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Chapter 12: Biliary Tract & Upper Gastrointestinal System Part 1 Flashcards | StudBud
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Chapter 12: Biliary Tract & Upper Gastrointestinal System Part 1
Chapter 12: Biliary Tract & Upper Gastrointestinal System Part 1
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1
The act of swallowing is termed
deglutition
digestion
aphasia
mastication
2
Question 47 - 50 are diagrams go to next question
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review 47-50 on practice sheet
3
Gastric is defined as inflammation of the
small intestine
stomach
large intestine
pancreas
4
The liver is divided into ________ major and minor lobes.
six
Three
four
two
5
Achalasia is generally defined as:
large outpouching of the esophagus
difficulty in swallowing
a common malignancy of the esophagus
motor disorder of the esophagus
6
Which of the following functions are performed by the gallbladder?
concentration of bile
Storage of bile
All of the above
contraction and release of bile
7
What is the primary purpose of the membranous folds located within the cystic duct?
Provides blood supply to the gallbladder
prevents gallstones from entering the gallbladder
Produce cholecystokinin
Prevents distention or collapse of the cystic duct
8
A stomach with the duodenal bulb at the level of LI-2 would be found in a(n) _______
hypersthenic
asthenic
hyposthenic
sthenic
9
Patient preparation for an adult upper GI series includes:
NPO 4 hours before the procedure
nothing; no patient preparation is required
NPO 24 hours before the proceure
NPO 8 hours before the procedure
10
A high and transverse stomach would be found in a(n) _____ patient.
sthenic
hypersthenic
hyposthenic
asthenic
11
Which aspect of the stomach is attached to the duodenum?
Pylorus
Fundus
Cardiac
Body
12
Gastric emptying studies are performed using:
MRI
intraesophageal sonography
radionuclides
CT
13
what level should CR & image receptor be centered for RAO or PA upper GI projection and/or position on sthentic-body
lower costal margin
L2
Iliac crest
L3-L4
14
What structure indicates the junction between the duodenum and jejunum?
Suspensory muscle of duodenum
C-loop of duodenum
Duodenal cap
valvulae conninventes
15
What type of breathing instructions should be given to the patient during an esophagogram using a thin barium mixture?
suspend respiration while continuing to swallow
exposure immediate after last bolus swallow will not breath after swallow
suspended inspiration after the last swallow
shallow breathing and continued swallowing during exposure
16
Lipids (fats) are broken down to fatty acids and glycerol as they are digested and absorbed by the:
None of the above (are not digested)
stomach only
stomach and small bowel
small bowel only
17
which of the following technical factors will best enhance a digital image taken during an upper GI series?
Use of compensation (wedge) filter
Low kV technique
Collimation
Long SID
18
Which conditions involves dilated veins in the distal aspect of the esophagus, which in can lead to internal bleeding?
esophageal thrombosis
esophageal varices
esophageal hypertension
esophageal reflux
19
Which of the cardinal principle of radiation protection is effective in reducing the dose to the tech during fluoroscopy
Intensity
Time
Shielding
distance
20
The liver is located primarily in the ______ of the abdomen.
LUQ
RLQ
LLQ
RUQ
21
Which of the following conditions is an example of GERD?
Bezoar
Gastric carcinoma
Esophageal varices
esophageal reflux
22
Patient preparation for an esophagram includes NPO _____ before the procedure.
4 to 6 hours and no gum chewing or smoking
NOTA PT prep is not needed upper GI series is not scheduled to follow
30 minutes to 1 hour
4 to 6 hours
23
When using computed radiography (CR), inadequate k V or mAs will produce a ____ image.
blurry
dark
mottled
light
24
What is the classification of barium sulfate as a contrast media?
Negative contrast media
Radiolucent
Isodense
Radiopaque
25
Which of the following substances are not digested chemically?
Minerals
Proteins
Carbohydrates
Lipids
26
A large outpouching of then proximal esophagus above the upper esophageal sphincter is termed:
Zenker diverticulum
esophageal reflux
Barrett esophagus
esophageal varices
27
Toward which aspect(s) of the stomach will barium gravitate with the patient in a prone position?
cardia
fundus and body
fundus
Body and pylorus
28
Which of the following upper GI projection and/or positions will best fill the body and pylorus with barium?
Right lateral
PA
AP
Left posterior oblique (LPO)
29
Hypertrophic pyloric stenosis (HPS) is the most common form of intestinal obstruction found in infants.
True
False
30
Which term describes the outer, lateral border of the stomach?
Gastric border
Less curvature
Greater curavture
Incisura angularis
31
Only 5% of all ulcers lead to bowel perforation
False
True
32
Other than esophagogram, what other imaging modality is performed to diagnose Barrett's esophagus?
