NMTCB Practice Exam #1 UPDATED ACTUAL Questions and CORRECT Answers
Before tracer administration, all the following prepara-
tions are required for a 27 year old woman referred for
total-body bone imaging except:
A. removing attenuating materials from the patient A. removing the attenuating materials from the patient
B. answering the patient's questions
C. ruling out pregnancy
D. explaining the procedure to the patient
E. swab the injection site with alcohol
Which of the following structures normally appear as ar-
eas of increased activity on the bone images of children?
A. diaphyses of the long bones
D. costochondral junctions and epiphyseal plates
B. breast tissue
C. lumbar spine and cranium
D. costochondral junctions and epiphyseal plates
E. metatarsals
3. If tracer concentration is visualized in the skeleton,
stomach, thyroid, and salivary glands on a bone image,
the most likely explanation for these findings is that the:
A. patient was imaged too soon after tracer administra-
C. radiopharmaceutical contained excess free Tc99m
tion
pertechnetate
B. patient's renal function is compromised
C. radiopharmaceuticals contained excess free Tc99m
pertechnetate
D. incorrect radiopharmaceutical was administered
E. radiopharmaceutical contained excess free F18 sodium
For interpretation of nuclear medicine lung images, a
chest x-ray is required to:
, A. rule out possible causes of the patient's symptoms
B. determine cardiac size
C. rule out previous lung surgery A. rule out possible causes of the patient's symptoms
D. rule out a pulmonary embolus
E. rule in a pulmonary embolus
The image shown here was obtained after administration
of Tc99m MAA. Which of the following is the most likely
explanation for the quality of this lung perfusion image?
A. the image shows lung pathology C. blood clotted to MAA particles was injected intravenous-
B. there is radioactive contamination on the patient's skin ly
or the camera detector
C. blood clotted to MAA particles was injected intra-
venously
D. too many MAA particles were administered to the pa-
tient
E. a left to right shunt occurred in the heart
The purpose of a charcoal filter in a xenon delivery unit is
to absorb:
A. bacteria
C. xenon gas
B. carbon dioxide
C. xenon gas
D. moisture
E. oxygen
Radionuclide venography may be performed with which
of the following radiopharmaceuticals?
E. Tc99m MAA
A. Tc99m pentetate
B. Tc99m pertechnetate
C. Tc99m exametazime
, D. Tc99m mebrofenin
E. Tc99m MAA
If ectopic thyroid tissue is suspected, the technologist can
expect to find it most commonly in which of the following
areas?
A. in the brain D. in the mediastinum
B. in the skull
C. in the nasopharynx
D. in the mediastinum
E. behind the optic nerve
During parathyroid imaging, images of the chest as well
as the neck are obtained to:
A. correct the image series for patient motion
C. visualize ectopic parathyroid tissue
B. visualize substernal thyroid tissue
C. visualize ectopic parathyroid tissue
D. diagnose hyperparathyroidism
E. to localize the parathyroid
When performing a gated equilibrium cardiac study,
which of the following anatomical views best separates the
right and left ventricles?
A. left lateral B. left anterior oblique
B. left anterior oblique
C. left posterior oblique
D. anterior
E. posterior
In the preparation for a Tl201 stress test, patients are
instructed to fast to:
, A. prevent gastrointestinal upsets during exercise
B. minimize tracer uptake in the gastrointestinal tract
C. enhance myocardial tracer uptake B. minimize tracer uptake in the gastrointestinal tract
D. standardize test conditions among patients
E. prevent redistribution of the tracer
Which of the following agents used for pharmacologic
stress testing remain in the plasma for the greatest length
of time?
A. dobutamine D. dipryridamole
B. adenosine
C. nitroglycerin
D. dipyridamole
E. regadenoson
SPECT liver imaging with Tc99m sulfur colloid is per-
formed how soon after tracer administration?
A. immediately
B. 10-15 min
B. 10-15 min
C. 30-45 min
D. 1-2 hr
E. 3-4 hr
Significantly increased serum bilirubin levels will most
likely cause which of the following to be visualized on
hepatobiliary images?
