ASMIRT MRI Accreditation Exam
2025–2026 – Verified Practice Questions &
Complete Exam Prep (Latest Updated Test
Bank)
1. A technologist is preparing to scan a patient with a history of aneurysm clip placement.
During safety screening, which question reveals the highest safety risk?
A. "Do you have any tattoos or permanent makeup?"
B. "Can you provide documentation of the aneurysm clip model and
manufacturer?"
C. "Are you experiencing claustrophobia today?"
D. "Do you wear hearing aids?"
2. During gradient echo imaging of the brain, the technologist notices prominent
hypointense blooming artifacts around the basal ganglia. This finding is most consistent
with:
A. Normal age-related calcifications
B. Prior microhemorrhages
C. Meningioma calcifications
D. Flow-related enhancement
3. A patient with a recent myocardial infarction is scheduled for cardiac MRI. Which
sequence parameter adjustment minimizes cardiac motion artifact?
A. Increase TE to 80 ms
B. Retrospective ECG gating with cine SSFP
C. Use single-shot EPI
D. Decrease TR to 10 ms
4. When performing abdominal MRI on an obese patient at 3T, the technologist notices
significant B1 inhomogeneity with poor fat suppression centrally. The best immediate
solution is:
A. Switch to 1.5T magnet
B. Apply high-permittivity dielectric pads
C. Increase receiver bandwidth
D. Use STIR instead of spectral fat sat
5. A technologist must optimize a prostate MRI protocol. Which combination provides the
highest diagnostic accuracy for clinically significant cancer detection?
, A. T2-weighted high-resolution, diffusion-weighted with ADC mapping, dynamic
contrast-enhanced
B. T1-weighted only with fat saturation
C. FLAIR sequences
D. Susceptibility-weighted imaging
6. During safety screening, a patient reports wearing a continuous glucose monitor. The
technologist's priority action is:
A. Continue scanning with monitor in place
B. Remove transmitter, scan sensor if continuous glucose monitor is
MRI-conditional
C. Substitute with fingerstick monitoring
D. Cancel exam due to absolute contraindication
7. A breast MRI technologist notices linguini sign on sagittal T1-weighted images
post-contrast. This finding indicates:
A. Silicone implant rupture
B. Fibroadenoma
C. Ductal carcinoma in situ
D. Lymph node metastasis
8. For diffusion-weighted imaging of acute stroke, which b-value provides optimal sensitivity
for small infarcts while maintaining adequate SNR?
A. b=0 only
B. b=1000 s/mm²
C. b=2000 s/mm²
D. b=50 s/mm²
9. A technologist encounters zipper artifact across the entire FOV during head MRI. The
most likely cause is:
A. Patient motion
B. RF leakage from external source
C. Susceptibility artifact
D. Chemical shift
10.When scanning a claustrophobic patient, which open MRI system characteristic provides
the best image quality while maintaining patient comfort?
A. 0.2T permanent magnet
B. 1.0T wide-bore superconducting
C. 0.55T low-field open
D. 3T upright open
11.During functional MRI for presurgical language mapping, the technologist uses BOLD
imaging. Optimal TE for 3T gray matter activation is:
, A. 10 ms
B. 30-35 ms
C. 50 ms
D. 80 ms
12.A patient with known NSF risk (eGFR 22 mL/min) requires urgent brain MRI. Which
contrast agent has the lowest risk profile?
A. Group II macrocyclic agent (gadoterate meglumine)
B. Linear ionic agent
C. Linear non-ionic agent
D. No MRI contrast
13.Technologist notices severe geometric distortion at skull base on EPI sequences.
Primary correction method:
A. Increase matrix size
B. Apply 2nd order shimming and B0 mapping
C. Use fat saturation
D. Decrease slice thickness
14.Optimal knee cartilage imaging protocol includes which sequence?
A. 3D SPGR with fat saturation for morphology, T2 mapping for matrix
assessment
B. T1-weighted spin echo only
C. STIR for bone marrow
D. bSSFP for ligaments
15.During quench emergency, the technologist's FIRST action for patient safety is:
A. Silence fire alarm
B. Assist patient out of magnet room immediately
C. Activate emergency quench button
D. Call biomedical engineering
16.A technologist must scan a patient with deep brain stimulator turned OFF. Which
precaution prevents lead heating?
A. Use low SAR sequences only
B. Limit specific absorption rate to head SAR ≤3.2 W/kg
C. Scan at 3T instead of 1.5T
D. Remove internalized components
17.Breast MRI technologist identifies non-mass enhancement in upper outer quadrant with
clumped morphology. ACR BI-RADS assessment:
A. BI-RADS 4 (suspicious)
B. BI-RADS 2 (benign)
C. BI-RADS 3 (probably benign)
2025–2026 – Verified Practice Questions &
Complete Exam Prep (Latest Updated Test
Bank)
1. A technologist is preparing to scan a patient with a history of aneurysm clip placement.
During safety screening, which question reveals the highest safety risk?
