Exam 3 Flashcards
Static bone imaging is performed several hours after tracer administration to permit?
a. maximum tracer uptake in the skeleton
b. blood clearance of excess tracer
c. tracer clearance from sites of infiltration
d. tracer clearance from normal bone tissue
b. blood clearance of excess tracer
For which of the following clinical indications would limited bone imaging (“spot” views) be most appropriate?
a. evaluate temporomandibular joint pain
b. evaluate Padget’s disease
c. rule out skeletal metastases
d. history of child abuse; rule out occult fractures
a. evaluate temporomandibular joint pain
Three or four phase bone imaging is particularly useful when which of the following conditions is suspected?
a. skeletal metastases
b. osteoporosis
c. osteomyelitis
d. stress fracture
c. osteomyelitis
The standard views performed in a lung perfusion study are?
a. anterior and posterior only
b. posterior and obliques only
c. anterior, posterior, and lateral of the affected lung
d. anterior, posterior, laterals, and obliques
d. anterior, posterior, laterals, and obliques
Upon completion on an imaging procedure, the patient sits up quickly and complains of dizziness and feeling faint. The most appropriate action for the technologist would be to?
a. talk with the patient and have the patient breathe slowly and deeply
b. check vital signs
c. have the patient lie down again
d. have the patient stand and walk around the room
a. talk with the patient and have the patient breathe slowly and deeply
All of the following statements about performing a lung ventilation study with Tc99m pertechnetate aerosol are true, except?
a. multiple projections may be obtained with one dose of tracer
b. the patient is disconnected from the nebulizer after inhalation of the aerosol
c. the patient is imaged while inhaling particles from the nebulizer
d. the face mask, tubing, and nebulizer must be disposed of as radioactive waste
c. the patient is imaged while inhaling particles from the nebulizer
The purpose of wrapping the legs with elastic bandages before performing radionuclide venogram with Tc99m MAA is to?
a. distend the veins in the feet
b. suppress superficial circulation
c. prevent blood clots from traveling to the lung
d. trap the tracer in the lower extremities
b. suppress superficial circulation
When the radiation level coming from a radioiodine therapy patient in isolation is measured, it should be measured?
a. every day
b. every day at the same time
c. at the same distance from the patient each time
d. every day and at the same distance from the patient each time
d. every day and at the same distance from the patient each time
The function of a draw sheet is to provide?
a. warmth to the patient during the procedure
b. support for the patient during a stretcher to bed transfer
c. protection from infectious disease
d. patient privacy during an imaging procedure
b. support for the patient during a stretcher to bed transfer
A gated equilibrium ventricular function study can be performed with which of the following Tc99m labeled tracers?
a. pentetate
b. medronate
c. pyrophosphate
d. human serum albumin
d. human serum albumin
Stress-rest myocardial imaging performed with Tcc9m sestamibi requires two administrations of tracer, because the tracer?
a. dose not redistribute once it has been taken up by the myocardium
b. rapidly washes out of the myocardium after administration
c. has too short a half-life to permit delayed imaging
d. must be administered immediately after its preparation
a. dose not redistribute once it has been taken up by the myocardium
In a normal hepatobiliary study, which of the following structures will not be visualized?
a. liver
b. spleen
c. common bile duct
d. gallbladder
b. spleen
In preparation for hepatobiliary imaging, patients are required to fast to?
a. prevent renal uptake of the tracer
b. enhance liver uptake of the tracer
c. avoid stimulating the gallbladder
d. minimize the risk of radioactive emesis
c. avoid stimulating the gallbladder
To determine the patency of a LeVeen shunt, the radiopharmaceutical is administered to?
a. a vein
b. the peritoneal cavity
c. the intrathecal space
d. the shunt tubing
b. the peritoneal cavity
Which of the following is the correct patient/camera positioning for imaging a transplanted kidney?
a. patient upright and camera anterior
b. patient upright and camera posterior
c. patient supine and camera anterior
d. patient supine and camera posterior
c. patient supine and camera anterior
In peforming an effective renal plasma flow determination, the injection site should be imaged to?
a. quantitate the amount of tracer deposited at the injection site
b. rule out tracer infiltration
c. calculate the amount of injected activity
d. correct the kidney transit time of the tracer
b. rule out tracer infiltration
Radionuclide cystography performed by the direct method requires which of the following?
a. intravenous injection of the tracer
b. use of a renal agent
c. catheterization of the patient
d. administration of furosemide
c. catheterization of the patient
All of the following conditions may demonstrate uptake of In111 labeled leukocytes except?
a. osteomyelitis
b. dental abscess
c. pulmonary embolism
d. ostomy site
c. pulmonary embolism
Signs/symptoms that a patient is going into anaphylactic shock include all of the following except?
a. hot, dry skin
b. pallor
c. restlessness
d. tachycardia
a. hot, dry skin
Which of the following radiopharmaceuticals crosses the intact blood-brain barrier?
