Nuclear Medicine (a & B) - 3rd Quiz - Copy.docx

HOLY INFANT COLLEGE College of Radiologic Technology Tacloban City LONG QUIZ IN NUCLEAR MEDICINE TECHNIQUE (A) NAME__________________________________________CRS&YR_________DATE________SCORE_______

NO ERASURES/ALTERATIONS ALLOWED 1.

Blood sample is mixed in the laboratory in order to calculate the amount of thyroid hormone in the body in this thyroid study.

2.

This thyroid disease has an indication of thickening of the skin especially below the eyes and lips.

3.

Symptoms of weakness, fatigue, cold intolerance, constipation & weight loss are encountered with this thyroid disease.

4.

Contra-indications when treating Hyperthyroidism (5) 1.

3.

2.

4.

5

5.

Calcitonin/Thyrocalcitonin is another hormone produced by this organ which is a polypeptide containing 32 amino-acids.

6.

The clear portion of blood separated from its more solid elements.

7.

The Two Approaches of Hyperthyroidism Therapy. 1. 2.

8.

This increases in size and becomes more active during puberty, pregnancy as well as during physiologic stress that functions as storage and secretes various hormones.

9.

If this radiopharmaceutical is administered intravenously, the waiting period is shorten thereby scanning procedure can be performed after 20 minutes post injection.

10. Evaluation of Thyroid function using radioactive iodine began in what year? 11. Thyroid scanning uses this radiopharmaceutical which is not satisfactory for demonstrating substernal thyroid. 12. Myxedema is also known as; 13. Hyperthyroidism is better known as the; 14. The patient is given this medication after hyperthyroidism treatment. 15. A radiopharmaceutical that has a maximum range in tissue of two millimeters.

16. For Thyroid Uptake Measurements, what is the quantity of Iodine 123 would be given orally to the patient? 17. Major Clinical Advantages of T3 Uptake Test (5) 1. 2. 3. 4. 5. 18. Though the effect of Iodine treatment in patients with Hyperthyroidism is gradual, this can be noticed between how many months post treatment? 19. Thyroid tissue with decreased function in Thyroid scanning will show; A. Areas of decreased uptake B. A “hot” area C. Enhanced area with radioiodine D. A normal concentration of iodine. 20. Thyroid study wherein a small quantity of radioactive material is swallowed for a study the following day or it can be injected to be studied within 20 minutes that may indicate how well the thyroid is functioning. 21. A patient result with an elevated T4 level is interpreted as; 22. In this year, treatment of Thyroid carcinoma using radioiodine began. 23. Radionuclide with a Beta and Gamma emission of 364 keV. 24. For what reason the physician may request the patient to avoid all foods and medicine that contains iodine for one week prior to the study of the Thyroid Uptake?

25. The thyroid gland produces this hormone that lowers blood calcium level. 26. Severe Thyrocardic patient is treated first with anti-thyroid drug for at least how many months?

27. The normal value of T3 falls on these figures. 28. This radiopharmaceutical has a considerable beta emission that contributes 90% of the dose given. 29. Hormone secreted by the thyroid gland that functions to increase the cell metabolism rate. 30. This radiopharmaceutical is preferred most by some physicians for the reason that it can be used to all ages of patients. 31. Administration of Iodine 131 is given____ after patient fasting. 32. The amount of dosage given to the patient in the treatment of Hyperthyroidism.

33. Major Thyroid study that does not require the administration of radiopharmaceutical to the patient and may not be affected by exogenous iodine.

34. The Three Major Thyroid Studies; 1.

2.

3.

TEST II. MATCH COLUMN A with COLUMN B: _____1. 2-6 hours uptake

A. 1948

_____2. 0.5mm

B. Normal Thyroid

_____3. Hyperthyroidism

C. No dose to patient

_____4. Iodine 123

D. Lower energy photon

_____ 5. Severe Thyrocardic

E. used to determine iodine deficiency

_____6. Iodine 131

F. Elevated Thyroxine

_____7. Technetium 99m

G. treated first with antithyroid drug

_____8. Iodine

H. scan can be performed twenty minutes later

_____9. Thyroid gland

I. not to distort test result

_____10. 100-150 microgram

J. provide good example of cold spot imaging

_____11. T3 Uptake test

K. more vascular

_____12. Iodine 125

L. normal value of T3

_____13. Hot spot

M. average iodine intake

_____14. Isthmus

N. join the two lobes of thyroid

_____15. 0.8-2.1 microgram

O. maximum range in tissue

_____16. (R) Lobe

P. 13.3 hrs. half-life

_____17. 15% and 45%

Q. contraindication when treating hyperthyroidism

_____18. Higher than 30% After 24 hrs. _____19. Breast feeding

R. considered hyperthyroid

_____20. 1938

S. concentration of radioactivity is increased than the normal Surrounding tissues T. has beta/gamma emission of 364 U. Nuclear Medicine Technique V. Robert Graves W. normal range of thyroid uptake X. 1824

TEST III. 1.

