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Digestive System

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
How long is the entire alimentary canal?   30 ft  
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What are the parts of the alimentary canal?   mouth, pharynx, stomach, small intestine, large intestine,and anus  
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What is the terminal portion of the esophagus called?   cardiac antrum  
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Where does the esophagus begin?   Level of C-6  
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What level does the esophagus pass through the diaphragm?   T-10  
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How many layers is the stomach composed of?   4  
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What is the name of the muscle controlling the opening between the stomach and the duodenum?   Pyloric sphincter  
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Which body habitus is the stomach nearly vertical?   Asthenic  
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Which body habius is the stomach nearly horizontal?   Hypersthenic  
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What are the main functions of the stomach?   storage, chemical breakdown of food  
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What is the widest portion of the small bowel?   Duodenum  
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What is the most distal portion of the small bowel?   Ileum  
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What are the main functions of the small bowel?   Digestion, absorption  
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What is the average length of the large intestine?   5 ft  
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How many layers is the large intestine made of?   4  
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The jejunum and ileum are attached to the posterior wall of the abdomen by what?   mesentery  
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What is the main functions of the large intestine?   reabsorption of fluids, eliminate waste  
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The appendix is attached to what portion of the colon?   Cecum  
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What was the junction named that connect the small intestine to the large intestine?   Ileocecal valve  
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What are the contracting waves by which the intestines move the food towards the rectum called?   Peristalisis  
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How long does it take barium to go through the alimentary canal to the rectum?   24 hrs  
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Which contrast mediums are used for the examination of the GI tract?   Air, Barium Sulfate, water soluble iodinated contrast  
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What is the most common contrast medium used for x-rays of the GI tract?   Barium Sulfate  
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What is the most important technical consideration when imaging the GI tract?   Elimination of motion  
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What is the respiration phase for all GI exams, unless noted otherwise?   suspend expiration at the end of expiration  
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What oblique position best demonstrates the esophagus?   PA, RAO  
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What is the degree of obliquity for the esophagus?   35-40 degrees  
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What is the recommended position of the patient for a study on the esophagus?   Recumbent  
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What are the 2 main reasons for laying a patient down for an exam on the esophagus?   better filling of the varices, more complete filling of the esophagus  
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What projections are done to examine the esophagus?   Lateral, AP or PA, PA oblique  
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What is the centering plane for a lateral esophagus?   midcoronal plane  
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If an esophageal varices is suspected, what is the main instructions used for breathing?   expirate, swallow the barium, then hold breath out until exposure is made  
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What are the instructions for an UGI concerning food or drink?   nothing to eat or drink after midnight  
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What is the average amount of time food and drink needs to be withheld for an UGI study?   8 hrs  
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What are the main routines used for an examination of the stomach when concerning barium?   single contrast, double contrast barium studies  
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Which drug may be given before a double contrast exam to help relax the GI tract?   Glucagon  
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What are the advantages for doing a double contrast UGI?   small lesions are not obscured, lining of the stomach is better visualized  
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When imaging the stomach in a PA position and using a 30x35 IR, where is the centering point?   sagittal plane passing halfway between the vertebral column and the left lateral border of the abdomen  
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Where is the IR centered for a prone PA projection of the stomach and duodenum?   L1-L2  
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If standing up for a PA projection of the stomach, how much lower should the film be moved?   3-6 inches  
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What are the main projections for imaging the stomach and duodenum?   AP LPO, PA RAO  
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What is the degree of obliquity for a PA oblique projection of the stomach?   40-70 degrees  
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________ patients require a greater degree of obliquity for imaging the stomach?   hypersthenic  
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Which projection of the stomach shows the duodenal bulb and loop in profile?   PA RAO  
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Where is the IR centered for MOST of the images done on the stomach and duodenum?   L1-L2  
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What projection of the stomach could a positioning sponge be used?   AP oblique  
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What is the average degree of rotation for an AP obl projection of the stomach?   45 degrees  
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What is the range of rotation for AP obliques?   30-60 degrees  
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What projection(s) will demonstrate the fundus of the stomach the best?   AP LPO  
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Which plane is centered to the grid for a lateral projection of the stomach?   a plane passing midway between the midcoronal plane and the anterior surface of the abdomen  
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Which projection demonstrated the anterior and posterior surfaces?   lateral  
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Which projection of the stomach demonstrates a hiatial hernia?   AP Trendelenberg  
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Which projection of the stomach shows the retrogastric portionof the duodenum and jejenum?   AP supine, AP Trendelenberg  
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Name the different methods for administering barium for a small bowel exam.   by mouth, reflex filling, enteroclysis  
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What are the patient preparation instructions for a small bowel series?   No fluids after the evening meal the day before and no breakfast the day of the exam  
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When is the first radiograph taken after the barium is ingested?   15 min  
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What are the main projection used for a small bowel?   AP, PA abdomen  
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Where is the centering point for a small bowel 30 min after drinking the barium?   2 in above the Iliac crests  
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Where is the centering point for films taken 30 min after drinking the barium for a small bowel?   At the Iliac crests  
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What is different in doing a small bowel exam compared to an UGI?   A timing marker  
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What are the main ways to examine the large bowel?   single contrast, double contrast  
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When do you use a high density barium?   double contrast exam  
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What are the preparations for the bowels when doing a BE exam?   Laxatives, bowel cleansing regimen, dietary restrictions  
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What position does the patient need to be in for the enema tip insertion?   Sims  
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Who should be inflating the enema tip?   the radiologist using fluoro  
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How far above the anus is the barium filled bag placed for a BE exam?   no higher than 24 inches  
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How far do you insert the enema tip into the rectum?   No more than 4 in  
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What are the methods of performing a double contrast enema exam?   single-stage, two-stage  
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What is the respiration phase for all projection of the lg bowel?   suspend respiration  
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Which projections will demonstrate the rectosigmoid area during a BE?   Lateral, AP and PA Axial  
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What is the CR angle for a PA Axial of the large bowel?   30-40 degrees caudad  
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Where is the CR directed on and AP or PA oblique projection of the large bowel?   1 to 2 in lateral to the midline of the body on the elevated side at the level of the iliac crests  
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Which projections of the colon demonstrated the rt. colic flexure?   PA RAO, or AP LPO  
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Which projections of the colon demonstrated the Lt. colic flexure?   PA LAO, or AP RPO  
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What is the medical term used to describe the surgical procedure that forms an artificial opening to the intestine for fecal material to exit the body?   enterostomy  
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What are the thick folds in the stoach termed?   rugae  
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85% of the population are these body habitus types?   sthenic, hyposthenic  
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Where is the cecum located?   the junction of the ileum and the colon  
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Which body habitus is the intestines bunched together and very low in the abdomen?   asthenic  
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