10 free, exam-style Computed Tomography (ARRT CT) practice questions with answers and
explanations. No signup required. Work through them below, then take the
full free ARRT CT practice test to study every exam domain.
These 10 free ARRT CT questions are organized by exam domain, so you can see how each part of the Computed Tomography blueprint is tested. Reveal the answer and explanation under each question.
Domain 1: Patient Care (through 2026-08-31: 22 scored; effective 2026-09-01: 21 scored)
Question 1
Three minutes after receiving IV iodinated contrast, a patient develops widespread hives, facial swelling, and audible wheezing. Which medication should be administered FIRST?
- Diphenhydramine 50 mg IV
- Albuterol via nebulizer
- Epinephrine 0.3 mg IM
- Normal saline IV bolus
Show answer & explanation
Correct answer: C - Epinephrine 0.3 mg IM
Question 2
A patient taking metformin is scheduled for a contrast-enhanced CT of the abdomen and pelvis. According to current guidelines, the technologist should:
- Cancel the exam until the patient has been off metformin for 48 hours
- Proceed with the exam and instruct the patient to hold metformin for 48 hours afterward
- Substitute a non-iodinated contrast agent for the procedure
- Administer a corticosteroid premedication regimen before the injection
Show answer & explanation
Correct answer: B - Proceed with the exam and instruct the patient to hold metformin for 48 hours afterward
Domain 2: Safety (through 2026-08-31: 22 scored; effective 2026-09-01: 21 scored)
Question 3
A technologist increases the pitch from 1.0 to 1.5 while keeping all other scan parameters constant. Which of the following effects will this change produce?
- CTDIvol increases by 50%
- Image noise decreases
- Patient dose decreases by approximately one-third
- Spatial resolution in the x-y plane improves
Show answer & explanation
Correct answer: C - Patient dose decreases by approximately one-third
Question 4
Which photon interaction with matter is PRIMARILY responsible for subject contrast in CT imaging?
- Compton scattering
- Photoelectric absorption
- Coherent scattering
- Pair production
Show answer & explanation
Correct answer: B - Photoelectric absorption
Domain 3: Image Production (through 2026-08-31: 50 scored; effective 2026-09-01: 52 scored)
Question 5
Which component of a CT scanner allows the x-ray tube and detector array to rotate continuously without the use of cables?
- High-frequency generator
- Data acquisition system
- Collimator assembly
- Slip ring
Show answer & explanation
Correct answer: D - Slip ring
Question 6
A CT scan of the abdomen is reconstructed using a 512 × 512 matrix with a display field of view (DFOV) of 320 mm. What is the approximate pixel size?
- 0.63 mm
- 1.60 mm
- 0.31 mm
- 1.00 mm
Show answer & explanation
Correct answer: A - 0.63 mm
Question 7
Dark bands appearing between the petrous bones on an axial CT image of the posterior fossa are MOST likely caused by:
- Patient motion during acquisition
- Beam hardening artifact
- A miscalibrated detector element
- Partial volume averaging
Show answer & explanation
Correct answer: B - Beam hardening artifact
Domain 4: Procedures (through 2026-08-31: 71 scored; effective 2026-09-01: 71 scored)
Question 8
On a non-contrast head CT, a crescent-shaped hyperdense collection is seen along the right cerebral convexity that crosses the coronal suture line. This finding is MOST consistent with:
- Epidural hematoma
- Subarachnoid hemorrhage
- Intraparenchymal hemorrhage
- Subdural hematoma
Show answer & explanation
Correct answer: D - Subdural hematoma
More ARRT CT practice questions
Question 9
When performing CT pulmonary angiography (CTPA) for suspected pulmonary embolism, the bolus-tracking region of interest should be placed in the:
- Ascending aorta
- Left ventricle
- Main pulmonary artery
- Superior vena cava
Show answer & explanation
Correct answer: C - Main pulmonary artery
Question 10
A multiphase liver CT demonstrates a lesion with arterial-phase hyperenhancement followed by washout on the portal venous phase. This enhancement pattern is MOST characteristic of:
- Hepatocellular carcinoma
- Simple hepatic cyst
- Cavernous hemangioma
- Focal nodular hyperplasia
Show answer & explanation
Correct answer: A - Hepatocellular carcinoma