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RAD202_Midterm

QuestionAnswer
An AP axial cervical projection with accurate positioning demonstrates 2. open intervertebral disk spaces. 3. the spinous processes aligned with the midline of the cervical bodies.
For a lateral cervical projection: 1. CR is perpendicular to level of C4. 4. a 72-inch SID is used.
The vertebral body of C7 is not demonstrated on a lateral cervical projection. To demonstrate this cervical vertebra, 1. take the image on expiration. 2. have the patient hold weights on each arm to depress the shoulders. 3. take a lateral cervicothoracic (swimmer’s) image.
For an AP thoracic projection, the: 1. shoulders and the ASISs are positioned at equal distances from the IR. 2. hips and knees are flexed until the lower back is pressed against the imaging table. 4. tighter collimation to area of interest
For a swimmer’s view, it is essential to have a cephalic angle (3-5 degrees) to better visualize C7-T1 joint space? (T/F) False
For a swimmer’s view, the patient’s left arm will be elevated, and the right arm depressed at their side. (T/F) True
An optimal lateral thoracic vertebrae projection demonstrates all of the following except: Posterior half of each thoracic vertebral body
A left lateral thoracic vertebrae projection demonstrating more than 0.5 inch (1.25 cm) of space between the posterior ribs demonstrates rotation
Which spinal fracture occurs when the neck is subjected to extreme hyperextension? Hangman’s
Which of the following fractures results in a comminuted vertebral body and often times results in neurological damage? Teardrop Burst
This condition is the abnormal lateral curvature of the spine that can affect both males and females. Scoliosis
Scheuermann Disease is characterized by a decrease in thoracic kyphosis (T/F) False
Which of these pathologies of the spine is congenital? Klippel-Feil Syndrome
_____ imaging allows the visualization of spinal alignment, ligament stability and shows the natural curvature of the spine. Erect
How many cervical and thoracic vertebrae are there in total? 19
The cervical spine offers a convex curvature, while the thoracic spine is concave. (T/F) False
This is the circular opening in which the spinal cord passes through. vertebral foramen
These are lateral projections off the vertebrae where the pedicles and lamina join. transverse processes
Which of these is NOT a joint of the spinal column? Costochondral
Which projection of the cervical spine best demonstrates the articulation of the atlas and axis? Open Mouth
What is the CR angulation for an AP axial view of the C-spine? 15-20 degrees cephalic
What can the patient do during a T-spine exam to help reduce the curvature of the spine to better visualize the joint spaces? Flex knees and hips
A herniated disk is when the fibrous outer portion of the intervertebral disk protrudes into the spinal canal. (T/F) False
A swimmer's view can be done for both the c-spine and the t-spine. (T/F) True
Klippel-Feil Syndrome mainly occurs in the cervical spine. (T/F) True
For a lateral trauma c-spine, it is OK to remove the c-collar for cervical x-rays. (T/F) False
These projections are done to demonstrate the vertebral mobility of the cervical spine. Flexion/Extension
Anterior obliques of the cervical spine require what kind of central ray angulation? Caudal
What is a key feature of the thoracic vertebrae? they have articulating facets for the ribs
What anatomical structure appears slightly magnified on a swimmer's projection? right humeral head
The intervertebral foramina of the lumbar spine are located at an angle of _____ in relation to the midsagittal plane. 90 degrees
The superior and anterior projecting bony process of the sacrum that forms part of the inlet and articulates with L5 is the: promontory of the sacrum
Which specific aspect of the sacrum articulates with the ilium to form the sacroiliac joint? auricular surface
What is the term for the superior aspect of the coccyx? base
What is the joint classification of the zygapophyseal joints? Synovial/diarthrodial
The intervertebral joints in the lumbar spine are classified as: cartilaginous/amphiarthrodial
Why should the hips and knees be flexed for an anteroposterior (AP) projection of the lumbar spine? Both for patient comfort and to reduce the lumbar curvature
