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118 Cards in this Set

  • Front
  • Back
KNOW ANATOMY
I'm sorry --- Spelling is going to STINK!!!!
what is the cavity posterior to the peritineum?
retro peritineum
what does cholangio mean?
bile ducts
what is the largest gland in the body?
liver
the space between the 2 layers of the peritineum is called the?
peritineal cavity
the folds of periteneum that support the abdominal organs are called the?
omenta
the outter portion of the sac that lies in the abdomenal pelvic cavity is the?
the perital peritineum
which of these organs lie in the pelvic cavity?
kidney, rectum, urinary, bladder
urinary, bladder, rectum
which lie in the abdomenal cavity?
kidney, gall bladder, stomach?
ALL of them
in an ERCP the endoscope is passed into the duadenum under fluor. Spot radiographs are usually taken of...
pancreatic ducts, hipatic ducts, or common bile ducts?
common bile duct & pancreatic duct
in a barium operative cholangiogram - the surgeon injects contrast medium directly into the bilary system - which of the following projections are usually done during the procedure?
AP, AP oblique RPO, AP oblique LPO
AP, AP oblique RPO (per author) - in reality just AP
where is the center of the IR positioned for a lateral projection of the abdomen done in dorsal decub position?
2" above iliac crest
which of the following is placed perpindicular to the long axis of the grid for the lateral projection of the abdomen?
midsagital, midcoronal, horizontal or transverse
mid coronal
demonstrating small amounts of interperitneal gas in patients w/ an acute abdomen is often necessary. How long should the patient lie in the left lateral position before the radiograph is made?
10-20 minutes
1 of the primary reasons a left lateral decub abdominal radiograph is performed is to demonstrate what?
air and fluid levels
for which of the following projections of the abdomen is the xray placed in the horizontal position?
lateral, PA upright, AP lateral decub
PA upright, and AP lateral decub
what is the respiration phase for an AP abdominal radiograph done on left lateral decub position
suspend on expiration (because diaphragm goes up)
where is the center of the IR positioned for an AP abdominal radiograph done on left lateral decub position?
2" above the iliac crest
CR angulation for AP abdominal radiograph is?
0
what is the respiration phase for an AP abdominal radiograph done in supine position?
suspend on expiration
what is the center of the IR position for an AP abdominal radiograph done in the upright position?
2" above the iliac crest
where is the center of the IR positioned for the AP abdominal radiograph done in the supine position?
at the iliac crest
if the patient is unable to stand for an upright AP abdominal radiograph what should you do instead?
right lateral decub, left lateral decub, dorsal decub or ventral decub?
dorsal decub
the most commonly performed abdominal exam is referred to as?
KUB
a properly exposed abdominal radiograph will exhibit the:
psoas muscles, lower border of the liver, transverse process of the lumbar vertebrea
ALL of them
which of the following describes the function of the spleen?
produces glucogon, produces lymphocytes, stores and removes dead blood cells
produces lymphocytes, and stores and removes dead blood cells
the pancreas produces which of the following?
insulin, glucogon, or pancreatic juice?
ALL of them
functions of the gall bladder include:
storing bile, concentrating bile, or storing cholesysti????
storing bile and concentrating bile
KNOW ANATOMY
especially the C-Loop!
the common hipatic duct and cystic duct join together to form the what?
common bile duct
the 2 main hipatic ducts join to form the?
common hipatic duct
what is the radiologically important primary function of the liver?
produces bile
(gall bladder STORES bile)
what quadrant is the liver in?
upper right
which projection of the colon best demonstrates the lateral aspect of the ascending colon and the medial aspect of the descending colon when the colon is inflated w/ air?
AP left lateral decub
which projection of the colon best demonstrates the MEDIAL aspect or the ASCENDING colon and the LATERAL aspect of the DESCENDING colon?
AP right lateral decub
the entire colon is best demonstrated in which projection?
