Contrast Media Allergic Reactions Quiz

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Questions and Answers

What is one of the pathophysiologic explanations for allergic-like hypersensitivity reactions?

  • Conversion of nitric oxide into L-arginine
  • Activation of the contact and complement systems (correct)
  • Activation of the IV clotting system
  • Conversion of L-arginine into oxygen

What is a benefit of premedication according to the text?

  • Increased release of histamine from basophils
  • Increase in the likelihood of contrast reactions
  • Reduction in the size and complexity of contrast molecules
  • Reduction of immediate adverse events from high-osmolality contrast media (correct)

Which type of contrast media is generally associated with less adverse events according to the text?

  • High-osmolality nonionic dimers
  • Low-osmolality nonionic monomers (correct)
  • Iso-osmolality nonionic dimers
  • High-osmolality ionic monomers

Which type of patient population was NOT studied in the randomized trials of premedication?

<p>High-risk patients (D)</p> Signup and view all the answers

What influence does hyperosmolality of the contrast medium have on the likelihood of contrast reactions?

<p>Stimulation of histamine release from basophils and mast cells (B)</p> Signup and view all the answers

What is the estimated number needed to premedicate to prevent one severe reaction in high-risk patients?

<p>569 (C)</p> Signup and view all the answers

Which type of contrast media is generally associated with a reduced likelihood of physiologic reactions following intravenous administration?

<p>Low-osmolality nonionic monomers (C)</p> Signup and view all the answers

What is the potential benefit of premedication for average-risk patients prior to high-osmolality iodinated contrast medium administration?

<p>Reducing the likelihood of immediate adverse events (C)</p> Signup and view all the answers

What do many experts believe about the efficacy of premedication in high-risk patients receiving low-osmolality iodinated contrast medium?

<p>Premedication reduces the likelihood of a reaction (B)</p> Signup and view all the answers

What was one limitation of the randomized trials of premedication discussed in the text?

<p>Inconclusive results on the effect of premedication in high-risk patients (B)</p> Signup and view all the answers

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