A. "Do you have any tattoos or permanent makeup?"
B. "Can you provide documentation of the aneurysm clip model and
manufacturer?"
C. "Are you experiencing claustrophobia today?"
D. "Do you wear hearing aids?"
2. During gradient echo imaging of the brain, the technologist notices prominent
hypointense blooming artifacts around the basal ganglia. This finding is most consistent
with:
A. Normal age-related calcifications
B. Prior microhemorrhages
C. Meningioma calcifications
D. Flow-related enhancement
3. A patient with a recent myocardial infarction is scheduled for cardiac MRI. Which
sequence parameter adjustment minimizes cardiac motion artifact?
A. Increase TE to 80 ms
B. Retrospective ECG gating with cine SSFP
C. Use single-shot EPI
D. Decrease TR to 10 ms
4. When performing abdominal MRI on an obese patient at 3T, the technologist notices
significant B1 inhomogeneity with poor fat suppression centrally. The best immediate
solution is:
A. Switch to 1.5T magnet
B. Apply high-permittivity dielectric pads
C. Increase receiver bandwidth
D. Use STIR instead of spectral fat sat
5. A technologist must optimize a prostate MRI protocol. Which combination provides the
highest diagnostic accuracy for clinically significant cancer detection?
, A. T2-weighted high-resolution, diffusion-weighted with ADC mapping, dynamic
contrast-enhanced
B. T1-weighted only with fat saturation
C. FLAIR sequences
D. Susceptibility-weighted imaging
6. During safety screening, a patient reports wearing a continuous glucose monitor. The
technologist's priority action is:
A. Continue scanning with monitor in place
B. Remove transmitter, scan sensor if continuous glucose monitor is
MRI-conditional
C. Substitute with fingerstick monitoring
D. Cancel exam due to absolute contraindication
7. A breast MRI technologist notices linguini sign on sagittal T1-weighted images
post-contrast. This finding indicates:
A. Silicone implant rupture
B. Fibroadenoma
C. Ductal carcinoma in situ
D. Lymph node metastasis
8. For diffusion-weighted imaging of acute stroke, which b-value provides optimal sensitivity
for small infarcts while maintaining adequate SNR?
A. b=0 only
B. b=1000 s/mm²
C. b=2000 s/mm²
D. b=50 s/mm²
9. A technologist encounters zipper artifact across the entire FOV during head MRI. The
most likely cause is:
A. Patient motion
B. RF leakage from external source
C. Susceptibility artifact
D. Chemical shift
10.When scanning a claustrophobic patient, which open MRI system characteristic provides
the best image quality while maintaining patient comfort?
A. 0.2T permanent magnet
B. 1.0T wide-bore superconducting
C. 0.55T low-field open
D. 3T upright open
11.During functional MRI for presurgical language mapping, the technologist uses BOLD
imaging. Optimal TE for 3T gray matter activation is:
, A. 10 ms
B. 30-35 ms
C. 50 ms
D. 80 ms
12.A patient with known NSF risk (eGFR 22 mL/min) requires urgent brain MRI. Which
contrast agent has the lowest risk profile?
A. Group II macrocyclic agent (gadoterate meglumine)
B. Linear ionic agent
C. Linear non-ionic agent
D. No MRI contrast
13.Technologist notices severe geometric distortion at skull base on EPI sequences.
Primary correction method:
A. Increase matrix size
B. Apply 2nd order shimming and B0 mapping
C. Use fat saturation
D. Decrease slice thickness
14.Optimal knee cartilage imaging protocol includes which sequence?
A. 3D SPGR with fat saturation for morphology, T2 mapping for matrix
assessment
B. T1-weighted spin echo only
C. STIR for bone marrow
D. bSSFP for ligaments
15.During quench emergency, the technologist's FIRST action for patient safety is:
A. Silence fire alarm
B. Assist patient out of magnet room immediately
C. Activate emergency quench button
D. Call biomedical engineering
16.A technologist must scan a patient with deep brain stimulator turned OFF. Which
precaution prevents lead heating?
A. Use low SAR sequences only
B. Limit specific absorption rate to head SAR ≤3.2 W/kg
C. Scan at 3T instead of 1.5T
D. Remove internalized components
17.Breast MRI technologist identifies non-mass enhancement in upper outer quadrant with
clumped morphology. ACR BI-RADS assessment:
A. BI-RADS 4 (suspicious)
B. BI-RADS 2 (benign)
C. BI-RADS 3 (probably benign)
