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件名[2014 ANMB] Sample Questions for MCQ (date: 2014-07-28)2017-07-20 23:12:16
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2014 Asian Nuclear Medicine Board Examination

November 4, 2014
Nakanoshima Center, Osaka University

November 4


Room 406



Room 406

MCQ Examination: 100 Questions





Room 406

Interview Examination: Clinical Scenarios



The ANMB examinations consist of two (2) parts: Theoretical and Practical.

The Theoretical part will be assessed through questions answerable by True or False, Multiple Choice, or based on scintigraphic/radiographic images.  Samples of these questions are presented in this paper.

The Practical part will be evaluated through reporting of cases containing needed clinical information and scintigraphic/radiologic images.  These given data shall be formatted into a Report to be made as you would in your own environment.  A Panel of Examiners can ask questions based on the Report and the discussion/interview could cover both clinical and technical aspects of the case.  Additional cases may be presented to you for further discussion within the time frame.



True –False Questions


A child presents with recurrent pulmonary infections. Recurrent aspiration pneumonia is suspected and can be confirmed by:

Q1. Thyroid scans for lingual thyroids

Q2. Milk scan

Q3. Radionuclide salivagram

Q4. Gastroesophageal reflux scintigraphy



Ans 1: F

Ans 2: T

Ans 3: T

Ans 4: T



False positive PET cancer screening studies are seen with

Q5. Active tuberculosis

Q6. Carcinoid tumors

Q7. Sarcoidosis

Q8. Abscess



Ans5: T

Ans6: F

Ans7: T

Ans8: T



False positive PET cancer screening studies are seen with

Q9. Active tuberculosis

Q10. Carcinoid tumors

Q11. Sarcoidosis

Q12. Abscess


Ans9: T

Ans10: F

Ans11: T

Ans12: T



Multiple Choice Question.  

Choose the correct answer.  

Indicate the LETTER corresponding to the correct answer.


Q. 13. What should you do if you see lung activity in the I-131 (5 mCi) study?

A.    Low dose (30 mCi) I-131 therapy

B.     High dose (150 mCi) I-131 therapy

C.     High dose (200 mCi) I-131 therapy

D.    External radiotherapy


Ans 13: C


Q. 14. What nuclear medicine imaging studies can be used in the serum Tg positive and I-131 whole body scan negative patients? (5)


B.     Tl-201

C.     I-131 MIBG

D.    Tc-99m DMSA(V)



Ans. 14: A


Q.  15. What is the TNM staging of the thyroid papillary cancer patient (40-year-old) with 3 cm-sized primary tumor without extrathyroidal extension, 2 central lymph nodes metastases, and pulmonary micrometastasis?

A.    T2N1M1, stage II

B.     T2N1M1, stage IV

C.     T3N1M1, stage II

D.    T3N1M1, stage IV


Ans. 15: C


Q. 16. A 48-yer-old woman with 2 cm-sized thyroid nodule in the right lobe underwent right thyroid lobectomy. The pathology revealed follicular thyroid carcinoma with extrathyroidal invasion. Which of the following management would be most appropriate?

A.    TSH suppression

B.     I-131 remnant ablation + TSH suppression

C.     Completion thyroidectomy + I-131 remnant ablation + TSH suppression

D.    Completion thyroidectomy + chemotherapy + TSH suppression



Ans. 16: C


Q. 17. You are reading a FDG PET scan of healthy volunteer and you note symmetric diffuse FDG activity in both the vocal cords. It means.





A.    Bilateral cancer of the vocal cords

B.     Inflammation

C.     Physiologic uptake

D.    Benign tumor



Ans. 17: C


Q. 18. You are reading a FDG PET/CT scan of a prostate cancer patient who have undergone prostatectomy. And you note a focal FDG accumulation in the liver. CBC shows hemoglobin of 15.5 mg/dL and white blood cell (WBC) count of 5900 /mm3(neutrophil 44.9%, lymphocyte 37.7%, eosionophil 11.8 %, monocyte 5.1%). What is the next step?



A.    Chemotherapy; it is because of  liver metastasis

B.     Chemotherapy; even though the serum PSA is negative

C.     Wedge resection; because the lesion is a hepatocellular carcinoma

D.    Observation; because it is a benign lesions that show variable FDG uptake



Ans. 18: D


Q. 19. What is the common mutation of the differentiated thyroid cancer?

A.    Follicular – BRAF

B.     Follicular - RET

C.     Hurthle cell – RET

D.    Papillary – BRAF



Ans. 19: D


Q. 20. The application of nitrates in myocardial perfusion study is useful because nitrates:

A.    Can be used as a pharmacologic stress agent

B.     Nitrates reduce collateral flow into ischaemic zone

C.     Decrease myocardial blood flow in areas of resting ischaemia

D.    Enhances the detection of myocardial viability by Tc-99m radiopharmaceuticals



Ans. 20: D


Q. 21. Which are included in the system components of conventional gamma camera for single photon imaging?

A.    Scintillation crystal

B.     Collimator

C.     Pulse height analyser

D.    All of the above



Ans. 21: D


Q. 22. Which are the scintillation crystals used in nuclear medicine imaging devices?

A.    LSO(Ce)

B.     NaI(Tl)

C.     CdZnTe

D.    A and B


Ans. 22: D


Q. 23. What is the commonly used reducing agent for Tc99m radiolabeling?

A.    SnCl2

B.     ZnCl2

C.     GaCl3

D.    DTT



Ans. 23: A


Q. 24. The followings are positron emitting radionuclides. Which one is the generator produced radionuclide?

A.    C11

B.     F18

C.     Cu64

D.    Ga68



Ans. 24: D


Q. 25. Regarding Tc99m -tetrofosmine all are true EXCEPT:

             A.  They are monovalent cations                         

B.  They are lipophilic                             

C.  They are inhibitors of Na+, K+ and Ca2+ transport

D.  Following intravenous injection they are primarily cleared from blood by the liver



Ans. 25: C


Q. 26. Which one can be used as the substrate sodium/iodide symporter (NIS)?

A.    I-131 MIBG

B.     Ga-67 citrate

C.     In-111 octreotide

D.    Re-188 perrhenate



Ans. 26: D


Q. 27. Which size of radiolabeled particles is most used in lymphoscintigraphy?

A.      5 nm or less

B.       10 – 80 nm

C.       200 – 400 nm

D.      500 – 1,000 nm



Ans. 27: B


Q. 28. Please interpret this MUGA study



A.      Normal LV systolic and diastolic function

B.       Moderate LV systolic function with global hypokinesia

C.       Moderate LV systolic function with septal and apical hypokinesia

D.      Moderate LV systolic function with septal akinesia and apical dyskinesia



Ans 28: D. Septal akinesia and apical dyskinesia are evident from amplitude and phase analyses.


* Please find attached file of sample questions. 

 - Sample Questions (Questions+Answers)

 - Questions

 - Answers