Procedure Finals Notes

Front 1

T/F a routine exam of the forearm requires PA, oblique, and lateral positions

Back 1

False

Front 2

T/F an AP projection of the upper extremity indicates that the palmar surface of the hand rests on the cassette

Back 2

False

Front 3

T/F the head of the ulna articulates with the trochlea, while the head of the radius articulates with the capitelum

Back 3

False

Front 4

T/F the PA forearm position shows superimposition of the radius over the ulna at the wrist point

Back 4

False

Front 5

T/F to demonstrate the coronoid process in profile, obtain the intenal oblique position of the elbow with the hand pronated

Back 5

True

Front 6

T/F the lateral position of the elbow shows the radial head without superimposition on the ulna

Back 6

False

Front 7

T/F to achieve ulnar deviation, the hand is pronated and then flexed to decrease the angle between the 5th digit and the forearm

Back 7

True

Front 8

T/F Resting the fingertips on the IR when performing an oblique hand position, assures that the interphalangeal joints are open

Back 8

False

Front 9

T/F adduct the arm when positioning for an AP humerus while using the upright bucky

Back 9

false

Front 10

T/F A 2-hour KUB is routine when performing an IVU when the kidneys demonstrate normal function and filtration through the collecting system

Back 10

False

Front 11

T/F KUB centering is used for the nephrogram and 10 minute images of an IVU

Back 11

false

Front 12

T/F Sensitivity to seafood is an indication of sensitivity to calcium in the IV contrast

Back 12

False

Front 13

T/F the central ray angle for the AP oblique projections of the urinary system is 25 degrees cephalic

Back 13

False

Front 14

To visualize kidney, ureters, and bladder mobility, what two patient positions are correct?

Back 14

Supine and Upright

Front 15

The longitudinal centering for urinary bladder is

Back 15

CR enters midway between the ASIS and superior pubic symphysis

Front 16

A 15-minute prone abdomen with an IVU study may be requested to....

Back 16

Demonstrate filling of ureters & Move superimposing gas shadows

Front 17

The 1st image of the IVU taken after injection is a one minute kidney. This image demonstrates

Back 17

Function of Renal cortex

Front 18

Which medication should be discontinued up to 48 hours after the administration of iodinated contrast

Back 18

Glucaphage & Metformin

Front 19

How much is the patient rotated from the supine for an AP oblique projection of the urinary system

Back 19

25-30 degrees

Front 20

T/F in retrograde urography the ureters must be catheterized

Back 20

True

Front 21

T/F a routine exam of the forearm requires PA, oblique, and lateral positions

Back 21

false

Front 22

T/F in retrograde urography - it provides little physiologic information

Back 22

True

Front 23

T/F in retrograde urography the contrast is injected directly into the pelvicalyceal system

Back 23

True

Front 24

Which projection would place the right kidney paralllel to the IR

Back 24

LPO

Front 25

T/F to position a PA projection of the wrist, the hand is pronated

Back 25

True

Front 26

T/F to position a PA projection of the wrist - it is flexed at the metacarpophalangeal joints

Back 26

False

Front 27

T/F to position a PA projection of the wrist it must be slightly rotated toward the 5th digit

Back 27

False

Front 28

T/F the lateral position for the wrist, forearm and elbow - the elbow is flexed 90 degrees for all

Back 28

True

Front 29

T/F the lateral position for the wrist, forearm, and elbow - the thumb is up for all

Back 29

True

Front 30

T/F the lateral position for the wrist, forearm, and elbow - The CR enters the radial side of the extremity for all

Back 30

True

Front 31

Describe a Boxers fracture

Back 31

displaced fracture to the 5th metacarpal

Front 32

In a trauma situation - with an obvious colle's fracture - which position is likely to need modification?

Back 32

Lateral

Front 33

The pisiform is demonstrated without superimposition with the ____ position

Back 33

AP (semi-supination) oblique

Front 34

The quality point that assures a true lateral elbow is..

Back 34

The epicondyles are superimposed

Front 35

Acute flexion of the elbow demonstrates

Back 35

AP projection of the olecranon process

Front 36

Fracture of the surgical neck of the humerus requires which position?

Back 36

AP and transthoracic

Front 37

soft tissue radiographs of elbow in the lateral position are often ordered to show

Back 37

fat pads

Front 38

most common projection of digits 2-5 is

Back 38

PA with lateral rotation

Front 39

which position demonstrates the scaphoid clearly

Back 39

PA in Ulnar Flexion & 20 degrees CR angle

Front 40

The 10 joints of the upper limb are all

Back 40

synovial tissue & freely moveable

Front 41

What is the landmark used for CR placement for lateral hand

Back 41

MCP

Front 42

What is the landmark used for CR placement for PA wrist

Back 42

Radial and Ulnar styloids

Front 43

a medical condition considered to be a contraindication for the administration of iodinated contrast is:

Back 43

multiple myeloma

Front 44

Where do you center for soft tissue neck?

