Frage 1
Frage
According to WHO, for the diagnosis of osteoporosis, based on the measurement of bone density is:
Antworten
-
2.5 SDs or more below the young adult peak bone density and a fracture
-
2.5 SDs or more below the young adult peak bone density
-
More than 1 SD but less than 2.5 SDs below the young adult peak bone density
-
Not more than 1 SD below the young adult peak bone density
Frage 2
Frage
What is the most common technique that is used to measure BMD?
Frage 3
Frage
What is the most common osteoporotic fracture?
Frage 4
Frage
In bone densitometry, what is the primary responsibility of the technologist?
Antworten
-
beam collimation
-
distance
-
shielding
-
time
Frage 5
Frage
Which of the following is considered an uncontrollable risk factor for osteoporosis?
Antworten
-
exercise
-
lifestyle choices
-
smoking
-
race
Frage 6
Frage
Which of the following measures more trabecular bone?
Antworten
-
PA spine
-
Lateral spine
-
QCT spine
-
VFA
Frage 7
Frage
Primary osteoporosis Type 1, is related to
Antworten
-
aging
-
disease
-
medication
-
menopause
Frage 8
Frage
Identify the incorrect statement from the following:
Antworten
-
Caucasian and Asians are at an increase risk of developing osteoporosis compared to other ethnic groups
-
most obese patients are at an increase risk of developing osteoporosis
-
women are at an increase risk of developing osteoporosis compared to men because they achieve a lower peak bone mass and go through menopause
-
smoking is a recognized risk factor for the development of osteoporosis
Frage 9
Frage
Cancellous bone is also known as :
Antworten
-
compact bone
-
cortical bone
-
trabecular bone
-
osteophyte
Frage 10
Frage
New bone matrix is formed by:
Antworten
-
osteoblasts
-
osteoclasts
-
cortical bone
-
cancellous bone
Frage 11
Frage
What percentage of trabecular bone is found in the PA spine?
Frage 12
Frage
Currently, the most accurate method to determine a patient’s response to therapy form osteoporosis is:
Antworten
-
serial DXA measurements of the forearm
-
serial DXA measurements of the hip and spine
-
serial QUS measurements of the calcareous
-
Serial QCT measurements of the spine
Frage 13
Frage
Which of the following does not help in achieving peak bone mass?
Frage 14
Frage
Which of the following statement is false concerning QUS advantages over x-ray base methodologies for BMD measurements?
Antworten
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QUS units are comparatively inexpensive
-
the patients heel must be immersed in liquid during the procedure
-
patients are not subjected to ionizing radiation
-
ultrasound examinations are quick to perform
Frage 15
Frage
which of following site is mostly composed of cortical bone
Antworten
-
distal forearm
-
femoral neck
-
proximal forearm
-
vertebral bodies
Frage 16
Frage
What is the anatomical landmark on the proximal femur that indicates the best visual indication of the degree of rotation of the proximal femur?
Antworten
-
femoral head
-
femoral shaft
-
greater trochanter
-
lesser trochanter
Frage 17
Frage
Which lumbar vertebra is described as having a characteristic shape of an X or H on a DXA PA spine scan?
Frage 18
Frage
What is the name of the radionuclitide used in DPA?
Antworten
-
Americium- 241
-
Gadolinium-153
-
Iodine‘-125
-
Technetium-99
Frage 19
Frage
The forearm is not used to monitor the effects of therapy for osteoporosis because
Frage 20
Frage
Which of the following is not a bisphosphonate?
Antworten
-
alendronate
-
etodronate
-
foiteo
-
zoledronic acid
Frage 21
Frage
The primary mechanism of action of anti-resorptive therapies is the result of direct interaction with:
Antworten
-
the bone lining cells
-
the osteoblasts
-
the osteoclasts
-
the osteocytes
Frage 22
Frage
The WHO criteria for diagnosing osteoporosis was initially defined to apply to
Frage 23
Frage
The measurement of peripheral BMD is advocated for
Frage 24
Frage
The PA spine mostly measures the:
Antworten
-
posterior elements
-
vertebral bodies
-
transverse processes
-
pedicle
Frage 25
Frage
Which of the following statement about QCT measurements of bone density of the spine is not
True?
