Lung and Bone Quiz (3/3)

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27 Multiple choice questions

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nuclear medicine

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Joshua Liberty

United States

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Lung and Bone Quiz (3/3)Version en ligne 27 Multiple choice questions par Joshua Liberty 1 A bone superscan indicates? a A healthy patient b No metastatic disease c Diffuse uptake in metastatic disease d Increased renal activity 2 Increased bone scan activity is seen in a patient with avascular necrosis of the hip. This is indicative of? a A healthy patient b Repair phase c Early phase in disease d None of the above 3 Sr-89 dosing for bone pain is? a 4 mCi, or 40-60 uCi/kg body weight b 2 mCi, or 20-30 uCi/kg body weight c 5 mCi d 10 mCi 4 Describe the 3 phase bone scan pattern seen in osteomyelitis as far as image results. a Hot flow, cold BP, hot delayed b Hot flow, hot BP, diffuse delayed c Cold flow, hot BP, hot delayed d Hot flow, hot BP, hot delayed 5 Increased soft tissue uptake distal to site of injection caused by accidental arterial injection of radiopharmaceutical is called? a Bone scan glove phenomenon b Bone flare phenomenon c Lymph node pattern d Superscan 6 Increased uptake in sites of Mets in prostate/breast cancer patients post chemotherapy caused by healing; mimics new lesions or Mets getting worse is called. a Bone scan glove phenomenon b Bone flare phenomenon c Lymph node pattern d Superscan 7 Name the toxic side effect of Sm-153 and Sr-89 therapy. a Bone scan glove phenomenon b Damage to the GI tract c Lymph node damage d Bone marrow suppression 8 A technologist sees stomach, salivary glands, and thyroid uptake on bone scan; what is the likely cause? a Free Tc04- b Damage to the GI tract c Extravasation d Hypothyroidism 9 Accumulation of radionuclides in the bone is related to both the rate of bone production and: a The type of bone b The type of collimator used c Vascularity d KeV 10 The advantages of F-18 over Tc99m bone agents include? a Less expensive b Can be scanned on a normal gamma camera c No cyclotron needed d Elevated ratio of bone vs soft tissue uptake 11 Extravasations are cleared by? a Normal bone b Lymph nodes c Liver d Bone marrow 12 What is the MOL of MDP bone imaging? a Heterionic exchange in the hydroxyapatite crystal b Chemisorption c Passive diffusion d Receptor binding e Heterionic exchange in the hydroxyapatite crystal, chemisorption 13 Radium-223 Dichloride is used for? a Bone pain b Treatment of patients with breast cancer, symptomatic bone metastases c Treatment of patients with castration-resistant prostate cancer, symptomatic bone metastases d Osteosarcoma primary tumors 14 The dose regimen of Radium-223 dichloride is _____ per _____ of body weight given at 4 week intervals for _____ injections. a 1.35 mCi; kg; 6 b 1.49 uCi; kg; 6 c 1.49 uCi; kg; 4 d 1-2 mCi; kg; 4 e 1.49 mCi; kg; 6 15 With metastatic disease, the area of abnormal radiopharmaceutical concentration represents the edge of the cancer lesion where _____ may be in progress. a Osteoblastic repair b Bone death c Osteoclastic repair d Soft tissue uptake e None of the above 16 The common cause of stripe sign? a Pneumonia b Pulmonary edema c PE d Emphysema e Pleural fluid in fissures, COPD, pleural thickening 17 Causes of a fissure sign include? a Pleural fluid in fissures b COPD c Pleural thickening d Emphysema e Pleural fluid in fissures, COPD, pleural thickening 18 An image shows increased activity in the right upper quadrant (RUQ) that appears during the end of the Xe-133 wash out phase; this is indicative of? a Emphysema b COPD c Fatty liver d PE 19 Sm-153 Lexidronam (EDTMP) dosing for bone pain is? a 4 mCi, or 40-60 uCi/kg body weight b 2 mCi, or 20-30 uCi/kg body weight c 1.0 uCi/kg d 1.0 mCi/kg e 1.0 mCi/lb 20 Sr-89 chloride should be used with caution in patients with platelet counts< _______ and WBC counts < _______. a 60,000; 2,400 b 100,000; 2,400 c 60,000; 1,200 d 60,000; 800 21 A patient has had previous radiation therapy; the result may be? a Increased flow b Same as osteosarcoma c Multiple adjacent bones have decreased activity d Multiple adjacent bones have increased activity 22 A patient has no metastatic disease but his bone scan appears to be a superscan; what is the possible cause? a Single tumor b Primary or secondary hyperparathyroidism c Primary or secondary hypoparathyroidism d Immune deficiency 23 A patient with obstructive disease of the airways, severe bronchial asthmas and emphysema, has a radioaerosol scan; what pattern will be seen? a Same as PE b Abnormal perfusion and normal radioaerosol c More peripheral distribution with less central deposition d Central deposition in the larger bronchial tubes with little or no peripheral distribution 24 MAA particles eventually disintegrate and go through the pulmonary capillaries; they are removed from circulation in the ______ and ______. a Kidneys; spleen b Liver; kidneys c Liver; spleen d Liver; pancreas 25 SC localizes in bone marrow because? a It has the same MOL as MDP b There are reticuloendothelial cells in marrow c Of liver and spleen uptake d None of the above 26 A patient has medial tibial stress syndrome; the pattern on bone scan seen may be? a Normal flow, normal blood pool, increased uptake in delayed views b Increased flow, increased blood pool, increased uptake in delayed views c Normal flow, increased blood pool, increased uptake in delayed views d Increased flow, increased blood pool, decreased uptake in delayed views 27 A bone superscan will have? a Increased axial skeleton uptake b No renal activity c Increased renal activity d Decreased renal activity e Increased axial skeleton uptake, decreased renal activity

Lung and Bone Quiz (3/3)Version en ligne

27 Multiple choice questions

par Joshua Liberty

A bone superscan indicates?