a. Tc99m bicisate
b. Tc99m gluceplate
c. Tc99m pentetate
d. Tc99m pertechnetate
a. Tc99m bicisate
The patency of ventriculoperitoneal shunts may be assessed with which of the following radiopharmaceuticals?
a. In111 chloride
b. Tc99m pertechnetate
c. Tc99m bicisate
d. Tc99m MAA
b. Tc99m pertechnetate
According to the FDA, written informed consent must be obtained to administer which of the following radiopharmaceuticals?
a. I123 sodium iodide
b. Tc99m sestimibi
c. Tc99m bicisate
d. any IND
d. any IND
Patient preparation for Sr89 chloride therapy includes all of the following except?
a. nuclear medicine bone imaging
b. complete blood count
c. discontinuation of pain medicine
d. renal function studies
c. discontinuation of pain medicine
Patient preparation for I131 therapy for thyroid cancer includes all of the following except?
a. ruling out pregnancy
b. administering oral potassium iodide
c. reviewing isolation requirements
d. discontinuing breast feeding
b. administering oral potassium iodide
One verification method used to ensure that the correct radiopharmaceutical is being administered is to check the label found on the vial. The best times to check this label would include all the following except?
a. before the vial is removed from the shelf
b. before the radiopharmaceutical is dispensed
c. after the vial is placed back on the shelf
d. after the radiopharmaceutical is administered to the patient
d. after the radiopharmaceutical is administered to the patient
When dual-radionuclide myocardium perfusion imaging is performed, which of the following tracers is used for stress and which for rest?
a. Tc99m Sestamibi for stress and Tl201 Thallous Chloride for rest
b. Tl201 Thallous Chloride for stress and Tc99m Sestamibi for rest
c. Tc99m Sestamibi for stress and Tc99m Teboroxime for rest
d. Tc99m Sestamibi for stress and Tc99m red blood cells for rest
a. Tc99m Sestamibi for stress and Tl201 Thallous Chloride for rest
If Tc99m Sulfur colloid is administered to demonstrate gastrointestinal bleeding, the bleeding can be visualized how long after the radiopharmaceutical is administered?
a. 10-15min
b. 20-30min
c. 45min-1hr
d. anytime up to 24hr
a. 10-15min
Which of the following areas is the recommended injection site for a cardiac first-pass study?
a. medium basilic vein
b. cephalic vein
c. axillary vein
d. dorsal vein
a. medium basilic vein
Patient preparation for I131 therapy includes?
a. having a low-iodine diet for 1 week prior to the therapy
b. having a high iodine diet for 1 week prior to the therapy
c. consuming a low-carbohydrate diet for 3 days prior to the therapy
d. not consuming any salt for 1 week prior to the therapy
a. having a low-iodine diet for 1 week prior to the therapy`
For a Ga67 infection imaging, the proper route of administration of the radiopharmaceutical is what?
a. intravenously
b. intramuscularly
c. orally
d. by inhalation
a. intravenously
Which of the following statements(s) best describes the preferred injection and blood sampling sites(s) when performing a plasma volume?
a. A butterfly placed in an antecubital vein should be used for injection of the radiopharmaceutical and subsequent blood sampling
b. Intravenous injection should be performed in an antecubital vein, and subsequent blood samples should be obtained from the same vein
c. Intravenous injection should be performed in an antecubital vein, and subsequent blood samples should be obtained from a different antecubital vein in the same arm
d. Intravenous injection should be performed in an antecubital vein in one arm, and subsequent blood samples should be obtained from an antecubital vein in the opposite arm
d. Intravenous injection should be performed in an antecubital vein in one arm, and subsequent blood samples should be obtained from an antecubital vein in the opposite arm
When administering an intravenous injection, the needle should be inserted into the vein at an angle of?
a. 90 degrees
b. 45 degrees
c. 15 degrees
d. 5 degrees
c. 15 degrees
When counting Cr51 red blood cell samples in a scintillation well counter, the window should be set around the photopeak at?
a. 81keV
b. 159keV
c. 320keV
d. 511keV
c. 320keV
Which tomographic plane of the heart displays all walls of the left ventricle?
a. horizontal long axis
b. short axis
c. transaxial
d. vertical long axis
b. short axis
When performing a radioiodine thyroid uptake with an uptake probe, the most appropriate collimator to use is a?
a. low-energy, high-sensitivity parallel-hole collimator
b. converging collimator
c. straight-bore collimator
d. flat-field collimator
d. flat-field collimator
Which of the following would not be in accordance with electrical safety guidelines?
a. use of three-pronged plugs and outlets
b. disconnecting an electrical plug from the wall by pulling on the cord
c. keeping walk areas free from electrical cords
d. not using frayed or kinked cords
b. disconnecting an electrical plug from the wall by pulling on the cord
When using F18 FDG for PET imaging a consideration must be made for which of the following being a contraindication for performing the study?
a. blood glucose level of 200mg/dL
b. blood glucose level of 120mg/dL
c. high-iodine diet within past week
d. low-iodine diet within past week
a. blood glucose level of 200mg/dL