NMTCB Mock Examinations 1 Questions with Multiple Choice And 100% Correct Answers 2024, Exams of Advanced Education

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NMTCB Mock Examinations 1 Questions

with Multiple Choice And 100% Correct

Answers 2024

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 - Correct 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 - Correct 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 - Correct 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 - Correct 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 - Correct 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 - Correct 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 - Correct Answer-E.) Tc-99m MAA 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 - Correct Answer-D.) in the mediastinum pg. 323

9. During parathyroid imaging, images of the chest as well as the neck are obtained to: A.) correct the image series for patient motion B.) visualize substernal thyroid tissue C.) visualize ectopic parathyroid tissue D.) diagnose hyperparathyroidism E.) to localize the parathyroid - Correct Answer-C.) visualize ectopic parathyroid tissue pg. 323
10. 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 C.) left posterior oblique D.) anterior E.) posterior - Correct Answer-B.) left anterior oblique

pg. 323

11. In preparation for a Tl-201 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 D.) standardize test conditions among patients E.) prevent redistribution of the tracer - Correct Answer-B.) minimize tracer uptake in the gastrointestinal tract pg. 323
12. Which of the following agents used for pharmacologic stress testing remain in the plasma for the greatest length of time? A.) dobutamine B.) adenosine

C.) nitroglycerine D.) dipyridamole E.) regadenoson - Correct Answer-D.) dipyridamole 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 - Correct 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 - Correct 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 - Correct Answer-E.) Tc-99m pertechnetate pg. 324

16. In infants, 24 hour images are sometimes performed over what area to demonstrate gastroesophageal reflux? A.) nasopharynx B.) lung fields C.) stomach D.) upper small intestine E.) lower esophagus - Correct Answer-B.) lung fields pg. 324
17. Effective renal plasma flow (ERPF) is measured with which of the following radiopharmaceuticals? A.) Tc-99m pentetate B.) Tc-99m disofenin C.) Tc-99m medronate D.) Tc-99m mertiatide E.) Tc-99m exametazime - Correct Answer-D.) Tc-99m mertiatide

pg. 324

18. Evaluating the quality of a bolus injection is best accomplished by which of the following techniques? A.) generating a time - activity curve for the superior vena cava B.) calculating the cardiac transit time C.) determining the heart to lung ratio D.) imaging the injection site for residual activity E.) visually inspecting the bolus - Correct Answer-A.) generating a time - activity curve for the superior vena cava pg. 324
19. Which of the following is/are NOT normally visualized on a Ga-67 image acquired 72 hours after tracer administration? A.) nasopharynx B.) lacrimal glands C.) kidneys

D.) liver E.) sternum - Correct Answer-C.) kidneys pg. 324

20. Which of the following statements about "transmission- based precautions" is FALSE? A.) These precautions are applied when a patient is known to be infected with a communicable disease B.) These precautions replace "standard precautions" C.) These precautions include guidelines for airborne- and droplet-borne diseases D.) These precautions include guidelines for contact transmitted diseases E.) These precautions must be implemented in the case of disease such as varicella, tuberculosis, and mumps - Correct Answer-B.) These precautions replace "standard precautions" pg. 324

21. Which of the following statements about pentetreotide is true? A.) It exhibits no human antimurine antibody (HAMA) effect B.) It is a labeled antibody C.) It is a labeled antigen D.) It is excreted exclusively through the kidneys E.) It is labeled with Tc-99m - Correct Answer-A.) It exhibits no human antimurine antibody (HAMA) effect pg. 324
22. The purpose of using acetazolamide in conjunction with a brain is to: A.) Tranquilize the patient B.) Localize brain tumors C.) Localize the area of the brain from which seizures arise D.) Evaluate cerebrovascular hematoma E.) Evaluate cerebrovascular ischemia - Correct Answer-E.) Evaluate cerebrovascular ischemia

pg. 324

23. The technologist's responsibilities during tracer administration for a cisternogram include: A.) ensuring that personnel and the surrounding are not contaminated with radioactivity B.) obtaining consent to perform the procedure C.) delivering antihistamines for an adverse reaction to the procedure D.) testing the pressure of the cerebrospinal fluid E.) performing the lumbar puncture - Correct Answer-A.) ensuring that personnel and the surrounding are not contaminated with radioactivity pg. 324
24. Sodium phosphate P-32 may be used to treat which of the following conditions? A.) liver metastases

B.) lupus C.) rheumatoid arthritis D.) malignant effusions E.) polycythemia vera - Correct Answer-E.) polycythemia vera pg. 324

25. Supersaturated potassium iodide solution may be administered to the patient for therapy with which of the following radiopharmaceuticals? A.) Sm-153 Lexidronam B.) Sr-89 Chloride C.) I-131 Sodium iodide D.) I-131 tositumomab E.) Y-90 Chloride - Correct Answer-D.) I-131 tositumomab pg. 324