What type of CR angulation is required for an AP axial projection of the coccyx? 10-degree caudal
The radiographic appearance on an oblique lumbar spine in which the neck of the Scottie dog appears “broken” suggests the presence of: Spondylolysis
A destructive type of lesion with irregular margins and increased brightness is an indication of possible: osteolytic type of metastases
A fracture through the vertebral body and posterior elements caused by lap seat belts during an auto accident involving sudden deceleration is a ____ fracture. Chance
An anterior wedging of vertebrae with a loss of body height but rarely causing neurologic symptoms is called: a compression fracture
Sciatic type of pain resulting from a “slipped disk” indicates: herniated nucleus pulposus
An abnormal lateral curvature of the spine is a congenital condition termed: Scoliosis
What CR angle should be used for a lateral sacrum/coccyx projection? None. CR is perpendicular to the image receptor
Which of the following fractures is due to a hyperflexion force injury? Chance
How much obliquity of the body is required for posterior oblique (LPO/RPO) positions for the sacroiliac joints? 25 to 30 degrees
A radiograph of the left sacroiliac joint demonstrates it open and clearly seen. How was the patient positioned to obtain this view? RPO
The “nose” of the Scottie dog represents the spinous process of a lumbar vertebra. (T/F) False
The LPO position for sacroiliac joints will best demonstrate the right joint. True
The nose of the Scottie Dog correlates to what anatomical structure? Transverse process
It is OK to have the patient flex their hips and knees 90 degrees for an AP axial view of the sacrum. (T/F) False
A Scottie Dog is created when the body is rotated ______ degrees. 45
What purpose do the sacral foramina have? transmit blood vessels and nerves
The sacrum has two ala, just like the pelvis. (T/F) True
The intervertebral foramina are formed at a 45 degree oblique, while the zygapophyseal joints are formed at a 90 degree oblique (lateral). False
The liver is located primarily in the ____ of the abdomen. RUQ
The main function of bile is to: emulsify fats
Where is bile produced? Liver
Which of the following functions is performed by the gallbladder? Storage of bile Concentration of bile Contraction and release of bile when stimulated
“Chole-” is a prefix for terms pertaining to the: bile
Saliva contains certain enzymes to begin the digestion of: starches
The act of swallowing is termed: Deglutition
Which of the following structures is one of the salivary glands? Parotid Sublingual Submandibular
The esophagus is located ____ to the trachea. Posterior
Which two forces or processes propel food down the esophagus? Peristalsis and gravity
Which of the following is a main subdivision of the stomach? Fundus Body Pylorus
What is the term for the longitudinal mucosal folds found within the stomach? Rugae
Once food enters the stomach and is mixed with gastric secretions, it is termed: chyme
Which of the following substances is not digested chemically? Minerals
A high and transverse stomach would be found in a(n) ____ patient. Hypersthenic
What is the classification of barium sulfate as a contrast media? Radiopaque
Which one of the cardinal principles of radiation protection is most effective in reducing the dose to the technologist during fluoroscopy? Distance
Protective aprons worn during fluoroscopy must possess at least ____ mm lead equivalency (Pb/Eq.). 0.5
A large outpouching of the proximal esophagus above the upper esophageal sphincter is termed: Zenker diverticulum
Achalasia is generally defined as: motor disorder of the esophagus
What is a potential risk associated with the use of water-soluble contrast agents, such as barium sulfate? Dehydration
Patient preparation for an esophagogram includes NPO _____ before the procedure. None of the options; patient preparation is not needed as long as an upper GI series is not scheduled to follow
Most esophagograms begin with the patient: Upright
Why would a patient undergo Valsalva maneuver during an esophagogram? To demonstrate possible esophageal reflux
Patient preparation for an adult upper GI series includes: NPO 8 hours before the procedure.
