500 registry-style questions across physics, image production, procedures and patient care — each with a worked explanation.
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Which lab value is most relevant before iodinated contrast is given?
Physics & Instrumentation · Image Production & Evaluation · Imaging Procedures · Patient Care & Safety
The ARRT computed tomography exam is a fixed form. You answer 195 questions in 195 minutes; 165 of them are scored and 30 are unscored pilot questions being trialled for future exams. Under the specifications ARRT approved in July 2025, in force since 1 September 2026, the scored questions break down as:
| Content category | Scored questions |
|---|---|
| Procedures | 71 |
| Image production | 52 |
| Patient care | 21 |
| Safety | 21 |
| Total scored | 165 |
Source: ARRT Examination Content Specifications for Computed Tomography, board approved July 2025. Check arrt.org for the specification in force on your exam date.
The NMTCB CT exam is 200 multiple choice questions in three hours and 30 minutes, and it is not adaptive. NMTCB divides it into seven content areas rather than four, with the approximate shares:
| Content area | Approx. share |
|---|---|
| CT procedures: anatomy, elements, indications, pathology | 25% |
| Radiation safety | 16% |
| System operations and instrumentation | 14% |
| Medications and contrast agents | 14% |
| Image quality and quality assurance | 13% |
| Data acquisition and post processing | 12% |
| Patient management | 6% |
Source: NMTCB CT exam information.
The 500 CT questions are grouped into four areas:
| Area | Questions |
|---|---|
| Imaging procedures | 185 |
| Physics and instrumentation | 150 |
| Image production and evaluation | 150 |
| Patient care and safety | 15 |
Procedures and image production line up closely with the ARRT weighting. Patient care and safety do not: together they are 42 of ARRT's 165 scored questions, and this bank currently has 15 questions in that area. Use it for procedures, physics and image production, and revise patient care, contrast reactions and radiation dose from your course notes or the board's own content outline as well.
There is a separate bank of 500 questions for the NMTCB and ARRT(N) exams, built the same way.
i passed!! this app WILL help — don’t memorize each answer, truly understand the why behind each question. Passed the NMTCB(N), September 2026
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