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GI Exam Review
GI Exam Review
60 terms
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Upper and Lower GI Exam Review
Flashcards
60 cards
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Practice quiz
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Host live
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Questions
60
Answers
1
It is normal to have activity in the esophagus after swallowing past 10 seconds.
True
False
2
In scanning the patient, the tech sees the gallbladder at 60 minutes. What should the next step be?
Nothing, it is normal. The patient can go home.
Administer Morphine
Administer phenobarbital
Administer CCK
3
To calculate an ejection fraction for HIDA scans, the following should be given:
Natural CCK
Kinevac
Fatty Meal
Sincalide
4
Chewing and churning are considered
chemical digestion
to increase absorption
metal digestion
mechanical digestion
5
The patient's head is is what position for a salivary gland scan?
Oblique
Anterior
Posterior
Lateral only
6
A patient has 20 minutes to eat their gastric emptying meal.
False
True
7
The right and left hepatic ducts join to form the common bile duct.
False
True
8
Hepatocytes make up the
liver
gallbladder
stomach
spleen
9
When performing a SPECT liver/spleen study with sulfur colloid, the technologist should begin scanning immediately.
False
True
10
Which radiopharmaceutical is used for Meckel's diverticulum imaging?
99mTc HMPAO
123I MIBG
99mTc sodium pertechnetate
111In WBC
11
Seeing the trachea, esophagus, and stomach, can be normal on
A xe133 image
An MAA image
A DTPA image
You should never see those organs
12
A pediatric patient prone to pneumonia could be evaluated for what disorder with a gastric emptying study?
aspergers syndrome
diabetes
aspiration
gastroparesis
13
GI bleeds require the patient to be fasting.
False
True
14
What food would have the longest gastric emptying time?
Fudge
all foods have the same emptying time
Whopper
Tomato soup
15
What will make the salivary gland excrete its contents the most?
Water
Lemon
Soda
Beer
16
The blood supply exits the liver through the:
portal hepatic vein
hepatic vein
hepatic artery
portal vein
17
What population is most likely to have delayed gastric emptying?
Those with dumping syndrome
Gastric by pass patients
Diabetics
Patients with a hemangioma
18
The prep for a gastric emptying study include(s)
NPO 4 hours
Check medication list
Perform based on mentstrual cycle
Administer Lugol's solution
19
A metastatic lesion would appear as what on a liver Sulfur Colloid Scan?
diffuse hot lesion
focal hot lesion
focal cold lesion
could be hot or cold depending on tumor grade
20
Eating before a HIDA scan causes
dumping syndrome
the gallbladder to already be stimulated
the cystic duct to obstruct
gastroparesis
21
Morphine given during a HIDA scan can
enhances gallbladder filling
all of the above
shorten the study time
constrict the sphincter of oddi
22
Using Choletec, neonatal hepatits eventually empties into the bowel and biliary atresia does not.
True
False
23
What disorder/disease has immediate uptake of the lesion with washout in the delay on a hemangioma scan?
Naomi's disease
hemangioma
cyst
carcinoma
24
Normal biodistribution in the liver/spleen post injection of sulfur colloid is
Liver 85%, spleen 10%, bone marrow 5%
Liver 75%, spleen 20%, bone marrow 5%
Liver 50%, spleen 25%, bone marrow 25%
Liver 95%, spleen 5%
25
Lower GI bleeds are the most difficult to diagnose.
False
True
26
Barrett's esophagus is where the esophagus has columnar epithelium rather than squamous epithelium
True
False
27
Paralysis of the stomach causing slow gastric emptying and esophageal reflux
Hernia
GERD
Gastroparesis
Intestinal Obstruction
28
No activity on spleen imaging can be caused by
tumor
cyst
infarct
hemangioma
29
A positive Meckel's scan will appear as
a diffuse area
a patchy hot area
a focal cold area
a focal hot spot
30
A normal hemangioma study would have which of the following appearances?
Absence of Perfusion on flow study and Absence of activity on delay images.
Decreased/Normal Perf on flow study & Decreased uptake on delay images.
Absence of Perfusion on flow study and Decreased activity on delay images.
Decreased/Normal Perf on flow study & Increased uptake on delay images.
