1. Acquisition
   1. Patient preparation, indications/contraindications, sequencing of procedures
   2. Injection techniques and imaging times
   3. Acquisition protocols
      1. Patient positioning
      2. Stopping parameters
      3. Matrix size
      4. SPECT parameters
      5. Gating parameters
         1. Framing rate
         2. Acceptance window
      6. Collimator
2. Processing
   1. Cineangiograms
   2. Ejection fraction determination
   3. Functional images
   4. Heart-lung ratio
   5. Image manipulation techniques
   6. Image filtering
   7. Polar plot analysis
   8. Wall motion analysis
   9. Time-activity curves
3. Quality control/Quality Assurance
   1. Camera/system performance
   2. Image assessment
   3. Assessment of filtering techniques
   4. Outcomes
4. Artifacts
   1. Radiopharmaceutical distribution
   2. Artifacts created by acquisition parameters
      1. Uniformity
      2. Energy window
      3. Gating
      4. Motion
      5. COR
      6. Attenuation
   3. Artifacts created by processing techniques
      

Anatomy/Physiology/Pathology (10%)

1. Heart chambers
2. Cardiac electrophysiology
   1. Conduction pathways
   2. Normal electrocardiogram
3. Coronary artery distribution
4. Heart valves and great vessels
5. Cardiac function
6. Normal and abnormal physiologic responses to stress
7. Cardiac pathologies
   1. Coronary artery disease
   2. Cardiomyopathies
   3. Myocardial ischemia, infarction, hibernation, stunning
   4. Valvular diseases and effects on the heart
   5. Congenital cardiac anomalies
      

1. Radiopharmaceuticals
   1. Indications
   2. Dosages
   3. Biodistribution and localization
   4. Radiopharmaceutical problems
2. Interventional drugs
   1. Types and dosages
   2. Indications
   3. Pharmacologic stress protocols
   4. Contraindications, adverse effects and medication interactions
      

1. Contraindications to exercise stress testing
2. Physiologic measures of exercise capacity/performance
3. ECG acquisition
4. Treadmill tower operation
5. Patient monitoring
6. Bicycle and isometric exercise protocols
7. Patient assessment and monitoring
8. Endpoints
   

1. Answering patient questions
   1. Risks of nuclear medicine procedures
   2. Comparison to correlative imaging techniques
2. ECG’s
   1. Patient preparation, electrode placement and leads
   2. Rate calculation
   3. Normal and abnormal rhythms
   4. Heart blocks
   5. Indicators of ischemia and infarction
3. Emergency care
   1. CPR
   2. Emergency medications
   3. Diabetic complications
   4. ACLS