Quiz: Lung Quiz (2/2) (employee training


Lung Quiz (2/2)Online version Multiple choice and T/F by Joshua Liberty 1 What is the first phase on Xe-133 ventilation study? a Lung volume distribution b Single breath wash in of gas c Washout of gas into a trap d Concentration of rphx in stomach 2 What is the 2nd phase on Xe-133 ventilation study? a Lung volume distribution b Single breath wash in of gas c Washout of gas into a trap d Concentration of rphx in stomach 3 What is the 3rd phase on Xe-133 ventilation study? a Lung volume distribution b Single breath wash in of gas c Washout of gas into a trap d Concentration of rphx in stomach 4 The more gas that goes into the lungs in a Xe-133 lung ventilation study means? a Decreased lung perfusion b Increased lung perfusion c Decreased lung ventilation d Increased lung ventilation e Decreased lung volume 5 Xe-133 is soluble in? a Water b Fat c Tissue d Plasma 6 Xenon can be vented after dilution into the atmosphere. a True b False 7 What is required to filter out the xenon exhaled by the patient? a High-efficiency particulate air (HEPA) filter b Carbon dioxide scrubber c Oxygen concentrator d Activated charcoal filter e Sodium hydroxide solution 8 Because of the risk on exposure, ventilations require a ______ to keep gas from leaking out? a Positive pressure room b N95 mask c Negative pressure room d Neutral pressure room 9 Ventilation should be done ? a Supine b Prone c Upright d Lateral e Supine or upright f Prone or upright 10 What is the dose for a Xe-133 ventilation scan? a 20-30 mCi b 10-20 mCi c 1-4 mCi d 2-10 mCi e 5-10 mCi 11 What is the MOL for Xe-133 Ventilation scan? a Phagocytosis b Active transport c Compartmental d Passive transport e Capillary blockade f Antibody receptor 12 How much oxygen is the Xe-133 diluted in? a 1L b 10 L c 2000 mL d 300 mL 13 Xe-133 is soluble in fat so it can accumulate in the ? a Spleen b Kidney c Liver d Stomach 14 When the single breath is abnormal and the Xe-133 washout images show delayed clearance or trapping of gas this indicates? a Pulmonary Edema b PE c COPD d Pneumonia 15 Delayed views for COPD patients are critical and should continue for? a 3-5 minutes b 1-2 minutes c 5-10 minutes d 60 seconds 16 Tc99m DTPA Radio aerosol are deposited in the? a Bronchioles b Lungs c Bronchial tree d Alveoli 17 The aerosol is generated from an ultrasonic nebulizer or a positive pressure nebulizer; it is inhaled through a mouthpiece or facemask. a True b False 18 What is the biggest concern during a DTPA ventilation study. a Technologist can get contaminated from dose b Patient can spit out radioactive material causing contamination on their chest c Difficulty in obtaining accurate images due to patient movement d Risk of allergic reaction to the radiotracer 19 What is the Dose for a DTPA radio aerosol ventilation study? a 35 mCi b 20 mCi c 25-40 mCi d 10-15 mCi 20 How much of the Dose for a DTPA radio aerosol ventilation study gets to the patient? a 35 mCi b 20 mCi c 25-40 mCi d 10-15 mCi 21 During a DTPA Ventilation study what diseases show little or no peripheral distribution? a Bronchitis b Severe Bronchial Asthma c Cystic fibrosis d Mild Asthma 22 Less central and patchy peripheral filling tends to be seen in ______ for DTPA ventilation studies? a Mild Asthma b Chronic Bronchitis c Cystic Fibrosis d All of these e None of these 23 Smokers have slower removal of tracer activity then nonsmokers. a True b False 24 Abnormal perfusion and Normal ventilation means? a PE b Pneumonia c COPD d Emphysema e Chronic bronchitis f Asthma 25 Abnormal perfusion and Abnormal ventilation means? a All of these b None of these c COPD d Emphysema e Chronic bronchitis f Asthma 26 Chronic Bronchitis and Emphysema have a variety of defects in blood flow and ventilation a True b False 27 In Chronic bronchitis? a Ventilation much worse than blood flow, and some changes in the pattern of ventilation and blood flow is visible as disease gets worse b The defects in ventilation and blood flow match up more closely and tend to remain the same over time c V/Q scan can be used to establish individual lung function when pneumonectomy is planned d Calculation of lung function; technologist draws ROI using NM computer to analyze counts in vent and/or perfusion images; can be used to determine lung function and for donors of lung tissue 28 In Emphysema? a Ventilation much worse than blood flow, and some changes in the pattern of ventilation and blood flow is visible as disease gets worse b The defects in ventilation and blood flow match up more closely and tend to remain the same over time c V/Q scan can be used to establish individual lung function when pneumonectomy is planned d Calculation of lung function; technologist draws ROI using NM computer to analyze counts in vent and/or perfusion images; can be used to determine lung function and for donors of lung tissue 29 In Primary Lung cancer? a Ventilation much worse than blood flow, and some changes in the pattern of ventilation and blood flow is visible as disease gets worse b The defects in ventilation and blood flow match up more closely and tend to remain the same over time c V/Q scan can be used to establish individual lung function when pneumonectomy is planned d Calculation of lung function; technologist draws ROI using NM computer to analyze counts in vent and/or perfusion images; can be used to determine lung function and for donors of lung tissue 30 In Quantitative VQ scan? a Ventilation much worse than blood flow, and some changes in the pattern of ventilation and blood flow is visible as disease gets worse b The defects in ventilation and blood flow match up more closely and tend to remain the same over time c V/Q scan can be used to establish individual lung function when pneumonectomy is planned d Calculation of lung function; technologist draws ROI using NM computer to analyze counts in vent and/or perfusion images; can be used to determine lung function and for donors of lung tissue 31 What is Stripe sign? a Thin line or stripe of activity which indicated perfused lung tissue between a perfusion defect and the adjacent pleural surface b Perfusion defects which correlate to interlobal pulmonary fissures, both major and minor c Accumulation of fluid in the alveoli and interstitial spaces of the lungs d Fluid accumulation in body cavities due to increased vascular permeability 32 What is Fissure sign? a Thin line or stripe of activity which indicated perfused lung tissue between a perfusion defect and the adjacent pleural surface b Perfusion defects which correlate to interlobal pulmonary fissures, both major and minor c Accumulation of fluid in the alveoli and interstitial spaces of the lungs d Fluid accumulation in body cavities due to increased vascular permeability Feedback 12 2000 mL = 2 L which is the amount it is diluted in. 23 They have faster clearance due to more alveolar membrane permeability.

