تعليمات امتحان الحصول على عضوية النقابة 2025

 

Membership Exam for the Palestinian Association of  Medical Radiation Technologists (PAMRT)

 

GUIDELINE FOR EXAMINATION CONTENT

Examining Model

What is the PAMRT Examination?

Is an assessment  to ensure that individuals who wish to work in the field of medical radiation technology have the necessary knowledge, skills, readiness, and competencies of a Radiologic Technology Specialist to practice safely and effectively, as well as proceed to advanced or postgraduate studies. Passing the exam demonstrates that the candidate has met the minimum standards set by the association for entry-level practice in the medical imaging field.

How is the passing score on the PAMRT exam established?

 

In June 2024, the Academic Advisory Board of the PAMRT approved a passing score of 60%.

Subject

Weight (%)

No. of Questions

Time (min.)

Radiological Physics

5

3

 

Radiation Safety & Patient care

10

5

Radiographic Positioning

20

10

Radiographic Anatomy & Pathology

10

5

Dynamic x-ray

5

2

Computed Tomography (CT)

15

7

Magnetic Resonance Imaging (MRI)

10

4

Ultrasonography (US)

3

2

Digital imaging & PACS

2

1

Dental imaging

6

3

Mammography

3

2

Densitometry

3

2

Nuclear Medicine (NM)

5

2

Radiotherapy

3

2

TOTAL

100

50

120

 

When is the PAMRT membership examination held?

 

The PAMRT Membership Examination is held in January, May, and September in the second part of each month.

 

What is a test blueprint, and what is its purpose?

 

A test blueprint is a written document that outlines the topics included in the membership PMRT examination for radiologic technologists. The exam is "built" according to the blueprint. The blueprint's goal is to make sure that the questions are relevant to what a radiologic technologist should know.

The exam is divided into sections, each of which represents a key area of radiologic technology practice. Related competencies and sub-competences are grouped together inside each component.

The sections' contents are displayed below:

Section 1: Patient Care

Subject

 

Topic

Recommended Reference

1

Patient Care

 

è

1.1

Infection Control Concepts

Patient care in radiography with introduction to medical imaging

1.2

Emergency Response

1.3

Dealing with Acute Situations

1.4

Bedside Radiography: Special Conditions and Environments

 

Section 2: Radiobiology & Radiation Protection

Subject

 

Topic

Recommended Reference

2

Radiobiology and Radiation Protection

è

2.1

Human Biology

 

Radiologic science for technologists: Physics, biology, and protection

2.2

Fundamental Principles of Radiobiology

2.3

Molecular Radiobiology

2.4

Cellular Radiobiology

2.5

Deterministic Effects of Radiation

2.6

Stochastic Effects of Radiation

2.7

Health Physics

2.8

Designing for Radiation Protection

2.9

Radiography/ Fluoroscopy Patient Radiation Dose

2.10

Patient Radiation Dose Management

2.11

Occupational Radiation Dose Management

 

 

 

 

 

 

 

Section 3: Imaging Systems

Subject

 

Topic

Recommended Reference

 

3

General Radiography

è

3.1

Introduction to Radiography

Patient care in radiography with introduction to medical imaging

 
 

3.2

X-ray tube and X-ray production

 

Essentials of radiologic science

 

3.3

X-ray interaction with matter

 
 

3.4

Image Formation and Quality Factors

 
 

3.5

Computed Radiography

 

Radiologic science for technologists: Physics, biology, and protection

 

3.6

Digital Radiography

 

3.7

Digital Radiographic Artifacts

 

3.8

Digital Radiographic Quality Control

 

 

 

 

 

 

 

 

4

Fluoroscopy

(Including pathological indications and contraindications for each procedure)

è

4.1

Contrast Media

Bontrager’s textbook of radiographic positioning and related anatomy

 

4.2

Urinary System

 

4.3

Upper Gastrointestinal System

 

4.4

Lower Gastrointestinal System

 

4.5

ERCP

 

4.6

Hysterosalpingography

 

 

 

 

 

 

 

 

5

Computed Tomography (CT)

(Including pathological indications and contraindications for each procedure)

 

è

5.1

Basic Principles

 

Computed tomography for technologists: A comprehensive text.

