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NMTCB Exam 1 Practice Test 2025: Nuclear Medicine Questions & Actual Answers

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Prepare for the NMTCB specialty or entry-level exam. Get a 2025 practice test with actual questions and answers on radiation safety, instrumentation, and radiopharmacy.

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1|Page



NMTCB EXAM 1 QUESTIONS WITH ACTUAL
ANSWERS!!



EXAM 1 - ....ANSWER ....✔✔


Sodium Phosphate 32P is used to treat what -
....ANSWER ....✔✔ Polycythemia Vera
-Type of blood CA where bone marrow makes too
many RBC's


Supersaturated Potassium Iodide solution is used for
what PT. therapy radiopharm-AND what is this therapy
for - ....ANSWER ....✔✔ 131 Itositumomab
-Non-Hodgkins Lymphoma: CA starting in lymph system


Vesicouretral Reflux uses what IV method AND what
radiopharm - ....ANSWER ....✔✔ -INDIRECT method
-Tc-99m Pentetate


RED CELL SURVIVAL test is used for patient suspected
with what - ....ANSWER ....✔✔ Hemolytic Anemia
(Cell life span shorter than normal)

,2|Page




Normal Plasma volume range - ....ANSWER ....✔✔ 3-
6L


How is TOTAL BLOOD VOLUME (TBV) calculated -
....ANSWER ....✔✔ TBV= Plasma Vol. / Corrected
plasmascrit


(Corrected plasmascrit: Blood vol. and Cell mass)


Radioactivity from previous NM exam not accounted for
would do what to the plasma volume - ....ANSWER
....✔✔ Falsely decrease plasma volume


In-111 Pentreotide is used for what imaging AND what
should you have in the FOV - ....ANSWER ....✔✔ -
Neuroendocrine tumors
-Head to upper femurs


"Cold" Pyrophosphate for RBC labeling uses what
injection method - ....ANSWER ....✔✔ in vivo AND
modified in vivo

,3|Page



How do you calculate RF - ....ANSWER ....✔✔ RF=
Distance from origin of Radiochemical component /
Distance to solvent front


RF= 0cm (remained @origin) / 8.5 cm = 0
RF= origin / distance


What radiopharm is used to label RBC's - ....ANSWER
....✔✔ Tc-99m pertechnetate


What radiopharm is used to label WBC's - ....ANSWER
....✔✔ Exametazime


What is one substance not used for WBC labeling -
....ANSWER ....✔✔ Methylene blue stabilizer


Dosage percentage cannot differ more than what
percentage - ....ANSWER ....✔✔ 20%


Labeling RBC's with RADIOCHROMIUM, the order of
components added to the vial containing ACD solution is:
- ....ANSWER ....✔✔ 1. Patent blood
2. Radiochromium

, 4|Page



3. Ascorbic Acid


Imaging rooms should be posted with what sign -
....ANSWER ....✔✔ "Caution: Radioactive Materials"


Measured activity for dose calibrators should be + or -
what percentage - ....ANSWER ....✔✔ 10%
-Correction factor is used to determine true activities if
percentages are off


How often should dose calibrator LINEARITY testing be
performed - ....ANSWER ....✔✔ QUARTERLY


What type of studies is TEMPORAL SMOOTHING good
for - ....ANSWER ....✔✔ -Dynamic and Gated studies
-NOT FOR STATIC OR NONGATED


Temporal Smoothing is a three-dimensional digital filter
that smooths data


A daily UNIFORMITY flood for a scintillation camera
should contain a minimum of how many counts -
....ANSWER ....✔✔ 3-5 million

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