased tracer
concentration(jewelry,belt buckles, pacemaker)
A)# of injected particles blocks only a small number of
precapillary arterioles. Less than 1% of the
precapillary arterioles are blocked with the MAA
particles; therefore, there is no adverse effect on the
patient.
C)99mTc-pentetate. A nebulizer is a device that uses
ultra-sound or pressure to create airborne (aerosol)
particles from a liquid.
A)99mTc-MAA is used to image acute deep-vein
thrombo-sis in the lower extremities.
C)dorsal vein on to of each foot. The tracer is
introducedinto the deep venous system of the legs.
,After total thyroidectomy, total-body imaging with ra- B) The salivary glands and saliva in the mouth, the gastric
dioiodine normally will demonstrate tracer concentration mucosa and secretions into the intestine, and the urinary
in which areas: A)liver, lungs, bones B)salivary glands, bladder are sites that normally concentrate radioiodine.
stomach, and bladder C)liver, salivary glands, stomach, Concentrations in other sites indicate areas of functioning
lungs D)bladder, liver, brain thyroid metastases.
A parathyroid adenoma will concentrate which
of the following radioparmaceuticals: A)123I-sodi-
C) 99mTc-sestamibi
um iodide B)99mTc-pertechnetate C)99mTc-sestamibi
D)99mTc-pertechnetate or 99mTc-sestamibi
When positioning a patient for an LAO view of a gated B) left ventricle and left atrium. The left atrium is partially
equilibrium ventricular function study, tilting the camera hidden by the aorta and pulmonary artery. Tilting the
toward the patient's feet separates what two structures: detector caudally visually brings the left atrium out from
A)left ventricle and aorta B)left ventricle and left atrium under these structures and separates it from the left ven-
C)left and right atria tricle.
Which tracer is excreted primarily via the hepatobil-
iary system: A)99mTc-sestamibi B)99mTc-exametazime A) 99mTc-sestamibi
C)99mTc-medronate D)201Tl-thallous chloride
C)10. A cardiac stress test requires a 12-lead ECG tracing,
A cardiac stress test requires the placement of how many
which uses 10 electrodes attached to the patient. 2 arm, 2
electrodes on the patient's body: A)3 B)6 C)10 D)12
leg, and 6 chest leads.
Visualization of bone marrow uptake on a 99mTc-sulfer
C)liver dysfunction. Bone marrow uptake is visualized on
colloid liver/spleen image is most likely the result of: A)im-
liver/spleen images when severe liver dysfunction, such as
proper colloid particle size B)insuflcient tracer circulation
advanced cirrhosis, is present.
time C)liver dysfunction D)overactive bone marrow
During hepatobiliary imaging, which structure will NOT be C)gallbladder. If cystic duct obstruction is present, the
visualized if cystic duct obstruction is present: A)common tracer will be unable to enter the gallbladder. The cystic
hepatic duct B)common bile duct C)gallbladder D)small duct is the passage between the common bile duct and
intestine the gallbladder.
, How long after the administration of 99mTc-pertechnetate A) immediately. For localization of a Meckel's diverticulum,
does imaging begin for the localization of a Meckel's imaging begins immediately after administration of the
diverticulum: A)immediately B)15-20min C)1hr D)2-3hr tracer.
All of the following 99mTc-labeled radiopharmaceuticals A) sulfur colloid. First-pass cardiac studies to identify or
may be appropriate for performing a left-to-right cardiac quantify left-to-right shunts are performed with radio-
shunt exam using the first-pass method except: A)sulfur pharmaceuticals that can be administered in small vol-
colloid B)pentetate C)sestamibi D)tetrofosmin umes of 20-25mCi.
The glomerular filtration rate (GFR) is measured A) 99mTc-pentetate. Determination of GFR requires an
with which radiopharmaceutical: A)99mTc-pentetate agent that is completely filtered by the glomeruli.
B)99mTc-succimer C)99mTc-gluceptate D)99mTc-meriti- 99mTc-pentetate (DTPA) is handled only by glomerular
atide filtration.
Radionuclide cystography is performed by the direct
B) 99mTc-pertechnetate or sulfur colloid. Direct radionu-
method using which radiopharmaceutical: A)99mTc-pen-
clide cystography is performed by instilling 99mTc-pente-
tetate or medronate B)99mTc-pertechnetate or sul-
tate, or sulfur colloid, into the urinary bladder. Imaging is
fur colloid C)99mTc-gluceptate or sulfur colloid
performed as the bladder is filling and emptying.
