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Take this quiz! Viscosity is a measure of a fluid's: An injection rate of __ cc/sec will maintain a dense bolus of IV contrast media…
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Take this quiz! Viscosity is a measure of a fluid's: An injection rate of __ cc/sec will maintain a dense bolus of IV contrast media for a CTA exam and will be tolerated by most patients. Low osmolar
CT StudyGuidelines 5
Take this quiz! Viscosity is a measure of a fluid's: An injection rate of __ cc/sec will maintain a dense bolus of IV contrast media for a CTA exam and will be tolerated by most patients. Low osmolar
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CT StudyGuidelines 5
123
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Created by
jcsmith22
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1
Viscosity is a measure of a fluid's:
A. atomic weight
B. thickness
C. temperature
D. injection rate
2
An injection rate of
__
cc/sec will maintain a dense bolus of IV contrast media for a CTA exam and will be tolerated by most patients.
A. 8-10
B. 7-8
C. 4-5
D. 1-2
3
Low osmolar contrast media:
A. typically has the same concentration of particles as the blood
B. typically has a higher concentration of particles compared to blood
C. tends to cause more adverse reactions than high osmolar contrast media
D. is never used in CT
4
When a contrast agent is injected directly into the joint space it is known as
____
contrast.
A. intravenous
B. intrathecal
C. oral
D. intraarticular
5
The portal venous phase occurs about
_____
seconds after the start of the IV contrast injection.
A. 20 to 30
B. 40 to 60
C. 60 to 90
D. 90 to 120
6
Which of the following oral contrast agents is better for opacifying the distal small intestine?
1.an ionic iodinated contrast agent
2.a non ionic iodinated contrast agent
3.barium sulfate
A. 1 only
B. 2 only
C. 3 only
D. 1 & 2
7
The viscosity of IV contrast media can be reduced by:
A. shaking
B. stirring
C. aerating
D. heating
8
Which of the following may help to reduce adverse reactions resulting from the administration of IV contrast media?
1.use high osmolar contrast media
2. administer an antihistamine
3.increase the rate of injection
A. 1 only
B. 2 only
C. 3 only
D. 1,2 & 3
9
The osmolality of plasma is
__
mOsm/kg.
A. 175
B. 235
C. 285
D. 325
10
Which of the following is associated with a bi phasic study of the liver?
1.differentiation of lesions with arterial and portal venous blood suplies
2.two injection rates used during the study
3.two images for each slice position
A. 1 only
B. 1 & 2
C. 2 & 3
D. 1 & 3
11
To best visualize the stomach wall, which of the following should the patient drink last?
1.iodinated oral contrast media
2.water
3.barium sulfate oral contrast
A. 1 only
B. 2 only
C. 3 only
D. 1,2 & 3
12
An indication for IV contrast injection is to rule out:
A. mastoiditis
B. sinusitis
C. meningioma
D. Grave's disease
13
Which of the following is the order in which the phases of IV contrast enhancement occur?
A. bolus, equilibrium, non equilibrium
B. equilibrium, non equilibrium, bolus
C. bolus, non equilibrium, equilibrium
D. non equilibrium, equilibrium, bolus
14
Iodinated IV contrast agents perfuse normal:
A. liver tissue
B. brain tissue
C. thecal sac
D. lymph nodes
15
Contrast agents containing barium sulfate:
1.enhance structures because they are absorbed into the blood stream
2.enhance structures because they are absorbed through the small intestine
3.pass through the GI tract unchanges
A. 1 only
B. 2 only
C. 3 only
D. 1 & 2
16
The hepatic arterial phase occurs about
____
seconds after the start of the IV contrast injection.
A. 60 to 80
B. 40 to 60
C. 20 to 40
D. 0 to 20
17
Which of the following is a result of injecting a hypertonic solution into the vascular space?
A. there is a net movement of water into the vascular space
B. there is a net movement of contrast media out of the vascular space
C. there is a net movement of water out of the vascular space
D. there is nothing noteworthy about injecting a hypertonic solution into the vascular space
18
Which of the following is a common patient reaction to IV contrast media?
1.warmth at the injection site
2.headache
3.nausea
A. 1 only
B. 2 only
C. 3 only
D. 1,2 & 3
19
The contrast between a lesion and the surrounding tissue may
_____
following the injection of contrast media.
1.improve
2.remain unchanged
3.be degraded
A. 1 only
B. 2 only
C. 3 only
D. 1,2 & 3
20
Which of the following characteristics of an IV contrast agent affects patient tolerance?
