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Test: Optimization of PET

1.  Occupational Workers may accumulate:

        5 R/year whole body and 50 R/yr in extremities

        500 R/ year whole body and 5000R/yr in extremities

        0.5 R/year whole body and 0.5R/yr. in extremities

        50 R/ year whole body and 500R/yr in extremities

2.  The current maximum dose rate for an unrestricted area is:

        2 mR in one hour. and 100 mR in one year.

        0. 2 mR/hour and 100 mR/year

        20 mR in one hour. and 100 mR in one year

        20 mR / hour. and 100 mR / year

3.  Using a long handled tongs to transfer the syringe of F-18 FDG to the dose calibrator and then to the injection shield can...:

        Significantly decrease technologist time for measuring dose

        Significantly increase technologist exposure

        Significantly improve counting statistics in dose calibrator

        Significantly decrease technologist exposure

4.    The TDS method for controlling external radiation exposure involves:

        Time, exercise, and shielding during injection, uptake, and acquisition

        Gloves, distance, and shielding during injection, uptake, and acquisition

        Time, distance, and plastic wall for shielding during injection, uptake, and acquisition

        Time, distance, and shielding during injection, uptake, and acquisition

5.     In general, barriers, partitions and shielding must be designed to...:

        Protect operations personnel, other equipment, and public areas from sources of sound waves from the PET/CT scanner

        Protect  the PETS cages  and public areas from absorbing  radioactivity

        Protect operations personnel, other equipment, and public areas from sources of radioactivity

        Protect patient’s clothes from sources of radioactivity

6.   Instruct patient to refrain from any strenuous activity on the day before and the day of their appointment in order to...:

        Help the injection of F-18 FDG to be taken up by normal muscles

        Help the patient make it to their appointment on time

        Keep the injection of FDG from going to the heart

        Help the patient remain relaxed physically to prevent uptake in normal muscles
 

7.   In coincidence detection...:

        Two points and  the locations of the detectors define the patient’s attenuation correction factors

        Two points and the locations of the detectors define the line of response along which the annihilations must have occurred

        Four points and  the locations of the detectors define the line of response along which the protons precisely occurred

        Two points and the locations of the detectors define the line of response along which the x-ray must have occurred
 

8.   Which one of the following statements is true?:

        CT provides the x-ray information; PET provides the anatomic information

        PET provides the anatomical information; CT provides the functional information

        CT provides the anatomical information; PET provides the functional information

        CT provides the attenuation information; PET provides the anatomic information

9.    The optimal uptake time post injection of F-18 FDG for whole body imaging for oncology is...: 

        2.5 hr  injection-to-scan interval

         60-90 minutes injection -to-scan interval

          30 minute injection-to-scan interval

        10 minute injection-to-scan interval

10.    For accurate SUV calculations...:

        Ask patient their approximate weight during the scheduling telephone call and record value

        Have the patient void before imaging

        Obtain patient's weight on day of scan before injection of F-18 FDG

         Inject in the antecubital vein only

11.    The acronym SUV stands for...:

        Silly uptake value

          Standardized uptake value

          Selective uptake value

        Standardized utility verification

12. GLUT is an acronym for ...

        Glucose transporters

        Glossy transporters

        Glucose traps

        Glue transporters

13.    The critical organ for F-18 FDG is...:

        The bladder wall

        The tumor wall

        The parotid gland

        All of the above

14.   Brown fat cells have an...: 

        Underestimation of metabolic activity

          Ability to resist the absorption of glucose

          Extra residual tumor agent

        Extraordinary number of mitochondria, which are involved in heat generation

15. What would be the appropriate action to take if the patient's glucose level immediately prior to injection was 300 mg/dl?:

        Inject the F-18 FDG

        Give 20 g of glucose, wait 10 min, then inject FDG

        Reduce FDG dose by 50%

        Contact the Nuclear Physician for guidance on what action to take

16.    In young pediatric patients, it is a good idea to papoose small children and keep them warm to...?:

        Relax them and to minimize muscle uptake

        Prevent them from crying

        Increase urinary output

        Protect the technologist from radiation

17.    Diabetic patients (Type 2) are instructed to...

        Take their diabetic medication and have a light meal in early AM

        Take their diabetic medication and fast from midnight

          Do not take their diabetic medication, but have a high carbohydrate meal in early AM

        Take their diabetic medication and have a high carbohydrate meal in early AM

18. Patients are instructed to remain well hydrated after the injection of F-18 FDG in order to:

        Enlarge the urinary bladder for improved visualization of abdominal organs

        Minimize radiation dose to the bladder and improve image quality

        Minimize radiation dose to the heart and brain

        Eliminate the need for catheterization during the imaging process

19. Muscle uptake on images may result from...:

        Strenuous exercise within 24 hr prior to the injection

        Shivering

        Nervous tongue

        High insulin levels

        All of the above

20. The half life and imaging energy of F-18, respectively, are...:

        110 min, 13.3 hr

        60 min, 511 keV

        110 min, 511 keV

        None of the above

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