Welcome to CBNC's Examination Tutorial

Welcome to CBNC’s Examination Tutorial

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This tutorial provides a demonstration on how to move through the Certification Board of Nuclear Cardiology (CBNC) examinations. It also shows samples of what the exam questions will look like and presents general information about CBNC exams.

This tutorial is designed to introduce you to the format of the examination – it is not a study tool. This demo is not timed and many of the buttons are not programmed to be functional.

On exam day, the exam will be preceded by a different tutorial. The exam day tutorial will look much like this demo and buttons will be functional. That tutorial will be timed and you will have 15 minutes to complete it before the exam begins. Additional instructions will be given at the site regarding testing procedures. Special note: for the 2006 exams, no gated or cine images will be included. Portions of this tutorial represent real screenshots from Thomson Prometric Exam forms and are copyrighted by Thomson Prometric.Click on the “Next” button below to continue.

CBNC Exam Tutorials



The CBNC Certification Examination consists of 175 questions. Examinees will have four hours and thirty minutes to complete the Certification Examination.

The CBNC Recertification Examination consists of 100 questions. Examinees will have three hours to complete the Recertification Examination.

Each question on the examinations is followed by four possible answers or completions. Only one (1) of these is the best answer. Your score is based on the number of questions you answer correctly. There is no penalty for guessing. You should try to answer every question, even if you must guess.

Click on the “Next” button and let’s get started with the tutorial!

The CBNC Examinations



The Tutorial and Exam question screens provide useful information. In the lower left corner, where the green arrow is pointing, you can see which screen (or in the exam, which question) you are on. You can also see how much time remains. In this tutorial, the time graphic will not change. The actual exam will have real-time information indicating how much time is left to complete the exam. In this example, the screen indicates that there are 9 minutes and 44 seconds remaining. If the screen read 2:9:44, this would mean that there were 2 hours, 9 minutes and 44 seconds left to complete the exam. Click on the “Next” button below to continue.

Information About the Screens



Although you may be very familiar with how to navigate around a computer screen, the next few screens will address actions available for moving through the tutorial and examination. The mouse pointer is used for all actions in the exam. The mouse “pointer” moves when you move the mouse around on a surface. Although it can assume different shapes, the arrow shown above is common. To point with the mouse, move the pointer until it rests on the desired object. To click something, point to the object and then press and quickly release the left mouse button. Practice: Rest your hand lightly on the mouse and move it. Note how the pointer moves as your hand does. Point to the correct answer (A) on the sample question below and click. You can click anywhere in the answer. Notice that the open circle next to the answer you chose is now filled in. Sample Question A. Correct answer B. Incorrect answer Click on the 'Next' button to continue.

Using the Mouse



Although you may be very familiar with how to navigate around a computer screen, the next few screens will address actions available for moving through the tutorial and examination. The mouse pointer is used for all actions in the exam. The mouse “pointer” moves when you move the mouse around on a surface. Although it can assume different shapes, the arrow shown above is common. To point with the mouse, move the pointer until it rests on the desired object. To click something, point to the object and then press and quickly release the left mouse button. Practice: Rest your hand lightly on the mouse and move it. Note how the pointer moves as your hand does. Point to the correct answer (A) on the sample question below and click. You can click anywhere in the answer. Notice that the open circle next to the answer you chose is now filled in.Sample Question A. Correct answer B. Incorrect answer Click on the 'Next' button to continue.

Using the Mouse



Although you may be very familiar with how to navigate around a computer screen, the next few screens will address actions available for moving through the tutorial and examination. The mouse pointer is used for all actions in the exam. The mouse “pointer” moves when you move the mouse around on a surface. Although it can assume different shapes, the arrow shown above is common. To point with the mouse, move the pointer until it rests on the desired object. To click something, point to the object and then press and quickly release the left mouse button. Practice: Rest your hand lightly on the mouse and move it. Note how the pointer moves as your hand does. Point to the correct answer (A) on the sample question below and click. You can click anywhere in the answer. Notice that the open circle next to the answer you chose is now filled in.Sample Question A. Correct answer B. Incorrect answer Click on the 'Next' button to continue.

