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Nuclear Cardiology

  • Majid Assadi
  • Hojjat Ahmadzadehfar
  • Hans-Jürgen Biersack
Chapter

Abstract

  1. 1.
    The critical organ for 201Tl is:
    1. (a)

      Gallbladder

       
    2. (b)

      Kidneys

       
    3. (c)

      Ovaries

       
    4. (d)

      Large intestines

       
     
  2. 2.
    The shelf lives of 99mTc-MIBI and 99mTc-tetrofosmin are:
    1. (a)

      15 h, 12 h

       
    2. (b)

      12 h, 15 h

       
    3. (c)

      15 h, 10 h

       
    4. (d)

      10 h, 8 h

       
     
  3. 3.
    On a myocardial perfusion scan, which of the following factors can be considered an advantage of 99mTc-tetrofosmin over 99m Tc-sestamibi?
    1. (a)

      Higher myocardial uptake

       
    2. (b)

      Rapid hepatic clearance

       
    3. (c)

      Lower pulmonary uptake

       
    4. (d)

      Lower price

       
     
  4. 4.
    The myocardial uptake pattern of which technetium agent is similar to that of 201Tl?
    1. (a)

      99mTc-sestamibi

       
    2. (b)

      99mTc-tetrofosmin

       
    3. (c)

      99mTc-furifosmin

       
    4. (d)

      99mTc-NOET

       
     
  5. 5.
    A similar cardiac uptake pattern is usually observed between thallium and 99mTc-MIBG EXCEPT:
    1. (a)

      Extensive ischemia in all three territories

       
    2. (b)

      Acute MI

       
    3. (c)

      Ventricular tachycardia and old MI

       
    4. (d)

      Arrhythmia

       
     
  6. 6.
    In myocardial perfusion SPECT with 99mTc-teboroxime:
    1. (a)

      Imaging must be performed at least 1 h after injection.

       
    2. (b)

      Stress and rest images can be obtained with an interval of 2 h.

       
    3. (c)

      Hepatic and intestinal interfering activity is absent because of the renal elimination of the tracer.

       
    4. (d)

      It has lesser uptake than tetrofosmin on the cardiac first-pass study.

       
     
  7. 7.
    Which statement about the application of 82Rb on cardiac scan is NOT correct?
    1. (a)

      It is directly injected from the generator to the patient.

       
    2. (b)

      Compared with thallium, a lower percentage of the administered dose is uptaken by myocardium.

       
    3. (c)

      Compared with 99mTc-MIBI, a higher percentage of the administered dose is uptaken by myocardium.

       
    4. (d)

      It behaves like a calcium analogue.

       
     
  8. 8.
    What happens to the 99mTc- teboroxime washout in the region of the heart with coronary stenosis?
    1. (a)

      Decrease

       
    2. (b)

      Increase

       
    3. (c)

      Similar to healthy myocardium

       
    4. (d)

      Without change

       
     
  9. 9.
    What percentage of the administered 201Tl is uptaken by the heart?
    1. (a)

      1–2%

       
    2. (b)

      4–5%

       
    3. (c)

      15–20%

       
    4. (d)

      25–30%

       
     
  10. 10.
    Which of the following radiopharmaceuticals binds to phosphatidylserine on the surface of myocardial cells?
    1. (a)

      99mTc-N-NOET

       
    2. (b)

      99mTc-annexin V

       
    3. (c)

      18F-FDG

       
    4. (d)

      99mTc-Teberoxime

       
     
  11. 11.
    Which radiopharmaceutical is used for the evaluation of the left ventricular function in both first-pass and gated SPECT studies?
    1. (a)

      201Tl

       
    2. (b)

      99mTc-teboroxime

       
    3. (c)

      99mTc-tetrofosmin

       
    4. (d)

      82Rubidium

       
     
  12. 12.
    Which method is NOT indicated for the evaluation of myocardial viability 1 month after myocardial infarction?
    1. (a)

      Echocardiography with low-dose dobutamine

       
    2. (b)

      Myocardial SPECT with sestamibi and nitrate administration in the rest phase

       
    3. (c)