1.concentration of iodine
2.osmolality
3.viscosity
A. 1 only
B. 1 & 2
C. 2 & 3
D. 1, 2 & 3
21
A difference in density of
___
HU between the aorta and the inferior vena cava would indicate the non equilibrium phase of enhancement.
A. 43
B. 35
C. 25
D. 8
22
The definition of osmolality is the
_____
the contrast agent solution.
A. thickness of
B. measure of dissociation of
C. concentration of molecular particles in
D. rate of injection of
23
What is the appropriate care to give to a patient with diabetes?
1.if IV contrast is required, use LOCM
2.if the patient is using Metformin, advise them to stop its use 48 hrs before IV contrast is administered
3.if the patient is using Metformin, advise them to resume its use 48 hrs after IV contrast administration only after kidney function has been reassessed & determined to be normal
A. 1 only
B. 1 & 2
C. 2 & 3
D. 1 & 3
24
Which of the following is TRUE regarding barium sulfate solutions used in CT?
A. they are less concentrated than those used in conventional radiography
B. they are the same as those used in conventional radiography
C. they are in no way related to those used in conventional radiography
D. they are more concentrated than those used in conventional radiography
25
What should be done if extravasation is noticed at the injection site?
A. apply ice during the injection
B. stop the injection immediately
C. slap the area
D. apply heat during the injection
26
The heating unit on a power injector is for
____
of the contrast media.
A. increasing the iodine concentration
B. decreasing the viscosity
C. increasing the density
D. decreasing the osmoality
27
There is substanital enhancement of the liver compared to tumors during the
___
phase but during the
___
phase, there is the possiblity of tumor enhancement which may make hepatic tumors isodense
A. bolus, equilibrium
B. non equilibrium, equilibrium
C. non equilibrium, bolus
D. equilibrium, non equilibrium
28
A CT study of the brain to visualize MS plaques maybe made more sensitive by using
___
delay after the contrast agent has been injected.
A. no
B. 10 sec
C. 60 sec
D. 45 minute
29
Why is the cephalic vein a less desirable site for injection than the basilic vein?
A. it is usually a very small vein with poor blood flow
B. the blood must traverse the vessels in the head before reaching the heart
C. it is a deep vein and not easily catheterized
D. flow may be impeded as the patient's arms are raised
30
Exams to rule out
_____
would indicate the use of IV contrast media in the chest.
1.lymphoma
2.hilar mass
3.aortic dissection
A. 1 only
B. 2 only
C. 3 only
D. 1,2 & 3
31
Barium sulfate oral contrast media would be selected instead of iodinated oral contrast media because:
1.it passes through the GI tract more quickly
2.the trauma patient may have a perforated bowel
3.the contrast media stays more dense in the distal GI tract
A. 1 only
B. 2 only
C. 2 & 3
D. 3 only
32
IV contrast agents used in CT increase the attenuation of the xray beam due to the concentration of
___
in the agent.
A. iodine
B. glucose
C. meglumine
D. barium
33
A delay of about
__
seconds after the start of the IV contrast injection should be used for a helical scan of the neck.
A. 20
B. 35
C. 50
D. 75
34
Which of the following is a typical scan delay following the start of the injection for helical CT exams of the pancreas?
A. 50 to 60 sec
B. 70 to 80 sec
C. 80 to 90 sec
D. 2 to 3 mins
35
How long does it take to inject 150ml of contrast media with an injection rate of 2ml/sec?
A. 50 sec
B. 75 sec
C. 1 min
D. 2.5 min
36
Which of the following is TRUE regarding ionic contrast agents?
1.ionic agents are charged ions
2.ionic agents dissociate into ions in solution
3.ionic agents ionize tissues the contact
A. 1 only
B. 2 only
C. 3 only
D. 1,2 & 3
37
If there is doubt regarding the sterility of the contrast media, the contrast media must be:
A. shaken
B. diluted
C. heated
D. discarded
38
A delay of about
_
seconds after the start of the IV contrast injection should be used for a helical scan of the chest.
A. 45
B. 35
C. 25
D. 15
39
The most common catheter size used in CT is
__
gauge.
A. 12 to 14
B. 15 to 17
C. 18 to 22
D. 23 to 25
40
Which of the following is NOT a typical adverse reaction to oral contrast media used in CT?
A. diarrhea
B. abdominal cramping
C. flatulence
D. hives
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