Quiz: GI unit quiz (3/3) (employee training


GI unit quiz (3/3)Online version Multiple choice quiz by Joshua Liberty 1 Liver Spleen scans has 2 main type of cells they are? a Neurons and Kupffer celss b Kupffer cells and Polygonal hepatocytes c Polygonal hepatocytes and Myocytes d Polygonal Hepatocytes and Osteocytes 2 What are liver spleen scans used for? a Hepatomegaly b Chronic liver disease c Functional Asplenia d Ectopic spleen e All of these f None of these 3 A barium x-ray should be done before the Liver spleen scan. a True b False 4 What is the dose for a Liver spleen scan? a 5-10 mCi Disofennin b 10-20 mCi SC c 1-4 mCi SC d 5-10 mCi SC 5 Abnormal uptake in a liver spleen scan results in SC in the Spleen and bone marrow but decreased uptake in Liver. This is called? a Isotonic contraction b Colloid shift c Hydrostatic equilibrium d Colloid mobilization e Particle displacement 6 Colloid shift indicates? a Spleen Dysfunction b Liver Dysfunction c Liver Disease d Spleen Disease 7 Uptake in the Transplanted kidney is a indication of ? a Rejection b Success c Infection d Colloid shift 8 Lung uptake that is a sign from a faulty kit is caused by? a Infection b Neoplasm c Excessive Sn in SC kit d Excessive AL in SC kit e Bacteria f Pulmonary edema 9 Focal lesions/tumors are areas of increased counts. a True b False 10 Hepatitis and Cirrhosis look similar in early disease state? How does it appear? a Enlarged Spleen with a mottled appearance b Enlarged Liver with mottled appearance c Shrunken Liver with mottled appearance d Shrunken Spleen with mottled appearance 11 What is the most common benign liver tumor? a Glioma b Hemangioma c Hematoma d Osteoblastoma 12 Liver Hemangioma Dose is ? a 20-30 mCi of Tc99m RBCs b 1-5 mCi of Tc99m SC c 5-10 mCi of Tc99m RBCs d 15-25 mCi of Tc99m RBCs e 15-25 mCi of Tc99m SC f 10-20 mCi of Tc99m RBCs 13 What are the indicators of a positive hemangioma? a Little or no blood flow early on b Early uptake at edge c Uptake equal to but usually > surrounding tissue on delayed views or SPECT d All of these e None of these 14 What cell converts Bilirubin into bile? a Myoepithelial Cells b Kupffer cells c Polygonal hepatocytes d Enterocytes 15 What is the function of the Gall bladder? a Digestion of carbohydrates b Production of digestive enzymes c Regulation of stomach acid d Storage and concentration of bile e Regulation of blood glucose levels 16 Bile is used to ? a Break down complex sugars b Break down fats c Regulate stomach pH d Control the flow of digestion throughout the Large intestine 17 What is the most common source of inflammation of the gall bladder? a Bacterial infection b Viral infection c Gall stones d Backup of bile 18 Obstruction of the Cystic duct is classified as Chronic Cholecystitis. a True b False 19 What clinical sign is elicited by palpation of the right upper quadrant during inspiration, causing abrupt cessation of inspiration due to pain, often indicative of cholecystitis? a McBurney's sign b Blumberg's sign c Murphy's sign d Cullen's sign e Grey Turner's sign 20 If Acute cholecystitis is suspected then images are? a Not seen at all b Delayed c Immediately seen d Seen within 30 minutes 21 If Chronic cholecystitis is suspected then images are? a Not seen at all b Delayed c Immediately seen d Seen within 30 minutes 22 What is the gold standard when diagnoses if suspect after ultrasound for Acute Cholecystitis? a Liver Spleen Scan b HIDA Scan c Liver SPECT d Meckel's Diverticulum Study 23 What is the dose for HIDA scan? a 1-5 mCi Disofenin b 1-5 mCi Tc99m RBCs c 1-5 mCi Sulfur Colloid d 1-5 mCi Mertiatide 24 Preparation included for HIDA scans are true except? a NPO 2-5 hours b NPO less than 12 hours c No Opiates 2-6 hours prior to study d Discontinue parenteral alimentation e All of these f None of these 25 Morphine has an effect on the Gall bladder, what is it? a Dilatates the Biliary tree b Constricts the Biliary tree c Opens to the sphincter of Oddi d Constricts the sphincter of Oddi 26 What is the dose for Morphine in a HIDA Scan? a 0.02 mg/kg b 0.02 ug/kg c 0.2 mg/kg d 0.04 ug/kg e 0.04 mg/kg f 0.02 mg/lb 27 What is the dose for CCK in a HIDA Scan? a 0.02 mg/kg over 3 minutes b 0.02 ug/kg over 3 minutes c 0.2 mg/kg over 3 minutes d 0.04 ug/kg over 4 minutes e 0.04 mg/kg over 4 minutes f 0.02 mg/lb over 4 minutes 28 What does CCK do in a HIDA scan? a Pull Bile back into gall bladder b Squeeze the gall bladder and eject bile from it c Pushes radiotracer out of biliary tree d Constricts sphincter of Oddi 29 What is a Abnormal GB EF? a < 50% b < 38% c > 38% d > 50% e < 35% f > 35% 30 What is a normal range for GB EF? a >38% at 60 min or >50% total b <38% at 60 min or >50% total c >38% at 60 min or <50% total d <38% at 60 min or <50% total e <35% at 60 min or >50% total f <35% at 60 min or <50% total 31 No GB seen at 1 hour and even 4 hours post injection is caused by functional or cystic duct obstruction. a True b False 32 What does the presence of a "rim sign" on a HIDA scan typically indicate in 40% of patients? a Gallbladder perforation b Gallstone obstruction c Cholecystitis d Biliary dyskinesia e Bile duct stricture 33 In the context of imaging studies, what does the "cystic duct sign" typically indicate? a Gallbladder carcinoma b Biliary dyskinesia c Choledocholithiasis d Gallbladder perforation e Acute cholecystitis 34 Leveen shunt studies are surgically placed for relief from? a Chronic pancreatitis b Gastric ulcers c Hepatic encephalopathy d Ascites e Esophageal varices 35 Where does the LeVeen shunt drain the peritoneal cavity fluid? a IVC b Stomach c SVC d Small intestine e Large intestine 36 What is the Dose for a LeVeen shunt study? a 5 mCi Tc99m MAA b 1-4 mCi Tc99m MAA c 10 mCi Tc99m MAA d 1-4 mCi Tc99m SC e 10 mCi Tc99m SC f 5 mCi Tc99m SC or 5 mCi Tc99m Maa 37 If using MAA then if activity is seen in the Liver, then shunt is working. a True b False 38 If using SC then if activity is seen in the Lungs, then shunt is working. a True b False Feedback 3 Barium x ray after scan to not cause artifact 9 Its areas of less counts (SOL=cold) or photopenic 18 Acute Cholecystitis 24 These are all options for prep for a HIDA scan 25 Constricts the sphincter of Oddi and pushes bile back into the gallbladder 32 Acute Cholecystitis is the main cause of Rim Sign. 37 If seen in the lungs it is working. 38 If seen in the Liver it is working.

