Patient instructions for a mammogram include which of the following?

Do not wear lotions, powders, or deodorants

All of the following are symptoms of prostate cancer except:

thick, yellow discharge from the penis

What is the reason for removing a precancerous polyp during a colonoscopy?

To prevent the polyp from developing into cancer

Patient instructions for the guaiac slide test include all of the following except:

use a regular envelope to mail the specimen to the medical office

Why must the patient consume a high-fiber diet before guaiac slide testing?

To encourage bleeding from intestinal lesions

Which of the following is not a form of patient preparation for a lower GI radiographic examination?

Take tablets containing contrast medium the evening before the examination

The function of the prostate gland is to:

secrete fluid that transports sperm

All of the following are characteristics of computed tomography (CT) except:

uses sound waves to produce an image

Which of the following is not a responsibility of the medical assistant during a sigmoidoscopy?

Insufflating air into the colon

The most common sign of testicular cancer is:

a small, hard, painless lump on the testicle

The patient should be instructed not to move during the radiographic examination to prevent:

blurring of the image on the film

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MED251 Ch28 Specialty Exams & Procedures

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Answers

1
Which of the following is a characteristic of magnetic resonance imaging?
It is safe and painless but hears a metallic clacking sound
All are correct
The patient must remain still during the procedure
The patient must remove all metal before the procedure
2
A lower GI radiographic examination assists in evaluating and diagnosing:
all are correct
cancerous tumors
ulcerative colitis
polyps
3
Which of the following tests may be ordered if a patient has a positive prostate screening test?
Transrectal ultrasound
Biopsy of the prostate gland
All are correct
Bone scan
4
Magnetic resonance imaging is used to assist in the diagnosis of:
spinal lesions
all are correct
herniated disks
cardiovascular abnormalities
5
Which of the following can cause failure of the expected control results to occur on a guaiac slide test?
Outdated developing solution
Improper storage of the testing kit
Outdated slides
All are correct
6
To prepare for a CT scan, the patient must:
discontinue all medications 2 days before the scan
perform a cleansing enema on the morning of the examination
remove all radiopaque objects
consume four glasses of water 1 hour before the scan
7
All of the following are symptoms of colorectal cancer except:
unexplained weight gain
change in bowel habits
abdominal discomfort
visible bleeding from the rectum
8
Which of the following is a characteristic of ultrasonography?
All are correct
Cannot be used for bone studies
Allows for continuous viewing of a structure
Shows movement
9
Which of the following is an advantage of digital radiology?
All are correct
Images can be taken and viewed immediately
Images can be enhanced and enlarged on the computer screen
Images can be sent electronically to a network of computers
10
Patient instructions for a mammogram include which of the following?
Schedule the examination several days before your menstrual period
Avoid caffeine for 12 hours before the examination
Take a mild sedative before the examination
Do not wear lotions, powders, or deodorants
11
How should guaiac slide tests be stored?
At room temperature
In the freezer
In the refrigerator
In an airtight container
12
Which of the following conditions may cause blood in the stool?
All are correct
Hemorrhoids
Diverticulosis
Colorectal cancer
13
Which of the following increases the PSA level?
Alcohol consumption
Fasting
Smoking
Vigorous exercise
14
All of the following are risk factors for testicular cancer except:
family history of testicular cancer
being of the Caucasian race
multiple sexual partners
history of undescended testicles
15
The breasts are compressed during mammography to:
reduce patient discomfort
prevent the patient from moving
protect the patient from excessive radiation
obtain a clear radiograph
16
What is the appearance of stool exhibiting melena?
Black and tarlike
Streaked with mucus
Dry and hard
Streaked with blood
17
Any trace of blue appearing on or at the edge of the guaiac slide test is interpreted as:
invalid
positive
negative
no reaction
18
Which of the following radiographic examinations uses air and barium to view the colon in great detail?
Colonoscopy
Myelogram
Double-contrast barium enema
Hysterosalpingogram
19
Who discovered x-rays?
Fleming
Roentgen
Radcliffe
Pasteur
20
An echocardiogram can be used to assess which of the following?
Movement of the heart chambers
All are correct
Size, shape and position of the heart
Movement of the heart valves
21
When should a testicular self-examination be performed?
In the morning
After sexual intercourse
