NMTCB MOCK EXAMINATIONS 1
MULTIPLE CHOICE (5TH EDITION:
REVIEW OF NUCLEAR MEDICINE
TECHNOLOGY PREPARATION FOR
CERTIFICATION EXAMINATION
(SNMMI))
1. Before tracer administration, all the following preparations are required for a 27 year
old woman referred for total-body bone imaging except:
A.) removing attenuation materials from the patient
B.) answering the patients questions
C.) ruling out pregnancy
D.) explaining the procedure to the patient
E.) swab the injection site with alcohol - ANSWER-A.) removing attenuation materials
from the patient
pg. 323
2. Which of the following structures normally appear as areas of increase activity on the
bone image of children
A.) diaphyses of the long bones
B.) breast tissue
C.) lumbar spine and cranium
D.) costochondral junction and epiphyseal plates
E.) metatarsals - ANSWER-D.) costochondral junction and epiphyseal plates
pg. 323
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 administration
B.) patient renal function is compromised
C.) radiopharmaceutical contains free (Tc-99m) pertechnetate
D.) incorrect radiopharmaceutical was administered
E.) radiopharmaceutical contained excess free (F-18) sodium - ANSWER-C.)
radiopharmaceutical contains free (Tc-99m) pertechnetate
,pg. 323
4. For interpretation of nuclear medicine lung images, a chest X ray is required to:
A.) rule out possible causes of the patients symptoms
B.) determine cardiac size
C.) rule out previous lung surgery
D.) rule out a pulmonary embolus
E.) rule in a pulmonary embolus - ANSWER-A.) rule out possible causes of the patient
symptoms
pg. 323
5. The image shown here was obtained after the administration of (Tc-99m) MAA.
Which of the following is the most likely explanation for the quality of this lung perfusion
image?
A.) the image shows lung pathology
B.) There is radioactive contamination on the patients skin or the camera detector.
C.) Blood clotted to MAA particles was injected intravenously
D.) Too many MAA particles were administered to the patient
E.) A left to right shunt control occurred in the heart - ANSWER-C.) Blood clotted to
MAA particles was injected intravenously
pg. 323
6. The purpose of a charcoal filter in a xenon delivery unit is to absorb:
A.) bacteria
B.) carbon dioxide
C.) xenon gas
D.) moisture
E.) oxygen - ANSWER-C.) xenon gas
pg. 323
7. Radionuclide venography may be performed with which of the following
radiopharmaceuticals?
A.) Tc-99m pentetate
B.) Tc-99m pertechnetate
C.) Tc-99m exametazime
D.) Tc-99m mebrofenin
E.) Tc-99m MAA - ANSWER-E.) Tc-99m MAA
, pg. 323
13. SPECT liver imaging with Tc-99m sulfur colloid is performed how soon after tracer
administration?
A.) immediately
B.) 10-15 min
C.) 30-45 min
D.) 1-2 hr
E.) 3-4 hr - ANSWER-B.) 10-15 min
pg. 324
14. Significantly increased serum bilirubin levels will most likely cause which of the
following to be visualized on hepatobiliary images?
A.) kidneys
B.) colon
C.) lungs
D.) spleen
E.) pancreas - ANSWER-A.) kidneys
pg. 324
15. Localization of a Meckle's diverticulum can be accomplished with which of the
following radiopharmaceuticals?
A.) Ga-67 citrate
B.) Tc-99m pentetate
C.) Tc-99m MAA
D.) Tc-99m sulfur colloid
E.) Tc-99m pertechnetate - ANSWER-E.) Tc-99m pertechnetate
pg. 324
pg. 323
8. If the ectopic thyroid tissue is suspected, the technologist can expect to find it most
commonly in which of the following areas?
A.) in the brain
B.) in the skull
C.) in the nasopharynx
D.) in the mediastinum
E.) behind the optic nerve - ANSWER-D.) in the mediastinum
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