D)99mTc-pertechnetate or mertiatide
Filtered 99mTc-sulfur colloid is required for which of D)lymphoscintigraphy. Although all procedures listed
the following examinations: A)gastroesophageal reflux may be performed with 99mTc-sulfur colloid, only lym-
B)gastric emptying C)LeVeen shunt patency D)lym- phoscintigraphy requires that sulfur colloid be filtered to
phoscintigraphy remove the larger particles.
A patient with a nasogastric tube in place is transferred
A) Nasogastric tubes are used for gastric decompression.
to the NM dept for an imaging procedure. The technol-
A physician must order the transfer and interruption of
ogist should: A)confirm physician orders for transfer and
suction. The tech may be required to reestablish suction
reestablish suction if required B)cancel study C)use the
upon the patient's arrival in the department.
tube to administer tracer
The appearance of what structure indicates the beginning D)superior sagittal sinus. In a normal cerebral flow study,
of the venous phase of a cerebral blood flow study: A)an- the first phase is the arterial phase, indicated by activity
terior cerebral arteries B)carotid arteries C)nasopharynx in the carotid and anterior cerebral arteries. The capillary
D)superior sagittal sinus phase is followed by the venous phase.
Answers
veins on top of each foot D)either basilic vein
Static bone imaging is routinely performed how long after
tracer administration to an adult: A)30min B)1hr C)2-3hr
D)24hr
Which of the following structures normally appear as ar-
eas of increased activity on the bone images of adults:
A)anterior iliac crests B)glenoid fossa C)sternoclavicular
joints D)all of the above
Which of the following conditions is visualized on a bone
image as a photopenic area: A)attenuation B)tracer infil-
tration C)acute myocardial infarction D)osteomyelitis
It is safe to block a portion of the pulmonary circulation
with MAA particles in patients with suspected PE because:
A)# of injected particles block only a small number of
precapillary arterioles B)particles are made from albumin
isolated from human serum
A nebulizer is used to administer which of the follow-
ing lung ventilation radiopharmaceuticals: A)81mKr gas
B)133Xe gas C)99mTc-pentetate D)99mTc-MAA
Which of the following radiopharmaceuticals may be used
to image acute deep vein thrombosis in the lower extrem-
ities: A)99mTc-MAA B)99mTc-arcitumomab C)131I-ioben-
guane D)111In-oxyquinoline
In performing radionuclide venography with 99mTc-MAA,
the radiopharmaceutical is administered at what site:
A)antecubital of either arm B)either femoral vein C)dorsal
, Therefore, the tracer is administered into the dorsal vein
C) 2-3hr. Static bone imaging performed with a labeled
of each foot.
diphosphonate compound is routinely performed 2-
3hrafter tracer administration.
D) all the above. On bone images of adults, areas of
nor- mally increased tracer activity include all those
listed as well as the sacroiliac, hip, and
acromioclavicular joints andvertebral column.
A)attenuation. A photopenic area is one in which a
smallernumber of photons is visualized-a cold spot. A
material that absorbs photons may cause an
attenuation artifact, an area of falsely decreased tracer
concentration(jewelry,belt buckles, pacemaker)
A)# of injected particles blocks only a small number of
precapillary arterioles. Less than 1% of the
precapillary arterioles are blocked with the MAA
particles; therefore, there is no adverse effect on the
patient.
C)99mTc-pentetate. A nebulizer is a device that uses
ultra-sound or pressure to create airborne (aerosol)
particles from a liquid.
A)99mTc-MAA is used to image acute deep-vein
thrombo-sis in the lower extremities.
C)dorsal vein on to of each foot. The tracer is
introducedinto the deep venous system of the legs.
,After total thyroidectomy, total-body imaging with ra- B) The salivary glands and saliva in the mouth, the gastric
dioiodine normally will demonstrate tracer concentration mucosa and secretions into the intestine, and the urinary
in which areas: A)liver, lungs, bones B)salivary glands, bladder are sites that normally concentrate radioiodine.
stomach, and bladder C)liver, salivary glands, stomach, Concentrations in other sites indicate areas of functioning
lungs D)bladder, liver, brain thyroid metastases.
