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Sample Questions from the 2018 Exam
1. From the images of lung perfusion and ventilation studies, which of the following is the most likely probability for pulmonary embolism in this case?
a.High
b.Intermediate
c. Low
d.Very low
2. Assessment of the presynaptic dopamine transporter with SPECT is helpful for the differential diagnosis between:
A. Essential tremor and parkinsonian syndromes
B. Parkinson’s disease and multiple system atrophy
C. DOPA-responsive dystonia and essential tremor
D. Familial Parkinson’s disease and vascular Parkinsonism
3. Choose the correct sentence:
A. Cerebellum is shown in this slice
B. There is midline shift.
C. This patient has hydrocephalus.
C. Third ventricle is shown in this slice.
4. A 25 yrs old man complains of wrist pain and referred for bone scan. The images is shown below. What is the most probable diagnosis? (ANATOMY)
A. AVN of scaphoid
B .Fracture of hamate
C. Keinbock Disease
D. Fracture of triquetrum
5. The full width at half maximum (FWHM) of a photo-peak is a measure of:
A. PHA window setting
B. Camera sensitivity
C. Field of view
D. Detector energy resolution
6. Arrange the following PET tracers in the increasing order of their half-lives:
A. O-15, C-11, F-18, N-13
B. C-11, O-15, N-13, F-18
C. O-15, C-11, N-13, F-18
D. O-15, N-13, C-11, F-18
7. The picture shows:
A. Myocardial ischemia in anteroseptal wall with corresponding critical stenosis of first diagonal artery.
B. Myocardial ischemia in the anterolateral wall with non-significant stenosis due to calcification in D1 bifurcation.
C. Myocardial ischemia in the anterolateral wall due to intermediate stenosis by non-calcified plaques in artery at the level of the second diagonal branch bifurcation.
D. Myocardial infarction with peri-infarction ischemia in the anterior wall due to occlusion of D2 bifurcation
8. A 30-year-old male with hypertension underwent a nuclear medicine test. What is the test and diagnosis?
A. 99mTc-DMSA Renal cortical scintigraphy-renovascular hypertension
B. 131I-MIBG scintigraphy-pheochromocytoma
C. 99mTc-MIBI parathyroid scintigraphy-renal calculi
D. 201Tl scintigraphy-left renal cell carcinoma
9. A case of mediastinal lymphoma status post chemoradiotherapy, what is the most likely diagnosis in this fused PET/CT image.
A. Radiation induced pneumonitis
B. Lymphangitis carcinamatosis
C. Fungal chest infection
D. Drug induced pneumonitis
10. Cellular hypoxia is assessed by:
A. 18F-FDG
B. 11C-Acetate
C. 15O-Water
D. 18F-Fluromisonidazole
11. A 60-year-old male patient had received bisphosphonate therapy against bone metastasis of prostate cancer. The patient underwent FDG PET-CT. Which is the diagnosis for the jaw finding?
A. Metastasis
B. Primary cancer
C. EB virus infection
D. Osteonecrosis
12. Diagnosis of the following scan is:
A. Acute cholecystitis
B. Chronic Cholecystitis
C. Hepatobiliary leak
D. Choledochal cyst
13. An 8-year-old boy presented with features suggesting precocious puberty, brown patches on face & chest and abnormality of upper and lower limbs. His physician suspected genetic syndrome and referred him for 99mTc MDP bone scan (as shown below). These findings can be best explained as:
A. Paget’s disease
B. Osteomalacia
C. Extensive metastases
D. Fibrous dysplasia
14. A 45-year-old man with right arm and hand pain was referred for 3 phase bone scan, which is shown below. What is the most probable diagnosis?
A. Diffuse Cellulitis
B. Degenerative arthritis
C. Rhematoid arthritis
D. Complex Regional Pain Syndrome
15. A 60-year-old woman with locally advanced lung adenocarcinoma presents for staging FDG PET/CT scan. What is the best explanation for the FDG uptake indicated by the arrow?
A. Synchronous primary carcinoma in the head and neck
B. Physiologic FDG uptake
C. Compensatory vocal cord uptake
D. Vocalisation during uptake phase of the scan
16. A 60-year-old male with a history of right hip pain underwent a 3-phase bone scan (shown below). All of the choices listed below can be considered in the differential diagnosis except:
A. Osteomyelitis
B. Osteosarcoma
C. Arthritis
D. Healing fracture
17. Given the myocardial perfusion scan (MPS) of a 50-year-old female (see below) with a TID of 1.1 which of the following statements is true for the image below:
A. Normal MPI
B. Balanced ischemia
C. Transient ischemic dilatation
D. Suspected triple-vessel disease
18. In renal transplant evaluation, Acute Tubular Necrosis typically is associated with:
A. Poor perfusion, slow but good uptake
B. Poor perfusion, poor uptake
C. Good perfusion, slow but good uptake
D. Good perfusion, poor uptake
19. What is the most likely cause of the bowel uptake in the following PET scan?
A. Insulin administration
B. Metformin
C. Colon cancer
D. Bowel ischemia
20. A 30-year-old female presents with a goiter and palpitations of two weeks’ duration. Serum FT4 is 50 (normal value of 12 to 22), TSH is 0.1 (normal value of 0.3 to 3.5). Radioactive iodine (I-131) uptake is 1.3% at 24 hours. Thyroid scan is shown below. The most probable diagnosis is:
A. Hyperthyroidism
B. Hashimoto’s disease
C. Subacute thyroiditis
D. Graves’ disease
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Answers
1. A
2. A
11. D