Self-Assessment Test Overview of Contrast Media: Critical Knowledge

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Self-Assessment Test Overview of Contrast Media: Critical Knowledge for Health-System Pharmacists This program is located at http://ashpmedia.org/symposia/contrast This self-assessment test has been provided as a study aid only. At the conclusion of the internet-based program, click on cTake CE Test d to proceed to the ASHP Learning Center and take the on-line program post-test. You may print your CE statement immediately after successful completion of the post-test.

There are a total of 15 questions associated with this self-assessment test. 1. Which of the following is not a category of iodinated contrast agents?

a. Nonionic dimer b. Ionic monomer c.

Ionic trimer d. Nonionic monomer 2. Radiology contrast agents are used for all of the following reasons except : a.

To improve the contrast between a pathologic lesion and surrounding structures b. To ablate a pathologic lesion c. To improve the sensitivity for detecting pathologic lesions d.

To get qualitative information about perfusion of a pathologic lesion 3. What is the main reason that nonionic iodinated agents have largely replaced ionic agents for intravenous use? a.

Nonionic agents are less expensive than ionic agents b. Nonionic agents have a lower incidence of adverse reactions c. Nonionic agents can be used in smaller volumes than ionic agents d.

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agents can be used safely in patients on metformin 4. Which paramagnetic element has the greatest T1 relaxivity? a. Gadolinium b. Dysprosium c. Ytterbium d. Europium 5. Which of the following is a risk factor for contrast media-related adverse reactions? a. Pediatric age b. Female gender c. Renal dysfunction d. Hepatic dysfunction Self-Assessment Test Overview of Contrast Media: Critical Knowledge for Health-System Pharmacists This program is located at http://ashpmedia.org/symposia/contrast 6. Which of the following medication combinations may be administered prior to contrast administration to reduce the risk of adverse reactions to contrast media? a. Acetaminophen and antiemetics b. Steroids and antihistamines c. Acetaminophen and antihistamines d. Steroids and antiemetics 7. The pharmacist 9s role in screening patients prior to contrast administration includes all of the following except : a. Evaluating medication profiles b. Assessing renal function c. Reviewing patient allergies d. Monitoring cardiac function 8. All of the following are required elements of protocol implementation except : a. Radiology technician duties described in protocol b. Pharmacy Department involved in designing the protocol c. Medical staff approval obtained for the protocol. d. Licensed independent practitioner role defined by protocol. 9. If a patient is taking metformin, it should be withheld ____ hours after a contrast media study? a. 6 b. 18 c. 24 d. 48 10. Which of the following alerts/rules should be considered for inclusion in a contrast media protocol? a. Use SCr instead of eGFR to determine renal function. b. Withhold metformin for 12 hours following contrast administration. c. Avoid gadolinium-based contrast in patients with eGFR < 30 ml/min. d. Obtain new SCr if last obtained > 7 days prior to contrast administration. 11. Which of the following protocol development/implementation steps can enhance the safe use of contrast media? a. Incorporating a multidisciplinary approach to protocol development b. Eliminating retrospective quality assessment of protocol adherence c. Limiting approval of the protocol to Pharmacy and Therapeutics committee members d. Focusing all educational efforts on the Pharmacy Department Self-Assessment Test Overview of Contrast Media: Critical Knowledge for Health-System Pharmacists This program is located at http://ashpmedia.org/symposia/contrast 12. Pharmacists are required to prospectively review which of the following type of medication orders from the Radiology Department? a. All non-contrast medication orders, even in interventional radiology procedures. b. Orders for intravenous contrast agents when the role of the physician before and during the administration of the contrast, including emergencies, is not defined in policy or protocol. c. Orders for oral and rectal contrast administered via a protocol-based approach. d. All orders/prescriptions for oral contrast agents provided to the patient by the radiology department staff, when allowed by law and regulation, a day in advance for self-administration prior to arrival. 13. Which of the following outpatient situations requires the use of a full medication reconciliation process rather than the modified process described under NPSG 08.04.01? a. CT scan using contrast where there are no permanent or temporary changes to the patient 9s chronic medications. b. CT scan using contrast where the patient is advised to hold their metformin therapy for 48 hours after the procedure. c. Interventional radiology procedure where the patient still experiences the effects of anesthesia after leaving the facility. d. CT scan when oral contrast is provided to the patient a day prior. 14. NPSG 01.01.01 requires the use of two patient identifiers. Which of the following points in time is it acceptable for this identification process to occur? a. When the patient checks in at the registration desk. b. Shortly after the patient is called in from the waiting room and escorted to the dressing area. c. After the patient finishes changing and is escorted to the procedure room. d. Immediately prior to a medication or contrast being administered or set up for administration (i.e., power injector attached to patient. Self-Assessment Test Overview of Contrast Media: Critical Knowledge for Health-System Pharmacists This program is located at http://ashpmedia.org/symposia/contrast 15. Which of the following standard non-compliance issues can result in triggering a situational decision rule that, by itself, will yield an accreditation decision of conditional accreditation? a. Failing to check the expiration date of a contrast agent prior to administration. b. Failing to identify a patient using two patient identifiers prior to administering contrast. c. Having a receptionist dispense a bottle of oral contrast to an outpatient the day prior to a scan and state law does not recognize this person as an agent of the physician. d. Administering the wrong contrast agent to a patient, as determined by the department protocol.

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