10 free, exam-style MRSO (MRSO) practice questions with answers and
explanations. No signup required. Work through them below, then take the
full free MRSO practice test to study every exam domain.
These 10 free MRSO questions are organized by exam domain, so you can see how each part of the MRSO blueprint is tested. Reveal the answer and explanation under each question.
Domain 1: Clinical Applications
Question 1
A ferromagnetic oxygen cylinder is accidentally brought into the MR suite. At which location within the static magnetic field does the GREATEST translational (missile) force act on the cylinder?
- At the isocenter of the magnet, where B₀ is strongest
- At the fringe-field boundary, where the spatial gradient (dB/dx) is greatest
- At the bore entrance, where the patient first enters the field
- Midway between the bore entrance and isocenter, where B₀ and dB/dx are equal
Show answer & explanation
Correct answer: B - At the fringe-field boundary, where the spatial gradient (dB/dx) is greatest
Question 2
During a cardiac MRI at 1.5 T, the technologist notices that the patient's ECG trace shows a markedly elevated T-wave amplitude that was not present on the pre-scan ECG taken outside the MR suite. Which phenomenon MOST likely accounts for this finding?
- Radiofrequency interference from the transmit coil inducing artifact in the ECG leads
- Peripheral nerve stimulation triggered by the gradient switching waveform
- The magnetohydrodynamic (MHD) effect of blood flow through the aorta in the static field
- Ferromagnetic saturation of the ECG electrode snap fasteners
Show answer & explanation
Correct answer: C - The magnetohydrodynamic (MHD) effect of blood flow through the aorta in the static field
Domain 2: Time-Varying Gradient Magnetic Fields
Question 3
A patient undergoing a high-performance knee MRI reports a mild tingling sensation in their lower leg during the scan. The system is operating in IEC Normal Operating Mode. Which statement BEST characterizes this situation?
- This is expected; Normal Mode is permitted to reach 100% of the peripheral nerve stimulation (PNS) perception threshold
- This is unexpected; Normal Mode limits dB/dt to 80% of the PNS perception threshold and the patient should not be experiencing stimulation under normal conditions
- The sensation confirms that the scanner is operating correctly within First-Level Controlled Mode parameters
- Tingling is a known auditory side effect of gradient coil resonance and is unrelated to nerve stimulation thresholds
Show answer & explanation
Correct answer: B - This is unexpected; Normal Mode limits dB/dt to 80% of the PNS perception threshold and the patient should not be experiencing stimulation under normal conditions
Domain 3: Radio Frequency Field
Question 4
A radiologist requests the same pulse sequence to be run on a 3 T scanner that was previously used on a 1.5 T scanner with a whole-body SAR of 1.0 W/kg. Assuming all other sequence parameters remain identical, what is the APPROXIMATE whole-body SAR at 3 T?
- 1.5 W/kg - SAR scales linearly with field strength
- 2.0 W/kg - SAR doubles with each 1.5 T increment
- 4.0 W/kg - SAR scales with the square of B₀
- 8.0 W/kg - SAR scales with the cube of the Larmor frequency
Show answer & explanation
Correct answer: C - 4.0 W/kg - SAR scales with the square of B₀
Domain 4: Static Magnetic Field
Question 5
A patient with an eGFR of 18 mL/min/1.73 m² requires a contrast-enhanced MRI. The ordering physician asks which gadolinium-based contrast agent (GBCA) carries the HIGHEST risk for nephrogenic systemic fibrosis (NSF) and is classified as ACR Group I. Which agent is CORRECTLY identified?
- Gadobutrol (Gadavist)
- Gadoterate meglumine (Dotarem)
- Gadodiamide (Omniscan)
- Gadoteridol (ProHance)
Show answer & explanation
Correct answer: C - Gadodiamide (Omniscan)
Domain 5: Gadolinium/Pregnancy
Question 6
A large ferromagnetic floor polisher has become pinned against the bore of the MRI scanner, trapping a patient inside. All physical attempts to remove the object have failed and the patient is becoming increasingly distressed. Which action represents the CORRECT next step?
- Immediately initiate an emergency magnet quench to collapse the field and free the patient
- Cut power to the MRI system's gradient amplifiers to reduce the total magnetic force
- Attempt to slide the patient out axially toward the bore exit opposite to the polisher while the object remains pinned
- Evacuate the room and await spontaneous resolution as the Lenz force will dampen over time
Show answer & explanation
Correct answer: C - Attempt to slide the patient out axially toward the bore exit opposite to the polisher while the object remains pinned
Domain 6: Facilities/Cryogens
Question 7
A surgeon's operative note states that a patient received an implant labeled 'MR Compatible' in 2005. When the MR Safety Officer reviews the implant documentation prior to scheduling the patient's MRI, which conclusion is MOST accurate?
- The implant is safe to scan because 'MR Compatible' indicates it passed both force and heating testing
- The implant requires no further investigation since it has been in situ for over 6 weeks and is therefore tissue-encapsulated
- 'MR Compatible' is not a recognized ASTM F2503 term; the label provides no reliable safety information and further documentation is required
- The implant is equivalent to 'MR Conditional' under the current ASTM standard and can be scanned within standard operating parameters
Show answer & explanation
Correct answer: C - 'MR Compatible' is not a recognized ASTM F2503 term; the label provides no reliable safety information and further documentation is required
Question 8
According to the FDA's 2014 guidance on Significant Risk Investigations of Magnetic Resonance Diagnostic Devices, which of the following static field strengths applied to a neonate aged 3 weeks would trigger classification as a Significant Risk study requiring full IDE oversight?
- Greater than 8 T
- Greater than 4 T
- Greater than 3 T
- Greater than 1.5 T
Show answer & explanation
Correct answer: B - Greater than 4 T
Domain 7: Standards/Regulatory
Question 9
A patient presents for an urgent brain MRI and reports having a cardiac pacemaker implanted 4 years ago. The device documentation confirms it is labeled MR Conditional. The available scanner is a 3 T system. The radiologist approves proceeding. Which additional factor MOST critically determines whether the scan can safely continue?
- The patient's body mass index, which influences whole-body SAR distribution
- Whether the specific pacemaker's MR Conditional labeling explicitly permits scanning at 3 T, since many devices are labeled for 1.5 T only
- The elapsed time since implantation, as devices implanted more than 6 weeks ago are universally safe at any field strength
- The type of MRI coil used, since only head coils are approved for pacemaker patients
Show answer & explanation
Correct answer: B - Whether the specific pacemaker's MR Conditional labeling explicitly permits scanning at 3 T, since many devices are labeled for 1.5 T only
Question 10
Per the ACR Manual on MR Safety 2024, when screening an emergent (non-elective) patient before MRI, what is the MINIMUM personnel requirement for conducting the safety screening?
- Any MR Personnel (Level 1 or Level 2) may screen an emergent patient
- The screening must be conducted or directly supervised by the Magnetic Resonance Medical Director (MRMD)
- The screening must be performed by a Level 2 MR Personnel individual
- Two MR Personnel are required for emergent screening, consistent with non-emergent protocol
Show answer & explanation
Correct answer: C - The screening must be performed by a Level 2 MR Personnel individual