 

5.2

Data Acquisition

 

5.3

Image Reconstruction

 

5.4

Image Display

 

5.5

Method of Data Acquisition

 

5.6

Image Quality

 

5.7

Quality Assurance

 

5.8

Contrast Agents

 

5.9

Injection Techniques

 

5.10

Radiation Dosimetry

 

 

 

 

 

 

 

 

6

Magnetic Resonance Imaging

(Including pathological indications and contraindications for each procedure)

è

6.1

Basic principles

MRI in practice (5th ed)

 

6.2

Image weighting and contrast

 

6.3

Spin-echo pulse sequences

 

6.4

Gradient-echo pulse sequences

 

6.5

Protocol optimization

 

6.6

Artifacts

 

6.7

MRI Safety

 

6.8

Contrast Agents in MRI

MRI in practice (4th ed)

 

 

 

 

 

 

 

 

7

Ultrasonography

(Including pathological indications and contraindications for each procedure)

è

7.1

Principles of sonography

Clarks’ essential guide to clinical ultrasound

 

7.2

The upper abdominal organs

 

7.3

The renal tract

 

 

 

 

 

 

 

 

8

Digital networking and archival system

è

8.1

Introduction to Digital Radiography and PACS

Digital radiography and PACS

 

8.2

PACS Archiving

 

8.3

Image Digitizing

 

 

 

 

 

 

 

 

9

Mammography

è

9.1

Breast Cancer

 

Bontrager’s textbook of radiographic positioning and related anatomy

 

9.2

Mammography Quality Standards Act

 

9.3

Anatomy of the Breast

 

9.4

Breast Classifications

 

9.5

Positioning and Technical Considerations

 

9.6

Digital Mammography

 

9.7

Alternative Modalities and Procedures

 

9.8

Pathologic Indications

 

 

 

 

 

 

 

 

10

                                                                          

Bone mineral densitometry

è

10.1

Accuracy

Bontrager’s textbook of radiographic positioning and related anatomy

 

10.2

Precision

 

10.3

Lumbar Spine DXA

 

10.4

Proximal Femur DXA

 

10..5

Forearm DXA

 

10.6

Overview of                                                                                                    Osteoporosis

 

 

 

 

 

 

 

 

11

Nuclear Medicine

è

11.1

Gamma Camera

(From Ch. 3: Instrumentations)

    

Nuclear medicine and PET/CT: Technology and techniques

 

11.2

Radiochemistry and

Radiopharmacology

 

11.3

Principles of SPECT

and SPECT/CT

 

 

11.4

SPECT

and SPECT/CT

Instrumentation

 

11.5

PET Instrumentation

 

 

 

 

 

 

 

 

12

Dental Imaging

(Dental Radiography)

è

12.1

§  Dentition

§  Dental X-Ray Machines,

§  Dental X-Ray Receptor Holders

§  Beam Alignment Devices,

§  Radiation Protection

§  Principles for optimal image geometry

Clark’s positioning in radiography

 

12.2

§  Periapical,

§  Bitewing,

§  Occlusal,

§  Panoramic, Cephalometry

 

12.3

§  CBCT

Essentials of dental radiography and radiology

 

 

 

 

 

 

 

 

13

Radiotherapy

è

13.1

Cancer: An Overview

Principles and practice of radiation therapy

 

13.2

Detection and Diagnosis

 

13.3

Medical Imaging

 

13.4

Treatment Delivery Equipment

 

13.5

Treatment Procedures

 

13.6

Computed Tomography Simulation

Procedures

 

 

 

 

 

 

 

 

14

Interventional Radiologic (various modalities)

(Including pathological indications and contraindications for each procedure)

è

14.1

Angiography and Interventional Procedures

Bontrager’s textbook of radiographic positioning and related anatomy

 

 

 

 

 

 

 

 

 

Section 4: Pharmaceuticals

15

Pharmacology

 

è

15.1

Medication Information

Patient care in radiography with introduction to medical imaging

15.2

Medication Administration

 

Section 5: Imaging Procedures

 

Recommended Reference: Bontrager’s textbook of radiographic positioning and related anatomy

1. AP oblique/PA oblique to describe the projections

2. RPO/LPO and RAO/LAO to describe the position of the patient

 

Structure

Projection / Position

 

Skeletal system

1

Finger

Posteroanterior (PA)

Anteroposterior (AP)

Posteroanterior (PA) oblique

Lateral

2

Thumb

Posteroanterior (PA)

Anteroposterior (AP)

Posteroanterior (PA) oblique

Lateral

3

Hand

Posteroanterior (PA)

Anteroposterior (AP)

Posteroanterior (PA) oblique

Lateral, extension

Lateral, fan

4

Wrist

Posteroanterior (PA)

