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CONTROL TEST to engage in number 8 on "Fundamentals of nuclear medicine. RFP, research methods: radiography, radiometry, scintigraphy scan, PET, RIA ". Preparatory stage. 1. What radiation most commonly used in nuclear medicine? 1. 2. 3. 4. 5. 2. Alpha radiation Gamma radiation Beta radiation Iozitronnoe radiation Electronic radiation What is RFP? 1. 2. 3. 4. 5. 3. This radionuclide, which is introduced into / in for diagnostics. This radionuclide, which forms a salt with the introduction tropic various organs. This chemical compound, a molecule which contains a radionuclide. This chemical compound that before introduction into the organism was mixed with different desired radionuclides. This chemical compound which comprises several radionuclides. Which radionuclides are given half-life of most commonly used in nuclear medicine? 1. 2. 3. 4. 5. 4. ultra-short Long-lived Srednezhivuschie Short-lived It is not significant. What is the process for the preparation of radionuclides is the most common? 1. 2. 3. 4. 5. 5. The reagents Generator In accelerators The chemical method Biological To name a half-life 99mTs? 1. 2. 3. 4. 5. 6. 6 hours 2 hours 8 days 14 days 20 minutes What is the detector almost all radiodiagnostic devices? 1. 2. 3. 4. 5. Counter Geygara valve tube The scintillator PMT (photomultiplier tube) collimator Is it possible to carry out a diagnostic study of the radionuclide in vitro? 1. 2. No you can not Yes, it is PET 7. 3. 4. 5. 8. Yes, this OFET Yes, it scintigraphy Yes, this RIA. What methods can not be attributed to nuclear imaging? 1. 2. 3. 4. 5. 6. 9. Radiography Scanning scintigraphy PAT RIA OFET What method of nuclear medicine is completely safe for the patient, in terms of radiological safety? 1. 2. 3. 4. 5. 10. PAT RIA OFET radiometry radiography What method of modern medical imaging has the best resolution? 1. 2. 3. 4. 5. 6. ele ve n. Doppler PAT RIA CT MRI scintigraphy What type of radionuclides used during PET? 1. 2. 3. 4. 5. 12. Only dlinnozhivuschie Emitting gamma rays emitting positrons emits electrons Brake light emitting quantum Call contraindications for RIA? 1. 2. 3. 4. 5. there are no contraindications Pregnancy up to 3 months Pregnancy in all periods Children up to 1 year This method is carried out under strict indications. 1. 2. 3. 4. 5. 6. To carry out the method of nuclear medicine requires a cyclotron? Dynamic scintigraphy RIA Radiometry of the whole body PAT OFET It is not used in nuclear medicine. REFERENCE 13. the responses to the tests preparatory phase lesson number 8 . 1. 2 2. 3 3. 4 4. 2 5. 1 6. 3 7. 5 8. 15 9. 2 10. 4 eleven. 3 12. 1 13. 4 The final stage to engage in number 8. 1. For a method of nuclear medicine requires a cyclotron? 1. 2. 3. 4. 5. 6. 2. RIA OFET PAT Radiometry of the whole body Dynamic scintigraphy For all the above methods. What are the methods of obtaining radionuclides used in nuclear medicine? 1. 2. 3. 4. 5. 3. In reactors In accelerators The generating method All methods used None of them are not used. What is the most common radionuclide in nuclear medicine? 1. 2. 3. 4. 5. 4. Iodine-131 Technetium-99 Phosphorus-32 Gippuron Aurum-198. What is a scintillator? 1. 2. 3. 4. 5. 5. This detector This dosimeter This radiometer This spectrometer A computer in a gamma camera. What method of beam diagnostics gives an indication of the nature of the metabolic processes in the tissues? 1. 2. 3. 4. 5. 6. 6. RIA radiometry PAT Scanning Static scintigraphy None of these methods. What method of beam diagnostics reveals "hot knot" in the body? 1. 2. 3. 4. 5. 7. Scanning Dynamic scintigraphy OFET PAT All of the above methods. What method is used to produce technetium-99? 1. 2. 3. 4. 5. Chemical Generator Biological The reactor The accelerator. 8. What method of radionuclide diagnostics using a computer allows you to build on the screen three-dimensional volumetric body image? 1. 2. 3. 4. 5. 6. 