1

Liver Spleen scans has 2 main type of cells they are?

a

Neurons and Kupffer celss

b

Kupffer cells and Polygonal hepatocytes

c

Polygonal hepatocytes and Myocytes

d

Polygonal Hepatocytes and Osteocytes

2

What are liver spleen scans used for?

a

Hepatomegaly

b

Chronic liver disease

c

Functional Asplenia

d

Ectopic spleen

e

All of these

f

None of these

3

A barium x-ray should be done before the Liver spleen scan.

a

True

b

False

4

What is the dose for a Liver spleen scan?

a

5-10 mCi Disofennin

b

10-20 mCi SC

c

1-4 mCi SC

d

5-10 mCi SC

5

Abnormal uptake in a liver spleen scan results in SC in the Spleen and bone marrow but decreased uptake in Liver. This is called?

a

Isotonic contraction

b

Colloid shift

c

Hydrostatic equilibrium

d

Colloid mobilization

e

Particle displacement

6

Colloid shift indicates?

a

Spleen Dysfunction

b

Liver Dysfunction

c

Liver Disease

d

Spleen Disease

7

Uptake in the Transplanted kidney is a indication of ?

a

Rejection

b

Success

c

Infection

d

Colloid shift

8

Lung uptake that is a sign from a faulty kit is caused by?

a

Infection

b

Neoplasm

c

Excessive Sn in SC kit

d

Excessive AL in SC kit

e

Bacteria

f

Pulmonary edema

9

Focal lesions/tumors are areas of increased counts.

a

True

b

False

10

Hepatitis and Cirrhosis look similar in early disease state? How does it appear?

a

Enlarged Spleen with a mottled appearance

b

Enlarged Liver with mottled appearance

c

Shrunken Liver with mottled appearance

d

Shrunken Spleen with mottled appearance

11

What is the most common benign liver tumor?

a

Glioma

b

Hemangioma

c

Hematoma

d

Osteoblastoma

12

Liver Hemangioma Dose is ?

a

20-30 mCi of Tc99m RBCs

b

1-5 mCi of Tc99m SC

c

5-10 mCi of Tc99m RBCs

d

15-25 mCi of Tc99m RBCs

e

15-25 mCi of Tc99m SC

f

10-20 mCi of Tc99m RBCs

13

What are the indicators of a positive hemangioma?

a

Little or no blood flow early on

b

Early uptake at edge

c

Uptake equal to but usually > surrounding tissue on delayed views or SPECT

d

All of these

e

None of these

14

What cell converts Bilirubin into bile?

a

Myoepithelial Cells

b

Kupffer cells

c

Polygonal hepatocytes

d

Enterocytes

15

What is the function of the Gall bladder?

a

Digestion of carbohydrates

b

Production of digestive enzymes

c

Regulation of stomach acid

d

Storage and concentration of bile

e

Regulation of blood glucose levels

16

Bile is used to ?