Back 44

CR enters midway between the top of shoulder and external auditory meatus (below laryngeal prominence) & CR enters anterior 1/3 of neck for lateral

Front 45

What is the technique for soft tissue neck

Back 45

65-70 kVp @ 8-12mAs

Front 46

What are the Tech's responsibilities for UGI/Barium Swallow

Back 46

1) prepare equipment for use: set console with exposure settings (70-80 with iodine), set fluro timer 2) attach spot film device, 3) move bucky tray to lowest position, 4) attach foot stand

Front 47

characteristics of barium

Back 47

suspension, is inert, passes unchanged through digestive tract, patient should drink plenty of liquids, flocculation causes constipation

Front 48

describe gastrografin

Back 48

is a medium water soluble, iodinated contrast - not absorbed - draws water from intestinal walls - can cause diarrhea - sodium meglumine salt diatrizoate

Front 49

Describe hypaque 76

Back 49

is a medium water soluble, iodinated contrast - low concentration of iodine

Front 50

Describe sodium bicarbonate crystals

Back 50

given orally with water, effervescent with liquid, it is a negative contrast medium, creates air in stomach, outlines the mucosa with a thin line of barium in double contrast studies

Front 51

what is the patient prep for esophagram

Back 51

undress completely, nothing else

Front 52

what is the patient prep for UGI

Back 52

NPO after midnight & 8 hours prior to exam, no gum or smoking, undress completely

Front 53

What are they looking for in the Barium Swallow

Back 53

narrowing, obstruction, varices, diverticulum in esophagus, reflux at cardiac sphincter

Front 54

Things to know for Barium Swallow

Back 54

exposure is during swallowing, exposure rate at 4 to 10 frames per second, recumbent best demonstrates reflux

Front 55

postitions for barium swallow

Back 55

Right lateral (erect) & 45 degree RAO (supine)

Front 56

where do you center for erect barium swallow

Back 56

transverse: 3-6" anterior from the back, longitudinal: top of cassette is 2" above shoulder

Front 57

barium swallow technique

Back 57

large focal spot, 40" SID, 90-110 kVp, center cell for timing, no breathing instructions

Front 58

What is the order of positions for UGI

Back 58

AP > R lateral > RAO > Prone

Front 59

Order of LGI positions

Back 59

AP rectosigmoid axial first > AP > RPO > LPO > left Lateral

Front 60

Where is the barium located in an RAO UGI

Back 60

Barium is located in body, pylorus, duodenal loop - air will be in the fundus

Front 61

Where is the barium located in an LPO UGI

Back 61

Barium is located in fundus - air will be in the body

Front 62

Where is the barium located in an R lateral UGI

Back 62

Barium in pylorus & duodenal loop

Front 63

What is the centering for RAO for a UGI

Back 63

Transverse: midway b/n spine; longitudinal: level of 10th anterior rib

Front 64

What is the centering for RAO in UGI

Back 64

Transverse: midway b/n xphoid process & lateral border of left side; Longitudinal: level of 10th anterior rib

Front 65

What is the centering for Lateral in UGI

Back 65

Transverse: center over anterior 3rd; longitudinal: level of 10th anterior rib

Front 66

What are the typical positions for LGI?

Back 66

AP, AP Axial, Lateral, RPO, LPO

Front 67

What is the technique for LGI

Back 67

100-120 kVp @ 300 mA, all 3 cells for AEC, 48" SID

Front 68

What is the centering for AP in LGI

Back 68

Center IR to iliac crests, midsagittal

Front 69

Why is the AP postion done in LGI

Back 69

Ascending/Descending colon completely included

Front 70

What is the centering for AP axial in LGI

Back 70

center IR 2" below ASIS, midsagittal plane

Front 71

What is the tube angle for AP axial LGI

Back 71

30-40 degrees cephalad; 2" below ASIS

Front 72

What does the AP Axial positon show?

Back 72

Rectosigmoid area of colon shown

Front 73

What is the centering on the LPO in LGI

Back 73

center to iliac crests & midline of body

Front 74

What is the centering on the Lateral for LGI

Back 74

midcoronal plane, center to ASIS

Front 75

What is the centering on the RPO in LGI

Back 75

center to iliac crest and midline of body, elevated side up

Front 76

Why is the LPO in LGI position important

Back 76

Shows the hepatic flexure

Front 77

Why is the RPO in LGI position important

Back 77

Demonstrates left (splenic) flexure and descending colon & Cecum

Front 78

Why is the lateral position in LGI important

Back 78

Demonstrates rectum and distal sigmoid

Front 79

If air is in the transverse colon & the sigmoid what position is this LGI?

Back 79

AP

Front 80

If air is in the ascending and descending colon in an LGI

Back 80

PA

Front 81

where is the barium in the AP position in LGI

Back 81

Ascending/descending colon & rectum

Front 82

Where is the barium in the PA LGI

Back 82

transverse and sigmoid colon

Front 83

What is the patient prep for IVU

Back 83

NPO for 8 hours prior, cleansing of colon, informed consent signature

Front 84

What is the required patient history for IVU

Back 84

allergies, multiple myeloma, high BP, taking glucophage or metformin, sickle cell disease

Front 85

why do we use IV contrast in IVU

Back 85

to observe renal cortex & renal parenchyma & renal collecting system

Front 86

mild reactions from IV contrast

Back 86

flush, metallic taste, hives/rash, rhinitis

Front 87

Intermediate/Moderate reactions from IV contrast

Back 87

pronounced uticaria, hypotension, wheezing, laryngeal edema

Front 88

servere IV contrast reactions in IVU

Back 88

profound hypotension, laryngospasm/edema, renal failure, anaphylatic shock, unresponsiveness