Nuclear Medicine Critique Final Exam
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2024
A tri-athelete comes to the Nuclear Medicine clinic for a bone scan. What would
be the most typical clinical findings of this scan considering the chief complaint
is leg pain?
a) Diffuse metastatic disease.
b) Paget's Disease.
c) Osteomyelitis.
d) Stress Fractures. - ✔✔d stress fractures
Getting the patient to void prior to delayed bone scan imaging:
a) Allows better identification of bony structures in the pelvis area.
,b) Provides better opportunity to complete the scan without patient interuption.
c) Removes excessive bladder uptake from the images.
d) All of the above. - ✔✔d all of the above
Evaluation of patients with joint replacement is fairly routine as a part of bone
scintigraphy in Nuclear Medicine. The following are concerns in this patient,
EXCEPT:
a) Prosthesis loosening.
b) Prosthesis - bony infection.
c) Technically sufficient static views of that appendage area for evaluation.
d) Hyper-extension of the neck area during the WB images. - ✔✔d
hyper-extension of the neck area during the WB images
1. A typical Tc-99m MDP adult bone scan dose is likely to be:
,a) 10-15 mCi.
b) 5 mCi
c) 25 mCi
d) 55 mCi - ✔✔25 mCi
1. The following scan is most likely a:
a) Bone scan.
b) Renal scan.
c) Cerebral Perfusion scan.
d) A CSF scan. - ✔✔d a CSF scan
1. Typical cerebral perfusion agents are all of the following, EXCEPT:
, a) I-123 HMPAO
b) Tc-99m Ceretec
c) Tc-99m ECD
d) Tc-99m Neurolite - ✔✔a I-123 HMPAO
1. A ventriculo-venous shunt is evaluated on a 5 year old boy post surgical
repair for hydrocephalus. If Tc-99m MAA was injected in the shunt reservoir,
proper shunt function is observed:
a) When radiotracer is observed in the abdomen within a few minutes.
b) When radioactivity is seen in the liver.
c) When the radiopharmaceutical is observed in the lung fields.
d) When the radiopharmaceuticals stays at the shunt site only. - ✔✔c when
the radiopharmaceutical is observed in the lung fields
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