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MRI contrast
| Question | Answer |
|---|---|
| How does Gadolinium function as a contrast agent? A. It is a direct image component, resonating at the same frequency as water B. It shortens the T1 time of tissue C. It lengthens the T2 time of tissues | It shortens the T1 time of tissue |
| The most common positive contrast agent used in clinical MR imaging is: A. Barium B. Blueberry juice C. Gadolinium D. Ionic contrast | Gadolinium |
| The substances that bind to gadolinium ions are defined as: A. Chelates B. Relaxivities C. Pathogens D. Echo trains | Chelates |
| Gadolinium chelates used in MR imaging are: A. Paramagnetic B. Diamagnetic C. Super Paramagnetic Iron Oxide D. Ferromagnetic | Paramagnetic |
| All of the following are true regarding gadolinium EXCEPT: A. Gadolinium chelates do not pass normal blood-brain barrier C. Gadolinium has six unpaired electrons D. Gadolinium chelates do pass a disrupted blood-brain barrier | Gadolinium has six unpaired electrons Gadolinium has 7 unpaired electrons |
| The FDA approved oral contrast agent for MRI makes bowel appear: A. T1 & T2 hyperintense B. T1 & T2 hypointense C. T1 hyperintense/ T2 hypointense D. T1 hypointense/ T2 hyperintense | T1 & T2 hypointense |
| Contraindications for IV gadolinium contrast use are: 2: Contraindications for IV gadolinium contrast use are: A. Pregnant or nursing mothers B. Sickle cell anemia C. Insulin dependent diabetes D. All of the above E. None of the above | None of the above There are no known contraindications to IV gadolinium contrast usage. |
| What is the percentage of patients reported to have allergic reactions to gadolinium contrast agents? A. Less than 1% B. 10% C. 25% D. 50% | Less than 1% |
| IV Gadolinium contrast administration is indicated for: A. MRCP B. MRA of the renal arteries C. Central nervous system D. A & C only | Central nervous system |
| ____________ is used as an anti-peristalsis agent in MR Enterography procedures. A. Glucagon B. Barium C. Gadolinium D. Immodium | Glucagon |
| Metastatic lesions enhance after injecting a gadolinium chelate because of: A. The breakdown in the blood brain barrier B. T2 shortening C. The tangling of arteries and veins in metastatic disease D. None of the above | The breakdown in the blood brain barrier |
| Gadolinium is an example of a ___________ contrast agent. A. Paramagnetic B. Diamagnetic C. Ferromagnetic D. Quasimagnetic | Paramagnetic |
| In MRI, the function of gadolinium is to: A. Shorten the T1 and T2 times of tissues B. Lengthen the T1 and T2 times of tissues C. Lenghten the T2 time of tissue only D. Null both the T1 and T2 times of tissues | Shorten the T1 and T2 times of tissues |
| The standard dose for the adminstration of IV gadolinium chelates is: A. 1 mmol/kg B. 0.1 mmol/kg C. 0.2 mmol/kg D. 0.1 mmol/lb | 0.1 mmol/kg |
| Gadolinium IV contrast: A. Lengthens the T1 and T2 times of tissues B. Shortens the T1 and T2 times of tissues C. Does not affect the T1 and/or T2 times of tissues D. Only shortens the T2 times of tissues | Shortens the T1 and T2 times of tissues |
| Following the administration of IV gadolinium contrast, it is recommended to: A. Follow the injection with a flush of 0.5 mL saline B. Follow the injection with a flush of 5 mL saline C. Follow the injection with a flush of 100 mL saline | Follow the injection with a flush of 5 mL saline |
| Following the injection of contrast, which of the following patients are most likely to have a potentially serious reaction? A. Anemic patients C. Hypertensive patients D. Those with asthma or allergic respiratory disorders | Those with asthma or allergic respiratory disorders |
| VoLumen is a contrast agent used for: A. Vessel lumen relaxivity B. Volume rendering MRCP C. Blood brain barrier D. Bowel enhancement | Bowel enhancement |
| VoLumen would be selected for which MR procedure? A. MRCP B. MR perfusion C. MR enterography D. MRA abdomen E. MRA intracranial circulation | MR enterography |
| Calculate the dose of contrast (0.1mmol/kg) that should be administered to a patient weighing 176 lbs with normal kidney function in a routine MR examination. A. 7mL B. 9mL C. 13mL D. 16mL E. 18mL | 16mL Divide 176 lbs by 2.2 (lbs per kg), then multiply the kg (80) by 0.2 ml/kg = 16mL |