Antworten
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the measurements are volumetric rather than areal measurements of bone density
-
accuracy may be affected by marrow fat
-
results are usually reported in g/cm squared
-
trabecular bone can be isolated from cortical bone
Frage 26
Frage
ln order to do a compare analysis:
Antworten
-
the patient must have a previous scan done on the same mode/speed
-
you must retrieve the baseline scan(s)
-
patient positioning must be consistent
-
all of the above
Frage 27
Frage
How many degrees should you rotate the femur when positioning for a proximal femur scan?
Antworten
-
10 -15 degrees
-
15-25 degrees
-
20-25 degrees
-
25-30 degrees
Frage 28
Frage
When should Z-scores be used to make a diagnosis, instead of T-scores?
Frage 29
Frage
Which of the following bone parameters is measured in grams?
Antworten
-
area
-
bone mineral content
-
bone mineral density
-
total
Frage 30
Frage
Which lumbar vertebra has the widest transverse process?
Frage 31
Frage
The region of the proximal femur lying on the border of the femoral neck is termed:
Antworten
-
lesser trochanter
-
femoral head
-
hip axis length
-
ward's area
Frage 32
Frage
What is important for serial monitoring?
Frage 33
Frage
If the daily QC fails, (in the United States) what should be your first step of action?
Frage 34
Frage
With changes in rotation of the femoral neck what happens?
Antworten
-
decrease in the BMC
-
decrease in the BMD
-
increase in the BMD
-
increase ROI
Frage 35
Frage
Which of the following would best describe low bone mass due to menopause?
Frage 36
Frage
According to WHO, if a healthy female age 36 (female with no known medical condition present, all body parts working perfecting) has a T-score of 1 6 SD how would she be diagnosed?
Antworten
-
normal
-
osteopenia
-
osteoporosis
-
none of the above
Frage 37
Frage
Which of the following term best describes the sum of data values divided by the number of values?
Antworten
-
the mean
-
the standard deviation
-
the variance
-
the coefficient
Frage 38
Frage
How many decimal places to the right of the decimal point is used in reporting the T-scores?
Frage 39
Frage
At low energies the majority of x-ray interactions are:
Antworten
-
Compton scattering
-
photoelectric
-
photodisintegration
-
pair production
Frage 40
Frage
What concept should always guide radiation protection effects?
Antworten
-
time
-
distance
-
shielding
-
ALARA
Frage 41
Frage
If a patient has a history of hyper-parathyroidism, which of the following would be the preferred site to evaluate ?
Antworten
-
proximal femur
-
spine
-
ultradistal
-
33% or 1/3 forearm
Frage 42
Frage
Which of the following classes of cells are involved in bone remodeling?
Antworten
-
osteoblasts
-
osteoclasts
-
osteocytes
-
a and b
-
all of the above
Frage 43
Frage
Which of the following has the highest percentage of cortical bone?
Antworten
-
femoral neck
-
fingers
-
whole body
-
33% radius
Frage 44
Frage
Which of the following bone parameters is measured in grams per centimeter squared?
Frage 45
Frage
What is the percentage of trabecular bone in the skeleton?
Frage 46
Frage
How would start labeling the vertebral bodies on a PA lumbar scan?
Antworten
-
Let the software do it all!
-
start at L1, and count/label down
-
start at L4, and count/label up
Frage 47
Frage
What is the major source of precision error in clinical practice?
Antworten
-
equipment
-
physician
-
technologist
-
receptionist
Frage 48
Frage
Which of the following is correct?
Antworten
-
BMD=BMC/Area
-
BMD=BMCxArea
Frage 49
Frage
During analyzes of the lumbar spine, what would help you identify the vertebral bodies?
Frage 50
Frage
A great forearm scan should include all of the following except:
Antworten
-
forearm centered
-
forearm straight
-
free of artifacts
-
motion
Frage 51
Frage
Sunlight is the main source of vitamin:
Frage 52
Frage
Bisphosphonates prevent bone loss by:
Antworten
-
reducing the activity of the osteoclasts
-
increasing the activity of the osteoblasts
-
increasing the activity of the osteoclasts
Frage 53
Frage
DXA results may be influenced by:
Antworten
-
body thickness
-
degenerative changes
-
fractures
-
scan mode
-
all of the above
Frage 54
Frage
Which of the following would best describe the effective dose for a central DXA scan?
Antworten
-
one-tenth of a chest x-ray
-
less than a day of background radiation
-
less than a round trip from Boston to LA
-
all of the above
Frage 55
Frage
When measuring the proximal femur, which of the following statements is true?