9. RIA scintigraphy OFET PAT Radiometry of the whole body Currently there are no such methods. What method of beam diagnostics should be used to quickly identify and assess the incorporation of radionuclides when they are accidentally released into the human body ?? 1. 2. 3. 4. 5. 6. 10. MRI radiometry PAT RIA Scanning It's not effective. With the introduction of the RFP is frequently observed allergic reaction? 1. 2. 3. 4. 5. 6. ele ve n. Sodium iodide - iodine 131 hippuran rose Bengal The colloid of Tc-99 colloid 198a In no one is not observed. What method of radionuclide diagnosis often reveals metostazy in the bones? 1. 2. 3. 4. 5. OFET Scanning scintigraphy PAT All of the above. REFERENCE the responses to the tests of the final stage of a class number 8 . 1. 3 2. 4 3. 2 4. 1 5. 3 6. 5 7. 2 8. 3, 4 9. 2 10. 6 eleven. 5 2. Case Studies Related to number 8. I. Numbe The passport to the RFP, among other characteristics must indicate the amount of r 1. activity and date of measurement. 1. What you need to know the characteristics of radiopharmaceuticals in clinical use it? Numbe r 1. To calculate the activity. 1. Standards of answers: *** Numbe It is known that accumulates 32P more abundant in tissues of malignant tumors than r 2. in normal tissues. Is it possible to detect metastatic tonsil cancer in the liver after administration of 1. radiopharmaceuticals labeled with 32P? Numbe r 2. Standards of answers: 1. No. 3. 1. 2. 3. No. 3. 1. No. Due to the short range of beta particles. *** What type of radiation has the greatest biological effects? alpha radiation beta radiation gamma radiation Standards of answers: alpha radiation II. numbe r1 1. numbe r1 1. numbe r2 1. 2. numbe r2 1. 2. Xerostomia salivary glands III century. Is it advisable to conduct at the same time scintigraphy of the salivary glands? Standards of answers: No, because it builds up too little RFP. *** The patient was 30 years old complains of increased irritability, hot flashes, fatigue, palpitations, weight loss of 5 kg in 4 months. On examination, the patient drew the attention of low-grade double-sided exophthalmos, eye glitter, tachycardia, tremor of outstretched arms. Palpated in the usual place several enlarged thyroid myagkoelasticheskoy consistency. A radionuclide study vnutritireoidnogo phase 131I iodine metabolism and radiokonkurentny analysis T3, T4, TSH. 131I accumulation results: 2h. -25%, 4h. -56%, 24h. - 61%. T3 - 3 nmol / l T4 -170 nmol / l. Assess vnutritireoidnogo, transport and organic phases of iodine metabolism. Writing a conclusion about the nature of the disease. Standards of answers: Increasing the I-accumulative function and acceleration of transport and an organic phase. Increasing hormonopoietic function. Thyrotoxicosis. *** 1. 1. 2. * 3. 4. 5. EXERCISE 1 Patient K., 32 years old, complained of unwarranted anxiety, increased mental irritability, weight loss, sweating, frequent stools. Ill 6 months. ago after suffering flu. Revealed ocular symptoms (Box, Kraus). Pulse 100 in 1 minute. The thyroid gland is increased to 3 tbsp. What method of beam diagnostics, which allows in this case to evaluate thyroid function: Nuclear magnetic resonance. Ultrasound scanning. RIA (radioimmunoassay). Computed tomography of the thyroid gland. Doppler study. ACTIVITY 2 2. 1. 2. * 3. 4. 5. 1.Patient 1 A., 51 years old, complained of irritability, trembling fingers, insomnia for . than 2 months. after suffering psychological trauma. On examination, the more patient usually supply shock pulse of 84 per minute. BP 120/70 mmHg Eye symptoms are not detected. The isthmus of the thyroid gland by palpation determined the formation of 2 cm. What method of beam diagnostics must perform to render palpable education and determine its structure? Radioisotope scan of the thyroid gland. X-ray of the neck. Ultrasound scanning (two-dimensional ultrasound of the thyroid gland). Doppler study. Radioisotope study of thyroid hormone in vitro.