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