Using the Mouse



You will use the mouse to move through the exam one question at a time. The “Previous” and “Next” buttons can be found at the bottom of the screen throughout the exam. To move one screen backward, click the Previous button. To move one screen forward, click the Next button.

Click on the 'Next' button below to continue with this tutorial.

Moving Through the Exam



A “scroll bar” appears on screen when a question or exhibit doesn't fit on a single screen. Scroll bars may be horizontal or vertical. This function enables you to move up or down, right or left within the screen.

To scroll through the screen contents, click the scroll arrow that points in the direction you want to move. This will move you a short distance on your screen.

Click on the 'Next' button to continue.

Using the Scroll Function



Your score is determined by the number of questions you answer correctly. There is no penalty for guessing. Therefore it is to your advantage to answer every question. Whether you answer a question or leave it blank, you may want to come back to it at a later time. To help you do this, you may “mark” the question. You can “unmark” the question at any time also.

Marked questions will show as such on a Review Table (discussed shortly) and also with the red “Marked” button on the individual question. The next screen will show you what these buttons look like.


Marking Questions



To mark a question: When you click the Mark button, it will turn Red and read “Marked”.

To unmark a question: When you click the Marked button, it will change back to “Mark”. This Marked button will only appear if you previously have marked the question.

You may mark or unmark questions as you wish, so that you may identify them as questions that you want to review again at a later time. The scoring process does not differentiate between marked and unmarked questions.


Marking Questions for Later Review



Review Table

At any time during the exam, you can see which questions you’ve answered, skipped, or marked for later review. To do so, simply click on the “Review” button at the bottom of the screen. This will bring up a Review Table. The next screen will show what a Review Table looks like.

Click on the “Next” button below to continue.

Using the Review Table



Review Table: Sample and Legend

When you are in the Review Table screen, you can return to the last question you were working on or move to any other question by double clicking (e.g., pressing your left mouse button twice) on the question number in the table.Click the “Next” button to continue.

Below is a sample of a Review Table on an exam with five (5) questions. The key for the symbols in front of each question is below the table.



Review TableSample Table

RRETURNETURN T TOO SSCREENCREEN



When you see the Review Table, 3 buttons appear at the bottom (shown here at right).“Review All” button: Select if you want to go back and review all the questions. You will be moved back into the exam, to the first question. Clicking on the “Next” button will then move you to the next question. “Review Marked” button: Select if you want to review only the questions you marked. You will be moved to the first marked question. Clicking on the “Next” button will then move you to the next marked question. “Review Incomplete” button: Select if you want to review the questions you did not complete. You will be moved to the first incomplete question. Clicking on the “Next” button will then move you to the next incomplete question. Click on the 'Next' button to continue.

More on Using the Review Table



You will see a row of buttons at the top of your screen with each question. This is the “Exhibit Bar”, indicated here by the green arrow. The buttons on the exhibit bar link to graphics and images that are included with some of the questions. These images and graphics are referred to as “exhibits”.When the question contains an exhibit of that type, the button on the bar will appear blue. If the question has no exhibits of that type, the button will be grey. The bar on this sample screen indicates that: 1. There are LVEF and Figure exhibits that are part of this question (when you click on these buttons during the exam, an image would appear in an exhibit window.)2. There are no ECG or Slices exhibits (nothing would happen when you click on these buttons). Not all buttons will be active for every question. Some questions will have no exhibits at all. In this case, all buttons will appear grey. Click the “Next” button to continue.

Using the Exhibit Buttons



The exhibits contain the images, graphics, tables and other information necessary to answer the question. When you click on the button for the exhibit, the graphic will appear in a new window.

In this example, the bar indicates that a Figure exhibit would be part of the question. Because all of the other exhibit buttons are greyed out, this indicates that no exhibit of those types is used with this question.

Click on the “Figure” button to show how a figure exhibit would appear in a new window. (This figure is not indicative of the quality of images on the examination.)

Click the “Next” button to continue.

