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Final exam review for Advanced Procedures

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  • Where is the contrast media instilled during a myelogram?
    subarachnoid space
  • How much positive contrast media is used during a single contrast shoulder arthrogram?
    8--15 mL
  • What is the average dosage of contrast media given during a myelogram?
    9-15 mL
  • Where is the CR placed when doing a hysterosalpingography ?
    2 inches superior to the symphysis pubis
  • A patient comes to the ER with a possible aortic aneurysm. What exam of the abdomen would a technologist perform?
    dorsal decub
  • What is a person has a plural effusion on the right side of their body? What exam do you perform? Why?
    a right lateral decub because the fluid is on the right and needs to be placed downside so the fluid will settle and the air will rise
  • Why is the knee flexed following an injection of contrast, during an arthrogram?
    to coat the soft tissues with contrast media
  • Normal BUN levels?
    8-25 milligrams per deciliter
  • When doing a shoulder arthrogram which projection would NOT be commonly performed? AP internal/external, scap y, Glenoid fossa, transaxillary
    scap Y
  • How much would you rotate the body for an oblique, and lateral scapular Y projection?
    35 to 40 degrees from AP
  • What is the difference between an ORIF and an IF . Define terms and give answer
    Open Reduction Internal Fixation is a procedure Internal Fixation is a device
  • Which is NOT an indication for knee arthography? Baker's cyst, injury or tears, rotator cuff tear
    rotator cuff tear
  • What projection would show the fibular head and neck in the event that you could not rotate the lower leg.
    AP and 45* lateromedial angle
  • Why is a block placed under the abdomen for a lumbar puncture?
    to widen the interspinous spaces
  • Which is the suggested conventional positioning routine for cervical myelography following fluoroscopy? Where is the CR centered?
    Patient prone: horizontal beam lateral and swimmer's horizontal beam. Centered to C 7
  • What imaging modality is used to study bony structures?
    CT
  • In reference to a reaction to contrast, how would hot flashes be classified? What would be a moderate example? What would be a severe example?
    mild level of reaction, swelling lips, anaphylactic shock
  • Do the post reduction projections of upper and lower limbs need to show both joints ? explain your answer
    NO image needs to include only the joint nearest the fracture
  • Where is the catheter inserted during an ERCP?
    hepatopancreatic ampulla
  • Name three things that are a contraindication to a hysterosalpingography?
    Pregnancy, uterine bleeding, pelvic inflammatory disease
  • Which part of the uterine tubes opens up into the peritoneal cavity?
    Infundibulum
  • What is the most common clinical indication for a myelogram?
    HNP
  • What is a Colle's FX?
    it is a fracture of the distal radius and it is displaced posteriorly
  • What is a Smith's FX ?
    fracture of the distal radius, it is displaced anteriorly
  • The liver is divided into ___________ major and minor lobes?
    4
  • The purpose of the hysterosalpingography is to demonstrate?
    the uterine cavity and the patency of the uterine tubes
  • Patient presents with a possible stellate fracture of the knee. Which projections would show this best without more injury to the patient?
    AP and lateral of the knee and patella WITHOUT flexion of the knee
  • What is the most common injection site for a myelogram?
    L3-4
  • The most commonly preferred contrast medium for the hysterosalpingography is
    positive, non-ionic , water soluble
  • What imaging modality is frequently used to study soft tissue?
    MRI
  • What can be examined by an arthroscopy?
    any joint
  • Normal Creatinine levels?
    0.6-1.5 milligrams per deciliter
  • What two exams are performed during a myelography?
    AP, X-table lateral
  • A contraindication of a myelography is if a lumbar puncture has been performed within the previous ___________ weeks?
    2
  • The removal of a damaged meniscus would be an example of?
    arthroplasty
  • Radiographic exam of the biliary ducts ONLY is termed?
    cholangiography
  • Why is the supine AP projection rarely taken during a thoracic spine myelogram?
    contrast media tends to pool near the midthorasic region
  • What is the positioning routine done for a lumbar myelography?
    patient prone:semierect horizontal beam lateral
  • Which contrast media can be injected into a joint?
    air and iodinated (or no-iodinated) contrast
  • If you cannot perform the Danelius-Miller projection due to patient injury, what other projection could you perform?
    Clements-Nakayama method
  • Most exams are used with non-ionic contrast. Why would we not want to use that?
    cost
  • How is the water-soluble contrast media eliminated following a myelogram?
    it is excreted by the kidneys
  • What is the correct radiographic criterion for a hysterosalpingography?
    Vagina, uterine cavity and uterine tubes should be opacified and well demonstrated
  • "Chole-" is a prefix for terms pertaining to :
    bile
  • What exams would you do for a possible shoulder dislocation ?
    AP, transthoracic lateral
  • Which device do you use during an ERCP?
    duodenoscope
  • Where is the gallbladder located on an asthenic patient?
    Low and midline
  • True or False ? Arachnoiditis is a clinical indication for a myelogram procedure?
    False
  • Which modality has prompted a major reduction in the number of arthrograms performed?
    MRI
  • How is patency defined? What is an example?
    how "open" a body part is a uterine tube or ureter
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