NMTCB UPDATED SCRIPT 2026 PRACTICE
SOLUTIONS GRADED A+
● a tech receives a request for a patient to receive Sm153 for palliation
of pain from bone mets. the patient has a WBC count of 3500 and 40000
platelets. what should happen next?
a. the order should be changed to Sr89
b. the tx should be delayed until the platelet ct is at least 60,000
c. the tx should be delayed until the WBC is below 2400
d. the Sm153 should be ordered. Answer: B. the tx should be delayed
until the platelet ct is at least 60,000
● a SC kit requires the addition of 1-3 ml containing no more than
500mCi of TcO4-. in addition, 1.5 ml of solution A must be added before
boiling, and 1.5 ml of Solution B must be added after cooling. If the kit
is correctly prepared, what is the max concentration of Tc99m it could
contain?
a. 83 mCi/ml
b. 125 mCi/ml
c. 167 mCi/ml
d. 500 mCi/ml. Answer: B. 125 mCi/ml
max. 1 ml TcO4- containing 500 mCi
,500/(1.5+1.5+1) = 125 mCi/ml
● A hine-duley phantom is useful for testing the spatial resolution and
spatial linearity with only one image.
a. true
b. false. Answer: B. false
● the advantage of a lung ventilation scan performed with Xenon is
a. the ability to match perfusion and vent positioning
b. the ability to detect delayed washout
c. the ability to perform the exam at the patient's bedside
d. the ability to perform perfusion before ventilation without increasing
the dose given for the vent study. Answer: B. the ability to detect
delayed washout
● A diphosphonate kit contian 180 mCi of Tc99m in 30 ml when it is
prepared at 8am. Immediately, a 20 mCi dose is withdrawn for a bone
scan. if the patient arrives late at 9:30 and half the volume is accidentally
discharged, how much volume from the kit must now be added to the
syringe to correct the dose to 20 mCi? (no other doses have been
withdrawn meanwhile, and the decay factor for 1.5 hrs is 0.841)
a. 1.5 ml
b. 2.0 ml
c. 2.3 ml
, d. 2.5 ml
e. 2.7 ml. Answer: C. 2.3 mL
lots of math, sorry :(
● a WBS bone scan film shows a good posterior image, but the anterior
view appears diffuse with greater soft tissue activity. what is the
probable cause?
a. wrong collimator used for anterior
b. increased patient to detector distance on the ant relative to the post
c. low tagging efficiency of the RP
d. patient was not sufficiently hydrated
e. none of the above. Answer: b. increased patient to detector distance on
the ant relative to the post
● Which of the following will not reduce the probability of
contamination from perspiration and saliva of a therapy patient?
a. disposable eating utensils
b. plastic covering over the mattress
c. covering the phone receiver with plastic
d. collecting the patient's waste and storing until decayed to background.
Answer: d. collecting the patient's waste and storing until decayed to
background
SOLUTIONS GRADED A+
● a tech receives a request for a patient to receive Sm153 for palliation
of pain from bone mets. the patient has a WBC count of 3500 and 40000
platelets. what should happen next?
a. the order should be changed to Sr89
b. the tx should be delayed until the platelet ct is at least 60,000
c. the tx should be delayed until the WBC is below 2400
d. the Sm153 should be ordered. Answer: B. the tx should be delayed
until the platelet ct is at least 60,000
● a SC kit requires the addition of 1-3 ml containing no more than
500mCi of TcO4-. in addition, 1.5 ml of solution A must be added before
boiling, and 1.5 ml of Solution B must be added after cooling. If the kit
is correctly prepared, what is the max concentration of Tc99m it could
contain?
a. 83 mCi/ml
b. 125 mCi/ml
c. 167 mCi/ml
d. 500 mCi/ml. Answer: B. 125 mCi/ml
max. 1 ml TcO4- containing 500 mCi
,500/(1.5+1.5+1) = 125 mCi/ml
● A hine-duley phantom is useful for testing the spatial resolution and
spatial linearity with only one image.
a. true
b. false. Answer: B. false
● the advantage of a lung ventilation scan performed with Xenon is
a. the ability to match perfusion and vent positioning
b. the ability to detect delayed washout
c. the ability to perform the exam at the patient's bedside
d. the ability to perform perfusion before ventilation without increasing
the dose given for the vent study. Answer: B. the ability to detect
delayed washout
● A diphosphonate kit contian 180 mCi of Tc99m in 30 ml when it is
prepared at 8am. Immediately, a 20 mCi dose is withdrawn for a bone
scan. if the patient arrives late at 9:30 and half the volume is accidentally
discharged, how much volume from the kit must now be added to the
syringe to correct the dose to 20 mCi? (no other doses have been
withdrawn meanwhile, and the decay factor for 1.5 hrs is 0.841)
a. 1.5 ml
b. 2.0 ml
c. 2.3 ml
, d. 2.5 ml
e. 2.7 ml. Answer: C. 2.3 mL
lots of math, sorry :(
● a WBS bone scan film shows a good posterior image, but the anterior
view appears diffuse with greater soft tissue activity. what is the
probable cause?
a. wrong collimator used for anterior
b. increased patient to detector distance on the ant relative to the post
c. low tagging efficiency of the RP
d. patient was not sufficiently hydrated
e. none of the above. Answer: b. increased patient to detector distance on
the ant relative to the post
● Which of the following will not reduce the probability of
contamination from perspiration and saliva of a therapy patient?
a. disposable eating utensils
b. plastic covering over the mattress
c. covering the phone receiver with plastic
d. collecting the patient's waste and storing until decayed to background.
Answer: d. collecting the patient's waste and storing until decayed to
background
