Exam 2 Flashcards
Static bone imaging is routinely performed how long after tracer administration to an adult?
a. 30min
b. 1hr
c. 2-3hrs
d. 24hr
c. 2-3hrs
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Which of the following structures normally appear as areas of increased activity on the bone images of adults?
a. anterior iliac crests
b. glenoid fossa
c. sternoclavicular joints
d. all of the above
d. all of the above
On bone images of adults, areas of normally increased tracer activity include all those listed as well as the sacroiliac, hip, and acromioclavicular joints and vertebral column.
Which of the following conditions is visualized on a bone image as a photopenic area?
a. attenuation
b. tracer infiltration
c. acute myocardial infarction
d. osteomyelitis
a. attenuation
A photopenic area is one in which a smaller number of photons is visualized - a “cold” spot. A material that absorbs photons may cause an attenuation artifact, an area of falsely decreased tracer concentration. Jewlry, pocket contents, belt buckles, prostheses, and pacemakers are a few examples of objects that commonly cause photopenic areas on bone images. Tracer concentration is increased in the area of dose infiltration, acute myocardial infarction, and osteomyelitis.
It is safe to block a portion of the pulmonary circulation with MAA particles in patients with suspected pulmonary emboli because the:
a. number of injected particles block only a small number of precapillary arterioles
b. particles are made from albumin isolated from human serum
c. particles are rapidly phagocytized by lung macrophages
d. albumin is denatured before it is made into particles
a. number of injected particles block only a small number of precapillary arterioles
Less than 1% of the precapillary arterioles are blocked with the MAA particles; therefore, there is no adverse effect on the patient
A nebulizer is used to administer which of the following lung ventilation radiopharmaceuticals?
a. Kr81m gas
b. Xe133 gas
c. Tc99m pentetate
d. Tc99m macroaggregated albumin
c. Tc99m pentetate
A nebulizer is a device that uses ultrasound or pressure to create airborne (aerosol) particles from a liquid Tc99m pentetate (DTPA) is introduced into the nebulizer in liquid form. When the nebulizer is activated, the liquid is converted into small radioactive droplets that are inhaled by the patient through tubing connected to the nebulizer.
Which of the following radiopharmaceuticals may be used to image acute deep vein thrombosis in the lower extremities?
a. Tc99m MAA
b. Tc99m arcitumomab
c. I131 iobenguane
d. In111 oxyquinoline
a. Tc99m MAA
In performing radionuclide venography with Tc99m MAA, the radiopharmaceutical is administered at what site?
a. antecubital area of either arm
b. either femoral vein
c. dorsal veins on top of each foot
d. either basilic vein
c. dorsal veins on top of each foot
The tracer is introduced into the deep venous system of the legs. Therefore, the tracer is administered into the dorsal vein of each foot.
After total thyroidectomy, total-body imaging with radioiodine normally will demonstrate tracer concentration in which of the following areas?
a. liver, lungs, and bones
b. salivary glands, stomach, and lungs
c. liver, salivary glands, and lungs
d. bladder, liver, and brain
b. salivary glands, stomach, and lungs
The salivary glands and saliva in the mouth, the gastric mucosa and its secretions into the intestine, and the urinary bladder are sites that normally concentrate radioiodine. Concentrations in other sites indicate areas of functioning thyroid metastases.
A parathyroid adenoma will concentrate which of the following radiopharmaceuticals?
a. I123 sodium iodide
b. Tc99m pertechnetate
c. Tc99m sestamibi
d. Tc99m pertechnetate or Tc99m sestamibi
c. Tc99m sestamibi
Of the radiopharmaceuticals listed, only Tc99m sestamibi concentrates in the parathyroid tissue. A computer subtraction technique using Tc99m pertechnetate and Tl201 thallous chloride has been used to image the parathyroids. Tc99m pertechnetate concentrates in the thyroid, whereas Tl201 thallous chloride localizes in both thyroid and parathyroid tissue. In this technique, the Tc99m pertechnetate image is subtracted from the Tl201 image. The resulting image demonstrates concentration in the parathyroids.