26. The first step that a technologist should initiate in a safe environment when an adult patient is determined to be unresponsive is to: A.) Perform chest compression B.) Establish an airway C.) Check for a carotid pulse D.) Call for help E.) Perform rescue breathing - Correct Answer-D.) Call for help pg. 324
27. In-111 Pentetreotide should NOT be administered through an intravenous line containing: A.) water B.) a total parenteral nutrition mixture C.) dextrose D.) glucose E.) 0.9% sodium chloride - Correct Answer-B.) a total parenteral nutrition mixture

pg. 325

28. Dual-isotope gastric emptying studies use which of the following radiopharmaceuticals for each phase of gastric emptying? (Liquid to Solid phase) A.) In-111 Pentetate ---------> Tc-99m Sulfur Colloid B.) In-111 Pentetreotide--------> Tc-99m Sulfur Colloid C.) Tc-99m Sulfur Colloid --------> In-111 Pentetate D.) Tl-201 Thallous Chloride ---------> Tc-99m Sestamibi E.) Tc-99m Pentetate ---------> Tc-99m Sulfur Colloid - Correct Answer-A.) In-111 Pentetate ---------> Tc-99m Sulfur Colloid pg. 325
29. Proper placement of a urine collection bag includes: A.) placing it across the patient's lower legs to keep it near the level of the bladder

B.) placing it on the stretcher near the patients feet so it is out of the field of view of the camera C.) discharging the urine collection bag must be done before the exam begins D.) hanging it from an IV pole and raising it above the level of the bladder E.) hanging it from the imaging table so it is lower than the level of the bladder - Correct Answer-E.) hanging it from the imaging table so it is lower than the level of the bladder pg. 325

30. Which of the following radiopharmaceuticals can be used to assess vesicoureteral reflux by the indirect method? A.)Tc-99m pertechnetate B.) Tc-99m Sulfur Colloid C.) Tc-99m pentetate D.) Tc-99m medronate E.) Tc-99m albumin - Correct Answer-C.) Tc-99m pentetate pg. 325

31. If 0.02 ug/kg of cholecystokinin is needed for a hepatobiliary study, what volume needs to be drawn for a 175 lbs. patient with a solution of 10 ug/mL available to draw from? A.) 0.115 mL B.) 0.129 mL C.) 0.134 mL D.) 0.149 mL E.) 0.159 mL - Correct Answer-E.) 0.159 mL pg. 325
32. Parenteral administration of a drug or radiopharmaceutical would include all of the following routes EXCEPT: A.) Oral B.) Intramuscular C.) Subcutaneous

D.) Intravenous E.) Intrathecal - Correct Answer-A.) Oral pg. 325

33. The red cell survival test is most often performed on a patient with suspected: A.) hemolytic anemia B.) intestinal malabsorption C.) iron deficiency anemia D.) pernicious anemia E.) GI bleed - Correct Answer-A.) hemolytic anemia pg. 325
34. A technologist confirms a referring physician's request for a nuclear medicine procedure for a hospitalized patient by: A.) asking the floor nurse B.) telephoning the patient's physician for confirmation

C.) locating the order for the test in the patient's medical record D.) conferring with the nuclear medicine physician E.) asking the patient why s/he came to the nuclear medicine department - Correct Answer-C.) locating the order for the test in the patient's medical record pg. 325

35. Which type of collimator should be used for organ counting during red cell sequestration study? A.) low-energy, high-sensitivity parallel hole B.) high-energy, low-resolution parallel hole C.) pinhole D.) flat field E.) converging - Correct Answer-D.) flat field pg. 325

36. If plasma volume has been determined to be 15 L, which of the following events has most likely occurred? A.) completion of satisfactory study B.) overhydration of the patient C.) dehydration of the patient D.) patient did not fast for the study E.) infiltration of the tracer - Correct Answer-E.) infiltration of the tracer pg. 325
37. A biohazard warning label would be found on all of the following EXCEPT a: A.) contaminated sharps container B.) refrigerator containing potentially infectious material C.) receptacle for contaminated laundry D.) unit of blood released for clinical use E.) uncontaminated sharps container - Correct Answer-D.) unit of blood released for clinical use

pg. 325

38. The total blood volume may be calculated by dividing the plasma volume measured with labeled albumin by the: A.) hematocrit B.) plasmacrit C.) corrected hematocrit D.) corrected plasmacrit E.) hemoglobin - Correct Answer-D.) corrected plasmacrit pg. 325
39. If radioactivity in the circulation from a previous nuclear medicine test is unaccounted for, results of a plasma volume determination will be: A.) falsely decreased B.) falsely elevated C.) positive

D.) impossible to predict E.) unaffected - Correct Answer-A.) falsely decreased pg. 325

40. The recommended amount of captopril to be given orally an hour before renal imaging in a hypertension study is: A.) 10-15 mg B.) 15-20 mg C.) 25-50 mg D.) 55-100 mg E.) 105-110 mg - Correct Answer-C.) 25-50 mg pg. 326
41. Imaging with In-111 pentetreotide routinely includes what area(s) of the body? A.) head and chest B.) chest

C.) abdomen D.) head to upper femurs E.) lower extremities - Correct Answer-D.) head to upper femurs pg. 326

42. A patient scheduled for scintimammography has symptoms involving her left breast. Which of the following sites is the best choice for injection of the radiopharmaceutical? A.) subcutaneous in the left breast B.) right carotid artery C.) right antecubital area D.) left hand E.) left carotid artery - Correct Answer-C.) right antecubital area pg. 326