Using the Exhibit Buttons



The exhibits contain the images, graphics, tables and other information necessary to answer the question. When you click on the button for the exhibit, the graphic will appear in a new window.

In this example, the bar indicates that a Figure exhibit would be part of the question. Because all of the other exhibit buttons are greyed out, this indicates that no exhibit of those types are used with this question.

Click on the “Figure” button to show how a figure exhibit would appear in a new window. (This figure is not indicative of the quality of images on the examination.)


Using the Exhibit ButtonsSample Exhibit Window (Figure)

Click on the in the upper right hand corner to close the exhibit window.



When the exhibit window appears, you may want to be able to resize, move and close the window.

To resize the window move the mouse pointer over the edge of the window. When it changes to an arrow pointing two ways, hold down the left mouse button and then drag your mouse to resize the window.

To move the window, move the mouse pointer over the edge of the window. When it appears as an arrow pointing four ways, hold down the left mouse button and drag your mouse.

To close the window when you are finished viewing the exhibit, click on the red “X” button located at the upper right hand corner.


How to Resize an Exhibit



In a question with an ECG exhibit the Exhibit Bar would appear as above with the ECG exhibit button in blue. During the exam, if you click on the blue button, the exhibit window will appear. If you click on a grey button, nothing will happen. Click the “Next” button to continue.

ECG Exhibits



In a question with tomographic slices of the heart, the Exhibit Bar would appear as above with the Slices exhibit button in blue. During the exam, if you click on the blue button, the exhibit window will appear. If you click on a grey button, nothing will happen.

Click the “Next” button to continue

Slice Exhibits



In a question with an LVEF exhibit, the Exhibit Bar would appear as above with the LVEF exhibit button in blue. During the exam, if you click on the blue button, the exhibit window will appear. If you click on a grey button, nothing will happen.


LVEF Exhibits



In a question with Figure exhibits, the Exhibit Bar would appear as above with the Figure exhibit button in blue. A Figure can be any graphic that doesn’t fit into the other three categories. For example, a figure may be a table, a polar map, a time activity curve, or other image. During the exam, if you click on the blue button, the exhibit window will appear. If you click on a grey button, nothing will happen. Click the “Next” button to continue.

Figure Exhibits



Confirming your IdentityWhen you arrive at the test center and are seated at the computer, you will be asked to confirm your identity and the name of the test for which you are sitting. This screen will have your own name, your personal identification number, and the name of the exam you are taking. You will be asked to confirm that everything on this screen is correct by clicking on a “Yes” button. If any part of the information is incorrect, you will need to raise your hand and inform a proctor immediately.

Confidentiality AgreementAfter you have confirmed your identity, you will see a screen which requires you to agree to a confidentiality statement regarding examination contents. You must agree to this statement in order to be allowed to continue. If you do not agree, you will be excused from the examination, but no refund will be made to you. Click on the “Next” button below to see the Confidentiality Agreement screen.

On Exam Day



Below is the Agreement you must consent to on the date of the exam. If you select “No”, you will be excused from taking the exam, but you will not be eligible for any refund or other consideration.

Confidentiality AgreementThe examination materials are the property of the Certification Board of Nuclear Cardiology (CBNC). Their contents are copyrighted under the laws of the U.S. Copying, reproducing or taking any action to reveal the contents of an examination in whole or in part is unlawful and may be grounds for disciplinary or legal action by the CBNC. Removal of any exam materials from the examination room by candidates or unauthorized persons is prohibited and may be subject to disciplinary or legal action. Yes, I have read and agree to the terms of the above agreement. No, I do not agree to the terms of the above agreement. On the day of the exam, the response buttons will be active and will permit you to mark a response. After you have marked “Yes,” the pre-exam tutorial will begin. Click on the “Next” button below to continue.

On Exam Day





On Exam Day





On Exam Day



You will not receive indication of whether or not you passed the exam at the testing center. The entire scoring process takes approximately eight weeks. You will receive your score by mail in early–mid December. The examinations must be reviewed by a committee after they have been scored. Questions are discarded if they do not meet predefined performance criteria. If a statistical evaluation raises a concern about the validity of a question (for example, if many examinees consistently give a response other than the “correct” one), these questions are individually reviewed again to make sure they are accurate. When inaccuracies are identified, these questions may be re-scored or discarded. Click on the “Next” button to continue.

