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In cardiac SPECT imaging, the horizontal long-axis view corresponds to


A) sagittal views, presented from the apex to the base.
B) coronal images, presented from the septum to the lateral wall.
C) septal images, presented from the septum to the posterior wall.
D) transverse sections, presented from the inferior to the anterior surface.

E) None of the above
F) B) and C)

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When performing equilibrium-gated blood pool studies, the computer is programmed to have the first frame of data recorded at the


A) R wave.
B) Q wave.
C) QRS complex.
D) T wave.

E) A) and D)
F) C) and D)

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In myocardial perfusion imaging, after high-level stress exercise it is recommended that SPECT imaging begin when respiration has returned to normal to avoid


A) bradycardia effects.
B) upward creep.
C) attenuation by the stomach.
D) an increase in background uptake.

E) None of the above
F) A) and B)

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When performing PET in a patient with a history of coronary disease and multiple infarcts, myocardial perfusion imaging with fluorodeoxyglucose (FDG) , FDG reflects the relatively


A) decreased utilization of glucose in regions of ischemic tissue.
B) increased utilization of glucose in regions of decreased perfusion.
C) increased utilization of glucose in regions of scarred tissue.
D) decreased utilization of glucose in surrounding tissue.

E) A) and D)
F) A) and C)

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When performing a pharmacological myocardial stress test using adenosine, the drug that must be available if needed to reverse the effects of adenosine is


A) xanthine.
B) atropine.
C) morphine.
D) aminophylline.

E) A) and B)
F) A) and C)

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Systole represents the


A) period of ventricular relaxation.
B) period of ventricular contraction.
C) period of atrial contraction.
D) cardiac output.

E) B) and C)
F) All of the above

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When performing equilibrium-gated blood pool studies to determine cardiac function, the preferred tracer is


A) thallium-201 chloride.
B) technetium-99m-labeled tetrofosmin.
C) radiolabeled autologous RBCs.
D) technetium-99m-labeled sestamibi.

E) A) and B)
F) A) and D)

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When fusing PET and CT or SPECT and CT images of the heart, misregistration can be overcome by taking several steps, including


A) equating the acquisition time between CT and PET or SPECT.
B) blurring the CT data.
C) acquiring PET or SPECT images over a longer period of time.
D) blurring the PET or SPECT data.

E) A) and B)
F) All of the above

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When performing a myocardial perfusion exercise stress test, ideally the radiopharmaceutical should be injected at


A) the beginning of stress.
B) peak stress and the exercise continued for 1 to 2 minutes.
C) peak stress and the exercise terminated immediately.
D) 1 to 2 minutes after peak stress and the exercise terminated within 1 minute.

E) A) and D)
F) C) and D)

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