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Radiology · Contrast safety
Sample itemWhat is a key precaution before iodinated contrast CT in a patient with severe kidney dysfunction?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Assess indication and renal risk while considering alternatives
Iodinated contrast decisions should weigh diagnostic benefit against renal and allergic risk, with hydration, alternatives, or modified protocols considered when appropriate.
Option by option
A. Assess indication and renal risk while considering alternatives (correct)
Correct: risk-benefit assessment guides safe contrast use.
B. Give contrast solely to improve image aesthetics
Aesthetic improvement is never an indication for contrast.
C. Assume all contrast is harmless regardless of context
Contrast safety depends on patient factors and indication.
D. Avoid documenting prior contrast reactions
Previous reactions must be documented and considered.
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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