CAMRT MRI – Sample Questions

1. A patient referred for MRI has a metallic implant. The MRT's best approach is:

A. Proceeding with caution

B. Checking the MRI compatibility of the implant

C. Automatically switching to an alternative imaging technique

D. Ignoring the implant as most are MRI-safe

2. During a pre-MRI assessment, the MRT notices a discrepancy in the patient's reported allergies and the clinical history. The MRT should:

A. Review the discrepancy with the patient and update the clinical history

B. Postpone the MRI until the next appointment

C. Ignore the discrepancy as trivial

D. Proceed with the MRI but monitor the patient closely

3. What is the most significant factor when considering the viscosity of a contrast agent in relation to catheter gauge for intra-arterial procedures?

A. Temperature of the agent

B. Patient’s age

C. Osmolality of the agent

D. Ionic nature of the agent

4. An MRT is performing a cardiac MRI and observes ghosting artifacts. What adjustment should they consider?

A. Utilize cardiac gating

B. Increase receiver bandwidth

C. Reduce slice thickness

D. Apply parallel imaging

5. Which of the following is an appropriate action for an MRT to take if they have set up a sterile tray but the procedure is unexpectedly postponed for 30 minutes?

A. Remove all items and set them up again later

B. Cover the sterile field with a sterile drape

C. Ask a colleague to watch over it

D. Leave it uncovered

6. Which of the following is an essential consideration for MRTs preparing contrast media for a patient with a thyroid disorder scheduled for an iodine-based contrast-enhanced imaging procedure?

A. Utilizing high-osmolality contrast agents

B. Avoiding all contrast media

C. Ignoring previous contrast reactions

D. Evaluating potential impact on thyroid function

7. For a patient with a history of myocardial infarction, which MRI sequence should the MRT use to identify myocardial scarring?

A. T2-weighted imaging

B. Late Gadolinium Enhancement (LGE)

C. Gradient-echo sequence

D. Echo Planar Imaging (EPI)

8. For a pediatric patient requiring sedation for an MRI, what is a crucial consideration for the MRT regarding the dosage of the sedative?

A. Administering adult dosage

B. Adjusting dosage based on weight and age

C. Avoiding sedation altogether

D. Using the same dose as for adults, irrespective of age or weight

9. For an MRI of the knee to assess ligament integrity, which parameter alteration would improve visualization of fine structures?

A. Use a lower field strength

B. Decrease TE

C. Increase TR

D. Decrease voxel size

10. When conducting an MRI of the heart, an MRT needs to choose the best sequence to assess myocardial function. Which sequence provides the most accurate assessment of cardiac motion and function?

A. T2-weighted imaging

B. Diffusion-Weighted Imaging (DWI)

C. Cine MRI

D. T1-weighted imaging

11. In cardiac MRI, how should an MRT adjust parameters to best visualize myocardial scarring?

A. Increase inversion time

B. Use a lower field strength

C. Increase TR

D. Decrease TE

12. For an MRI of the brain to evaluate for multiple sclerosis, which pulse sequence would be most appropriate?

A. FLAIR

B. T1-weighted

C. DWI

D. T2-weighted

13. In MRI, to reduce aliasing artifacts in a lower limb study, what should an MRT adjust?

A. Apply oversampling

B. Decrease the slice thickness

C. Use a higher gradient strength

D. Increase the field of view (FOV)

14. When analyzing an MRI of the cervical spine in an elderly patient, which finding often represents a normal degenerative change rather than a pathological condition?

A. Vertebral fracture

B. Cervical spondylosis

C. Spinal cord compression

D. Disc herniation

15. During a quench, you are responsible for ensuring all personnel are accounted for. You notice a technician is missing. What is your immediate action?

A. Initiate a search to locate the missing technician

B. Wait for the quench to end before searching

C. Assume the technician has already evacuated

D. Ask other staff members to search for the technician

16. If an MRT is working with a patient who speaks a different language and is struggling to understand the procedure, who should they seek assistance from?

A. Medical interpreter

B. Pharmacist

C. IT specialist

D. Radiologist

17. If an MRT is faced with a case that conflicts with their personal, moral, or religious beliefs, what is the appropriate action to maintain unbiased care?

A. Provide care but share the conflict with the patient

B. Seek to change the patient’s perspective while maintaining respect for the patient

C. Refuse to provide care outright

D. Consult with a supervisor for potential reassignment

18. How can an MRT minimize discomfort for a patient with claustrophobia during an MRI?

A. Administer a sedative without consent

B. Start the scan without addressing the concern

C. Explain the procedure and offer a panic button

D. Suggest closing eyes during the procedure

19. During an MRI, a patient with a cochlear implant experiences discomfort due to the time-varying magnetic fields. What is the best course of action for the MRT?

A. Switch to a non-contrast-enhanced technique and adjust scan parameters

B. Consult the implant's MRI compatibility and adjust scan parameters

C. Immediately stop the MRI

D. Proceed with the scan at a lower resolution

20. In establishing trust, what should an MRT do when a patient’s family member is aggressive due to concerns about the patient’s well-being during a procedure?

A. Ignore the family member's aggression and focus the attention back to the patient and procedure

B. Acknowledge the family member aggression and tell them to calm down to de-escalate the situation

C. Provide clear and calm responses regardless of the family member's aggression

D. Only communicate through the patient or substitute decision maker (SDM)

CAMRT MRI – Sample Questions

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