NMT..Exam..5
1. A. . [Tc-
99m]. . oxidronate. . image. . of. . the. . region. . shown. . would. . demonstrate. . all. . of..the..fol
lowing..structures..except..the:
a. costochondral. . junctions
b. acromion. . process
c. clavicles
d. sternum
e. humerus:. . b...acromion..process
2. For..a..patient..undergoing..bone..imaging,..which..of..the..following..information..fr
om..the..medical..history..is..relevant..to..the..interpretation..of..the..bone..image?
a. splenectomy..5..years..ago
b. abdominal..surgery..10..days..ago
c. radiation..therapy..to..the..breast..6..months..ago
d. gallbladder.. surgery.. a.. year.. ago
e. results..of..previous..bone..imaging..procedures:..e...results..of..previous..bone..imaging..proce-
dures
3. If. . a. . patient. . is. . injected. . with. . [Tc-
99m]MAA. . while. . in. . an. . upright. . position,. . which..of..the..following..is..most..likely..to..
be..seen..on..the..perfusion..lung..images?
a. increased..tracer..activity..in..the..lung.. apices
b. decreased..tracer..activity..in..the..bases
c. decreased..tracer..activity..in..the..lung..apices
d. decreased. . tracer. . activity. . throughout. . both. . lungs
e. the..heart:..c...decreased..tracer..activity..in..the..lung..apices
4. If. . the. . usual. . adult. . dosage. . of. . [Tc-
99m]MAA. . is. . 4. . mCi,. . a. . patient. . who. . has. . had. . a..right..pneumonectomy..should..r
eceive..what..dosage?
a. 1..mCi
b. 3..mCi
, NMT..Exam..5
c. 2..mCi
, NMT..Exam..5
d. 5..mCi
e. 4..mCi:..c...2..mCi
5. Which..one..of..the..following..steps..would..be..appropriate..during..a..standby-as-
sist..wheelchair..transfer?
a. The. . wheelchair. . should. . be. . perpendicular. . to. . the. . imaging. . table
b. The.. wheelchair.. footrests..should.. be.. out.. of.. the.. way
c. The..wheelchair..should..be..placed..parallel..to..the..imaging..table
d. The..wheelchair..should..be..unlocked
e. The..transfer..should..take..place..in..the..presence..of..a..physician:..b...the..wheelchair..foo
trests..should..be..out..of..the..way
6. Patient..preparation..for..infection..imaging..using..tagged..white..blood..cells..in
cludes:
a. fasting. . for. . at. . least. . 4. . hr. . with. . a. . blood. . glucose. . level. . below. . 120. . mg/dl
b. lab..work..and..information..concerning..recent..blood..transfusions
c. discontinuation . . of. . certain. . medications
d. smoking. . cessation. . for. . at. . least. . 24. . hr
e. fasting..for..at..least..4..hr..with..a..blood..glucose..level..below..200..mg/dl:..b...lab..work..an
d..information..concerting..recent..blood..transfusions
7. Thyroid. . imaging. . may. . be. . performed. . with. . which. . of. . the. . following. . collimators?
a. flat..field
b. pinhole
c. parallel..hole
d. pinhole..or..parallel..hole
e. slant..hole:..d...pinhole..or..parallel..hole
8. In..performing..a..thyroid..uptake,..a..technologist..collects..the..thyroid..counts..5..c
m. . from. . the. . surface. . of. . the. . patient's. . neck. . and. . the. . standard. . counts. . 20. . cm. . fro
m..the..surface..of..the..neck..phantom...What..is..the..effect..on..the..thyroid..uptake..v
alue..calculated..from..this..data?
, NMT..Exam..5
a. The..uptake..value..will..be..falsely..increased
b. The..uptake..value..will..be..falsely..decreased
c. The..uptake..value..will..be..accurate
d. The..results..are..unpredictable
e. There..is..no..effect:..a...The..uptake..value..will..be..falsely..increased
9. The. . percentage. . left. . ventricular. . ejection. . fraction. . calculated. . from. . the. . net
. . counts..per..minute..shown..here:
End..diastole:..2875
End..systole:..2162..i
s..approximately:
a. 25%
b. 13%
c. 33%
d. 100%
e. 75%:..a...25%
10. When..a..technologist..cares..for..a..patient..who..is..not..known..to..have..a..com-
municable. . disease,. . all. . of. . the. . following. . infection. . control. . measures. . should. . be
. . implemented ..except:
a. wearing..gloves.. when.. collecting.. a.. blood.. sample
b. decontaminating..imaging..equipment..with..an..antiseptic
c. handwashing. . before. . and. . after. . the. . nuclear. . medicine. . examination
d. using..a..needle..recapping..device
e. maintaining. . aseptic. . technique. . when. . administering. . the. . readiopharmaceu-
tical:..b...decontaminating..imaging..equipment..with..an..antiseptic
11. Normal.. sinus..rhythm..is.. characterized.. by.. which.. of..the.. following:
I. 60-100..beats/min
II. R..wave..occurs..at..constant..intervals
III. PR..interval..0.12-0.20..sec..long
a. I..and..II..only
1. A. . [Tc-
99m]. . oxidronate. . image. . of. . the. . region. . shown. . would. . demonstrate. . all. . of..the..fol
lowing..structures..except..the:
a. costochondral. . junctions
b. acromion. . process
c. clavicles
d. sternum
e. humerus:. . b...acromion..process
2. For..a..patient..undergoing..bone..imaging,..which..of..the..following..information..fr
om..the..medical..history..is..relevant..to..the..interpretation..of..the..bone..image?