Magnetic resonance
nuclear medicine
Computed tomography
sonography
33
Radiographic examination of the biliary ducts only is termed
cholecystography
cholangiography
cholecystocholangiography
cholelithiasis
34
Which specific part of the pancreas is adjacent to the loop of the duodenum?
Neck
Tail
Body
Head
35
What type of contrast media is ideal for demonstrating a diverticulum within the stomach?
radiolucent
Double contrast barium/negative contrast agent
Single -contrast barium sulfate
water doluble
36
Research suggest that peptic ulcers may be caused by:
smoking
antibiotics
bacteria
alcohol
37
The main function of bile is to
begin the digestion of complex sugars
begin the digestion of proteins
break down cholesterol
emulsify fats
38
Enzymes that aid in chemical digestion are classified as:
amino acids
Lipids
digestive acids
biologic catalyst
39
during an upper GI series, the halo series sign appears in the duodenum. Which condition produce this radiographic sign?
Bezoar
Ulcer
Tumor
Diverticulum
40
The liver secretes approximately ______mL of bile per day.
800 to 1000
1200 to 1500
500 to 700
100 to 250
41
Which of the imaging modalities or procedures is most effective and preferred in diagnosing HPS?
Upper GI series
Nuclear medicine
CT
Ultrasound
42
Protective aprons worn during fluoroscopy must possess at least ____ mm lead equivalency
1
0.5
0.25
0.75
43
What is a potential risk associated with the use of water-soluble contrast geriatric patients?
cardiac arrest
Dehydration
Shock
Bowel obstruction
44
The aortic arch and the ______ create a normal indentation seen along the lateral border of the esophagus
pulmonary veins
superior vena cava
pulmonary artery
left primary bronchus
45
Which upper GI projection &/or position best demonstrate pylorus & duodenal bulbprofile during a double-contrast study?
PA
LPO
AP
LAO
46
patient comes to radiology w/ a hx of a gastric ulcer. which procedure would be most diagnostic to demonstrate lesion
Carbon dioxide upper GI series
Double-contrast upper GI series
Oral, water soluble upper GI series
Single contrast barium sulfate upper GI series
47
What is an older term for the pancreatic duct?
Duct of Wirsung
Hepatopancreatic duct
Ampulla of vater
Duct of Langerhans
48
Which of the following kV ranges should be used for an upper GI series using the barium sulfate (single contrast study)?
100 to 125 kV
90 to 100 kV
80 to 90 kV
125 to 140 kV
49
The dilated portion of the distal esophagus is termed the:
incisura cardiaca
cardiac antrum
fundus
cardiac notch
50
Which aspect of the gallbladder is located most posterior within the abdomen?
Fundus
Neck
Apex
Body
51
concern about upper portion near level T1 which did not visualize well. Which special projection/position demo's region?
Swimmer's lateral position
AP with 25 to 30 cephalad CR angle
soft tissue lateral
LAO
52
Which of the following imaging modalities is an alternative to an esophagogram for detecting esophageal varices?
Sonography
MRI
CT
Nuclear medicine
53
What is the term for the longitudinal muscosal folds found within the stomach?
Haustra
Rugae
Gastric canal
valvulae conniventes
54
Which of the following patient care concerns would prevent the use of an oral, water-soluble contrast medium?
The patient is sensitive to iodine
the patient has dysphagia
The patient has a possible ulcer
The patient has esophageal reflux
55
Which term describes the outer, lateral border of the stomach?
Pylorus
Body
Fundus
Cardium
56
Most esophagograms begin with the patient
recimbent-supine
in a left lateral decubitus
erect
recumbent-prone
57
Which of the following positions is not normally considered to be part of the esophagogram basic routine?
Posterioranterior (PA)
Anteroposterior (AP)
Right anterior oblique (RAO)
left lateral
58
Which of the following definitions would describe a bezoar?
Outpouchinf of the stomach wall
Stomach neoplasm
Mass of undigested material
Inflammation of the gastric lining
59
What is a primary function of cholecystokinin?
stimulates the gallbladder to contract
Serves as an enzyme to break down certain food nutrients
Inhibits the formation of gallstones
stimulates the production of bile
60
What is an older term for the hepatopancreatic sphincter?
Sphincter of vater
Duodenal papilla
Duodenal sphincter
Sphincter of Oddi
61
Which of the following statements is true about barium sulfate?
The patient may become ill if it is not prepared with sterile water
It rarely produces an allergic reaction
It should be discarded if not used within an hour agter mixing
It is soluble in water
62
Sodium bicarbonate is often used as negative contrast medium during an upper GI series.
True
False
63
Chole- is a prefix for terms pertaining to the
liver
gallbladder
ducts
bile
64
Which of the following modalities is ideal for demonstrating signs of Barrett esophagus?
CT
Sonography
Nuclear medicine
MRI
65
Duodenal ulcers are rarely malignant
False
True
66
patient come to radiology w/ a clinical history HPS. which imaging modalities will best demonstrate this condition?
