Dose Drawing and Radiopharmaceutical Administration

Description

CAMRT Nuclear Medicine Technology (Radiopharmacy) Quiz on Dose Drawing and Radiopharmaceutical Administration, created by Siobhan Pett on 25/05/2020.
Siobhan Pett
Quiz by Siobhan Pett, updated more than 1 year ago
Siobhan Pett
Created by Siobhan Pett over 4 years ago
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Resource summary

Question 1

Question
If a unit dosage of radioactivity contains 4.5 mCi in 1.2 mL, how many mL must be removed so 3.5 mCi remain in the syringe?
Answer
  • 0.93 mL
  • 0.78 mL
  • 0.27 mL
  • 0.13 mL
  • 0.02 mL

Question 2

Question
Which tracer is excreted primarily via the hepatobiliary system?
Answer
  • 99mTc-pyrophosphate
  • 99mTc-exametazime
  • 99mTc-medronate
  • 99mTc-sestamibi
  • 201Tl-thallous chloride

Question 3

Question
A technologist needs 37 MBq of 111In-chloride at 0900 on May 18. The label on the radiopharmaceutical vial contains the following information: Total activity: 111 MBq Total volume: 3.0 mL Assay: 1200, May 21 What volume is necessary to obtain the necessary information on May 18?
Answer
  • 0.48 mL
  • 0.69 mL
  • 1.41 mL
  • 1.78 mL
  • 2.1 mL

Question 4

Question
If 925 kBq of a radiopharmecutical is to be administered for each kilogram of body weight, how much activity should be administered to a child weighing 15.5 kg?
Answer
  • 2405 MBq
  • 1036 MBq
  • 407 MBq
  • 59 MBq
  • 14 MBq

Question 5

Question
A written directive must be prepared for administration of which of the following radiopharmaceuticals?
Answer
  • 37 MBq 111In-oxine
  • 185 MBq 201Tl-chloride
  • 370 MBq 67Ga-citrate
  • 185 MBq 131I-sodium iodide
  • 1110 MBq 99mTc-sestamibi

Question 6

Question
What is the volume contained in the syringe shown here?
Answer
  • 1.4 mL
  • 2.0 mL
  • 3.8 mL
  • 4.0 mL
  • 4.6 mL

Question 7

Question
Which of the following radiopharmaceuticals crosses the intact blood brain barrier?
Answer
  • 99mTc-pertechnetate
  • 99mTc-gluceptate
  • 99mTc-pentetate
  • 99mTc-bicisate
  • 99mTc-sulphur colloid

Question 8

Question
On the basis of the radiopharmaceutical vial label information shown here, which of the preparation should the technologist administer on July 9 at 0800 to perform three-phase bone imaging?
Answer
  • Radiopharmaceutical: 99mTc-bicisate Assay time/date: 0700/July 9 Expiration time/date: 1900/July 9
  • Radiopharmaceutical: 99mTc-medronate Assay time/date: 0600/July 8 Expiration time/date: 1400/July 8
  • Radiopharmaceutical: 99mTc-pertechnetate Assay time/date: 0600/July 9 Expiration time/date: 1800/July 9
  • Radiopharmaceutical: 99mTc-oxidronate Assay time/date: 0600/July 9 Expiration time/date: 1400/July 9
  • Radiopharmaceutical: 99mTc-sulphur colloid Assay time/date: 0600/July 9 Expiration time/date: 1400/July 9

Question 9

Question
The following studies are ordered for a patient: I. GFR determination II. Whole body bone scan III. 111In-Octreotide imaging In which order should the studies be performed so they do not interfere with one another and the can be completed in the shortest amount of time?
Answer
  • I, II, III
  • I, III, II
  • II, I, III
  • III, II, I
  • II, III, I

Question 10

Question
If 740 kBq of a radiopharmaceutical is to be administered for each kilogram of body weight, approximately how much activity (in MBq) should be administered to a patient who weighs 172 lbs?
Answer
  • 9.5 MBq
  • 652 MBq
  • 78 MBq
  • 280 MBq
  • 58 MBq

Question 11

Question
If 1850 MBq of 99mTc-MAA are available at 0700, how many lung perfusion imaging studies can be performed if the administered dose is 185 MBq and one patient is injected every hour beginning at 0730?
Answer
  • 10
  • 7
  • 6
  • 20
  • 15

Question 12

Question
If an MAA kit containing 4.5 million particles is prepared by adding 1110 MBq in 2.5 mL, how many particles are contained in 111 MBq?
Answer
  • 150,000
  • 180,000
  • 450,000
  • 215,000
  • 555,000

Question 13

Question
Of the following syringes, which size would be best for withdrawing a 1 mL dose of a radiopharmaceutical from a multi-dose vial?
Answer
  • 3 mL
  • 1 mL
  • 5 mL
  • 20 mL
  • 10 mL

Question 14

Question
An MAA kit has 3 million total particles. If a 185 MBq dose is needed at 1000 and the kit contained 925 MBq/mL in 5 mL at 0700, what approximate number of particles will be given to the patient?
Answer
  • 600,000
  • 169,635
  • 120,000
  • 134,831
  • 97,623