31
A HIDA scan looks at:
Spleen
Pancreas
Liver
Gallbladder
32
The best tag, albeit not practical, for a gastric emptying study is
Egg whites
Beef Stew
Oatmeal
Chicken liver labeled in vivo
33
What anatomical structure can cause a false positive rectal bleed?
hepatic flexure activity
tampon/penile activity
sigmoid obstruction
splenic flexure activity
34
Which of the following do not promote uptake of TcO4- in a Meckel's diverticulum containing ectopic gastric mucosa?
glucagon
perchlorate
cimitidine
pentagastrin
35
Reasons for a delayed emptying study include
Gastroparesis
Oral medications
Obstruction
Scleroderma
36
The best advantage of a dynamic gastric study is
Reflux can be caught
The tech can be lazy
It takes longer
There is no difference between static and dynamic
37
Hepatocellur disease can cause the liver to have a lower target to background ratio.
False
True
38
The radiopharmaceutical utilized in Barrett's esophageal imaging is
Tc99m Tc04-
In 111
DTPA
Sulfur colloid
39
Liver dysfunction will cause significant bone marrow uptake.
False
True
40
Which of the following prevents the release of pertechnetate from gastric mucosa, thus prolonging Meckel's uptake
cimitdose
cimitodine
cimitidine
cimitadel
41
Elevated serum bilirubin levels cause decreased target to background ratios.
True
False
42
The rate of the hepatic release of the tagged colloid represents
the state of blood flow of the gallbladder
the biological half life of the radiopharmaceutical
the state of blood flow of the liver
functional efficiency of the parenchyma cells
43
Delayed gastric emptying is known as:
Gastroesophageal Reflux Disease
Gastroparesis
Xerostomia
Peptic Ulcer Disease
44
Liquid gastric emptying can be obtained at the same time as a solid, if you utilize what radiopharmaceutical?
In111 in eggs
Sulfur Colloid in water
In111 in water
Sulfur colloid in orange juice
45
Which of the following are included in the Rule of 2's for Meckel's Diverticulum?
2x more common in males
Symptoms present at <2 years of age
Occurs in 2% of the population
2 Feet proximal from the ileocecal valve
46
Meckel's follows the rules of
4's
5's
3's
2's
47
HIDA Scans on pediatric patients are normally performed to
right upper quadrant masses
aspiration
left upper quadrant masses
differientiate biliary atresia and neonatal hepatitis
48
Cystic duct obstruction will cause:
the stomach to appear on the images
the gallbladder not to visualize
the gallbladder to fill faster
the spleen to appear on the images
49
Which of the following can cause delayed emptying of the gallbladder?
NPO for longer than 24 hours
Patient has colon cancer
Patient has history of gastric bypass surgery
Patient was NPO for 4 hours before test
50
Sulfur Colloid is more sensitive in determining GI Bleeding than Tagged RBC.
False
True
51
A tech can pretreat a HIDA patient with phenobarbital if they have been NPO longer than 24 hrs to help the GB appear.
True
False
52
Which of the following are reasons there would be a decrease in gastric emptying time?
Gastroparesis
Scleroderma
Obstruction
Blood Glucose of 60mg/DL
53
Morphine sulfate can be given for HIDA imaging to distinguish between:
Working and dysfunctional gallbladder
Off and on
Blue and Pink
acute cholecystitis
54
Morphine causes:
relaxation of the gallbadder forcing the Sphincter of Oddi to fill
relaxation of the Spincter of Oddi forcing the gallbladder to fill
constriction of the gallbladder forcing the Sphincter of Oddi to relax
constriction of the Spincter of Oddi forcing the gallbladder to fill
55
Bile is produced by the:
Gallbladder
Stomach
Small intestine
Liver
56
What two radiopharmaceuticals are used for a dual liquid and solid emptying study?
Indium 123
Indium 111
Tc99m Sulfur Colloid
Tc99m Sulfur Albumin
57
The temperature of eggs in Fahrenheit for a gastric emptying study should be:
105 - 130
185 - 200
150 - 170
98.6 - 101
58
Cholecystokinin relaxes the gallbladder.
True
False
59
What is the dose for a hemangioma scan?
5-10 mCi Tagged RBC's
15-25 Tagged RBC's
15-25 mCi Sulfur Colloid
5-10 mCi Sulfur Colloid
60
What Radiopharmacueticals are used to image a GI bleed?
Tc99m DTPA
TcRBC's
Tc99mWBC
Tc99m Sulfur Colloid