Tracers Iodine is clinically applied to examine;

2.

A decreased activity of the Thyroid gland.

3.

This disorder is due to insufficient amount of thyroid hormone produced.

4.

Type of therapy applied to thyroid cancer after surgical intervention. A. Linear Accelerator C. Radioiodine therapy B. Cobalt treatment D. Brachytherapy

5.

Radiopharmaceutical wherein the scan can be performed 20 minutes later if it is administered intravenously.

6.

The most common radiopharmaceutical used in Thyroid imaging.

7.

The largest and most sensitive Endocrine gland.

8.

The radionuclide used when treating Thyroid Carcinoma

9.

Iodine 131 and Iodine 125 have; A. Different Z values C. same number of neutrons B. Different chemical properties D. different number of neutrons

10. Thyroxin labeled with Iodine 125 is used in this major thyroid study. 11. Investigation of Thyrotoxicosis or Myxedema is well established with; A. Ultrasonography C. Magnetic Resonance Imaging B. Nuclear Medicine D. Computed Tomography 12. A deficient thyroid activity which is marked by decrease metabolic rate is an indication of; 13. An increased secretion of thyroid hormone or an increased activity of thyroid hormone is indicative of; 14. Exophthalmos is NOT a characteristic of the following Thyroid Ailment. A. Simple Goiter C. Hyperthyroidism B. Graves Disease D. Thyrotoxicosis 15. A major thyroid study wherein patient is given a radioactive drink or injection after which a gamma camera can tell how much of the thyroid gland is working properly. 16. The radiopharmaceutical used in T3 Uptake Measurement. 17. A radiopharmaceutical used in Thyroid scanning which can be used in children because it reduces radiation dosage. 18. This radioiodine emits 159 keV and it lack beta emission. 19. Hyperthyroidism is treated with this radiopharmaceutical. 20. Dynamic result lower than 10% after twenty-four hours is considered as;

HOLY INFANT COLLEGE College of Radiologic Technology Tacloban City QUIZ IN NUCLEAR MEDICINE TECHNIQUE (B) NAME__________________________________________CRS&YR_________DATE________SCORE_______

NO ERASURES/ALTERATIONS ALLOWED 1.

If this radiopharmaceutical is administered intravenously, the waiting period is shorten thereby scanning procedure can be performed after 20 minutes post injection.

2.

A patient result with an elevated T4 level is interpreted as;

3.

For what reason the physician may request the patient to avoid all foods and medicine that contains iodine for one week prior to the study of the Thyroid Uptake?

4.

The thyroid gland produces this hormone that lowers blood calcium level.

5.

The patient is given this medication after hyperthyroidism treatment.

6.

This increases in size and becomes more active during puberty, pregnancy as well as during physiologic stress that functions as storage and secretes various hormones.

7.

Severe Thyrocardic patient is treated first with anti-thyroid drug for at least how many months?

8.

Though the effect of Iodine treatment in patients with Hyperthyroidism is gradual, this can be noticed between how many months post treatment?

9.

The normal value of T3 falls on these figures.

10. In this year, treatment of Thyroid carcinoma using radioiodine began. 11. Symptoms of weakness, fatigue, cold intolerance, constipation & weight loss are encountered with this thyroid ailment. 12. Hyperthyroidism is better known as the; 13. Evaluation of Thyroid function using radioactive iodine began in what year? 14. Thyroid scanning uses this radiopharmaceutical which is not satisfactory for demonstrating substernal thyroid. 15. This radiopharmaceutical has a considerable beta emission that contributes 90% of the dose given. 16. Blood sample is mixed in the laboratory in order to calculate the amount of thyroid hormone in the body in this thyroid study. 17. This thyroid disease has an indication of thickening of the skin especially below the eyes and lips.