a

Break down complex sugars

b

Break down fats

c

Regulate stomach pH

d

Control the flow of digestion throughout the Large intestine

17

What is the most common source of inflammation of the gall bladder?

a

Bacterial infection

b

Viral infection

c

Gall stones

d

Backup of bile

18

Obstruction of the Cystic duct is classified as Chronic Cholecystitis.

a

True

b

False

19

What clinical sign is elicited by palpation of the right upper quadrant during inspiration, causing abrupt cessation of inspiration due to pain, often indicative of cholecystitis?

a

McBurney's sign

b

Blumberg's sign

c

Murphy's sign

d

Cullen's sign

e

Grey Turner's sign

20

If Acute cholecystitis is suspected then images are?

a

Not seen at all

b

Delayed

c

Immediately seen

d

Seen within 30 minutes

21

If Chronic cholecystitis is suspected then images are?

a

Not seen at all

b

Delayed

c

Immediately seen

d

Seen within 30 minutes

22

What is the gold standard when diagnoses if suspect after ultrasound for Acute Cholecystitis?

a

Liver Spleen Scan

b

HIDA Scan

c

Liver SPECT

d

Meckel's Diverticulum Study

23

What is the dose for HIDA scan?

a

1-5 mCi Disofenin

b

1-5 mCi Tc99m RBCs

c

1-5 mCi Sulfur Colloid

d

1-5 mCi Mertiatide

24

Preparation included for HIDA scans are true except?

a

NPO 2-5 hours

b

NPO less than 12 hours

c

No Opiates 2-6 hours prior to study

d

Discontinue parenteral alimentation

e

All of these

f

None of these

25

Morphine has an effect on the Gall bladder, what is it?

a

Dilatates the Biliary tree

b

Constricts the Biliary tree

c

Opens to the sphincter of Oddi

d

Constricts the sphincter of Oddi

26

What is the dose for Morphine in a HIDA Scan?

a

0.02 mg/kg

b

0.02 ug/kg

c

0.2 mg/kg

d

0.04 ug/kg

e

0.04 mg/kg

f

0.02 mg/lb

27

What is the dose for CCK in a HIDA Scan?

a

0.02 mg/kg over 3 minutes

b

0.02 ug/kg over 3 minutes

c

0.2 mg/kg over 3 minutes

d

0.04 ug/kg over 4 minutes

e

0.04 mg/kg over 4 minutes

f

0.02 mg/lb over 4 minutes

28

What does CCK do in a HIDA scan?

a

Pull Bile back into gall bladder

b

Squeeze the gall bladder and eject bile from it

c

Pushes radiotracer out of biliary tree

d

Constricts sphincter of Oddi

29

What is a Abnormal GB EF?

a

< 50%

b

< 38%

c

> 38%

d

> 50%

e

< 35%

f

> 35%

30

What is a normal range for GB EF?

a

>38% at 60 min or >50% total

b

<38% at 60 min or >50% total

c

>38% at 60 min or <50% total

d

<38% at 60 min or <50% total

e

<35% at 60 min or >50% total

f

<35% at 60 min or <50% total

31

No GB seen at 1 hour and even 4 hours post injection is caused by functional or cystic duct obstruction.

a

True

b

False

32

What does the presence of a "rim sign" on a HIDA scan typically indicate in 40% of patients?

a

Gallbladder perforation

b

Gallstone obstruction

c

Cholecystitis

d

Biliary dyskinesia

e

Bile duct stricture

33

In the context of imaging studies, what does the "cystic duct sign" typically indicate?

a

Gallbladder carcinoma

b

Biliary dyskinesia

c

Choledocholithiasis

d

Gallbladder perforation

e

Acute cholecystitis

34

Leveen shunt studies are surgically placed for relief from?

a

Chronic pancreatitis

b

Gastric ulcers

c

Hepatic encephalopathy

d

Ascites

e

Esophageal varices

35

Where does the LeVeen shunt drain the peritoneal cavity fluid?

a

IVC

b

Stomach

c

SVC

d

Small intestine

e

Large intestine

36

What is the Dose for a LeVeen shunt study?

a

5 mCi Tc99m MAA

b

1-4 mCi Tc99m MAA

c

10 mCi Tc99m MAA

d

1-4 mCi Tc99m SC

e

10 mCi Tc99m SC

f

5 mCi Tc99m SC or 5 mCi Tc99m Maa

37

If using MAA then if activity is seen in the Liver, then shunt is working.

a

True

b

False

38

If using SC then if activity is seen in the Lungs, then shunt is working.

a

True

b

False

Feedback

3

Barium x ray after scan to not cause artifact

9

Its areas of less counts (SOL=cold) or photopenic

18

Acute Cholecystitis

24

These are all options for prep for a HIDA scan

25

Constricts the sphincter of Oddi and pushes bile back into the gallbladder

32

Acute Cholecystitis is the main cause of Rim Sign.

37

If seen in the lungs it is working.

38

If seen in the Liver it is working.

GI unit quiz (3/3)

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