1

What is the first phase on Xe-133 ventilation study?

a

Lung volume distribution

b

Single breath wash in of gas

c

Washout of gas into a trap

d

Concentration of rphx in stomach

2

What is the 2nd phase on Xe-133 ventilation study?

a

Lung volume distribution

b

Single breath wash in of gas

c

Washout of gas into a trap

d

Concentration of rphx in stomach

3

What is the 3rd phase on Xe-133 ventilation study?

a

Lung volume distribution

b

Single breath wash in of gas

c

Washout of gas into a trap

d

Concentration of rphx in stomach

4

The more gas that goes into the lungs in a Xe-133 lung ventilation study means?

a

Decreased lung perfusion

b

Increased lung perfusion

c

Decreased lung ventilation

d

Increased lung ventilation

e

Decreased lung volume

5

Xe-133 is soluble in?

a

Water

b

Fat

c

Tissue

d

Plasma

6

Xenon can be vented after dilution into the atmosphere.

a

True

b

False

7

What is required to filter out the xenon exhaled by the patient?

a

High-efficiency particulate air (HEPA) filter

b

Carbon dioxide scrubber

c

Oxygen concentrator

d

Activated charcoal filter

e

Sodium hydroxide solution

8

Because of the risk on exposure, ventilations require a ______ to keep gas from leaking out?

a

Positive pressure room

b

N95 mask

c

Negative pressure room

d

Neutral pressure room

9

Ventilation should be done ?

a

Supine

b

Prone

c

Upright

d

Lateral

e

Supine or upright

f

Prone or upright

10

What is the dose for a Xe-133 ventilation scan?

a

20-30 mCi

b

10-20 mCi

c

1-4 mCi

d

2-10 mCi

e

5-10 mCi

11

What is the MOL for Xe-133 Ventilation scan?

a

Phagocytosis

b

Active transport

c

Compartmental

d

Passive transport

e

Capillary blockade

f

Antibody receptor

12

How much oxygen is the Xe-133 diluted in?

a

1L

b

10 L

c

2000 mL

d

300 mL

13

Xe-133 is soluble in fat so it can accumulate in the ?

a

Spleen

b

Kidney

c

Liver

d

Stomach

14

When the single breath is abnormal and the Xe-133 washout images show delayed clearance or trapping of gas this indicates?

a

Pulmonary Edema

b

PE

c

COPD

d

Pneumonia

15

Delayed views for COPD patients are critical and should continue for?

a

3-5 minutes

b

1-2 minutes

c

5-10 minutes

d

60 seconds

16

Tc99m DTPA Radio aerosol are deposited in the?

