Review test Flashcards

(43 cards)

1
Q

Which of the following bodies regulates the use of investigational pharmaceuticals?
(a) NRC
(b) DOT
(c) IRB
(d) FDA

A

D

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2
Q

In the event of a spill of 99mTc to clothes, one should immediately:
(a) Enter a shower fully clothed
(b) Remove and store the clothes until they decay to background
(c) Wash the clothes in hot water and then survey them to determine remaining activity
(d) Remove and destroy the clothing

A

B

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3
Q

If a radiopharmaceutical is spilled on the floor, the first priority is to:
(a) Contact the Radiation Safety
Officer
(b) Pour a chelating solution over the area of the
(c) Cover the area with absorbent paper and restrict access around it
(d) Call the housekeeping department to arrange for cleaning

A

C

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4
Q

The inverse square law, in words, says:

(a) If you double the distance from the source of activity, you reduce exposure to 25% of the original intensity.

(b) If you halve the distance from the source of activity, you decrease exposure to 25 % of the original intensity.

(c) If you halve the distance from the source of activity, you decrease exposure to one-fourth of the original intensity.

A

A

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5
Q

What is the best way to
decrease the radioactive dose to visi-tors if a patient is surveyed to emit 3 mR/h at bedside?
(a) Have the patient wear lead aprons
(b) Keep the patient well hydrated and encourage frequent voiding.
(c) Have the visitor sit or stand as far as possible from bedside.
(d) Have the visitor wear lead shielding.

A

C

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6
Q

Which of the following isotopes would be effectively shielded by a plastic syringe?
(a) 67 Ga
(b) 89 Sr
(c) 99m Tc
(d) 81m Kr
(e) 133 Xe

A

B

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7
Q

Which of the following should be used when administering an intravenous pharmaceutical to a patient?
(a) Lead syringe shield
(b) Leaded eyeglasses
(c) Gloves
(d) All of the above
(e) (a) and (b) only

A

C

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8
Q

Which of the following is the most effective means of
measuring low levels of removable radiation?
(a) By performing an area survey
(b) By performing a wipe test
(c) With a pocket dosimeter
(d) With a TLD

A

B

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9
Q

Which of the following measures absorbed doses?
(a) mCi
(b) Becquerel
(c) Gray
(d) All of the above

A

C

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10
Q

If the dose rate at 3 m from a radioactive source is 100
mrem/h, what will the dose rate be at 6 m?
(a) 25 mR/h
(b) 50 mR/h
(c) 75 mR/h
(d) 12.5 mR/h

A

A

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11
Q

The philosophy of the ALARA program is to keep the radiation dose:
(a) As low as recently authorized
(b) As long as reasonably attained
(c) As long as reasonably acceptable
(d) As low as reasonably achievable

A

D

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12
Q

All of the following are critical factors in keeping radiation exposure to a minimum except:
(a) Time spent near the
radioactive source
b) Geometry of the container holding the source of radiation
(c) Distance from the source of radiation
d) Shielding of the
radioactive source

A

B

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13
Q

If the exposure rate at 4 m from a radioactive source is 5 mR/h,
what will the exposure rate be at 3 m?
(a) 2.8 mR/h
(b) 6.5 mR/h
(c) 7.4 mR/h
(d) 8.9 mR/h

A

D

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14
Q

A technologist has 500 mrem registered on his ring badge in 1 month. What should be done to decrease exposure in the future?
(a) Use lead pigs and syringe shields when preparing
radiopharmaceuticals
(b) Have another technologist elute the generator
(c) Wear lead aprons
(d) All of the above

A

A

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15
Q

Which of the following steps would not decrease a technologists chances of internal exposure to radiation?
(a) Wearing gloves during injection of
radiopharmaceuticals
(b) Using tongs to transfer a vial from a lead shield to a dose
calibrator
(c) Working under a fume hood when working with volatile liquids and radioactive gases
(d) Refraining from smoking and eating in the “hot lab”

A

B

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16
Q

Tools for measuring personal exposure to radiation include all of the following except:
(a) Thermoluminescent dosimeter
(b) Pocket ionization chamber
(c) Film badge
(d) Geiger-Mueller Counter

A

D

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17
Q

If the lead HVL for 99m Tc is 2.6
mm, and a lead shield containing 99m Tc elvate is 13 mm thick, what will the exposure rate be from the shielded vial if the unshielded
vial had a rate of 100 mR/h?
(a) 1.6 mR/h
(b) 3.1 mR/h
(c) 6.3 mR/h
(d) 12.5 mR/h

A

B

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18
Q

If a technologist sits 2 ft away from a generator and the dose rate at his chair is 15 mrem/h, what will the dose rate be if he moves his chair 4 ft from the
generator?
(a) 2.5 mrem/h
(b) 3.75 mrem/h
(c) 7.5 mrem/h
(d) 60 mrem/h

19
Q

A three phase bone scan is often done to differentiate:
A) osteomyelitis vs. diskitis
B) osteoporosis vs. cellulitis
C) osteomyelitis vs. cellulitis
D) osteoporosis vs. septic arthritis

20
Q

Which of the following is least likely to cause an artifact on a bone scan?
A) skin contaminated with urine
B) injection site
C) snap on trousers
D) colostomy bag

