Exam 5 Flashcards
For a patient undergoing bone imaging, all of the following information from the medical history is relevant to the interpretation of the bone image except?
a. gallbladder surgery a year ago
b. abdominal surgery 10 days ago
c. radiation therapy to the breast 6 months ago
d. results of previous bone imaging procedures
a. gallbladder surgery a year ago
If a patient is injected with Tc99m MAA while in an upright position, which of the following is most likely to be seen on the perfusion lung images?
a. increased tracer activity in the lung apices
b. decreased tracer activity in the lung apices
c. decreased tracer activity in the lung bases
d. decreased tracer activity throughout both lungs
b. decreased tracer activity in the lung apices
If the usual adult dosage on Tc99m MAA is 4mCi, a patient who has had a right pneumonectomy should receive what dosage?
a. 1mCi
b. 2mCi
c. 3mCi
d. 4mCi
b. 2mCi
Which of the following steps would be appropriate during a standby-assist wheelchair transfer?
a. the wheelchair should be perpendicular to the imaging table
b. the wheelchair footrests should be out of the way
c. the wheelchair should be placed parallel to the imaging table
d. the wheelchair should be unlocked
b. the wheelchair footrests should be out of the way
Patient preparation for infection imaging using tagged white blood cells include?
a. fasting for at least 4hr with a blood glucose level below 120mg/dL
b. smoking cessation for at least 24hr
c. discontinuation of certain medications
d. lab work and information concerning recent blood transfusions
d. lab work and information concerning recent blood transfusions
Thyroid imaging may be performed with which of the following collimators?
a. flat field
b. pinhole
c. parallel hole
d. pinhole or parallel hole
d. pinhole or parallel hole
In performing a thyroid uptake, a technologist collects the thyroid counts 5cm from the surface of the patient’s neck and the standard counts 20cm from the surface of the neck phantom. What is the effect on the thyroid uptake value calculated from this data?
a. the uptake value will be accurate
b. the uptake value will be falsely decreased
c. the uptake value will be falsely increased
d. the results are unpredictable
c. the uptake value will be falsely increased
The percentage left ventricular ejection fraction calculated from the net counts per minute shown here:
end diastole = 2875
end systole = 2162
is approximately?
a. 13%
b. 25%
c. 33%
d. 75%
b. 25%
When a technologist cares for a patient who is not known to have a communicable disease, all of the following infection control measures should be implemented except?
a. decontamination imaging equipment with an antiseptic
b. wearing gloves when collecting a blood sample
c. handwashing before and after the nuclear medicine examination
d. using a needle recapping device
a. decontamination imaging equipment with an antiseptic
Normal sinus rhythm is characterized by which of the following?
I. 60-100bets/min
II. R wave occurs at constant intervals
III. PR interval 0.12-0.20 sec long
a. I and II only
b. I and III only
c. II and III only
d. I, II, and III
d. I, II, and III
After stress myocardium imaging with Tl201 thallous chloride, 1-1.5mCi of Tl201 thallous chloride may be administered before rest myocardial imaging to?
a. improve patient throughput
b. demonstrate reversible ischemia more readily
c. demonstrate infarct size more precisely
d. minimize visualization of attenuation artifacts
b. demonstrate reversible ischemia more readily
If the gallbladder is not visualized within 60 min during hepatobiliary imaging, which of the following may be administered?
a. cimetidine
b. morphine
c. dobutamine
d. furosemide
b. morphine
Preparation of the patient for Meckel’s diverticulum localization includes?
a. the administration of laxatives
b. fasting for at least 2hr before imaging
c. an enema immediately before imaging
d. oral or intravenous hydration
b. fasting for at least 2hr before imaging
Which of the following Tc9m labeled agents is the preferred tracer for demonstrating intermittent gastrointestinal bleeding?
a. human serum albumin
b. lidofenin
c. red blood cells
d. sulfur colloid
c. red blood cells
Furosemide is sometimes administered during renal imaging to?
a. rule out transplant rejection
b. rule out ureteropelvic obstruction
c. enhance tracer uptake in an abnormal kidney
d. increase blood flow to the kidneys
b. rule out ureteropelvic obstruction
Which of the following events is a normal response when furosemide is administered near the end of a renal function study?
a. radioactivity is cleared from the renal pelvis into the bladder
b. radioactivity is taken up into the renal cortex
c. mechanical blockages in the renal collecting system are cleared
d. the peak transit time of the radiopharmaceutical is shortened
a. radioactivity is cleared from the renal pelvis into the bladder
Early (6hr after injection) Ga67 imaging should be performed if which of the following conditions is suspected?
a. sarcoma
b. osteomyelitis
c. lymphoma
d. bronchogenic carcinoma
b. osteomyelitis
The most effective way of controlling the spread of infectious disease in a hospital setting is for the technologist to ?
a. stay home when ill
b. wear gloves, mask, and hospital gown at all times
c. wash hands before and after patient contact
d. maintain distance from each patient
c. wash hands before and after patient contact
In111 pentetreotide normally localizes in all of the following sites except?
a. pituitary glands
b. salivary glands
c. spleen
d. thyroid glands
b. salivary glands
SPECT brain imaging may begin how soon after the administration of Tc99m exametazime?
a. immediately
b. 15-20 mins
c. 1-2 hours
d. 24hrs
c. 1-2 hours
Radioactivity is visualized in all of the following areas during a normal cisternography study except?
a. cerebral convexities
b. basal cisterns
c. lateral ventricles
d. central canal
c. lateral ventricles
Patient preparation for instilling colloidal P32 chromic phosphate into the peritoneal cavity includes which of the following?
a. surgical placement of a LeVeen shunt to remove excess peritoneal fluid
b. introducing Tc99m sulfur colloid into the cavity to confirm that the P32 will disperse evenly
c. instructing the patient about isolation requirements
d. fasting for 8-12 hours before radiopharmaceutical administration
b. introducing Tc99m sulfur colloid into the cavity to confirm that the P32 will disperse evenly
Patient preparation for post-thyroidectomy I131 whole-body imaging for metastases may include all of the following except?
a. discontinuation of replacement thyroid hormone
b. administration of exogenous TSH
c. administration of 600-100mg of potassium perchlorate 2hr before imaging
d. following a low-iodine diet for 1-2 weeks before imaging
c. administration of 600-100mg of potassium perchlorate 2hr before imaging
The administration technique for Tc99m bicisate includes which of the following?
a. direct venous stick
b. infusion at peak cardiac stress
c. bolus injection technique
d. minimize environmental stimuli
d. minimize environmental stimuli