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165 practice exam 2
| Question | Answer |
|---|---|
| Why do body parts such as blood vessels, intestines and kidneys have low contrast? | They tend to be lower in atomic number than other more easily visualized tissues They tend to have less mass density than some other tissues |
| When stimulated, mc009-1.jpg1 receptors | Increase BP, dilate the pupils, and decrease the ability to urinate and defecate |
| The newer low-osmolality ionic ROCM are considered to be_____ | Ratio 3.0 media |
| Anaphylactoid reactions- | Mimic anaphylactic reactions but require no prior exposure to ROCM to sensitize the mast cell Are just as lethal as anaphylaxis |
| Diatrizoate meglumine and diatrizoate sodium solutions are | Generally used when barium sulfate suspension is potentially harmful Are used for oral or rectal administration Preferred over barium sulfate suspension in CT because of less artifact production |
| Aspiration of barium sulfate can lead to | Pneumonitis or nodular granulomas of the lymph node |
| After ROCM administration a patient demonstrates dehydration. This is most likely attributed to | Osmotic diuresis due to excretion of ROCM into the urine |
| Anaphylaxis- | Requires formation of an antigen-antibody complex during a first time exposure to an antigen Is a type I hypersensitivity reaction Usually occurs when IgE is disabled during sensitization of mast cells during a first exposure |
| Your patient receives atropine via a slow IV push, ________ | The patient may experience a further, lethal decrease in heart rate |
| High doses of epinephrine generally result in | Alpha receptor predominance Constriction of arterioles and increased BP |
| ß1 receptors- | Play no apparent role in ROSC May contribute to increasing and sustaining blood pressure, with epinephrine stimulation Increase cardiac output when stimulated at their myocardial site Releases renin hormone from the kidneys |
| While experiencing cardiac arrest, your patient is given ______, which is the pharmaceutical equivalent of adrenaline | Epinephrine |
| Your patient is to receive an IV fusion of dopamine. This can be delivered via a _____ | Controlled Delivery Device |
| For a normal radiograph to reflect the vascular lumen, blood iodine concentration must be within the range of _____ mg/mL | 280-370 |
| Myocardial necrosis is a risk that can occur with ________administration of epinephrine | Intracardiac |
| Although not a provider’s first choice for treatment of cardiac arrest, when a patient begins to experience ___________, the provider administers sodium bicarbonate | Severe Metabolic Acidosis |
| When a patient receives an IV infusion of dopamine they will be monitored for possible signs of | Hypertension Cardiac Dysrhythmias Tachycardia Angina Pectoris |
| To achieve a high iodine concentration, ROCM must | Be injected intravascularly at a rate equal to blood flow Be injected intravascularly at a rate greater than blood flow Be injected rapidly to limit early dilutional effects of the cardiovascular system |
| Iodine molecules are responsible for the silhouette images projected on radiographic film because they | Absorb Photons |
| Osmolality- | Controls the distribution and movement of water between body compartments Is the number of milliosmoles/kg of water |
| Patients at risk for Acute Renal Failure following IV ROCM include all of the following except those with | Dehydration Before ROCM |
| Your patient experiences cardiac arrest. As life saving measures are begun, your patient demonstrates hemodynamically significant bradycardia and abruptly flatlines. The drug that will most likely be given is | Atropine |
| _________ ROCM are supplied in nonsalt forms | Low-Osmolality Non Ionic |
| Adverse effects elicited by ROCM can depend on their | Blood/tissue iodine concentration Osmolality Calcium Chelating Ability Immune system-stimulating ability |
| Your patient expereinces extravasation of sodium bicarbonate. They are now monitored for | Tissue Necrosis Cellulitis Ulceration Tissue Sloughing |
| Intravascular ROCM- | Consist of Large Molecules Do not cross cellular membranes well Have poor lipid solubility |