21
Q

What could be the cause of generalized, diffuse activity in the abdomen on a bone scan?
A) free pertechnetate
B) pacemaker
C) bone cyst
D) malignant ascites

22
Q

uniformly increased skeletal uptake of radiopharmaceutical with almost absent renal and bladder activity is usually referred to as a:
A) suprascan
B) flare phenomenon
C) superscan
D) renal failure

23
Q

Which of the following describes a pediatric bone scan?
A) increased uptake along epiphyseal plates
B) decreased uptake along epiphyseal plates
C) overall decreased uptake in bone
D) increased uptake in long

24
Q

Dipyridamole is supplied to a nuclear medicine department in 10 ml vials, each containing
50mg. If a patient weighs 155 pounds, how many milliliters must be injected for him to receive 0.56 mg/kg?
A) 17.4 ml
B) 8.7 ml
C) 7.9 ml
D) 39.5 ml

25
The localization of Tc99m HMPAO is related to: A) distribution of neuroreceptors B) glucose metabolism C) a breakdown of the blood brain barrier D) cerebral blood flow
D
26
CSF dynamics are studied following administration of Indium 111 DTPA: A) via intradermal injection B) via intrathecal injection C) via intravenous injection D) via intraperitoneal injection
B
27
Which of the following agents will cross an intact blood brain barrier? A) Tc99m HMPAO B) Tc99m Pertechnetate C) Tc99m GH D) Tc99m DTPA
A
28
A technologist neglects to give a patient potassium perchlorate before injection with 20 mCi of Tc99m pertechnetate. How will this affect the static brain images taken at 1 hour after injection? A) choroid plexus may be seen B) salivary glands may be seen C) thyroid activity may be seen
A
29
What is the method of localization of Tc99m pertechnetate in the thyroid? A) receptor binding B) phagocytosis C) sequestration D) diffusion E) active transport
E
30
A technologist covers the collimator (which is facing the ceiling) with absorbent paper and obtains a uniformity image using a liquid flood source with added Tc99m. A round cold spot is seen on the image. Subsequently the technologist removes the collimator, turns the camera face down and obtains another image using a point source placed on the floor. This image appears uniform. What is the most likely cause of the cold spot on the first image? A) collimator defect B) decoupled photomultiplier tube C) subtle crystal crack D) improper energy peaking
B
31
During a lung perfusion study, activity is noted in the head and in the area of the kidneys. This represents: A) probably metastases B) free technetium in the MAA C) incorrect particle size D) right to left shunt
D
32
Excretion of Tc99m MAG3 is by: A) active transport B) tubular secretion C) glomerular filtration D) none of the above
B
33
Thirty minutes after injection of 8 mCi of Tc99m MAG3, there is significant activity remaining in the renal pelvis. What will most likely follow? A) patient will be asked to void before reimaging B) a diuretic will be administered C) imaging will be extended for 20 minutes D) all of the above
D
34
Which of the following would demonstrate increased uptake on an F-18 FDG scan? A) recent radiation therapy B) infection in the lung pleura C) strenuous exercise immediately prior to department arrival D) all of the above
D
35
What are the possible effects on a hepatobiliary scan if the patient has eaten 2 hours before the study? A) a false positive B) nonvisualization of the gallbladder C) CCK may not be able to be administered to calculate an EF D) all of the above E) A and B only
D
36
A technologist covers the collimator (which is facing the ceiling) with absorbent paper and obtains a uniformity image using a liquid flood source with added Tc99m. A round cold spot is seen on the image. Subsequently the technologist removes the collimator, turns the camera face down and obtains another image using a point source placed on the floor. This image appears uniform. What is the most likely cause of the cold spot on the first image? A) collimator defect B) decoupled photomultiplier tube C) subtle crystal crack D) improper energy peaking
B
37
38
39
If the exposure rate at 4 m from a radioactive source is 5 mR/h, what will the exposure rate be at 3 m? (a) 2.8 mR/h (b) 6.5 mR/h (c) 7.4 mR/h (d) 8.9 mR/h
D
40
A technologist has 500 mrem registered on his ring badge in 1 month. What should be done to decrease exposure in the future? (a) Use lead pigs and syringe shields when preparing radiopharmaceuticals (b) Have another technologist elute the generator (c) Wear lead aprons (d) All of the above
A
41
Which of the following steps would not decrease a technologists chances of internal exposure to radiation? (a) Wearing gloves during injection of radiopharmaceuticals (b) Using tongs to transfer a vial from a lead shield to a dose calibrator (c) Working under a fume hood when working with volatile liquids and radioactive gases (d) Refraining from smoking and eating in the "hot lab"
B
42
Tools for measuring personal exposure to radiation include all of the following except: (a) Thermoluminescent dosimeter (b) Pocket ionization chamber (c) Film badge (d) Geiger-Mueller Counter
D
43
If the lead HVL for 99m Tc is 2.6 mm, and a lead shield containing 99m Tc elvate is 13 mm thick, what will the exposure rate be from the shielded vial if the unshielded vial had a rate of 100 mR/h? (a) 1.6 mR/h (b) 3.1 mR/h (c) 6.3 mR/h (d) 12.5 mR/h
B