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Small Intestine TBQ
Workbook questions
| Question | Answer |
|---|---|
| List the three methods by which a barium sulfate mixture can be administered for a small bowel series. | 1. By mouth 2. By complete reflux filling with a large-volume barium enema 3. By direct injection into the bowel through an intestinal tube (Enteroclysis/ small intestine enema) |
| Which small bowel series method is most commonly used? A. Oral B. Enteroclysis C. Complete reflux | A. Oral |
| Select the four instructions from the following list that are usually given to patients preparing for the oral method of performing a small bowel series. A. Have a cleansing enema B. Do not eat breakfast on the morning of the exam C. Do not eat an evening meal the night before the exam D. Swallow laxatives the morning of the exam E. Drink 3 to 4 glasses of water the morning of the exam F. Consume nothing by mouth after the evening meal the night before the exam G. Eat a restricted diet 2 days b/f | A. Have a cleansing enema B. Do not eat breakfast on the morning of the exam F. Consume nothing by mouth after the evening meal the night before the exam G. Eat a restricted diet 2 days before the exam (soft or low-residue diet) |
| Why is a time marker displayed on each image made during the oral method of small bowel series? A. To show the time of day the exposure was made B. To indicate the interval btwn. The exposure of the image and the previous one C. To indicate the interval between exposure of the image and the ingestion of the barium | C. To indicate the interval between exposure of the image and the ingestion of the barium |
| How should the patient be placed for timed images when compression of the abdominal contents is desired? A. Prone B. Supine C. Lateral recumbent | A. Prone |
| Approx. how long after the patient swallows the barium sulfate mixture should the first image be made? A. 5 mins B. 15 mins C. 30 mins | B. 15 mins |
| Approx. how long after the exposure of the first image should subsequent images be exposed? A. 5-10 mins B. 15-30 mins C. 35-45 mins | B. 15-30 mins |
| How might the oral method of small bowel exam be affected by giving the patient a cup of cold water after the administration of the contrast medium? A. Peristalsis is accelerated B. Peristalsis is slowed down C. The stomach becomes distended | A. Peristalsis is accelerated |
| Which small bowel series method often requires the administration of glucagon or diazepam (Valium) to relax the intestine and reduce patient discomfort during the initial filling of the small intestine? A. Oral B. Enteroclysis C. Complete reflux | C. Complete reflux |
| How should the patient be positioned when the small intestine is to be filled by the complete reflux method? A. Prone B. Supine C. Lateral recumbent | B. Supine |
| Which small bowel series method injects contrast medium through an intestinal tube? A. Oral B. Enteroclysis C. Complete reflux | B. Enteroclysis |
| Where in the small intestine should the tube be inserted for the Enteroclysis method of performing a small bowel series? A. Ileum B. Jejunum C. Duodenum | C. Duodenum |
| Which method of performing a small bowel series does not use a cleansing enema as part of patient preparation? A. Oral B. Enteroclysis C. Complete reflux | B. Enteroclysis |
| For the AP projection demonstrating the small intestine, which plane of the body should be centered to the grid? A. Horizontal B. Midsagittal C. Midcoronal | B. Midsagittal |
| For the AP projection demonstrating the small intestine of a sthenic patient within 30 minutes after the administration of contrast medium, to which level of the patient should the IR be centered? A. T12 B. L2 C. L5 | 15 |
| For delayed AP projections demonstrating the small intestine of a sthenic patient, to which level of the patient should the IR be centered? A. T12 B. L2 C. Iliac crests | 16 |
| For the AP projection, when should the exposure be made? A. At the end of expiration B. At the end of inspiration | 17 |
| How should the central ray be directed for AP or PA projection of small intestine? A. Perpendicularly B. Angled caudally C. Angled cephalically | A. Perpendicularly |
| When examining images of a small bowel series, which structure usually indicates adequate demonstration of the entire small intestine? A. Cecum B. Jejunum C. Duodenum | 19 |
| What are the evaluation criteria that indicate that a small bowel series was properly performed? | Ab |