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