A healthy patient

No metastatic disease

Diffuse uptake in metastatic disease

Increased renal activity

Increased bone scan activity is seen in a patient with avascular necrosis of the hip. This is indicative of?

A healthy patient

Repair phase

Early phase in disease

None of the above

Sr-89 dosing for bone pain is?

4 mCi, or 40-60 uCi/kg body weight

2 mCi, or 20-30 uCi/kg body weight

5 mCi

10 mCi

Describe the 3 phase bone scan pattern seen in osteomyelitis as far as image results.

Hot flow, cold BP, hot delayed

Hot flow, hot BP, diffuse delayed

Cold flow, hot BP, hot delayed

Hot flow, hot BP, hot delayed

Increased soft tissue uptake distal to site of injection caused by accidental arterial injection of radiopharmaceutical is called?

Bone scan glove phenomenon

Bone flare phenomenon

Lymph node pattern

Superscan

Increased uptake in sites of Mets in prostate/breast cancer patients post chemotherapy caused by healing; mimics new lesions or Mets getting worse is called.

Bone scan glove phenomenon

Bone flare phenomenon

Lymph node pattern

Superscan

Name the toxic side effect of Sm-153 and Sr-89 therapy.

Bone scan glove phenomenon

Damage to the GI tract

Lymph node damage

Bone marrow suppression

A technologist sees stomach, salivary glands, and thyroid uptake on bone scan; what is the likely cause?

Free Tc04-

Damage to the GI tract

Extravasation

Hypothyroidism

Accumulation of radionuclides in the bone is related to both the rate of bone production and:

The type of bone

The type of collimator used

Vascularity

KeV

The advantages of F-18 over Tc99m bone agents include?

Less expensive

Can be scanned on a normal gamma camera

No cyclotron needed

Elevated ratio of bone vs soft tissue uptake

Extravasations are cleared by?

Normal bone

Lymph nodes

Liver

Bone marrow

What is the MOL of MDP bone imaging?

Heterionic exchange in the hydroxyapatite crystal

Chemisorption

Passive diffusion

Receptor binding

Heterionic exchange in the hydroxyapatite crystal, chemisorption

Radium-223 Dichloride is used for?

Bone pain

Treatment of patients with breast cancer, symptomatic bone metastases

Treatment of patients with castration-resistant prostate cancer, symptomatic bone metastases

Osteosarcoma primary tumors

The dose regimen of Radium-223 dichloride is ___ per _ of body weight given at 4 week intervals for ___ injections.

1.35 mCi; kg; 6

1.49 uCi; kg; 6

1.49 uCi; kg; 4

1-2 mCi; kg; 4

1.49 mCi; kg; 6

With metastatic disease, the area of abnormal radiopharmaceutical concentration represents the edge of the cancer lesion where _____ may be in progress.

Osteoblastic repair

Bone death

Osteoclastic repair

Soft tissue uptake

None of the above

The common cause of stripe sign?

Pneumonia

Pulmonary edema

Emphysema

Pleural fluid in fissures, COPD, pleural thickening

Causes of a fissure sign include?

Pleural fluid in fissures

COPD

Pleural thickening

Emphysema

Pleural fluid in fissures, COPD, pleural thickening

An image shows increased activity in the right upper quadrant (RUQ) that appears during the end of the Xe-133 wash out phase; this is indicative of?

Emphysema

COPD

Fatty liver

Sm-153 Lexidronam (EDTMP) dosing for bone pain is?

4 mCi, or 40-60 uCi/kg body weight

2 mCi, or 20-30 uCi/kg body weight

1.0 uCi/kg

1.0 mCi/kg

1.0 mCi/lb

Sr-89 chloride should be used with caution in patients with platelet counts< _ and WBC counts < _.

60,000; 2,400

100,000; 2,400

60,000; 1,200

60,000; 800

A patient has had previous radiation therapy; the result may be?

Increased flow

Same as osteosarcoma

Multiple adjacent bones have decreased activity

Multiple adjacent bones have increased activity

A patient has no metastatic disease but his bone scan appears to be a superscan; what is the possible cause?

Single tumor

Primary or secondary hyperparathyroidism

Primary or secondary hypoparathyroidism

Immune deficiency

A patient with obstructive disease of the airways, severe bronchial asthmas and emphysema, has a radioaerosol scan; what pattern will be seen?

Same as PE

Abnormal perfusion and normal radioaerosol

More peripheral distribution with less central deposition

Central deposition in the larger bronchial tubes with little or no peripheral distribution

MAA particles eventually disintegrate and go through the pulmonary capillaries; they are removed from circulation in the and .

Kidneys; spleen

Liver; kidneys

Liver; spleen

Liver; pancreas

SC localizes in bone marrow because?

It has the same MOL as MDP

There are reticuloendothelial cells in marrow

Of liver and spleen uptake

None of the above

A patient has medial tibial stress syndrome; the pattern on bone scan seen may be?

Normal flow, normal blood pool, increased uptake in delayed views

Increased flow, increased blood pool, increased uptake in delayed views

Normal flow, increased blood pool, increased uptake in delayed views

Increased flow, increased blood pool, decreased uptake in delayed views

A bone superscan will have?

Increased axial skeleton uptake

No renal activity

Increased renal activity

Decreased renal activity

Increased axial skeleton uptake, decreased renal activity

Lung and Bone Quiz (3/3)

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Téléchargez la version pour jouer sur papier

Créé par

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