Scoring the Examinations



Following are sample questions designed to give you a feel for how the Examination Questions will look. The correct answers are provided at the end of the tutorial.In this PowerPoint demonstration tutorial, most of the screens you see are static, though a few have “behind the scenes” programming to make them appear to have the functionality the exam will have. The screens and exhibits on the exam day tutorial and the examination will be fully active and operative; here, each of these screens is a snapshot image and provided for information and viewing purposes only.

Click on the “Next” button below to continue.

Sample Questions



Following injection of thallium-201, a localized concentration of the radiopharmaceutical is seen in the mid-portion of the right lung. Which of the following interpretations is most accurate?

A. The patient has a lung neoplasm. B. The patient has a subxiphoid thyroid. C. The patient has a pulmonary embolism. D. The patient has a pulmonary arteriovenous malformation.

(Note that this question does not have any exhibits associated with it; all of the exhibit buttons are greyed out.)

Sample Question 1






Sample Question 1






Sample Question 1






Sample Question 1






Sample Question 1



As part of the usual quality control procedures, a flood is performed on your camera. Flood images are shown in the exhibit. These images are most consistent with:

A. Incorrect photopeak. B. Center of rotation artifact. C. Malfunctioning photomultiplier tube. D. Normal flood.

(Click on the Figure button above for the exhibit associated with this question.)

Sample Question 2






Sample Question 2






Sample Question 2






Sample Question 2






Sample Question 2






Sample Question 2

This screen shows the window with the Figure exhibit that would appear when you click the ECG button. Click the Red X in the upper right hand corner to close the window.



A 50 year old man is referred for evaluation of chest pain. He exercises 10 minutes on a Bruce protocol, with a normal heart rate and blood pressure response. The test is terminated for fatigue. The stress ECG and stress/rest technetium-99m sestamibi images are shown in the exhibits. The most correct interpretation of this study is:

A. Normal. B. Ischemia, low to moderate risk. C. Ischemia, high risk. D. Nondiagnostic.

(Click on the ECG and Slices buttons above for the exhibit associated with this question.)

Sample Question 3






Sample Question 3






Sample Question 3






Sample Question 3






Sample Question 3






Sample Question 3

This screen shows the window with the ECG exhibit that would appear when you click on the ECG button. Click the Red X in the upper right hand corner to close the window.






Sample Question 3

This screen shows how the SPECT images for this question would appear when you click the Slices button. Click the Red X in the upper right hand corner to close the window.



The answers to the sample questions are:

1. A2. D3. A

Answers to Sample Questions



When you have completed the examination on your test day, a set of survey questions will follow. CBNC and Thomson Prometric urge you to respond candidly to the questions to help us continue to make the examination and the examination process better in the future.

Responses to these questions are voluntary and completely anonymous. There is no relation whatsoever between the anonymous survey responses and scoring.

Examinee Survey



End of the Tutorial

This concludes the tutorial. You can repeat the tutorial by clicking on the Previous button to back up one screen at a time.

More information on the examinations and the CBNC processes on the CBNC website: www.cbnc.org. Click the 'End' button to complete this Tutorial.

http://www.cbnc.org/



RETURN TRETURN TOO SSCREENCREEN

You have selected a button that has not been programmed for this demonstration.

The button will be active during the examination.



To mark a question: When you click the Mark button. It will turn Red and read “Marked”.

To unmark a question: When you click the Marked button it will change back to “Mark”. This Marked button will only appear if you have marked the question.

Unmark each question when you are satisfied with your answer choice. If you forget to unmark the question, it's OKAY. The scoring process does not differentiate between marked and unmarked questions, so long as an answer has been selected.

Click on the “Marked” button to return to the last screen you viewed.

Marking Questions for Later Review

Documents

Welcome to CBNC's Examination Tutorial