After vigorous exercise
After taking a warm shower
22
The normal range for a PSA test is:
4 to 10 ng/mL
10 to 20 ng/mL
0 to 4 ng/mL
greater than 20 ng/mL
23
All of the following are symptoms of prostate cancer except:
thick, yellow discharge from the penis
blood in the urine
difficulty in urinating
painful urination
24
What is the reason for removing a precancerous polyp during a colonoscopy?
To prevent a colon obstruction
To prevent constipation
To prevent the development of hemorrhoids
To prevent the polyp from developing into cancer
25
Which of the following tests may be performed if the fecal occult blood test result is positive?
Colonoscopy
Upper GI x-ray study
MRI
Colposcopy
26
A provider specializing in diagnosis & treatment of disease using radiation and other imaging techniques is known as:
cardiologist
radiologist
radiology technician
pathologist
27
An IVP is used to assist in the diagnosis of all of the following except:
kidney stones
urinary tract infections
growths of the urinary system
blockage of the urinary tract
28
Which of the following positions is used for flexible fiberoptic sigmoidoscopy?
Supine
Prone
Lithotomy
Sims
29
Patient instructions for the guaiac slide test include all of the following except:
use a regular envelope to mail the specimen to the medical office
begin diet modifications 3 days before collecting the first stool specimen
spread a thin smear of the specimen over the filter paper
collect a sample from two different parts of each stool specimen
30
A normal prostate gland feels:
hard
soft
lumpy
firm
31
What is the purpose of a bone density scan?
To detect bone loss
To detect bone cancer
To detect a stress fracture
To detect a ruptured disk
32
Why must the patient consume a high-fiber diet before guaiac slide testing?
To prevent gastrointestinal irritation
To prevent a false-positive test result
To prevent a false-negative test result
To encourage bleeding from intestinal lesions
33
All of the following medications must be discontinued before and during guaiac slide testing except:
iron supplement
calcium supplement
ibuprofen (Tylenol)
vitamin C
34
Before performing an IVP, the patient must be asked if he or she is allergic to:
barium
beets
penicillin
iodine
35
Which of the following is not a form of patient preparation for a lower GI radiographic examination?
Consume only clear liquids the day before the examination
Do not drink anything beginning after midnight the day before examination
Take tablets containing contrast medium the evening before the examination
Take a laxative the day before the examination
36
The function of the prostate gland is to:
secrete fluid that transports sperm
secrete testosterone
store sperm
produce sperm
37
What is the term for the recorded image obtained with ultrasonography?
Sonogram
Audiogram
Cardiogram
Radiograph
38
All of the following are methods used to administer a contrast medium except:
subcutaneous injection
enema
oral administration
IV
39
What is the purpose of the DRE before a sigmoidoscopy?
To palpate the rectum for hemorrhoids, polyps, and tumors
All are correct
To palpate the rectum for tenderness
To prepare the patient for insertion of the endoscope
40
An IVP is a radiograph of the:
gallbladder and common bile duct
kidneys, ureters, and bladder
brain and spinal cord
liver
41
The purpose of an obstetric ultrasound is to:
determine gestational age
all are correct
detect multiple pregnancies
detect congenital abnormalities
42
Which of the following is an example of a radiolucent structure?
Stomach & Intestines
All are correct
Lungs
Urinary bladder
43
All of the following are characteristics of computed tomography (CT) except:
produces a series of cross-sectional pictures
uses sound waves to produce an image
used for diagnostic studies of the brain
may use a contrast dye during the scan
44
The upper gastrointestinal (GI) radiographic examination is helpful in diagnosing all of the following except:
peptic ulcer
GERD
hiatal hernia
tumors of the large intestine
45
What is occult blood?
Blood that is not visible
Visible red blood
Less than 5 mL of blood in the stool
Digested blood
46
All of the following conditions can cause an elevated PSA level except:
benign prostatic hyperplasia
prostate cancer
testicular cancer
prostatitis
47
Which of the following uses ultrasound to measure the direction and speed of blood as it flows through blood vessels?
PET scan
Doppler ultrasound
Electrocardiography
DEXA scan (DXA)
48
Which of the following is not a responsibility of the medical assistant during a sigmoidoscopy?
Assisting with suctioning equipment
Lubricating the provider’s gloved finger for the digital examination
Insufflating air into the colon
Placing lubricant on the sigmoidoscope
49
The most common sign of testicular cancer is:
difficulty in urinating
a change in bowel habits
a small, hard, painless lump on the testicle
bleeding during urination
50
Mammography is used to detect:
all are correct
fibrocystic breast disease
breast cancer
benign breast masses
