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Radiology · Magnetic resonance imaging
Sample itemWhy is kidney function considered before some gadolinium-enhanced MRI examinations?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Severe renal impairment increases risk from certain contrast agents
In severe renal impairment, some gadolinium-based contrast agents require special caution because of the rare risk of nephrogenic systemic fibrosis; agent selection and indication should follow current local policy.
Option by option
A. Gadolinium always causes kidney stones
Gadolinium does not invariably cause renal stones.
B. Severe renal impairment increases risk from certain contrast agents (correct)
Correct: severe renal dysfunction affects gadolinium contrast risk assessment.
C. MRI contrast is radioactive
MRI contrast agents are not radioactive tracers in standard MRI.
D. Kidney function determines magnetic field strength
Scanner magnetic field strength is not selected from kidney function.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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