When positioning a patient for an LAO view of a gated equilibrium ventricular function study, tilting the camera detector toward the patient’s feet separates what two structures?
a. left ventricle and aorta
b. left ventricle and left atrium
c. left and right atria
d. left and right ventricles
b. left ventricle and left atrium
The left atrium is partially hidden by the aorta and pulmonary artery/ tilting the detector caudally visually brings the left atrium out from under these structures and separates it from the left ventricle.
Which tracer is excreted primarily via the hepatobiliary system?
a. Tc99m sestamibi
b. Tc99m exametazime
c. Tc99m medronate
d. Tl201 thallous chloride
a. Tc99m sestamibi
A cardiac stress test requires the placement of how many electrodes on the patient’s body?
a. 3
b. 6
c. 10
d. 12
c. 10
Visualization of bone marrow uptake on a Tc99m Sulfur Colloid liver/spleen image is most likely the result of which of the following?
a. improper colloid particle size
b. insufficient tracer circulation time
c. liver dysfunction
d. overactive bone marrow
c. liver dysfunction
Bone marrow uptake is visualized on liver/spleen images when severe liver dysfunction, such as advanced cirrhosis, is present. In such cases, the spleen has a markedly increased concentration of tracer, and the skeleton is visualized as a result of increased tracer uptake in the bone marrow.
During hepatobiliary imaging, which structure will NOT be visualized if cystic duct obstruction is present?
a. common hepatic duct
b. common bile duct
c. gallbladder
d. small intestine
c. gallbladder
How long after administration of Tc99m pertechnetate does imaging begin for the localization of Meckels diverticulum?
a. immediately
b. 15-20min
c. 1hr
d. 2-3hrs
a. immediately
All of the following Tc99m labeled radiopharmaceuticals may be appropriate for performing a left-to-right cardiac shunt examination using the first-pass method except:
a. sulfur colloid
b. pentetate
c. sestamibi
d. tetrofosmin
a. sulfur colloid
The glomerular filtration rate (GFR) is measured with which of the following radiopharmaceuticals?
a. Tc99m pentetate
b. Tc99m sulfur colloid
c. Tc99m gluceplate
d. Tc99m mertiatide
a. Tc99m pentetate
Radionuclide cisternography is performed by the direct method using which of the following radiopharmaceuticals?
a. Tc99m pentetate or Tc99m medronate
b. Tc99m pertechnetate or Tc99m sulfur colloid
c. Tc99m pertechnetate or Tc99m mertiatide
d. Tc99m gluceplate or Tc99m sulfur colloid
b. Tc99m pertechnetate or Tc99m sulfur colloid
Filtered Tc99m sulfur colloid is required for which of the following examinations?
a. gastroesophageal reflux
b. gastric emptying
c. LeVeen shunt patency
d. lymphoscintigraphy
d. lymphoscintigraphy`
A patient with a nasogastric tube in place is transferred to the nuclear medicine department for an imaging procedure. The technologist should:
a. confirm physician orders for transfer and reestablish suction required
b. remove the nasogastric tube because it will interfere with the imaging procedure
c. use the nasogastric tube to administer the radiopharmaceutical
d. cancel the study because the presence of nasogastric tube precludes any imaging procedure being performed
a. confirm physician orders for transfer and reestablish suction required
The appearance of what structure indicates the beginning of the venous phase of a cerebral blood flow study?
a. anterior cerebral arteries
b. carotid arteries
c. nasopharynx
d. superior sagittal sinus
d. superior sagittal sinus
In performing cisternography, the purpose of acquiring the first image over the lower thoracic/lumbar spine is to ascertain?
a. the site of tracer administration
b. the flow rate of the cerebral spinal fluid
c. that the tracer was not infiltrated
d. that the spinal cord was not damaged during tracer administration
c. that the tracer was not infiltrated
On Wednesday a patient has a I123 thyroid study performed; a I125 plasma volume is ordered to be performed on Thursday. Which of the following statements about the situation is true?
a. The I123 will not interfere with the plasma volume determination
b. The blood volume determination should be postponed until the I123 is decayed
c. A baseline plasma sample should be collected before performing the plasma volume
d. I131 instead of I123 human serum albumin should be used for the plasma volume determination
c. A baseline plasma sample should be collected before performing the plasma volume
Sr89 Chloride is used to treat which of the following conditions?
a. bone pain
b. polycythemia vera
c. rheumatoid arthritis
d. malignant effusions
a. bone pain