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Listening Quiz: Đánh Giá Chức Năng Thận Trước Khi Dùng Chất Đối Quang Gadolinium – Medium Level
Th6 11, 2025
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bởi
Anna Phạm
trong
Tiếng Anh dành cho Bác sĩ (English for Doctor)
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1.
What is the main topic of the conversation?
Choosing the best MRI machine
How to prepare a patient for surgery
Assessing kidney function before using gadolinium contrast
Treating nephrogenic systemic fibrosis
Explanation:
The speakers discuss why kidney function must be checked before gadolinium contrast is used for an MRI, including the eGFR threshold and related risks.
2.
What test do Mark and Jessica mention for checking kidney function?
A chest X-ray
Estimated glomerular filtration rate (eGFR)
A urine culture
Blood pressure measurement
Explanation:
Mark says, ‘We measure the estimated glomerular filtration rate, or eGFR.’
3.
According to Mark, what is the usual safe eGFR level for gadolinium use?
Above 10 milliliters per minute per 1.73 square meters
Above 30 milliliters per minute per 1.73 square meters
Above 50 milliliters per minute per 1.73 square meters
Above 20 milliliters per minute per 1.73 square meters
Explanation:
Mark states that the safe level is ‘Usually above 30 milliliters per minute per 1.73 square meters.’
4.
What can be inferred if a patient’s eGFR is below 30?
Gadolinium is generally avoided or replaced with another imaging method
The MRI must be canceled permanently
The patient does not need to be informed about risks
The patient definitely has normal kidney function
Explanation:
Mark says that when eGFR is below 30, they avoid gadolinium or use alternative imaging methods.
5.
Why does Mark say the risks and benefits are explained before proceeding?
To recommend using gadolinium in all cases
To show that patient consent is part of the process
To suggest that kidney testing is unnecessary
To help Jessica decide which MRI contrast to buy
Explanation:
Mark answers Jessica’s question about consent by saying they explain the risks and benefits before proceeding, which shows consent is part of the process.
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