18. Hormone secreted by the thyroid gland that functions to increase the cell metabolism rate. 19. Thyroid tissue with decreased function in Thyroid scanning will show; A. Areas of decreased uptake B. A “hot” area C. Enhanced area with radioiodine D. A normal concentration of iodine. 20. This radiopharmaceutical is preferred most by some physicians for the reason that it can be used to all ages of patients. 21. Radionuclide with a Beta and Gamma emission of 364 keV. 22. Administration of Iodine 131 is given____ after patient fasting. 23. The amount of dosage given to the patient in the treatment of Hyperthyroidism. 24. The clear portion of blood separated from its more solid elements. 25. Myxedema is also known as; 26. For Thyroid Uptake Measurements, what is the quantity of Iodine 123 would be given orally to the patient? 27. Thyroid study wherein a small quantity of radioactive material is swallowed for a study the following day or it can be injected to be studied within 20 minutes that may indicate how well the thyroid is functioning. 28. Major Thyroid study that does not require the administration of radiopharmaceutical to the patient and may not be affected by exogenous iodine. 29. A radiopharmaceutical that has a maximum range in tissue of two millimeters. 30. Calcitonin/Thyrocalcitonin is another hormone produced by this organ which is a polypeptide containing 32 amino-acids. TEST II. MATCH COLUMN A with COLUMN B: _____ 1. Iodine 125

A. used to determine Iodine deficiency

_____ 2. Iodine 131

B. treatment first with anti-thyroid drug for 2 months

_____ 3. Iodine

C. scan can be performed 20 minutes later

_____ 4. Hot spot

D. elevated T4

_____ 5. Hyperthyroidism

E. no dose to the patient

_____ 6. T3 Uptake Test

F. normal value of T3

_____ 7. 0.8 – 2.1 microgram

G. has a half-life of 13.3 hours

_____ 8. 15% and 45%

H. normal range of thyroid uptake

_____ 9. 100-150 microgram

I. Robert Graves

_____10. Technetium 99m

J. Nuclear Medicine Technique

_____11. Severe Thyrocardic

K. has a beta/gamma emission of 364 keV

_____12. 0.5mm

L. more vascular

_____13. Right lobe

M. maximum range in tissue

_____14. 1938

N. Thyroid gland

_____15. Iodine 123

O. lower energy photon

_____16. Breast Feeding

P. concentration of radioactivity is increased than the surrounding tissues

_____17. Higher than 30% @ 24 hrs. Q. average Iodine intake _____18. Isthmus

R. considered Hyperthyroid

_____19. Thyroid gland

S. provide good example of “Cold spot imaging”

_____20. 2-6 hours uptake

T. band of tissue that joint the two thyroid lobes U. contraindication when treating hyperthyroidism V. not to distort the result W. 1948 X. 1824

TEST III. ENUMERATION: A.

The Two Approaches of Hyperthyroidism Therapy.

1. B.

C.

2. Contra-indications when treating Hyperthyroidism (5) 1.

3.

2.

4.

Major Clinical Advantages of T3 Uptake Test (5)

1. 2. 3. 4. 5. D. The Three Major Thyroid Studies: 1. 2. 3.

5

TEST IV 1.

A radiopharmaceutical wherein the scan can be performed twenty minutes later if it is administered intra-venously.

2.

The largest and most sensitive endocrine gland/

3.

A deficient thyroid activity which is marked by decrease metabolic rate is an indication of;

4.

An increased secretion of thyroid hormone or an increased activity of thyroid hormone is indicative of;

5.

The radionuclide used when treating Thyroid carcinoma.

6.

A radiopharmaceutical used in Thyroid scanning which can be used in children because it reduces radiation exposure.

7.

This radioiodine emits 159 keV and lack beta emission.

8.

This disorder is due to insufficient amount of the thyroid hormone produced.

9.

The radiopharmaceutical used in T3 Uptake Measurements.

10. Thyroxin labeled with iodine 125 is used in this major thyroid study. 11. Hyperthyroidism is being treated with this radiopharmaceutical. 12. A decreased activity of the Thyroid gland. 13. Dynamic result lower than 10% after 24 hours is considered as; 14. A major thyroid study wherein patient is given a radioactive drink or injection after which a gamma camera can tell how much of the thyroid is working properly. 15. The most common radiopharmaceutical used in Thyroid imaging. 16. Exophthalmos is NOT characteristic of the following thyroid ailment. A. Graves disease C. Thyrotoxicosis B. Simple Goiter D. Hyperthyroidism 17. Investigation of Thyrotoxicosis or Myxedema is well established with; A. Nuclear Medicine C. Computed Tomography B. Magnetic Resonance Imaging D. Ultrasound 18. Tracers iodine is clinically applied to examine; 19. Iodine 131 and Iodine 125 have; A. Different Z values C. different number of neutrons B. Same number of neutrons D. different chemical properties 20. Type of therapy applied to thyroid cancer after surgical intervention. A. Radioiodine therapy C. Brachytherapy B. Linear Accelerator D. Cobalt treatment