AP or PA
how far is the enima tip inserted in the rectum for a colon exam?
no more than 4"
for all projections of the espophogus the top of the IR is positioned at?
level of the mouth
for which body type is the large intestine bunched together and positioned very low in the abdomen?
asthenic
the ascending portion of the colon joins the transverse colon at which flecture?
right colic flecture
the pouch like portion of the large intestine that is situated below the junction of the ilium and the colon is the?
secum
the large intestine is made up of a series of pouches caled the?
hostra
the opening inside the duedenum where pancreatic enzymes and bile enter is called the?
greater duedenum pepilla
the common bile duct and the pancreatic duct usually unite to form the?
hepatopancreatic ampulla
the opening between the stomach and the small intestine is termed the?
pyloric orifice
the esophogus joins the stomach through which orifice?
cardiac orifice
the folds of the thick innerlining of the stomach are termed the?
ruggea
which projection is used for radiographs made during defectography?
lateral
what position demostrates the rectum and rectoid sigmoid area?
(grabbing ankles)
Chessard-Lekind?
where is the IR centered for the all decub projections of the large intestine?
at the iliac crest
what projections clearly demonstrate the descending colon?
AP oblique RPO and PA oblique LAO
which projection will best demonstrate the right cholic flecture?
AP oblique LPO and PA oblique RAO
the degree of body rotation for an AP oblique projection of the large intestine is?
35-45 degrees
the central ray angulation for an AP axial projection of the large intestine is?
30-40 degrees cephallic - PA caudal
(please confirm this)
which plane is centered to the grid for the lateral projection of the large intestine
midcoronal
which projection of the colon best demonstrates the left cholic flecture?
PA oblique LAO
the PA oblique projection of the colon is done in the LAO position clearly demonstrates what part of the colon?
descending colon
which projection of the colon best demonstrates the ascending colon?
RAO
which projection of the colon best demonstrates the right cholic flecture?
RAO
which plane is central ray positioned for the PA oblique LAO or RAO for the large intestine?
longitudinal plane 1-2" lateral to the midline of the body on the elevated side
the degree of body rotation for a PA oblique projection RAO/ LAO of the large intestine is?
35-40 degrees
what is the central ray angulation for a PA axial projection of the large intestine
30-40 degrees caudal
which projections taken during a BE will demonstrate the rectosigmoid area?
lateral, PA axial or AP axial
ALL of them
the majority of AP, PA and oblique radiographs taken during a BE are done on 14x17 - where is the IR centered on a sthenic patient for the majority of these projections?
iliac crest
how far above the anus is the enima bag placed during a BE?
18-24" (hanging on IV pole)
when they are lying down for the insertion of the BE tip - this position is called?
Simms position
preperation of the intestinal tract for exam of the colon includes...
laxatives, dietary restrictions, or cleansing enimas
ALL of them
high density barium sulfate is used primarilly for what?
Air BE or double contrast exam
methods of radiographic exams of the colon include...
single contrast, double contrast, entroclysis
single contrast and double contrast
which of the following exams requires use of time markers on the radiographs?
large intestine, small intestine or stomach?
small intestine
where is the IR centered for the delayed radiographs of the small intestine?
iliac crest
where is the IR centered for the radiographs of the small intestine that are taken w/in 30 minutes of drinking the barium
2" above the iliac crest
the 1st small intestine radiograph is taken how many minutes after the patient drinks the barium?
15 minutes
the patient prep for a small intestine exam is
food & fluid w/held after evening meal, food & fluid w/held evening meal and no breakfast
food & fluid w/held after evening meal and no breakfast
what position will demonstrate the rectrogastric portion of the duodenum and jejunum on the AP projection of the stomach?
supine, trendelunberg or standing
trendelunberg and supine
which projection of the stomach will best demonstrate a diaphrenic herniation?
PA, AP, AP trendelenburg or AP righ lateral decub
AP trendelunberg
which projection of the stomach demonstrates its anterior and posterior surfaces?
lateral
which of the following projections best demonstrates the fundus of the stomach?