Question 15

Question
How many microcuries must be placed in each 123I-sodium iodide capsule to provide approximately 220 uCi at the time of calibration 29 hours after preparation (DF for 1 hr = 0.9488)
Answer
  • 264 uCi
  • 704 uCi
  • 1009 uCi
  • 800 uCi
  • 234 uCi

Question 16

Question
Which of the following is not one of the factors that affect daily planning needs for a nuclear medicine department?
Answer
  • types of nuclear medicine procedures
  • unit dosages or dosage ranges for each procedure
  • time interval between radiopharmaceutical preparation and administration
  • percentage of "no shows" a department expects
  • number of each nuclear medicine procedure

Question 17

Question
Which of the following is NOT a route of administration of a radiopharmaceutical?
Answer
  • inhalation
  • intravenous
  • intrathecal
  • oral
  • intramuscular

Question 18

Question
A patient dose is needed at 1300. Based on the information provided below, what approximate volume would be needed for this 99mTc-based product? RP kit: 5550 MBq in 6 mL at 0900 Dose required: 925 MBq at 1300
Answer
  • 2.6 mL
  • 1.0 mL
  • 0.63 mL
  • 1.6 mL
  • 0.4 mL

Question 19

Question
A 49 year old female patient receives 800 MBq of 99mTc-MDP for a bone scan. The organ receiving the greatest radiation dose from this injection is:
Answer
  • bones
  • kidneys
  • bone marrow
  • bladder
  • liver

Question 20

Question
Following administration of a bone imaging tracer, the patient is instructed to drink fluids to:
Answer
  • decrease radiation exposure to the bones
  • enhance visualization of the kidneys and bladder
  • clear excess tracer from the blood
  • remove tracer from normal bone tissue
  • determine if kidney stones are present

Question 21

Question
A technologist must administer 8mCi 99mTc-mebrofenin to a patient at 1100 August 4. On the basis of the vial label information below, what volume of 99mTc-mebrofenin should be administered to the patient? Calibration: 0700, August 4 Total activity: 100 mCi Total volume: 8.5 mL Concentration: 11.8 mCi/mL Expiration: 1500, August 4
Answer
  • 0.68 mL
  • 0.13 mL
  • 0.92 mL
  • 1.1 mL
  • 0.52 mL

Question 22

Question
For which of the following procedures is the radiopharmaceutical administered P.O.?
Answer
  • salivary gland imaging
  • gastric emptying
  • gastrointestinal bleeding
  • vesicoureteral reflux
  • gallbladder ejection fraction determination

Question 23

Question
A technologist needs 4mCi [Tl-201] thallous chloride at 0800 on June 29. The label on the radiopharmaceutical vial contains this information: Total activity: 10.0 mCi Total volume: 5.5 mL Assay: 1200, July 1 What volume is necessary to obtain the necessary activity on June 29?
Answer
  • 3.6 mL
  • 1.35 mL
  • 0.74 mL
  • 0.28 mL
  • 0.13 mL

Question 24

Question
For a myocardial perfusion study, the prescribed adult dose of 99mTc-sestamibi is 925 MBq +/- 10%. On the basis of the vial label information shown below, what is the maximum volume that should be administered to the patient at 0800 on January 5? Total activity: 3.7 GBq Total volume: 2.0 mL Concentration: 1.85 GBq/mL Calibration: 0600, January 5
Answer
  • 1.0 mL
  • 0.63 mL
  • 0.69 mL
  • 1.3 mL
  • 0.57 mL

Question 25

Question
If a unit doseage of radioactivity contains 148 MBq and 325,000 particles in 0.75 mL at 1000, how many particles will be contained in 148 MBq at 1600?
Answer
  • 162,500
  • 325,000
  • 433,333
  • 522,000
  • 650,000

Question 26

Question
The standard adult dose of 123I-sodium iodide is 400uCi +/- 10%. On the basis of the following vial information, how many 123I-sodium iodide capsules should be administered to the patient at 0800 on October 5? Total activity = 1 mCi Number of capsules = 10 Activity/capsule = 100 uCi/capsule Calibration: 1200, October 5
Answer
  • 4
  • the capsules may not be administered until 1200
  • 2
  • 3
  • 5

Question 27

Question
A technologist needs 185 MBq 131I-sodium iodide on November 3. The label on the radiopharmaceutical contains the following information. What volume is required to obtain the necessary activity on November 3? Total activity = 740 MBq Total volume = 10 mL Assay: 1200, October 28
Answer
  • 0.42 mL
  • 4.2 mL
  • 1.5 mL
  • 4.6 mL
  • 5.2 mL

Question 28

Question
What is an advantage of using a diphosphonate as a bone imaging agent?
Answer
  • the P-O-P bond is more stable in vivo
  • it is not broken down by phosphatases
  • it has a slow biological clearance
  • higher plasma protein binding

Question 29

Question
Which of the following statements in regard to 99mTc-MDP dosimetry is correct?
Answer
  • The epiphysis region of long bones receives a higher absorbed dose than the diaphysis
  • The female patient should be advised to discontinue breastfeeding for 48hrs
  • The critical organ is the kidney with an absorbed dose of 0.64cGy/740MBq
  • The effective dose for a bone scan is less than a standard chest x-ray
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