Abdomen Flashcards

1
Q

Why is an AP supine abdomen called a KUB?

A

The image is used to visualize Kidneys, Ureters, Bladder

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2
Q

What exam replaces the AP erect if the patient cannot stand?

A

left lateral decubitus

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3
Q

what must be included on an AP erect as well as a left lateral decub?

A

Diaphragm

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4
Q

What are the recommended breathing instructions for abdominal imaging?

A

Expiration

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5
Q

Recommended kVp for abdominal imaging?

A

70-80

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6
Q

Comparing two images of the abdomen, how would you be able to tell which one is a horizontal beam or vertical beam?

A

Horizontal beam- air-fluid levels would be visible

vertical- no air-fluid levels present

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7
Q

How does a bowel obstruction present itself on an image?

A

Lots of trapped air in bowels

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8
Q

Are abdomens performed to diagnose pathology or rule out?

A

Rule out due to the large amount of soft tissue, you wouldn’t be able to see a variety pathology. Used to rule out by viewing air, fluid, possible artifacts (stones, objects, etc)

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9
Q

What is the highest landmark needed on a KUB?

A

11th rib on the LEFT side due to the left kidney being higher than the right

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10
Q

why is the left kidney higher than the right?

A

On the right side, the large liver takes up space where kidney would sit.

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11
Q

Define proximal in regards to the digestive system.

A

Proximal means closest to the beginning. Proximal=closest to mouth. Esophagus is proximal.

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12
Q

Define distal in regards to the digestive system.

A

Distal means closest to the end or farthest from beginning. Rectum is distal.

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13
Q

Define contraindicated.

A

On an order, means DO NOT USE. Can be used to indicate allergy to contrast, etc.

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14
Q

How would one position 2 crosswise IRs?

A

The top of the lower is just above the iliac crest. The bottom of the top just below the iliac crest.

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15
Q

Which exam would be performed first on an ambulatory patient: AP erect or AP supine?

A

AP erect. The patient comes in upright for a period of time, which is what we want when performing an erect.

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16
Q

Free air in the abdominal cavity?

A

pneumoperitoneum

17
Q

What two large abdominal muscles extend next to the lumbar spine and are indicators of a well-exposed KUB?

A

psoas muscles

18
Q

which of the following is not an accessory organ of the digestive system?

a. spleen
b. pancreas
c. liver
d. gallbladder

A

A. Spleen.

19
Q

The pancreas is classified as a(n) _______ structure.

intraperitoneal
retroperitoneal
infraperitoneal
extraperitoneal

A

Intraperitoneal

20
Q

The sigmoid colon is located in the ____ quadrant.

RUQ
LUQ
LLQ
RLQ

A

LLQ

21
Q

Which of the following projections will best demonstrate intraperitoneal free air?

KUB
Dorsal decubitus
Left lateral decubitus
PA chest

A

Left Lateral Decubitus; free air will move away from the gastric air located on the left side.

22
Q

How does one assess whether the patient was rotated?

A
  • Ischial wings are not symmetrical
  • Spinous processes are not centered in the vertebral bodies
  • Ribs are not equidistant from spine