Posteroanterior (PA) oblique

Lateral

5

Scaphoid

Posteroanterior (PA) with ulnar deviation

Posteroanterior (PA) axial

Posterior Oblique

6

Forearm

Anteroposterior (AP)

Lateral

7

Elbow

Anteroposterior (AP)

Anteroposterior (AP) oblique (medial rotation)

Anteroposterior (AP) oblique (lateral rotation)

Lateral (routine)

Laterals (radial head)

Partial flexion

8

Humerus

Anteroposterior (AP)

Lateral

Transthoracic lateral

9

Shoulder

Anteroposterior (AP) arm neutral rotation

Anteroposterior (AP) arm external rotation

Anteroposterior (AP) arm internal rotation

Anteroposterior (AP) oblique (glenoid)

Posteroanterior (PA) oblique scapular Y

Anteroposterior (AP) oblique scapular Y

10

Clavicle

Anteroposterior (AP)

Anteroposterior (AP) axial

11

Acromio-clavicular joints

Anteroposterior (AP) with and without weights

12

Scapula

Anteroposterior (AP)

Lateral

13

Toes

Anteroposterior (AP)

Anteroposterior (AP) oblique

Lateral

14

Foot

Anteroposterior (AP) axial

Anteroposterior (AP) oblique (medial rotation)

Lateral

Anteroposterior (AP) axial weight bearing

Lateral weight bearing

15

Ankle

Anteroposterior (AP)

Anteroposterior (AP) oblique 15 – 20 degree medial rotation

Anteroposterior (AP) oblique 45 degree medial rotation

Lateral

16

Calcaneus

Plantodorsal axial

Lateral

17

Tibia and fibula

Anteroposterior (AP)

Lateral

18

Knee

Anteroposterior (AP)

Posteroanterior (PA)

Anteroposterior (AP) oblique medial rotation

Anteroposterior (AP) oblique lateral rotation

Lateral

Anteroposterior (AP) weight bearing

Posteroanterior (PA) axial (intercondyloid fossa)

19

Patella

Anteroposterior (AP)

Posteroanterior (PA)

Lateral

Tangential

20

Femur

Anteroposterior (AP)

Lateral

21

Hip

Anteroposterior (AP)

Anteroposterior (AP) (frog legs)

Lateral (Lauenstein)

Axiolateral (cross table)

22

Pelvis

Anteroposterior (AP)

Anteroposterior (AP) axial (inlet and outlet)

Acetabulum anteroposterior (AP) obliques (Judet)

23

Cervical vertebrae

Anteroposterior (AP) C1-C2 open mouth

Anteroposterior (AP) axial

Lateral

Posteroanterior (PA) axial obliques - LAO / RAO

Anteroposterior (AP) axial obliques - LPO / RPO

Lateral hyperflexion

Lateral hyperextension

Lateral cervicothoracic (Swimmers)

24

Thoracic vertebrae

Anteroposterior (AP)

Lateral

25

Lumbar vertebrae

Anteroposterior (AP)

Lateral

Posteroanterior (PA) obliques - LAO / RAO

Anteroposterior (AP) obliques - LPO / RPO

Lateral L5-S1

26

Sacroiliac joints

Anteroposterior (AP) axial

Anteroposterior (AP) obliques - LPO / RPO

27

Sacrum

Anteroposterior (AP) axial

Lateral

28

Coccyx

Anteroposterior (AP) axial

Lateral

29

Scoliosis series

Posteroanterior (PA)

Lateral

30

Sternum

Posteroanterior (PA) oblique - RAO

Lateral

31

Ribs

Anteroposterior (AP)

Posteroanterior (PA)

Posteroanterior (PA) obliques

Anteroposterior (AP) obliques

Anteroposterior (AP) lower ribs

32

Sternoclavicular joints

Posteroanterior (PA)

Posteroanterior (PA) obliques

33

Skull

Anteroposterior (AP) axial (Towne)

Posteroanterior (PA) axial (Caldwell)

Lateral

34

Sinuses

Parietoacanthial (Waters)

PA axial (Caldwell)

Lateral

Submentovertical (SMV)

35

Facial bones

Posteroanterior (PA) axial (Caldwell)

Parietoacanthial (Waters)

Acanthioparietral (Reverse Waters)

Lateral

36

Orbits

Posteroanterior (PA) axial

Parietoacanthial (modified Waters)

Lateral

37

Orbits (foreign body)

Parietoacanthial (modified Waters)

Lateral

38

Nasal bones

Parietoacanthial (Waters)

Lateral

39

Zygomatic arches

Parietoacanthial (Waters)