How much obliquity is required for the RAO position for the esophagus? 35 to 40 degrees
The liver performs more than 100 different physiologic functions. (T/F) True
Swallowed air can be used as a negative-contrast medium during an upper GI series. (T/F) True
In a patient with esophageal varices, the veins in the wall of the proximal esophagus are dilated. False
Which part of the small intestine has a feathery appearance when filled with barium? Jejunum
Which part of the small intestine is the shortest? Duodenum
Which part of the large intestine is located between the rectum and the descending colon? Sigmoid colon
What is the term for the bands of muscle that pull the large intestine into pouches? Taenia coli
Which of the following conditions may produce the “cobblestone” or “string” sign? Crohn’s disease
When are small bowel series deemed to be complete? Once the contrast media passes the ileocecal valve
The patient must be NPO a minimum of ____ hours before the small bowel series. 8
A twisting of the intestine or colon is termed: Volvulus
A telescoping, or invagination, of one part of the intestine into another is termed: Intussusception
At what stage of respiration should the enema tip be inserted into the rectum? During expiration
During the initial enema tip insertion, the tip is aimed: toward the umbilicus
Why is the posteroanterior (PA) rather than the AP projection recommended for a small bowel series? Better separation of loops of small intestine
The height of the enema bag must be set at 40 inches (100 cm) above the radiographic table at the onset of the study. (T/F) False
Which of the following is caused by a parasite within the small intestine? Giardiasis
Celiac disease is the malabsorption of what insoluble substance? Gluten
What will you utilize FIRST when draining barium sulfate from a patient's large bowel during a BE exam? Gravity
What position is the patient in during a BE tip insertion? Sims
Barium sulfate is a negative-contrast agent. (T/F) False
When performing a small bowel series, the following are required: 1. Noting the Times 2. Using radiopaque markers on images
Which exam allows us to see the functionality of intestines? Small bowel series
What are the involuntary wavelike contractions of the intestines? Peristalsis
Which of the following are the fingerlike projections that are found within the jejunum? Villi
Ascending colon - ___________ - Transverse colon - __________ Descending colon Hepatic flexure / Splenic flexure
An abnormal opening in the stomach or intestines that allows the contents to leak out into another part of the body are called: fistulas
The average adult kidney measures ____ in length. 4-5 inches
Some of the functions of the urinary system: Regulating the acid-base and electrolyte balance Regulating water levels in tissues Removing nitrogenous wastes
What is the total capacity of the average adult bladder? 350 to 500 mL
What occurs in many patients and is defined as an expected outcome to the introduction of iodinated contrast media? Metallic taste in mouth and a temporary hot flash
What symptom is classified as “mild” during a systematic contrast media reaction? Itching
What is the correct course of action for the technologist when, during an injection of contrast media, a patient experiences a side effect of mild hot flashes and some metallic taste in his mouth? Reassure the patient and continue the injection and imaging sequence while observing the patient for a possible more severe reaction to follow.
The rapid introduction of contrast agents into the vascular system is termed: bolus injection
In preparation for a venipuncture, a tourniquet should be applied ____ above or proximal to the site of injection. 3 to 4 inches
Extravasation is classified as a local reaction. (T/F) True
The bevel of the needle must be facing downward during the actual puncture into a vein. (T/F) False
Inflammation of the bladder is termed Cystitis
An obstructive disorder of the urinary system that causes distention of the renal pelvis and calyces with urine is: Hydronephrosis
Kidney function is generally unimpaired with a horseshoe kidney. (T/F) True
This pathology appears as a "bundle of grapes." Polycystic Kidney Disease
Cystitis occurs more often in men than women (T/F) False
The kidneys lie halfway between the __________ and __________. xiphoid process / iliac crest
The bladder consists of what type of tissue? Transitional epithelium
Venipuncture is not within our scope of practice and an additional degree is required to perform. (T/F) False
An 18 gauge needle is bigger than a butterfly needle. (T/F) True
Proper handwashing technique goes in which order? Wet hands, apply plain soap and rub hands together
Which of the following is the opacifying agent used for urinary studies? Iodine
What type of reaction affects the entire body? Systemic
The inability to void is also known as: Retention
An agent that increases the excretion of urine is: Diuretic
An Intravenous Urogram study is a true functional study of the urinary system (T/F) True
Patient prep for an IVU study Light evening meal before procedure Bowel-cleansing laxative Enema the morning of the procedure
All reasons why a patient should void before an IVU exam EXCEPT: 2. Prevent retroflow of urine back into ureters 4. Allows better filtration of the kidneys
A radiograph taken within the first minute after contrast injection is known as a: Nephrogram
How much obliquity should the LPO and RPO be done at? 30 degrees
Which disorder is caused by pus-forming bacteria? Pyelonephritis
Created by: jetsetjes
 

 



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