A parathyroid adenoma will concentrate which
of the following radioparmaceuticals: A)123I-sodi-
C) 99mTc-sestamibi
um iodide B)99mTc-pertechnetate C)99mTc-sestamibi
D)99mTc-pertechnetate or 99mTc-sestamibi
When positioning a patient for an LAO view of a gated B) left ventricle and left atrium. The left atrium is partially
equilibrium ventricular function study, tilting the camera hidden by the aorta and pulmonary artery. Tilting the
toward the patient's feet separates what two structures: detector caudally visually brings the left atrium out from
A)left ventricle and aorta B)left ventricle and left atrium under these structures and separates it from the left ven-
C)left and right atria tricle.
Which tracer is excreted primarily via the hepatobil-
iary system: A)99mTc-sestamibi B)99mTc-exametazime A) 99mTc-sestamibi
C)99mTc-medronate D)201Tl-thallous chloride
C)10. A cardiac stress test requires a 12-lead ECG tracing,
A cardiac stress test requires the placement of how many
which uses 10 electrodes attached to the patient. 2 arm, 2
electrodes on the patient's body: A)3 B)6 C)10 D)12
leg, and 6 chest leads.
Visualization of bone marrow uptake on a 99mTc-sulfer
C)liver dysfunction. Bone marrow uptake is visualized on
colloid liver/spleen image is most likely the result of: A)im-
liver/spleen images when severe liver dysfunction, such as
proper colloid particle size B)insuflcient tracer circulation
advanced cirrhosis, is present.
time C)liver dysfunction D)overactive bone marrow
During hepatobiliary imaging, which structure will NOT be C)gallbladder. If cystic duct obstruction is present, the
visualized if cystic duct obstruction is present: A)common tracer will be unable to enter the gallbladder. The cystic
hepatic duct B)common bile duct C)gallbladder D)small duct is the passage between the common bile duct and
intestine the gallbladder.
, How long after the administration of 99mTc-pertechnetate A) immediately. For localization of a Meckel's diverticulum,
does imaging begin for the localization of a Meckel's imaging begins immediately after administration of the
diverticulum: A)immediately B)15-20min C)1hr D)2-3hr tracer.
All of the following 99mTc-labeled radiopharmaceuticals A) sulfur colloid. First-pass cardiac studies to identify or
may be appropriate for performing a left-to-right cardiac quantify left-to-right shunts are performed with radio-
shunt exam using the first-pass method except: A)sulfur pharmaceuticals that can be administered in small vol-
colloid B)pentetate C)sestamibi D)tetrofosmin umes of 20-25mCi.
The glomerular filtration rate (GFR) is measured A) 99mTc-pentetate. Determination of GFR requires an
with which radiopharmaceutical: A)99mTc-pentetate agent that is completely filtered by the glomeruli.
B)99mTc-succimer C)99mTc-gluceptate D)99mTc-meriti- 99mTc-pentetate (DTPA) is handled only by glomerular
atide filtration.
Radionuclide cystography is performed by the direct
B) 99mTc-pertechnetate or sulfur colloid. Direct radionu-
method using which radiopharmaceutical: A)99mTc-pen-
clide cystography is performed by instilling 99mTc-pente-
tetate or medronate B)99mTc-pertechnetate or sul-
tate, or sulfur colloid, into the urinary bladder. Imaging is
fur colloid C)99mTc-gluceptate or sulfur colloid
performed as the bladder is filling and emptying.
D)99mTc-pertechnetate or mertiatide
Filtered 99mTc-sulfur colloid is required for which of D)lymphoscintigraphy. Although all procedures listed
the following examinations: A)gastroesophageal reflux may be performed with 99mTc-sulfur colloid, only lym-
B)gastric emptying C)LeVeen shunt patency D)lym- phoscintigraphy requires that sulfur colloid be filtered to
phoscintigraphy remove the larger particles.
A patient with a nasogastric tube in place is transferred
A) Nasogastric tubes are used for gastric decompression.
to the NM dept for an imaging procedure. The technol-
A physician must order the transfer and interruption of
ogist should: A)confirm physician orders for transfer and
suction. The tech may be required to reestablish suction
reestablish suction if required B)cancel study C)use the
upon the patient's arrival in the department.
tube to administer tracer
The appearance of what structure indicates the beginning D)superior sagittal sinus. In a normal cerebral flow study,
of the venous phase of a cerebral blood flow study: A)an- the first phase is the arterial phase, indicated by activity
terior cerebral arteries B)carotid arteries C)nasopharynx in the carotid and anterior cerebral arteries. The capillary
D)superior sagittal sinus phase is followed by the venous phase.
