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. Ignoring the implant as most are MRI-safe

D. Automatically switching to an alternative imaging technique

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. Postpone the MRI until the next appointment

B. Proceed with the MRI but monitor the patient closely

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

D. Ignore the discrepancy as trivial

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. Patient’s age

B. Ionic nature of the agent

C. Temperature of the agent

D. Osmolality of the agent

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

A. Apply parallel imaging

B. Utilize cardiac gating

C. Reduce slice thickness

D. Increase receiver bandwidth

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. Leave it uncovered

B. Remove all items and set them up again later

C. Ask a colleague to watch over it

D. Cover the sterile field with a sterile drape

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. Evaluating potential impact on thyroid function

B. Ignoring previous contrast reactions

C. Avoiding all contrast media

D. Utilizing high-osmolality contrast agents

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

A. Gradient-echo sequence

B. Echo Planar Imaging (EPI)

C. T2-weighted imaging

D. Late Gadolinium Enhancement (LGE)

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

B. Administering adult dosage

C. Adjusting dosage based on weight and age

D. Avoiding sedation altogether

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 voxel size

C. Decrease TE

D. Increase TR

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. Diffusion-Weighted Imaging (DWI)

B. T2-weighted imaging

C. T1-weighted imaging

D. Cine MRI

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

A. Increase TR

B. Use a lower field strength

C. Increase inversion time

D. Decrease TE

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

A. T2-weighted

B. FLAIR

C. DWI

D. T1-weighted

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

A. Decrease the slice thickness

B. Increase the field of view (FOV)

C. Apply oversampling

D. Use a higher gradient strength

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. Spinal cord compression

B. Disc herniation

C. Cervical spondylosis

D. Vertebral fracture

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. Ask other staff members to search for the technician

B. Assume the technician has already evacuated

C. Initiate a search to locate the missing technician

D. Wait for the quench to end before searching

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. Pharmacist

B. Medical interpreter

C. Radiologist

D. IT specialist

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. Consult with a supervisor for potential reassignment

B. Refuse to provide care outright

C. Provide care but share the conflict with the patient

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

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

A. Suggest closing eyes during the procedure

B. Start the scan without addressing the concern

C. Administer a sedative without consent

D. Explain the procedure and offer a panic button

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. Proceed with the scan at a lower resolution

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

D. Immediately stop the MRI

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

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

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

CAMRT MRI – Sample Questions

Disclaimer