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Liver & Spleen Imaging Quiz (20 Questions)

Total questions: 23

Worksheet time: 12mins

Name
Class
Date
1.

What radiopharmaceutical is commonly used in liver-spleen imaging to assess Kupffer cell function?

a)

99mTc-MAA

b)

99mTc-sulfur colloid

c)

99mTc-labeled RBCs

d)

18F-FDG

2.

Which liver cell type is primarily responsible for phagocytosis of foreign materials?

a)

Hepatocytes

b)

Sinusoidal endothelial cells

c)

Kupffer cells

d)

Bile duct cells

3.

In a normal liver/spleen scan, what percentage of the tracer is typically taken up by the liver?

a)

30-40%

b)

50-60%

c)

80-90%

d)

100%

4.

using 99mTc-labeled RBCs?

a)

No uptake

b)

Decreased perfusion

c)

Focal increased uptake

d)

Homogeneous distribution

5.

What is the critical organ for 99mTc sulfur colloid imaging?

a)

Bone marrow

b)

Liver

c)

Lung

d)

Kidney

6.

A lung shunt fraction of greater than what percentage typically contraindicates Y-90 therapy?

a)

5%

b)

10%

c)

20%

d)

30%

7.

What is the function of Technetium-99m MAA in hepatic arterial mapping?

a)

Detect fatty infiltration

b)

Assess hepatic blood flow via portal vein

8.

What is the primary function of hepatocytes?

a)

Store bile

b)

Filter red blood cells

c)

Phagocytosis

d)

Metabolize nutrients and produce bile

9.

What structure separates the right and left lobes of the liver?

a)

Inferior vena cava

b)

Falciform ligament

c)

Hepatic artery

d)

Common bile duct

10.

Which of the following is NOT a function of the liver?

a)

Digestion

b)

Vitamin storage

c)

Oxygen transport

d)

Detoxification

11.

What imaging modality is often used first to evaluate liver disease?

a)

MRI

b)

CT

c)

Ultrasound

d)

PET

12.

Which tracer is preferred for imaging hepatic hemangiomas?

a)

99mTc-MAA

b)

99mTc-RBC (in vitro tagged)

c)

18F-FDG

d)

99mTc-sulfur colloid

13.

How long after 99mTc-RBC injection are delayed images typically taken?

a)

Immediately

b)

15 minutes

c)

1 hour

d)

2 hours

14.

Which imaging technique provides 3D data and better localization than planar imaging?

a)

CT

b)

Ultrasound

c)

SPECT/CT

d)

PET

15.

Which structure carries blood out of the liver back to the heart?

a)

Hepatic vein

b)

Portal vein

c)

Hepatic artery

d)

Inferior vena cava

16.

What causes uptake of sulfur colloid in the lungs?

a)

Proper kit heating

b)

Oversized colloid particles

c)

Excessive RBC tagging

d)

Low oxygen saturation

17.

What role do Kupffer cells play in liver imaging?

a)

Produce bile

b)

Tag RBCs

c)

Phagocytose colloid particles

d)

Store glucose

18.

Kupffer cells in the liver primarily:

a)

Produce bile

b)

Synthesize albumin

c)

Uptake radiocolloids via phagocytosis

d)

Store glucose

19.

What organ should NOT show uptake in a properly placed hepatic artery catheter study?

a)

Liver

b)

Lungs

c)

Stomach

d)

Heart

20.

What is the average particle size of sulfur colloid used for liver scans?

a)

0.1-0.2 m

b)

0.3-1.0 m

c)

1.5-3.0 m

d)

10-15 m

21.

Why is 99mTc-MAA injected slowly during hepatic mapping?

a)

To improve image resolution

b)

To match the flow rate of therapeutic microspheres

c)

To reduce tracer binding

d)

To limit splenic uptake

22.

Imaging diagnostic tool that combines a series of cross sections...using high amounts of radiation.

a)

CT Scan

b)

MRI

c)

Ultrasound

d)

X-Ray

23.

The medical imaging technique used to take a picture of soft tissue is a ______________.

a)

CAT scan

b)

xray

c)

MRI