Antworten
-
the neck ROI includes any portion of the greater trochanter
-
the neck ROI is perpendicular to the femoral neck
-
the neck ROI includes both ends in bone
-
I need to read the manual!!
Frage 56
Frage
Which of the following statements is true regarding DXA?
Antworten
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DXA has been widely studied and requires a radioactive source
-
DXA is faster than DPA but is not as precise
-
DXA can only predict fracture risk of the hip and spine
-
DXA can be used to predict fracture risk and to evaluate the effectiveness of treatment
Frage 57
Frage
How often should you perform the QA on the DXA unit?
Frage 58
Frage
Why is the non-dominant arm used in bone densitometry?
Antworten
-
easier for the patient
-
easier for the technologist
-
its density values will be greater than that of the dominant arm
-
reference values reflect non-dominant arm measurements
Frage 59
Frage
If a patients BMC is 60.58 and the area is 61.60 what is her BMD?
Frage 60
Frage
All of the following are true, except:
Antworten
-
accuracy is the ability to measure true value
-
accuracy is most important for diagnosis, less important for serial monitoring
-
accuracy is affected by the technologist
-
accuracy is affected by the technology
Frage 61
Frage
What is the distance a technologist should be away from the edge of the DXA table with a pencil beam scanner?
Antworten
-
2 feet
-
3 feet
-
4 feet
-
10 feet
Frage 62
Frage
What is the most common osteoporotic fracture?
Frage 63
Frage
Two bones with the same volumetric densities may have different densities when measured with DXA because:
Antworten
-
poor precision
-
poor accuracy
-
differ in size
-
degenerative changes
Frage 64
Frage
Regarding the Shewart Rules, the control limits are based on what percentage of the average values?
Frage 65
Frage
All follow-up DXA scans should be compared to:
Antworten
-
any prior scan
-
the most recent scan
-
the baseline scan
-
Operator’s choice!
Frage 66
Frage
With DXA, regarding the PA spine, which vertebra is expected to have the lowest bone mineral density?
Frage 67
Frage
A DXA scanner that uses a single detector and a pinhole collimator is:
Antworten
-
a fan beam scanner
-
a pencil beam scanner
-
an aerial beam scanner
Frage 68
Frage
The characteristic shapes of the vertebrae seen on the spine DXA image are primarily based on the appearance of the:
Frage 69
Frage
When scanning the proximal femur, what is the anatomical landmark to look at if you have correct rotation?
Antworten
-
the femoral head
-
the greater trochanter
-
the lesser trochanter
-
the ischium
Frage 70
Frage
To determine the least significant change at 95% confidence level (for baseline and one follow-up scan), what is the "number" which the precision error is multiplied to determine the least significant change?
Frage 71
Frage
A technologist should perform a precision study in order to:
Antworten
-
quantify the shifts and drifts(QA)
-
calculate the LSC
-
To see how great you are!
-
To see how great your doc is doing!
Frage 72
Frage
How many places to the right of the decimal point is used in reporting BMD?
Frage 73
Frage
The name of the forearm sites is based on what?
Antworten
-
the location of the site on the bone in relationship to the overall length of the radius
-
the location of the site on the bone in relationship to the overall length of the ulna
-
% of cortical bone found at that site
-
% of trabecular bone found at that site
Frage 74
Frage
What skeletal site may be preferred for assessing early menopause or following oophorectomy?
Antworten
-
Calcaneus
-
Forearm
-
Hip
-
spine
Frage 75
Frage
When analyzing the PA spine, which of the following is a "no can do?
Antworten
-
Spine straight and centered within the ROI
-
The top line of the ROI positioned between T12 and L1
-
The bottom of the line of the ROI positioned between L4 and L5
-
Width is operator’s choice
Frage 76
Frage
If you are very fortunate, and you get a new DXA unit, what must be performed in order to do compare studies?
Antworten
-
establish QC program
-
cross-calibration
Frage 77
Frage
All of the following are examples of weight-bearing exercise except:
Antworten
-
running
-
dancing
-
racket sports
-
lap swimming
Frage 78
Frage
What type of bone with long term use of steroids affect?
Antworten
-
trabecular
-
cancellous
-
Cortical
-
Compact
-
a and b
-
b and c
-
c and d
Frage 79
Frage
If a patient has had an Iaminectomy, how would that affect the results?
Antworten
-
increase BMD
-
decrease BMD
-
nothing at all
Frage 80
Frage
What are the two most common methods for shifting the energies in DXA units?