a. splenectomy..5..years..ago
b. abdominal..surgery..10..days..ago
c. radiation..therapy..to..the..breast..6..months..ago
d. gallbladder.. surgery.. a.. year.. ago
e. results..of..previous..bone..imaging..procedures:..e...results..of..previous..bone..imaging..proce-
dures
3. If. . a. . patient. . is. . injected. . with. . [Tc-
99m]MAA. . while. . in. . an. . upright. . position,. . which..of..the..following..is..most..likely..to..
be..seen..on..the..perfusion..lung..images?
a. increased..tracer..activity..in..the..lung.. apices
b. decreased..tracer..activity..in..the..bases
c. decreased..tracer..activity..in..the..lung..apices
d. decreased. . tracer. . activity. . throughout. . both. . lungs
e. the..heart:..c...decreased..tracer..activity..in..the..lung..apices
4. If. . the. . usual. . adult. . dosage. . of. . [Tc-
99m]MAA. . is. . 4. . mCi,. . a. . patient. . who. . has. . had. . a..right..pneumonectomy..should..r
eceive..what..dosage?
a. 1..mCi
b. 3..mCi
, NMT..Exam..5
c. 2..mCi
, NMT..Exam..5
d. 5..mCi
e. 4..mCi:..c...2..mCi
5. Which..one..of..the..following..steps..would..be..appropriate..during..a..standby-as-
sist..wheelchair..transfer?
a. The. . wheelchair. . should. . be. . perpendicular. . to. . the. . imaging. . table
b. The.. wheelchair.. footrests..should.. be.. out.. of.. the.. way
c. The..wheelchair..should..be..placed..parallel..to..the..imaging..table
d. The..wheelchair..should..be..unlocked
e. The..transfer..should..take..place..in..the..presence..of..a..physician:..b...the..wheelchair..foo
trests..should..be..out..of..the..way
6. Patient..preparation..for..infection..imaging..using..tagged..white..blood..cells..in
cludes:
a. fasting. . for. . at. . least. . 4. . hr. . with. . a. . blood. . glucose. . level. . below. . 120. . mg/dl
b. lab..work..and..information..concerning..recent..blood..transfusions
c. discontinuation . . of. . certain. . medications
d. smoking. . cessation. . for. . at. . least. . 24. . hr
e. fasting..for..at..least..4..hr..with..a..blood..glucose..level..below..200..mg/dl:..b...lab..work..an
d..information..concerting..recent..blood..transfusions
7. Thyroid. . imaging. . may. . be. . performed. . with. . which. . of. . the. . following. . collimators?
a. flat..field
b. pinhole
c. parallel..hole
d. pinhole..or..parallel..hole
e. slant..hole:..d...pinhole..or..parallel..hole
8. In..performing..a..thyroid..uptake,..a..technologist..collects..the..thyroid..counts..5..c
m. . from. . the. . surface. . of. . the. . patient's. . neck. . and. . the. . standard. . counts. . 20. . cm. . fro
m..the..surface..of..the..neck..phantom...What..is..the..effect..on..the..thyroid..uptake..v
alue..calculated..from..this..data?
, NMT..Exam..5
a. The..uptake..value..will..be..falsely..increased
b. The..uptake..value..will..be..falsely..decreased
c. The..uptake..value..will..be..accurate
d. The..results..are..unpredictable
e. There..is..no..effect:..a...The..uptake..value..will..be..falsely..increased
9. The. . percentage. . left. . ventricular. . ejection. . fraction. . calculated. . from. . the. . net
. . counts..per..minute..shown..here:
End..diastole:..2875
End..systole:..2162..i
s..approximately:
a. 25%
b. 13%
c. 33%
d. 100%
e. 75%:..a...25%
10. When..a..technologist..cares..for..a..patient..who..is..not..known..to..have..a..com-
municable. . disease,. . all. . of. . the. . following. . infection. . control. . measures. . should. . be
. . implemented ..except:
a. wearing..gloves.. when.. collecting.. a.. blood.. sample
b. decontaminating..imaging..equipment..with..an..antiseptic
c. handwashing. . before. . and. . after. . the. . nuclear. . medicine. . examination
d. using..a..needle..recapping..device
e. maintaining. . aseptic. . technique. . when. . administering. . the. . readiopharmaceu-
tical:..b...decontaminating..imaging..equipment..with..an..antiseptic
11. Normal.. sinus..rhythm..is.. characterized.. by.. which.. of..the.. following:
I. 60-100..beats/min
II. R..wave..occurs..at..constant..intervals
III. PR..interval..0.12-0.20..sec..long
a. I..and..II..only