51
The patient should be instructed not to move during the radiographic examination to prevent:
being exposed to an excessive amount of radiation
being burned by the x-rays
blurring of the image on the film
confusing shadows on the film
52
Which of the following conditions can be diagnosed with a PET scan?
Inflammatory bowel disease
Diabetes
Multiple sclerosis
Brain cancer and heart disease
53
All of the following are advantages of the fecal immunochemical test (FIT) compared with the guaiac slide test except:
FIT is less expensive
FIT has fewer false-positive test results
FIT does not require dietary or medication restrictions
FIT is more sensitive to lower GI bleeding
54
Which of the following instructions should be relayed to the patient regarding a bone density scan?
Take a laxative the evening before the scan
Do not take a calcium supplement on the morning of the scan
Do not eat or drink after midnight on the day before the scan
Avoid vigorous physical exercise for 2 days before the scan
55
Which of the following assists in the diagnosis of coronary artery disease?
Echocardiogram
Nuclear cardiac stress test
DEXA scan (DXA)
Cerebral angiogram
56
The purpose of sigmoidoscopy is to detect the presence of:
polyps
inflammatory bowel disease
all are correct
lesions
57
The purpose of contrast medium is to:
prevent the radiographic film from becoming blurred
make a structure visible on a radiograph
decrease the amount of time needed to develop radiographic film
allow direct visualization of internal organs and structures
58
The function of x-rays includes all of the following except:
to visualize internal structures
to treat disease
to detect the presence of disease
to prevent disease
59
An instrument used to view internal organs directly is known as a:
radiography
fluoroscope
fluorometer
fluoroscopy
60
What parts of the colon are viewed during a colonoscopy?
All are correct
Transverse colon
Sigmoid colon
Descending colon
61
Which of the following x-ray studies does not require the use of a contrast medium?
IVP
Chest radiograph
Bronchogram
Angiocardiogram
62
Testicular cancer occurs most commonly:
between age 30 and 50
after age 50
after age 40
between age 15 and 34
63
Which of the following individuals is at particular risk for osteoporosis?
A patient with diabetes
A patient with osteoarthritis
An obese individual
A postmenopausal woman
64
Which of the following instructions should be relayed to the patient regarding an upper GI radiographic examination?
Take dye tablets with the evening meal
Do not eat or drink after midnight on the day before the examination
Perform a cleansing enema on the morning of the examination
Take a laxative the evening before the examination
65
What effect does the barium suspension have on the stool after an upper GI is performed?
It is loose and watery
It is dark and tarlike
It is whitish in color
It is streaked with blood
66
All of the following occurs during an upper GI radiographic examination except:
the radiologist observes the passage of the barium through the GI tract
barium is introduced into the colon through a tube
the patient’s position is changed at various times
radiographs are taken periodically
67
Which of the following is not a characteristic of nuclear medicine diagnostic imaging procedures?
A gamma camera detects the radiation given off by the body
It shows the actual function of organs
Radioactive substances are introduced into the body
The examination takes only a short time
68
What type of bowel preparation may be required before a sigmoidoscopy?
Drinking only clear liquids the day before the procedure
Not consuming any solid food the day before the procedure
Performing cleansing enemas the day of the procedure
All are correct
69
All of the following are risk factors for testicular cancer except:
undescended testicles
family history of testicular cancer
cancer of the other testicle
being an African American male
70
Why must gas be removed from the colon before a lower GI radiographic study?
It results in blurring of the radiograph
It obscures the image of the colon
It makes the examination uncomfortable for the patient
It shows up as confusing shadows on the radiograph
71
During the CT scan, the patient must:
move into various positions
recite the Pledge of Allegiance
remain still
consume a concentrated glucose solution
72
How does a radiopaque structure appear on a radiograph?
Black
Silver
White
Clear
73
Which of the following may result in a false-positive test result on a guaiac slide test?
Eating foods containing peroxidase
All are correct
Taking aspirin
Performing the test during a menstrual period
74
The permanent record of the picture produced on the x-ray film is known as a:
tomogram
radiograph
radiologram
sonogram
75
When the provider is finished with the sigmoidoscope, it should be:
sterilized in the dry heat oven
sterilized in the autoclave
sanitized and returned to its storage case
sanitized and disinfected

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