Antworten
-
energy switching
-
K-edge filtration
-
Compton effect
-
photoelectric effect
Frage 81
Frage
Why do you use a leg block, when performing a PA spine DXA scan? Select all that appy.
Frage 82
Frage
What is the term often used to express the precision of the DXA unit?
Antworten
-
mean
-
standard deviation
-
linear regression
Frage 83
Frage
Why do you use a “hip positioner", during scanning of the proximal femur?
Antworten
-
to place the femoral neck parallel to the tabletop
-
to place the ward's area in the correct location
-
to obtain the total hip results
-
because you have it!
Frage 84
Frage
lf a patients is found to have coins in their pocket while obtaining the proximal femur what should you do.
Frage 85
Frage
A patient with an elevated alkaline phosphatase may be an indicator of
Antworten
-
osteoporosis
-
osteomalacia
-
osteopetrosis
-
Pagets
Frage 86
Frage
What is the percentage of cortical bone (compact bone) in the skeleton?
Frage 87
Frage
What angle should the patient's leg be positioned on the leg block for the PA spine?
Antworten
-
30-60 degrees
-
40-60 degrees
-
60-80 degrees
-
60-90 degrees
Frage 88
Frage
What year was the Bone Mass Measurement Act proposed?
Frage 89
Frage
What pharmaceutical may be suggested for a woman with high risk of breast cancer and elevated lipids?
Antworten
-
Actonel
-
Evista
-
Fosamax
-
Prolia
Frage 90
Frage
In bone densitometry, what describes the ability to reproduce the measurement when it is performed under identical conditions?
Antworten
-
absolute risk
-
accuracy
-
precision
-
relative risk
Frage 91
Frage
Decide which of the following is the most important factor to consider when performing a DXA scan?
Antworten
-
make sure pt is comfortable
-
make sure patient removes items that may attenuate the beam
-
make sure patient is NPO
-
make sure that you have the correct patient!
Frage 92
Frage
How can a patient be deprived of vitamin D?
Frage 93
Frage
Which of the following calcium supplements should be the choice for women who are at risk of kidney stone formation?
Antworten
-
calcium carbonate
-
calcium citrate
-
calcium gluconate
-
calcium lactate
Frage 94
Frage
The correct way to measure radiation dose is as effective dose, expressed as:
Frage 95
Frage
All of the following are risk factors for 733 except:
Frage 96
Frage
QUS what is the gold standard to measure bone density?
Frage 97
Frage
Cortical bone makes up what?
Frage 98
Frage
All of the following are correct except:
Antworten
-
osteoporosis is usually asymptomatic
-
back pain and height loss may be the first signs of osteoporosis
-
kyphosis is common in patients with osteoporosis
-
African Americans are at higher risk to develop osteoporotic in comparison to Asians
Frage 99
Frage
What are the four classifications that apply to the heel?
Antworten
-
appendicular, predominately trabecular and weight-bearing
-
axial, peripheral, predominantly cortical and non weight-bearing
Frage 100
Frage
Secondary osteoporosis is defined as:
Antworten
-
bone loss caused by factors other than estrogen deficiency
-
bone loss caused by factors other than aging
-
bone loss caused by factors other than estrogen deficiency and aging
-
none of the above
Frage 101
Frage
The forearm, pelvis, and scapula all belong to which skeletal classification?
Antworten
-
appendicular
-
axial
-
central
-
weight-bearing
-
a and b
Frage 102
Frage
When there is an imbalance/uncoupling of the remodeling cycle, the result is
Antworten
-
an increase in the calcium
-
a decrease in the resorption
-
a net gain in the bone mass
-
a net loss in the bone mass
Frage 103
Frage
During a DXA of the hip of a thin patient, a mottled or moth eaten appearance at the edge is seen, what may be helpful to correct this?
Frage 104
Frage
What is the bone edge detection methodology?
Antworten
-
it tests the machine's ability to measure BMD
-
it tests the machine's ability to distinguish bone from soft tissue
-
it verifies the machine is calibrated correctly
Frage 105
Frage
What sites are preferred for children?
Frage 106
Frage
In making a diagnosis for children, what are some guidelines? Select all that apply.
Antworten
-
Z--scores are used
-
low for age is preferred over the term osteopenia
-
pediatric software is highly recommended
-
osteoporosis can be made with a Z-score of -2.5 SD
Frage 107
Frage
What is the only anabolic pharmaceutical on the market for treatment of osteoporosis?
