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Test: Mechanisms of Localization of Radiopharmaceuticals

1. For Tc-MAA localization in the lungs, the mechanism is based upon...
Phagocytosis of the albumin particles
Chemisorption
Capillary filtration
Microembolization of capillaries using precipitated human serum albumin particles

2. The uptake of Tc-MDP in bone tissue is based upon...
Passive diffusion and exchange with hydroxide ions
Surface absorption of the labeled phosphonate on hydroxyapatite crystals
Phagocytosis by the bone matrix
Metabolic trapping

3. 18F-FDG localizes in malignant tumors because...
It undergoes phagocytosis in the mitochondria
It is a fatty acid analog and is readily taken up by tumors
It undergoes metabolic trapping
It is organified by a fluorination reaction

4. The mechanism of localization of In-111 Octreoscan in an insulinoma is called...
Antigen-antibody reaction
Metabolic trapping
Chemisorption
Receptor Binding

5. Imaging of the airways in the lungs is an example of...
Chemisorption
Simple diffusion
Compartmental Localization
Active transport

6. Imaging of tubular secretory function of the kidneys is an example of...
Chemisorption
Simple diffusion
Compartmental Localization
Active transport

7. Uptake of radioiodide by the thyroid is an example of...
Chemisorption
Simple diffusion
Compartmental Localization
Active transport

8. The transfer of Xe-133 gas across lipid membranes in the lungs into the bloodstream is called...
Chemisorption
Simple diffusion
Compartmental Localization
Active transport

9. F-18 NaF may be used for bone imaging. Which of the following mechanisms describes its uptake in bone tissue?
Chemisorption
Simple diffusion
Exchange diffusion
Compartmental Localization
Active transport

10. For visualization of prostate cancer metastases following injection of In-111 ProstaScint, the operating mechanism is...
Antigen-Antibody Reaction
Metabolic trapping
Chemisorption
Receptor binding
Active transport

11. Which one of the following is NOT an example of Compartmental Localization?
Pulmonary ventilation study w/ Xe-133 gas
Cisternogram with In-111 DTPA
Hepatobiliary study with Tc-99m disofenin
Voiding cystogram with Tc-99m SC

12. Which of the following represents Active Transport?
Uptake and organification of radioiodide in the thyroid gland
Uptake of Tc-99m MAG by the kidneys
Uptake of Rb-82 ion by the heart
All of the Above

13. Which of the following represents Physicochemical Adsorption?
a.) Thrombosis imaging with Tc-99m AcuTect
b.) Spleen imaging w/ damaged labeled RBCs
c.) Bone imaging with Tc-99m labeled phosphate based bone agents
a and c only
all of the above

14. Tc-99m MAA is used to assess pulmonary perfusion. Which ONE of the following statements is FALSE?
The typical injection of MAA particles causes microembolization of ~350,000 capillaries
The number of particles to be administered is reduced for a patient with pulmonary hypertension
Approximately 1% of all capillaries in the lungs is occluded by the typical injection
The biological half-life of Tc-MAA in the lungs is approximately 8 hours

15. Which of the following represents Phagocytosis?
Uptake and organification of radioiodide in the thyroid gland
Uptake of Tc-MAA in the lungs
Spleen uptake of denatured red cells
Liver uptake of F-18 FDG
Liver uptake using 99mTc sulfur colloid

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