General & Patient Safety Flashcards

1
Q

Mechanism of contrast induced nephropathy?

A

ATN due to toxic effect on tubules

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2
Q

Most frequent cause of lawsuit- perceptual or interpretive error?

A

Perceptual error

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3
Q

When should prophylactic steroids be taken before a CT with contrast study?

A

13 hrs then 1 hr before scan

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4
Q

What effect does voxel size have in MRI?

A

Increased SNR but reduced spatial resolution

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5
Q

What effect does FOV have in MRI?

A

Increased FOV implies reduced matrix size

This means increased SNR but reduced spatial resolution

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6
Q

What limits speed in FSE MRI?

A

Specific absorption rate

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7
Q

How does STIR sequence work?

A

Produces fat suppression through relaxation phenomena

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8
Q

What is NSF?

A

Nephrogenic systemic fibrosis

Generalised fibrosing disorder occurring in patient with renal failure exposed to Gd

Free Gd usually (chelated sometimes)

Spares cubital and popliteal fossa

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9
Q

CXR radiation dose?

A

0.02 mSv

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10
Q

AXR: how many CXR equivalent?

A

50

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11
Q

CT brain, AP and PA?

A

CT brain: 100

CT AP: 300-500

CT PA: 400

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12
Q

VQ, PET and bone scan?

A

VQ: 50

Bone scan: 200

PET: 700

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13
Q

Beta decay?

A

Too many neutrons. 1 neutron gets converted into a proton and an electron which gets ejected

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14
Q

Positron decay?

A

Too many protons. A proton gets converted into a neutron and a positron which gets emitted.

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15
Q

Tc 99m: what type of gamma rays emitted and half life?

A

Produced from Mo-99

Emits 140 keV gamma rays

Half life 6 hours (94% decays to Tc-99 in 24 hrs)

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16
Q

What causes Lyme disease?

A

Borrelia burgdorferi

17
Q

Name 3 manifestations of Lyme disease

A

Skin: erythema migrans

CNS: aseptic meningoencephalitis, radiculopathy, facial nerve palsy

Cardiac: myopericarditis

MSK: arthritis

18
Q

What thorax condition is not associated with amyloidosis?

A

Bronchopleural fistula

19
Q

In VQ scan what is the ratio of technegas to MAA?

A

1/5 dose of MAA

20
Q

Not on Wells criteria for PE?

A

OCP use

21
Q

What’s DTPA best for?

A

Measurement of eGFR and PUJ obstruction

22
Q

Peripheral venogram- how many frames per sec?

A

1 fps

23
Q

MAG-3 scan

A

Inject and scan immediately for 30 mins

24
Q

Risk of solid cancer from radiation?

A

1% per Sv

25
Q

Bone scan phases

A

Immediate (flow)

5 min (blood pool)

Delayed (4 hrs)

24 hrs for better spatial resolution

26
Q

Flare phenomenon in bony mets?

A

Sclerotic rim around lucent bony met

Just mean healing process- does not mean progression