A. kidneys A. kidneys
B. colon
C. lungs
D. spleen
E. pancreas
Before tracer administration, all the following prepara-
tions are required for a 27 year old woman referred for
total-body bone imaging except:
A. removing attenuating materials from the patient A. removing the attenuating materials from the patient
B. answering the patient's questions
C. ruling out pregnancy
D. explaining the procedure to the patient
E. swab the injection site with alcohol
Which of the following structures normally appear as ar-
eas of increased activity on the bone images of children?
A. diaphyses of the long bones
D. costochondral junctions and epiphyseal plates
B. breast tissue
C. lumbar spine and cranium
D. costochondral junctions and epiphyseal plates
E. metatarsals
3. If tracer concentration is visualized in the skeleton,
stomach, thyroid, and salivary glands on a bone image,
the most likely explanation for these findings is that the:
A. patient was imaged too soon after tracer administra-
C. radiopharmaceutical contained excess free Tc99m
tion
pertechnetate
B. patient's renal function is compromised
C. radiopharmaceuticals contained excess free Tc99m
pertechnetate
D. incorrect radiopharmaceutical was administered
E. radiopharmaceutical contained excess free F18 sodium
For interpretation of nuclear medicine lung images, a
chest x-ray is required to:
, A. rule out possible causes of the patient's symptoms
B. determine cardiac size
C. rule out previous lung surgery A. rule out possible causes of the patient's symptoms
D. rule out a pulmonary embolus
E. rule in a pulmonary embolus
The image shown here was obtained after administration
of Tc99m MAA. Which of the following is the most likely
explanation for the quality of this lung perfusion image?
A. the image shows lung pathology C. blood clotted to MAA particles was injected intravenous-
B. there is radioactive contamination on the patient's skin ly
or the camera detector
C. blood clotted to MAA particles was injected intra-
venously
D. too many MAA particles were administered to the pa-
tient
E. a left to right shunt occurred in the heart
The purpose of a charcoal filter in a xenon delivery unit is
to absorb:
A. bacteria
C. xenon gas
B. carbon dioxide
C. xenon gas
D. moisture
E. oxygen
Radionuclide venography may be performed with which
of the following radiopharmaceuticals?
E. Tc99m MAA
A. Tc99m pentetate
B. Tc99m pertechnetate
C. Tc99m exametazime
, D. Tc99m mebrofenin
E. Tc99m MAA
If ectopic thyroid tissue is suspected, the technologist can
expect to find it most commonly in which of the following
areas?
A. in the brain D. in the mediastinum
B. in the skull
C. in the nasopharynx
D. in the mediastinum
E. behind the optic nerve
During parathyroid imaging, images of the chest as well
as the neck are obtained to:
A. correct the image series for patient motion
C. visualize ectopic parathyroid tissue
B. visualize substernal thyroid tissue
C. visualize ectopic parathyroid tissue
D. diagnose hyperparathyroidism
E. to localize the parathyroid
When performing a gated equilibrium cardiac study,
which of the following anatomical views best separates the
right and left ventricles?
A. left lateral B. left anterior oblique
B. left anterior oblique
C. left posterior oblique
D. anterior
E. posterior
In the preparation for a Tl201 stress test, patients are
instructed to fast to:
, A. prevent gastrointestinal upsets during exercise
B. minimize tracer uptake in the gastrointestinal tract
C. enhance myocardial tracer uptake B. minimize tracer uptake in the gastrointestinal tract
D. standardize test conditions among patients
E. prevent redistribution of the tracer
Which of the following agents used for pharmacologic
stress testing remain in the plasma for the greatest length
of time?
A. dobutamine D. dipryridamole
B. adenosine
C. nitroglycerin
D. dipyridamole
E. regadenoson
SPECT liver imaging with Tc99m sulfur colloid is per-
formed how soon after tracer administration?
A. immediately
B. 10-15 min
B. 10-15 min
C. 30-45 min
D. 1-2 hr
E. 3-4 hr
Significantly increased serum bilirubin levels will most
likely cause which of the following to be visualized on
hepatobiliary images?
A. kidneys A. kidneys
B. colon
C. lungs
D. spleen
E. pancreas
