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ARRT Bone Density Exam Study Set (1)

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ARRT Bone Density Exam Study Set (1)

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  • June 3, 2024
  • 48
  • 2023/2024
  • Exam (elaborations)
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ARRT Bone Density Exam Study Set
2 types of Serum Type 1 Peptides - ANS-1. c-terminal propeptides (PICP)

2. n-terminal propeptides (PINP)

3 basic parts of bone - ANS-1. cells/osteocytes (osteoclasts and osteoblasts)
2. matrix
3. inorganic calcium salts

3 Commercial DXA Units - ANS-1. Hologic
2. GE Healthcare
3. Norland

5 basic ways x-rays interact with matter - ANS-1. classical scatter
2. compton effect
3. photoelectric effect
4. pair production
5. photodisintegration effect

85% confidence level - ANS-1.84 x precision

90% confidence level - ANS-2.33 x precision

95% confidence level - ANS-2.77 x precision

A DXA scanner that uses a single detector and a pinhole collimator is a........ -
ANS-pencil beam scanner

A DXA system that employs a rare earth filtered x-ray source uses what type of
detector? - ANS-pulse counting

A great forearm scan should include....... - ANS--forearm centered

-forearm straight

-free of artifacts

,A postmenopausal woman with a femoral neck T-score of -2.0 SD below a young adult
is to be classified as....... - ANS-osteopenia

A technologist should perform a precision study in order to calculate _______________.
- ANS-LSC (Least Significant Change)

Abaloparatide (Tymlos) - ANS--stimulates osteoblast formation

-daily injection

-not recomended for patients with Paget's disease or bone mets

According to the WHO criteria, what is the diagnosis of osteoporosis based on the
measurement of bone density? - ANS-2.5 SD or more below the young adult peak bone
density

Accuracy - ANS--ability to measure true value

-most important for diagnosis

-less important for serial monitoring

-affected by the technology

Accuracy - ANS--degree to which the measured results deviate from the values

-ability to measure true value

-mostly affected by the technology

Activation - ANS-osteoclasts begin to form on the surface of the bone

Advantages of Dual Photon Absoptiometry (DPA) - ANS--allowed us to image the spine
and proximal femur

Advantages of DXA - ANS--low dose
-high resolution
-good precision
-stable calibration
-short scan time

,Advantages of DXA - ANS--no source decay that comes with an isotope

-reduced scan time

-precise

Advantages of QUS - ANS--no ionizing radiation

-portable

-inexpensive

After each fracture, Relative Risk multiplies by 2 - ANS-

Age factor for osteoporosis - ANS--postmenopausal

-early menopause (before age 45)

-bone loss is initiated by a dramtic decline in estrogen production by the ovaries

ALARA - ANS--as low as reasonably achievable

-encompasses all radiation safety measures

-minimies radiation dose

-foundation for radiation safety programs

Alendronate (Binosto) - ANS--inhibits osteoclasts

-taken orally

-taken weekly

Alendronate (Fosamax) - ANS--inhibits osteoclasts

-taken orally

-taken daily/weekly

, All follow up DXA scans should be compared to the ________scan - ANS-baseline

Although the technology is similar with all of the DXA units, the BMD results are
different because.......... - ANS--different calibration standards

-algorithms to calculate BMD

-differences in the ROI

-different databases

Aluminum Phantoms - ANS--used with Prodigy, DPX-NT and DPX-MD+

always pick the lowest T-score to make a diagnosis - ANS-

An increase in the overall bone mass of a patient is closely related to an accelerated
rate of bone ___________ and a reduced amount of _______________. -
ANS-formation; resorption

Anabolic Agents - ANS-stimulates osteoblastic formation

Antiresorptive Agents - ANS-inhibits osteoclasts

Aphasia - ANS-total or partial loss of the power to use or understand words

Appendicular skeleton - ANS-pelvic girdle, limbs, hands and feet

Areas of the body where cortical (compact) bone is found) - ANS--femoral neck

-fingers

-proximal forearm

-distal forearm

Areas of the body where trabecular (cancellous) bone is found - ANS--spine

-Ward's Area

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