GI - HIDA

Significantly increased serum bilirubin levels will most likely cause which of the following to be visualized on hepatobiliary images?

In preparation for hepatobiliary imaging, patients are required to fast to:

During hepatobiliary imaging, which structure will NOT be visualized if cyctic duct obstruction is present?

In a normal hepatobiliary study, which of the following structures will NOT be visualized?

In a normal hepatobiliary study, excretion of the tracer into the intestine should occur a maximum of how long after tracer administration?

Which of the following agents would be used to perform a gallbladder ejection fraction?

If the gallbladder is not visualized within 60 minutes during hepatobiliary imaging, which of the following may be administered?

Morphine is administered during hepatobiliary imaging to cause the:

Consumption of a fatty meal may have the same effect on the hepatobiliary system as which of the following compounds?

A synthetic form of cholecystokinin is:

If 0.02 mcg/kg of cholecystokinin is needed for a hepatobiliary study, what volume needs to be drawn for a 175 lb patient with a solution of 10 mcg/mL available to draw from?

If CCK is administered prior to the IDA study when should IDA be administered?

What would be the purpose of administering Phenobarbital during an IDA study?

When may a second dose of 99mTc-disofenin be given?

What procedure would be appropriate for an IDA study?

The radiologist asks you to perform a left anterior oblique view following the 60 minute dynamic IDA study. What is the purpose of this view?

You notice an increased amount of renal excretion during a IDA study on a patient known to have poor hepatic function. What static view would best separate the renal pelvis from the gallbladder?

All of the following may result in a false positive interpretation for acute cholecystitis EXCEPT:

When administering Sincalide, you inject the pharmaceutical over 30 seconds instead of a slow infusion over 60 minutes. This may cause the patient to experience:

Which of the following is/are indications for determination of the gallbladder ejection fraction with Sincalide? i. chronic cholecystitis ii. acute cholecystitis iii. bile leaks iv. biliary dyskinesis

What is the purpose of morphine administration during an IDA study?

Which statement is correct in describing the normal result in an IDA study?

An alternate imaging modality is required to distinguish _______________ as they have the same presentation on a hepatobiliary scan.

A patient is in the nuclear medicine department for a hepatobiliary scan post-cholecystectomy. What additional atypical views may be protocoled for this patient?

A 24 year old female patient reported to the emergency department with right upper quadrant pain this morning and a IDA scan was ordered. These are her images. What is the most likely diagnosis?

A 56 year old female patient had a cholecystectomy yesterday. The following images were obtained today. What should you do next?

What is the diagnosis?

How will the GBEF compare when done with CCK versus Ensure drink?

When calculating the gallbladder ejection fraction you forget to draw a background region of interest. What would be the effect on the ejection fraction?

The following results were obtained from the regions of interest drawn on pre- and post-Sincalide IDA images: Pre-sincalide: 156325 counts Post-sincalide: 91254 counts Background: 2345 counts The resulting ejection fraction may be reported as:

How will GB appear during a hepatobiliary scan (its anatomical position) if the image was taken from the RT lateral position?