      Myocardial SPECT with 123I-MIBG in the rest phase

       
    4. (d)

      Myocardial SPECT with 201Tl in the rest and redistribution phases

       
     
  13. 13.
    What is the relative advantage of 99mTc-tetrofosmin over 99mTc-sestamibi in the myocardial perfusion scan?
    1. (a)

      Better evaluation of myocardial viability

       
    2. (b)

      Rapid hepatic clearance

       
    3. (c)

      More accurate evaluation of myocardial function

       
    4. (d)

      The possibility of imaging in the rest phase in the first 5 min

       
     
  14. 14.
    In which of the following conditions is the linear increase in thallium uptake accompanied with the increase in myocardial perfusion?
    1. (a)

      In the physiologic range

       
    2. (b)

      Tissue acidosis

       
    3. (c)

      After physical exercise

       
    4. (d)

      Administration of vasodilators

       
     
  15. 15.
    Which radiotracer best shows the cardiac apex on the myocardial perfusion scan?
    1. (a)

      99mTc-tetrofosmin

       
    2. (b)

      99mTc-MIBI

       
    3. (c)

      201Tl

       
    4. (d)

      99mTc-teboroxime

       
     
  16. 16.
    What is the critical organ for 99mTc-tetrofosmin?
    1. (a)

      Kidney

       
    2. (b)

      Gallbladder

       
    3. (c)

      Spleen

       
    4. (d)

      Liver

       
     
  17. 17.
    Which of the following radiotracers is NOT redistributed on the myocardial perfusion scan?
    1. (a)

      201Tl

       
    2. (b)

      Tc-NOET

       
    3. (c)

      Tc-teboroxime

       
    4. (d)

      Tc-furifosmin

       
     
  18. 18.
    Which of the following reagents is used on the hot spot scan for the detection of hypoxia?
    1. (a)

      Pyrophosphate

       
    2. (b)

      Antimyosin

       
    3. (c)

      Glucarate

       
    4. (d)

      Nitroimidazole

       
     
  19. 19.
    Which of the following radiotracers has the highest myocardial uptake?
    1. (a)

      201Tl

       
    2. (b)

      99mTc-tetrofosmin

       
    3. (c)

      99mTc-sestamibi

       
    4. (d)

      99mTc-pyrophosphate

       
     
  20. 20.
    Anterior wall MI occurs in a 79-year-old patient with a history of drug treatment for hypertension and diabetes. Ejection fraction is about 45%, and blood sugar is NOT controlled in 2 weeks of hospitalization. If the evaluation of coronary arteries is desired, the postponing of which of the following tests is recommended?
    1. (a)

      Myocardial perfusion imaging

       
    2. (b)

      Coronary angiography

       
    3. (c)

      CT angiography

       
    4. (d)

      MR angiography

       
     

Suggested Readings

  1. 1.
    Ahmadzadehfar H, Biersack HJ, Freeman LM, Zuckier L. Clinical nuclear medicine. 2nd ed. Berlin: Springer; 2018.Google Scholar
  2. 2.
    Ell PJ, Gambhir SS. Nuclear medicine in clinical diagnosis and treatment. 3rd ed. Edinburgh, NY: Churchill Livingstone; 2004.Google Scholar
  3. 3.
    Sandler MP, Coleman RE, Patton JA, Wackers FJT, Gottschalk A. Diagnostic nuclear medicine. 4th ed. Philadelphia: Lippincott & Williams Wilkins; 2003.Google Scholar
  4. 4.
    Henkin RE. Nuclear medicine. 2nd ed. Philadelphia: Mosby Elsevier; 2006.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Majid Assadi
    • 1
  • Hojjat Ahmadzadehfar
    • 2
  • Hans-Jürgen Biersack
    • 3
  1. 1.Department of Nuclear MedicineBushehr University of Medical SciencesBushehrIran
  2. 2.Department of Nuclear MedicineUniversity Hospital BonnBonnGermany
  3. 3.Department of Nuclear MedicineUniverity Hospital BonnBonnGermany

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