a

Bronchioles

b

Lungs

c

Bronchial tree

d

Alveoli

17

The aerosol is generated from an ultrasonic nebulizer or a positive pressure nebulizer; it is inhaled through a mouthpiece or facemask.

a

True

b

False

18

What is the biggest concern during a DTPA ventilation study.

a

Technologist can get contaminated from dose

b

Patient can spit out radioactive material causing contamination on their chest

c

Difficulty in obtaining accurate images due to patient movement

d

Risk of allergic reaction to the radiotracer

19

What is the Dose for a DTPA radio aerosol ventilation study?

a

35 mCi

b

20 mCi

c

25-40 mCi

d

10-15 mCi

20

How much of the Dose for a DTPA radio aerosol ventilation study gets to the patient?

a

35 mCi

b

20 mCi

c

25-40 mCi

d

10-15 mCi

21

During a DTPA Ventilation study what diseases show little or no peripheral distribution?

a

Bronchitis

b

Severe Bronchial Asthma

c

Cystic fibrosis

d

Mild Asthma

22

Less central and patchy peripheral filling tends to be seen in ______ for DTPA ventilation studies?

a

Mild Asthma

b

Chronic Bronchitis

c

Cystic Fibrosis

d

All of these

e

None of these

23

Smokers have slower removal of tracer activity then nonsmokers.

a

True

b

False

24

Abnormal perfusion and Normal ventilation means?

a

PE

b

Pneumonia

c

COPD

d

Emphysema

e

Chronic bronchitis

f

Asthma

25

Abnormal perfusion and Abnormal ventilation means?

a

All of these

b

None of these

c

COPD

d

Emphysema

e

Chronic bronchitis

f

Asthma

26

Chronic Bronchitis and Emphysema have a variety of defects in blood flow and ventilation

a

True

b

False

27

In Chronic bronchitis?

a

Ventilation much worse than blood flow, and some changes in the pattern of ventilation and blood flow is visible as disease gets worse

b

The defects in ventilation and blood flow match up more closely and tend to remain the same over time

c

V/Q scan can be used to establish individual lung function when pneumonectomy is planned

d

Calculation of lung function; technologist draws ROI using NM computer to analyze counts in vent and/or perfusion images; can be used to determine lung function and for donors of lung tissue

28

In Emphysema?

a

Ventilation much worse than blood flow, and some changes in the pattern of ventilation and blood flow is visible as disease gets worse

b

The defects in ventilation and blood flow match up more closely and tend to remain the same over time

c

V/Q scan can be used to establish individual lung function when pneumonectomy is planned

d

Calculation of lung function; technologist draws ROI using NM computer to analyze counts in vent and/or perfusion images; can be used to determine lung function and for donors of lung tissue

29

In Primary Lung cancer?

a

Ventilation much worse than blood flow, and some changes in the pattern of ventilation and blood flow is visible as disease gets worse

b

The defects in ventilation and blood flow match up more closely and tend to remain the same over time

c

V/Q scan can be used to establish individual lung function when pneumonectomy is planned

d

Calculation of lung function; technologist draws ROI using NM computer to analyze counts in vent and/or perfusion images; can be used to determine lung function and for donors of lung tissue

30

In Quantitative VQ scan?

a

Ventilation much worse than blood flow, and some changes in the pattern of ventilation and blood flow is visible as disease gets worse

b

The defects in ventilation and blood flow match up more closely and tend to remain the same over time

c

V/Q scan can be used to establish individual lung function when pneumonectomy is planned

d

Calculation of lung function; technologist draws ROI using NM computer to analyze counts in vent and/or perfusion images; can be used to determine lung function and for donors of lung tissue

31

What is Stripe sign?

a

Thin line or stripe of activity which indicated perfused lung tissue between a perfusion defect and the adjacent pleural surface

b

Perfusion defects which correlate to interlobal pulmonary fissures, both major and minor

c

Accumulation of fluid in the alveoli and interstitial spaces of the lungs

d

Fluid accumulation in body cavities due to increased vascular permeability

32

What is Fissure sign?

a

Thin line or stripe of activity which indicated perfused lung tissue between a perfusion defect and the adjacent pleural surface

b

Perfusion defects which correlate to interlobal pulmonary fissures, both major and minor

c

Accumulation of fluid in the alveoli and interstitial spaces of the lungs

d

Fluid accumulation in body cavities due to increased vascular permeability

Feedback

12

2000 mL = 2 L which is the amount it is diluted in.

23

They have faster clearance due to more alveolar membrane permeability.

Lung Quiz (2/2)

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