PA, LPO, LAO or RAO
LPO
what is the average degree of body rotation for an AP oblique projection of the stomach and duodenum?
45 degrees
at which level is the IR centered for AP oblique stomach and duodenum?
L1-L2
for which projection of the stomach would a positioning sponge be used?
AP oblique
which of the following will demonstrate the duodenal bulb and loop in profile?
RAO
the degree of body rotation for a PA oblique projection of the stomach will depend on the body habitus - the greatest degree of rotation will be used on which body habitus?
hypersthenic
the PA projection of the stomach and duodenum is often performed using a 14x17 which of the following describes the plane that is centered to the grid for this projection?
midsaggital plane
at which level is the IR centered for a PA projection of the stomach and duodenum
L1-L2
the PA projection of the stomach and duodenum can be performed using 14x17. Which of the following describes the plane that is centred to the grid for this projection
saggital plane passing halfway between the midline and lateral border of the abdomen
which drug may be given to the patient before a double contrast exam of the stomach to relax the GI tract
glucogon
which of the following are advantages for using double contrast technique for exam of the stomach?
fewer radiograps, small lesions are not obscured or the mucosa lining of the stomach can be clearly visualized
small lesions are not obscured AND the mucosa lining of the stomach can be clearly visualized
the routinely used methods of examing the stomach include
double contrast (make sure not single)
food & fluid should be w/held for how many hours before a stomach exam?
8 hours
the patient prep for a morning stomach exam is:
food & fluid w/held after evening meal OR food & fluid w/held after midnight?
Midnight
which of the following planes is centered to the grid for the lateral projection of the esophogus?
midcoronal
which of the following are advantages of using the recumbant positions for radiographs of the esophogus?
verices (???) are filled better, easier to swallow barium or more complete contrast
verices are filled better and more complete contrast especially the proximal part....
what is the recommended general body position for the radiographic series of the esophogus
recumbent
what is the degree of body rotation for PA oblique of the esophogus?
35-40 degrees
what is the recommended oblique projection and position for the best demonstration of the esophogus?
RAO
one of the most important technical considerations in GI radiography is
elimination of motion
which of the following can be used to record the fluoro image?
TV, Cine device, or video recorder?
ALL of them
the most common contrast medium used for radiographic exams of the GI tract is
barium sulfate
which of the following contrast mediums are used for exams of the GI tract?
air, barium, or water soluable ionide contrast solution
ALL of them
how long does it take barium to go through the alimentary canal and reach the rectum for the average patient
24 hours
the contraction ways by which the digestive tube moves its contents towards the rectum is called?
peristosis
the opening between the small intestine and the large intestine is called the?
ileocecal valve
the veriform appendix of the colon is attached to the...
cecum
the main functions of the large intestine are?
digestion of food, reabsorbtion of fluids, or elimination of waste products
reabsorption of fluids AND elimination of waste products
what is the length of the large intestine?
5 feet
the main funtions of the small bowel are?
digestion of food, absorption of food, storage of food
digestion and absorption of food
the jejunum and ilium are attached to the posterior wall of the abdomen by this.
mesintary mesh
the most distal portion of the small intestine is the
ilium
the small intestine is divided into how many distinct portions?
3
what is the length of the average adult small intestine?
22 feet
functions of the stomach include:
storage of food, absorption of food products or chemical breakdown of food
storage of food AND chemical breakdown of food
for which type of body habitus is the stomach nearly vertical?
asthenic
for which body habitus is the stomach nearly horizontal?
hypersthenic
muscle controlling the opening between the stomach and the duodenum is?
pyloric sphincter
which of the following are included as the components of the alimentary canal?
anus, colon, espophogus?
ALL of them
which of the following are components of the alimentary canal?
mouth and pharynix, stomach and intestine or liver and pancreas
mouth and pharynix AND
stomach and intestine
how long is the entire alimentary canal?
30 feet