Nuclear Pharmacy Sample Examination Items

These sample examination items are made available by BPS for the purposes of familiarizing certification candidates and other stakeholders with the structure and format of BPS certification examinations. This is not meant for use as a self-assessment. Performance on any of these items does not correlate with performance on the actual examination.

The content of these examples is meant to be illustrative of actual examination items, but these items do not appear on the certification examination and are not meant to identify the scope of the examination. For a more comprehensive indication of the scope of each certification examination, please refer to the Exam Content Outline for each specialty area.

Examination items are in multiple-choice format. The great majority of examination items are multiple-choice with a single response from among four options. Some examinations may include a small percentage of items that require selection of multiple (three or four) responses from among a larger set of available (up to eight) options. Examinations items may also be supplemented by an image.

Which reagent kit is light-sensitive?

Exametazime
Medronate
Mertiatide
Sestamibi

Correct!

Incorrect!

What is the SI equivalent of 20 mCi?

7.4 MBq
74 MBq
740 MBq
7.4 GBq

Correct!

Incorrect!

According to the USP monograph, the maximum allowable aluminum-ion concentration in technetium Tc-99m pertechnetate solution prepared from molybdenum Mo-99 generators is:

10 µg/mL.
10 mg/mL.
10 µg/mCi.
10 mg/mCi.

Correct!

Incorrect!

What is the regulatory maximum limit for molybdenum Mo-99 breakthrough in any generator elution at time of administration?

0.15 µCi Mo-99/mCi of Tc-99m
1.5 µCi Mo-99/mCi of Tc-99m
5 µCi per dose of Tc-99m
0.15 mCi Mo-99/mCi of Tc-99m

Correct!

Incorrect!

At what distance in centimeters would a source read 2 mR/hr if at 2 cm the radiation intensity is 500 mR/hr?
22.3
31.6
44.7
125.0

Correct!

Incorrect!

If a technetium Tc-99m albumin aggregated kit containing 4 million particles was reconstituted at 6:00 A.M. using 50 mCi of technetium Tc-99m sodium pertechnetate, what is the earliest time at which a 4-mCi dosage would include more particles than the recommended limit of 700,000?

9:00 A.M.
11:00 A.M.
1:00 P.M.
3:00 P.M.

Correct!

Incorrect!

What is an appropriate therapy for hyperthyroidism?

10 mCi sodium iodide I-123
10 mCi sodium iodide I-131
10 mCi iodine I-123 iobenguane sulfate
100 mCi sodium iodide I-131

Correct!

Incorrect!

Which technetium-labeled radiopharmaceutical may demonstrate altered biological distribution when radiolabeled in the presence of excessive concentrations of aluminum ion?

Macroaggregated albumin
Pentetate
Sulfur colloid
Tilmanocept

Correct!

Incorrect!

Per the product labeling, the use of technetium Tc-99m albumin aggregated injection is contraindicated in patients with:
advanced tuberculosis.
chronic obstructive pulmonary disease.
one lung.
severe pulmonary hypertension.

Correct!

Incorrect!

Which laboratory value, when above normal range, would result in a change of radioactivity dose for Tc-99m mebrofenin?

ANC
AST/ALT
SCr
Total bilirubin

Correct!

Incorrect!

What counseling point should be provided to patients receiving lutetium Lu-177 dotatate?

Administer thyroid blockade 1 day prior and 3 days post-administration
Avoid breastfeeding for 7 months post-administration
Fast for 6 hours prior to administration
Hydrate and urinate frequently for 3 days post-administration

Correct!

Incorrect!

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