Antworten
-
calcitonin
-
zoledronic acid
-
aloxifene
-
teriparatide
Frage 108
Frage
Although the technology is similar with all the DXA units, the BMD results are different because...select all that apply.
Antworten
-
due to different calibration standards
-
algorithms to calculate BMD
-
differences in the region of interest
-
databases
-
All of the above
Frage 109
Frage
For low energies, the most common process of absorption is the:
Antworten
-
Compton effect
-
pair production
-
photoelectric effect
-
photodisintegration
Frage 110
Frage
How many patients and how many times do you scan them in order to perform a precision study? Select all that apply.
Antworten
-
10 patients 3 times
-
15 patients 3 times
-
20 patients 2 times
-
30 patients 2 times
Frage 111
Frage
Phantoms that mimic the shape and size of a skeletal region are called:
Antworten
-
block phantom
-
brass phantom
-
anthromomorphic phantom
-
hydroxyaptite
Frage 112
Frage
If the QC graph shows a gradual decline in BMD overtime, what should you do?
Frage 113
Frage
Regarding bone densitometry, which of the following best describes accuracy?
Antworten
-
the degree to which the measurement of BD reflects true value
-
the degree to which the QC reflects true value
-
the degree to which the %CV reflects true value
Frage 114
Frage
Which of the following are clinical signs and consequences of vertebral fractures? Select all that apply.
Antworten
-
kyphosis
-
weight loss
-
reduced lung function
-
increase in height
Frage 115
Frage
All of the following are markers of bone formation, except?
Frage 116
Frage
Pencil beam DXA units usually have shorter scanning times and better resolution compared to fan beam units.
Frage 117
Frage
Quantitative ultrasonometry measures the broad band attenuation properties of bone.
Frage 118
Frage
The correct term for the scanning pattern of a pencil beam unit is rectilinear.
Frage 119
Frage
Archiving patient’s scans and running the system back-up are one in the same.
Frage 120
Frage
The weight Iimit for the DXA table is manufacturer specific?
Frage 121
Frage
When analyzing the proximal femur the box measuring the neck should include the greater trochanter.
Frage 122
Frage
In regards to the International society for Clinical Densitometry 2013 Official Positions, Osteoporosis cannot be diagnosed in men under the age 50 on the basis of BMD alone.
Frage 123
Frage
Cortical bone is also known as cancellous bone.
Frage 124
Frage
With fan beam scanners, scanning occurs point by point.
Frage 125
Frage
Discordance is a term that is rarely used in DXA.
Frage 126
Frage
The smaller the %CV, the better the accuracy and precision.
Frage 127
Frage
Rheumatoid arthritis can contribute to the development of osteoporosis.
Frage 128
Frage
Bone loss occurs when resorption exceeds formation.
Frage 129
Frage
T-scores are useful for the expression of relative risk.
Frage 130
Frage
T-scores should be used in serial monitoring.
Frage 131
Frage
Sievert refers to effective dose.
Frage 132
Frage
The measure of the variability or the spread of data around the mean is termed standard deviation.
Frage 133
Frage
Accuracy is most important for diagnosis, less important for serial monitoring.
Frage 134
Frage
The ultra distal part of the forearm is mostly trabecular bone.
Frage 135
Frage
With VFA, you are measuring the BMD L4 through T4.
Frage 136
Frage
Cortical bone is primarily affected with an estrogen deficient woman.
Frage 137
Frage
Precision is the ability to reproduce a measurement when performed under identical conditions.
Frage 138
Frage
When a patient comes back for a follow-up scan, it's no problem if you don't use the compare/copy function.
Frage 139
Frage
The Tanner and Whitehouse (TW2) method is often used to indicate bone age in children.
Frage 140
Frage
The T-score is the number of SDs an individual’s BMD is from the average BMD for sex-matched young normal peak bone mass.
Frage 141
Frage
Caucasians and Asians are at increased risk to developing osteoporosis compared to otherethnic groups.
Frage 142
Frage
Smoking is not recognized as a risk factor for the development of osteoporosis.
Frage 143
Frage
With fan beam scanners a solid state/multi element array detector system is used.
Frage 144
Frage
DXA BMD measures the amount of mineralized tissue in the area scanned. (g/cm3)
Frage 145
Frage
Accuracy indicates how close a measured value is to the actual value.