chapter 9: patient prep and imaging in oncology Flashcards

1
Q

FDG is an analog of

A-glucose
B-glucose
C-glucose
D-glucose

A

D-glucose

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2
Q

what is the pediatric dosing for fdg?

0.1 mci/kg
0.01 mci/kg
0.2 mci/kg
0.02 mci/kg

A

0.1 mci/kg

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3
Q

TPN therapy should be discontinued at least…prior to fdg administration

6 hours
12 hours
18 hours
24 hours
48 hours

A

24 hours

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4
Q

T/F: patients who use rapid-acting or short-acting insulin must discontinue use at least 4 hours prior to fdg administration

A

false. they may inject rapid-acting or short-acting and begin fdg administration 2-3 hours later as they are absorbed quickly

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5
Q

the major transporter used for glucose uptake in muscle is

GLUT2
GLUT4
GLUT6
GLUT8

A

GLUT4

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6
Q

a patient is getting a pet/ct scan for lesions in the bladder wall. when should diuretics be administered to reduce bladder activity?

10-15 mins after fdg administration

10-15 mins before fdg administration

20-30 mins after fdg administration

20-30 mins before fdg administration

A

10-15 mins before fdg administration

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7
Q

patients with…may benefit from a longer localization time of fdg

brain cancer
lymphoma
leukemia
hepatocellular carcinoma
liver mets
both hepatocellular carcinoma and liver mets

A

both hepatocellular carcinoma and liver mets

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8
Q

what is the specific enzyme in the liver that cleaves the glucose-phosphate bond?

glucose-6-phosphonate
glucose-4-phosphatase
glucose-6-phophatase
glucose-4-phosphonate

A

glucose-6-phosphatase

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9
Q

after hexokinase converts FDG to FDG-6-phosphate, the FDG

undergoes further phosphorylation and metabolism via the glycolytic pathway

does not undergo further phosphorylation and metabolism, becomes metabolically trapped in the cell

A

does not undergo further phosphorylation and metabolism, becomes metabolically trapped in the cell

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10
Q

T/F: there is more fdg uptake in white matter than gray matter

A

false. there is more fdg uptake in gray matter than white matter

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11
Q

T/F: the heart uses glucose in the fed state

A

true - the heart uses fatty acids in the fasting state

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12
Q

the thymus appears as…on fdg images

inverted C shape
inverted U shape
V shape
inverted V shape

A

inverted V shape

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13
Q

brown fat is most prevalent in

pediatrics
adolescents
adults
geriatrics
both pediatrics and adolescents
both adolescents and adults

A

pediatrics

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14
Q

T/F: normal glucose is primarily excreted through the kidneys and bladder

A

false. this is true for f18 fdg.normal glucose is reabsorbed in the proximal tubules

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15
Q

a transmission scan is typically

1-5 mins long
2-4 mins long
3-6 mins long
10 mins long

A

2-4 mins long

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16
Q
A