Assessment
Assessment
Name Test 4
Description This is the final test for this MRD550 course.
Instruction Please answer ALL questions.
Date & Time From 2013-06-10 10:00:00 to 2013-06-11 10:00:00
Range Current date & time : 2013-06-10 11:47:34
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Question
1 [Multiple Choice]
Question 201
A patient will be asked to fast, or to eat lightly between stress and redistribution studies with Tl
chloride because:
Answer
1) peristalsis will degrade images
2) stomach activity may obscure myocardium
3) gall bladder contraction will be stimulated
4) the patient will experience nausea following the stress test
Point : 1
2 [Multiple Choice]
Question 131
Following the injection of I NP-59, imaging for adrenal lesions is performed:
Answer
1) 6 – 12 hours later
2) 24 – 48 hours later
3) 48 – 72 hours later
4) 5 – 7 days later
Point : 1
3 [Multiple Choice]
Question
The first phase of a three phase bone scan is best performed by:
Answer
1) bolus injection followed by dynamic 2 second images for 60 seconds
2) bolus injection followed by dynamic 20 second images for 3 minutes
3) bolus injection followed by a static 500–600 K counts image
4) bolus injection followed by dynamic 1 second images for 30 seconds
Point : 1
4 [Multiple Choice]
Question
Normal FDG distribution would show the least activity in the:
Answer
1) brain
2) bone
3) bladder
4) myocardium
Point : 1
5 [Multiple Choice]
Question
As an alternative to exercise studies, pharmacologic stress can be achieved through the use of any of
the following EXCEPT:
Answer
1) dipyridamole
2) aminophylline
3) dobutamine
4) adenosine
Point : 1
6 [Multiple Choice]
Question 18
When FDG is transported across most cell membranes:
I. it diffuses back out of the cell in about 3 hours.
II. it is trapped in the cell
III. it is not further metabolized
Answer
1) I and II only.
2) I and III only.
3) II and III only.
4) I, II, III.
Point : 1
7 [Multiple Choice]
Question 18
FDG PET images show a map of the ___________ distribution in the body.
Answer
1) oxygen
2) insulin
3) glucose
4) potassium
Point : 1
8 [Multiple Choice]
Question 18
Which of the following are TRUE regarding the usefulness of FDG in detecting tumors?
I. it is a glucose analog
II. there is an elevated rate of glycolysis in tumors
III. it becomes trapped in tumor cells
Answer
1) I and II only.
2) I and III only.
3) II and III only.
4) I, II, III.
Point : 1
9 [Multiple Choice]
Question
If after administration of furosemide (or commercially known as Lasix), a patient still has activity in the
renal calyces, there is probably:
Answer
1) poor renal function
2) renal artery occlusion
3) renal infarction
4) collecting system obstruction
Point : 1
10 [Multiple Choice]
Question 99m
What is the dose of Tc MDP most often prescribed for a planar bone scan?
Answer
1) 1 – 3 mCi
2) 5 – 10 mCi
3) 15 – 20 mCi
4) 25 – 30 mCi
Point : 1
11 [Multiple Choice]
Question 201 99m
A patient receives both 3 mCi of Tl chloride and 5 mCi of Tc pertechnetate, and pinhole images of
201
the neck are taken after each administration. If the pertechnetate image is subtracted from the Tl
image, the activity that remains represents:
Answer
1) thyroid
2) parathyroid
3) salivary glands
4) hypothalamus
Point : 1
12 [Multiple Choice]
Question
The part of the thyroid that lies anterior to the trachea and is often not seen on thyroid imaging is the:
Answer
1) right lobe
2) left lobe
3) isthmus
4) parathyroid
Point : 1
13 [Multiple Choice]
Question 99m
What is the preparation for renal functional imaging with Tc MAG3?
Answer
1) NPO for at least four hours
2) patient must be well hydrated
3) patient must not void for at least one hour before imaging
4) patient must drink nothing for two hours prior to the examination
Point : 1
14 [Multiple Choice]
Question
What best describes the normal blood flow to the lungs in a supine patient?
Answer
1) largely uniform
2) decreased flow to apices relative to bases
3) increased flow to upper lobes
4) none of the above
Point : 1
15 [Multiple Choice]
Question
When performing a SPECT study of the liver and spleen, the camera should be positioned:
Answer
1) so that the costal margin is at the bottom of the detector face
2) so that it touches the left side of the patient when rotating
3) so that it touches the right side of the patient when rotating
4) as close as possible but without touching the patient during rotation
Point : 1
16 [Multiple Choice]
Question 18
Which of the following will NOT affect the distribution of FDG on a PET image?
I. hemoglobin level
II. serum glucose level
III. moderate physical activity the day before imaging
Answer
1) I and II only.
2) I and III only.
3) II and III only.
4) I, II, III.
Point : 1
17 [Multiple Choice]
Question
Which of the following studies does not require any fasting prior to the examination?
Answer
1) gastric emptying study
2) hepatobiliary scan
3) gastroesophageal reflux study
4) gastrointestinal bleeding scan
Point : 1
18 [Multiple Choice]
Question
Which of the following are indications for renal scintigraphy?
I. assess blood flow to transplanted kidneys
II. assess function of the kidneys
III. evaluation of space occupying lesions
Answer
1) I and II only.
2) I and III only.
3) II and III only.
4) I, II, III.
Point : 1
19 [Multiple Choice]
Question
What is NOT an indication for a bone scan?
Answer
1) metastatic disease
2) osteoporosis
3) osteoarthritis
4) avascular necrosis
Point : 1
20 [Multiple Choice]
Question 18
Which of the following are patient preparation for FDG PET imaging:
I. NPO after midnight prior to the scanning day
II. fasting state of at least 4 – 6 hours prior to the exam
III. avoiding intense physical activity the day before the exam
Answer
1) I and II only.