Tangential

Submentovertical (SMV)

40

Mandible

Anteroposterior (AP) axial (modified Towne)

Posteroanterior (PA) axial

Anteroposterior (AP)

Posteroanterior (PA)

Axiolateral

Axiolateral obliques

41

Temporo-mandibular joints

Anteroposterior (AP) axial (modified Towne)

Axiolateral (open and closed mouth)

 

Digestive System

42

Abdomen

Anteroposterior (AP) supine

Anteroposterior (AP) erect

Left lateral decubitus

43

Esophagus

Anteroposterior (AP)

Lateral

44

Stomach

Anteroposterior (AP)

Posteroanterior (PA) oblique

Lateral

45

Small bowel

Anteroposterior (AP)

46

Large bowel

Anteroposterior (AP) (supine / erect)

Lateral

Anteroposterior (AP) oblique

Posteroanterior (PA) oblique

47

ERCP / biliary tree

Anteroposterior (AP)

Posteroanterior (PA) oblique

Anteroposterior (AP) oblique

Lateral

 

Respiratory System

48

Soft tissue neck

Anteroposterior (AP)

Lateral

49

Chest

Anteroposterior (AP) (supine / semi-erect / erect)

Posteroanterior (PA)

Lateral

Anteroposterior (AP) (lordotic)

Lateral decubitus

 

Urinary System

50

Kidney, ureters and bladder (KUB)

Anteroposterior (AP)

 

Reproductive System

51

Hystero-salpingography

Anteroposterior (AP)

Anteroposterior (AP) obliques

52

Mammography

Craniocaudal (CC) Projection

Mediolateral Oblique (MLO) Projection

Mediolateral (ML) Projection

Exaggerated Craniocaudal (Laterally) (XCCL) Projection

Implant Displaced (ID) (Eklund Method)

 

Computed Tomography (routine procedures for...)

53

 

Brain enhanced and unenhanced

Abdomen enhanced and unenhanced

Abdomen for digestive system

Abdomen for urinary system

Chest enhanced and unenhanced

HRCT

Extremities

Head enhanced and unenhanced

Neck enhanced and unenhanced

Pelvis enhanced and unenhanced

Spine

 

Bone Mineral Densitometry

54

 

Lumbar spine

Proximal femur

Forearm

 

 

Suggested (Recommended) References

§  Bontrager, K. L., & Lampignano, J. P. (2014). Bontrager’s textbook of radiographic positioning and related anatomy (8th ed.). Mosby.

 

§  Bushong, S. C., & Boone, J. M. (2017). Radiologic science for technologists: Physics, biology, and protection (11th ed.). Elsevier.

 

§  Carter, C. E. (2014). Digital radiography and PACS (4th ed.). Mosby.

 

§  Ehrlich, R. A., & Coakes, D. M. (2021). Patient care in radiography with introduction to medical imaging (10th ed.). Elsevier.

 

§  Fosbinder, R. (2011). Essentials of radiologic science. Lippincott Williams & Wilkins.

 

§  Jefferson, G., & Breen, M. (Eds.). (2023). Clarks’ essential guide to clinical ultrasound (1st ed.). CRC Press.

 

§  Kowalczyk, N. (2014). Radiologic pathology for technologists (6th ed.). Elsevier Mosby.

 

§  Romans, L. E. (2011). Computed tomography for technologists: A comprehensive text. Wolters Kluwer Health/Lippincott Williams & Wilkins.

 

§  Washington, C. M., & Leaver, D. T. (2016). Principles and practice of radiation therapy. Mosby.

 

§  Waterstram-Rich, K., & Gilmore, D. (Eds.). (2016). Nuclear medicine and PET/CT: Technology and techniques. Mosby.

 

§  Westbrook, C., Roth, C. K., & Talbot, J. (2011). MRI in practice (4th ed.). Wiley-Blackwell.

 

§  Westbrook, C., Roth, C. K., & Talbot, J. (2018). MRI in practice (5th ed.). Wiley-Blackwell.

 

§  Whaites, E., & Drage, N. (2021). Essentials of dental radiography and radiology (6th ed.). Elsevier.

 

§  Whitley, A. S., Jefferson, G., Holmes, K., Sloane, C., Anderson, C., & Hoadley, G. (Eds.). (2015). Clark’s positioning in radiography (13th ed.). CRC Press.

 

 

NOTE: This list just meant to be used as a study aid only. The exam questions are not necessarily taken from these sources, nor does PAMRT intend for the list to suggest support of these particular references.