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Test: In Vivo Non-Imaging Procedures

1. Which one of the following statements is NOT an example of an in vivo non-imaging procedure?
A radioimmunoassay
A splenic sequestration study
A Schilling Test
A Thyroid Uptake Test

2.
The typical injected dose of Cr-51 RBCs is...
0.0075 mCi
0.075 mCi
0.75 mCi
7.5 mCi

3. The normal value for half-time of survival of Cr-51 RBCs is...
Approximately 30 days
Approximately 60 days
Approximately 90 days
Approximately 120 days

4. A splenic sequestration study was performed. A Spleen/Liver Ratio of 2.8:1 was obtained. The diagnosis would be...
Normal study
Very small spleen
Slightly enlarged spleen
Significant splenic sequestration

5. A Plasma Volume/Red Cell Mass Study is useful...
To measure hematocrit
To diagnose Polycythemia Vera
To evaluate renal function
To diagnose Pernicious Anemia

6. A Plasma Volume Study is based on the principle of...
Reverse transition
Isotope dilution
Reverse isotope dilution
Plasma dilution

7. The results of a RCM/Plasma Volume Study are...

                                   Expected Value___Measured Value___% Deviation

Plasma Volume:               3300              3400               +3
Red Cell Volume              2200              2650               +20.5
Total Blood Volume         5500              6050               +10

The Diagnosis is...
Normal Study
Dehydration
Polycythemia Vera
Pernicious Anemia

8. The administered activity of radiocobalt in a Schilling Test is approximately...
0.5 uCi
5 uCi
50 uCi
500 uCi

9. The Schillling Test is used to diagnose...
Polycythemia Vera
Pernicious Anemia
Hyperthyroidism
Plummer's Disease

10. In the Schilling Test, an IM injection of 1 mg of non-radioactive B12 is given to ...
Reduce radiation dose to the liver
Increase urinary output
Saturate binding sites in the liver
Increase binding of radiocobalt B12 to intrinsic factor

11. Patient X has a deficiency of intrinsic factor in his gut. The expected result of Stage 1 of a Schilling Test would be a % excretion of the radiocobalt in the range of...
0-6%
6-10%
10-30%
80-90%

12. The result of a Schilling Test was 14.1% excretion of Co-58. The diagnosis is...
Normal Study
Pernicious Anemia
Simple malabsorption syndrome unrelated to intrinsic factor deficiency
Impossible to make without first administering an antibiotic and then repeating the study 2 weeks later

13. The typical administered dose of I-123 NaI for performing an RAIU is...
0.2 uCi
2 uCi
20 uCi
200 uCi

14. The typical administered dose of I-131 NaI for performing an uptake and scan in a patient with a substernal thyroid is...
0.1 uCi
1 uCi
10 uCi
100 uCi

15. Which of the following is NOT a required part of the preparation for an RAIU?
Discontinue synthroid for 4 weeks prior to performing RAIU
Patient must be NPO from midnight until 1 hour post administration of I-123 NaI
Patient must discontinue the use of propranolol 72 hours before the test
Patient must not have undergone CT Scan with Contrast Media

16. A patient underwent an RAIU and the result was 58.4%. The diagnosis is...
Normal
Hypothyroid
Hyperthyroid
Hashimoto's Disease

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