CT
nuclear medicine
upper GI series
ultrasound
67
The esophagus is located ______ to the larynx
proximal
inferior
posterior
anterior
68
The opening between the stomach and esophagus is termed the
cardiac antrum
esophogastric junction
cardiac notch
esophagocardiac junction
69
Once food enters the stomach and is mixed with gastric secretion, it is termed:
lipids
bile
chyme
biologic catalysts
70
Salivary contains certain enzymes to begin the digestion of
proteins
starch
minerals
lipids
71
How much barium is typically given to a 3-to10-year-old child during an upper GI tract?
14 to 16 ounces
1 cup
6 to 12 ounces
4 to 6 ounces
72
No cassettes are required for imaging with a digital fluoroscopy unit.
False
True
73
Digital fluoroscopy. does not require the use of an image intensifier
False
True
74
Which division of the duodenum contains the duodenal bulb or cap?
Third (horizontal)
Fourth (ascending)
First (superior)
Second (descending)
75
How much obliquity is required for the RAO position for the esophagus?
10 to 15
35 to 40
20 to 30
45 to 60
76
Digital fluoroscopy distinct advantages but produce slightly higher patient dose as compared w/ conventional fluoroscopy
False
True
77
The RAO position of the esophagus is preferred over the left anterior oblique (LAO) because it:
is a more comfortable posiiton for the patient
increases the visibility of the esophagus between the vertebrae and heart
reduces thyroid exposure to the patient
easier for the patient to hold the cup of barium in his or her left hand.
78
W/ digital fluoroscopy edge enhancement brightness & contrast can be manipulated during procedure & also at a later time
True
False
79
Which two forces or processes propel food down the esophagus?
Degluition and mastication
Gravity and deglutition
Peristalsis and gravity
Peristalsis and rhythmic segmentation
80
Why would a patient undergo Valsalva maneuver during an esophagogram?
to demonstrate possible esophagitis
to demonstrate a possibel bezoar
to demonstrate possible esophageal varices
to demonstrate possible esophageal reflux
81
Where is the bile formed?
pancreas
Duodenal mucosa
Gallbladder
Liver
82
Which of the following structures is not considered to be an accessory organ of digestion?
Salivary glands
Pancreas
Kidneys
Liver
83
Which of the following procedures will not demonstrate possible esophageal reflux?
water test
Toe-touch maneuver
Reverse Trendelenburg method
Compression technique
84
Which of the following clinical indications would mandate the use of an oral, water soluble contrast agent?
Patient with a possible perforated bowel
Patient with esophageal reflux
Patient with a bezoar
Patient with a possible peptic ulcer
85
Where is the cholecystokinin produced?
Liver
Gallbladder
Pancreas
Duodenal muscosa
86
Which of the following devices reduces scatter exposure during fluoroscopy form the fluroscopy tube?
Lead gloves
Bucky tray
Bucky slot cover
Compression paddle
87
In 80% of all individuals, the common bile duct and the pancreatic duct unite before entering the duodenum
False
True
88
What is the most common radiographic procedure performed to diagnose GERD?
Endoscopy
CT
Esophagogram
Upper GI
89
CR centering for an esophagogram should be to the vetebral level of
T7
T5 or T6
T3 or T4
the sternal angle
90
The liver performs more than 100 different functions
False
True
91
Swallowed air can be used as negative contrast medium during an upper GI series.
True
False
92
The average adult gallbladder is ______ cm long and ____ cm wide.
4 to 6; 2
12 to 15; 5 to 6
2 to 3; 1
7 to 10; 3
93
upper GI series on infant reveal body & pylorus of stomach are superimposed. modification to repeat exposure two regions
Angle the CR 20 to 25 cephalad
Use the AP trancelenburg position
Perform the AP projection instead
Angle the CR 30 to 45 cephalad
94
Which of the following is not a main subdivision of the stomach?
Pylorus
Fundus
Cardium
Body
95
What type of solution is formed when barium is mixed with water?
Hypotonic solution
Water-soluble solution
Isotonic solution
Colloidal suspension
96
Which aspect of (GI) tract is primarily responsible for absorption of digestive end product w/ water, vitamin & mineral?
Small intestine
Large intestine
Pancreas
Stomach
97
Which of the following structures is not one of the salivary glands?
Parotid
sublingual
submandibular
All of the above are salivary gland
98
pt come for upper GI series. clinical hx indicate tumor posterior to stomach. which projection/position demos condition
LPO
RAO
PA
RIght lateral
99
object stuck in esophagus. PA/lateral chest radiograph fail to demo foreign body. Which is effective to demo location?
Esophagogram with the water test
Esophagogram using shredded cotton soaked in barium
Upper GI series
Esophagogram using very thick barium
100
Which of the following is not one of the cardinal principles of radiation protection?
Distance
Intensity
Time
Shielding