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Adv. Mods Unit I
special procedures
| Question | Answer |
|---|---|
| What special procedure involves contrast study of the synovial joints and related soft tissue structures? | arthrography |
| What must be done before a special procedure can take place? | pt. must sign informed consent form |
| Why are knee arthrograms done? | torn joint capsule, menisci, or ligaments; Baker's cyst |
| What is an example of local anesthetics? | Lidocaine |
| When contrast is administered for a knee arthrogram how much do you rotate the knee between each exposure? | 20 degrees |
| What are the two most common types of arthrograms done? | Knee and shoulder |
| When double contrast procedures are done; how much negative and how much positive contrast is put into the joint space? | 3-4ml positive; 10-12 mL negative |
| Where does the patient normally go after the injection of contrast in an arthrogram if overheads are not taken? | CT or MRI |
| What modality is used for needle placement and contrast injection? | Fluoro |
| What does it mean by "patency" of uterine tube? | Opening |
| What is the #1 reason a female gets a hysterosalpinogram? | Infertility assessment |
| What does tubal ligation mean? | Tubes are closed |
| What does the radiologist look for once the contrast is administered into the uterine cavity? | Spilling of the contrast into the peritoneal cavity which indicates the tubes being open of patent |
| What is the radiographic study of the spinal cord and it's nerve root branches with contrast? | Myelogram |
| Where is contrast administered in a myelogram? | L3-L4-lumbar C1-C2-cervical |
| Where does the spinal cord end? | L1 |
| What is the #1 indication for a myelogram being performed? | HNP |
| What does HNP stand for? | Herniated nucleus polposus |
| Why would a pt. who recently got a LP not be able to get a myelogram done? | Because there would be a risk of leaking CSF |
| Why are pillows placed under the patients belly/chest area during a myelogram? | To open up the spaces in the spine |
| Why must the patient keep their neck hyperextended once the contrast is administered? | To keep the contrast in the c-spine and not the subarachnoid space |
| T/F: sialography is the study of the salivary glands and associated ducts when they are infected. | False: you don't want to do the exam when they are infected or inflamed |
| What are the 3 major glands in the mouth? | Parotid, submaxillary (submandibular), sublingual |
| What gland are the ducts of Rivinus located on? | Sublingual |
| What is used to stimulate saliva? | Lime or a lemon |
| T/F: for accurate measurement in orthoroentgenography the tech must use separate cassettes/IRs for each joint that needs to be included. | T |
| Why can't a tech use one cassette on an orthoroentgenography study? | Beam divergence which results in elongation |
| Which kind of ruler is used in orthoroentgenography? | Bell-Thompson ruler |