Nuclear Medicine Critique Final Exam.pdf file:///C:/Users/HP/Desktop/eewwww/Nuclear%20Medicine%20Cr
Nuclear Medicine Critique Final Exam
1. The following WB bone image represents:
a) an anterior/posterior WB bone scan
b) a patient with epiphyseal growth plate activity
c) a positive image display capability
d) all of the above
ANS : D all of the above
2. The inclusion of SPECT/CT imaging during a bone scan:
a) Allows for shorter imaging times during a bone scan.
b) Provides structural and functional data combined.
c) Provides 3-D anatomical data only.
d) Is necessary in all bone scan studies.
ANS : B provides structural and functional data combined
3. Osteomyelitis is usually evaluated on a bone scan by:
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a) Routine delayed imaging only.
b) By perfusion and blood pool imaging alone.
c) 24-hour delayed imaging.
d) 3-Phase study techniques.
ANS : D 3-phase study techniques
4. The following characteristics best describe a patient with Paget's
disease, EXCEPT:
a) Usually over 55 years old.
b) Usually female.
c) Usually considered a "superscan".
d) alkaline phosphotase in blood.
ANS : B usually female
5. 1. The main technical issue with this WB bone scan is:
a) Improper positioning.
b) Insufficient data collection.
c) Infiltration of the radiopharmaceutical dose.
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d) Poor image quality.
ANS : C infiltration of the radiopharmaceutical dose
6. Diffuse bone metastases is usually identified by:
a) Normal bony uptake of the Tc-99m MDP agent.
b) 3-Phase imaging techniques.
c) Multiple hot spots seen over the bony anatomy.
d) The use of a medium energy collimator during
the imaging process.
ANS : C multiple hot spots seen over the bony anatomy
7. 1. The use of pinhole collimation while performing a bone scan:
a) Is best implemented for evaluation of avascular necrosis of the hip-femoral joint.
b) Is a routine imaging choice for most clinical indications.
c) Provides detail of soft tissue anatomy.
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d) Allows the technologist to complete the clinical study quickly.
ANS : A is best implemented for evaluation of avascular necrosis of the hip-femoral joint
8. 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.
ANS : D stress fractures
9. 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 interup- tion.
c) Removes excessive bladder uptake from the images.
d) All of the above.
ANS : D all of the above
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