NMAA case studies
NMAA · Put your knowledge to work in context.
The Nuclear Medicine Advance Associate (NMAA) examination is one of the certification examinations offered by the Nuclear Medicine Technology Certification Board (NMTCB), a board formed for the purpose of creating and maintaining examinations for nuclear medicine technologists (NMTs). NMTCB lists the NMAA alongside its general nuclear medicine exam (CNMT), the post-primary NMTCB(CT) exam, and the NCT and PET specialty examinations, and directs prospective applicants to a section of its website containing applications and preparation materials for each of these exams. The NMAA case studies are 5 cases and about 3,701 words.
1Poorly controlled diabetes, a GLP-1 agonist, and an incomplete test meal: is the gastric emptying study valid?
A 46-year-old woman is referred for a solid-meal gastric emptying study because of three months of nausea, early satiety and postprandial bloating. Her BMI is 24, but her type 2 diabetes is poorly controlled (HbA1c 8.9%).
737 words, about 4 min2Caffeine, theophylline, and active bronchospasm before a regadenoson perfusion study
A 62-year-old man with known coronary artery disease and COPD is scheduled for a regadenoson stress myocardial perfusion study at 16:00 as a same-day add-on. At check-in he mentions two large cups of coffee at 06:00 and a cola at 11:00.
702 words, about 4 min3Partial extravasation during a pediatric diuretic renogram
A 14-month-old boy (9.8 kg) with antenatal hydronephrosis and two febrile urinary tract infections is scheduled for a diuretic renogram to evaluate a suspected left ureteropelvic junction obstruction. A 24-gauge catheter is placed in the right hand and 1.2 mCi of 99mTc-MAG3 is injected.
764 words, about 4 min4Suspected pulmonary embolism at 26 weeks' gestation: V/Q versus CTPA
A 29-year-old woman at 26 weeks' gestation presents with sudden dyspnea, pleuritic chest pain and a heart rate of 112 bpm; oxygen saturation is 94% on room air. D-dimer is elevated and the clinical probability of pulmonary embolism is moderate.
718 words, about 4 min5Radioiodine for Graves disease in a breastfeeding mother who works in a daycare
A 31-year-old woman with Graves disease is referred for radioiodine therapy. Her TSH is suppressed, free T4 is elevated, 24-hour radioiodine uptake is 48%, and her thyroid is estimated at 45 g.
780 words, about 4 min