Which of the following iodinated contrast media is classified as a NON-IONIC, LOW-OSMOLAR agent?
- A Diatrizoate
- B Metrizoate
- C Iothalamate
- D Iohexol ✓
Explanation
Iohexol is a non-ionic monomer with osmolality roughly one third that of conventional high-osmolar agents, placing it in the low-osmolar class used routinely today. Diatrizoate and iothalamate are ionic high-osmolar monomers, and metrizoate is an ionic monomer as well. The ionic versus non-ionic distinction matters because non-ionic agents have far lower chemotoxicity and much lower rates of adverse allergic-like reactions.
Reference: Grainger & Allison's Diagnostic Radiology, 7th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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