2) I and III only.
3) II and III only.
4) I, II, III.
Point : 1
21 [Multiple Choice]
Question
During a Schilling test, a dose of radiolabeled B12 is given:
Answer
1) intramuscularly
2) intravenously
3) subcutaneously
4) orally
Point : 1
22 [Multiple Choice]
Question 99m
Why is it necessary to inject two doses of Tc sestamibi for a myocardial perfusion study including
both stress and rest conditions?
Answer
1) because the physical half life of 99mTc is too short to obtain both image sets from one injection
2) because there is no redistribution of 99mTc sestamibi within the myocardium
3) because the effective half life is too short
4) because sestamibi is not retained by the myocardium for a sufficient time
Point : 1
23 [Multiple Choice]
Question
Imaging of the thyroid takes place:
Answer
1) 20 minutes after injection of 99mTc pertechnetate
2) 2 hours after injection of 99mTc pertechnetate
3) 8 hours after administration of an 123I sodium iodide capsule
4) 24 hours after administration of an 123I sodium iodide capsule
Point : 1
24 [Multiple Choice]
Question
Patient instructions for a Schilling test should include all of the following EXCEPT:
Answer
1) careful collection of all urine for 48 hours in a single container
2) NPO from midnight before the examination begins
3) no vitamin B12 for at least 3 days before the study
4) no enemas or laxatives during the study
Point : 1
25 [Multiple Choice]
Question
The number of particles injected during a perfusion lung scan should be decreased for:
Answer
1) the elderly
2) those with a high risk of pulmonary embolus
3) patients with severe pulmonary hypertension
4) asthmatics
Point : 1
26 [Multiple Choice]
Question
Which of the following does NOT describe correct preparation for an exercise myocardial study?
Answer
1) nil per oral (NPO) at least 4 hours prior to radiopharmaceutical administration
2) catheter placement for injection of radiopharmaceutical during exercise
3) stop all medications 24 hours before study
4) none of the above
Point : 1
27 [Multiple Choice]
Question
A patient who cannot exercise and who has asthma can undergo a stress myocardial perfusion study
through the use of:
Answer
1) the Bruce protocol
2) dipyridamole
3) dobutamine
4) adenosine
Point : 1
28 [Multiple Choice]
Question 18
FDG-PET is NOT an important tool for:
Answer
1) restaging of colorectal cancer
2) monitoring response to treatment of non-Hodgkins lymphoma
3) detecting Helicobacter pylori
4) imaging metastases in breast cancer
Point : 1
29 [Multiple Choice]
Question
Which of the following will NOT optimize images of the thyroid?
Answer
1) use of a pinhole collimator
2) having the patient avoid swallowing during image acquisition
3) hyperextending the neck
4) placing a radioactive marker on the xiphoid process
Point : 1
30 [Multiple Choice]
Question
To stimulate secretion during salivary gland scintigraphy,which of the following is often used?
Answer
1) 99mTc sestamibi
2) lemon juice
3) Lugol’s solution
4) furosemide
Point : 1
31 [Multiple Choice]
Question 18
The images obtained with a PET study using FDG can best be described as:
Answer
1) anatomical
2) perfusion
3) metabolic
4) dynamic
Point : 1
32 [Multiple Choice]
Question
What is an advantage of spot planar imaging over whole body imaging for a bone scan?
Answer
1) speed
2) decreased patient to detector distance
3) less film is used
4) no need for centre of rotation (COR) correction
Point : 1
33 [Multiple Choice]
Question 18
Which of the following are TRUE regarding FDG tumor imaging?
I. PET scanning is required
II. the patient should fast before the exam
III. only brain tumors can be detected
Answer
1) I and II only.
2) I and III only.
3) II and III only.
4) I, II, III.
Point : 1
34 [Multiple Choice]
Question
What is the purpose of hydration and voiding after an injection for a bone scan?
Answer
1) to block the uptake of unlabelled technetium by the stomach
2) to reduce the possibility of urine contamination
3) to obtain a superscan
4) to reduce the radiation dose to the bladder
Point : 1
35 [Multiple Choice]
Question
What is the purpose of a stannous ion in a diphosphonate kit?
Answer
1) act as a reducing agent
2) act as and oxidizing agent
3) provide a stabilizing force
4) maintain particle size
Point : 1
36 [Multiple Choice]
Question
The salivary glands may be imaged using:
Answer
1) 3 mCi of 201Tl
2) 5 mCi of 99mTc sestamibi
3) 5 mCi of 99mTc pertechnetate
4) 200 µCi of 123I sodium iodide
Point : 1
37 [Multiple Choice]
Question 131
The highest doses of therapeutic I are given to patients with:
Answer
1) Grave’s disease
2) toxic multinodular goiter
3) thyroid cancer
4) chronic thyroiditis
Point : 1
38 [Multiple Choice]
Question 81m
Advantages of using Kr for ventilation lung scans include:
Answer
1) ability to perfectly match perfusion and ventilation positioning.
2) short half life decreases exposure to technologists if patient removes mask.
3) ventilation and perfusion studies can be acquired simultaneously.
4) all of the above.
Point : 1
39 [Multiple Choice]
Question
A perfusion lung scan shows a cold defect in the right base. If the ventilation study for the same
patient is normal, what is the most probable explanation for the defect?
Answer
1) chronic obstructive pulmonary disease
2) pulmonary embolism
3) attenuation from the heart
4) pacemaker
Point : 1
40 [Multiple Choice]
Question
Radionuclide cystography is most often performed to:
Answer
1) determine transplant function
2) evaluate renal perfusion
3) detect vesicoureteral reflux
4) visualize space occupying lesions in the bladder
Point : 1
You scored 38 out of 40 points