Comprehensive Exam Flashcards
Peristalsis is:
- progressive, involuntary movements
- inflammation of mucosa
- the act of swallowing
- a tortuous dilatation
progressive, involuntary movements
Reflux esophagitis is:
- progressive, involuntary movements
- inflammation of mucosa
- the act of swallowing
- a tortuous dilatation
inflammation of mucosa
Deglutition is:
- progressive, involuntary movements
- inflammation of mucosa
- the act of swallowing
- a tortuous dilatation
the act of swallowing
Varix is:
- progressive, involuntary movements
- inflammation of mucosa
- the act of swallowing
- a tortuous dilatation seen as filling defects
a tortuous dilatation seen as filling defects
Which of the following is/are correct concerning the Parotid gland:
1. it is the smallest of the salivary glands
2. it is located under and in front of the ears
3. it is associated with Wharton’s duct
- 2 only
- 2 and 3
- 1 and 3
- 1 only
2 only
Wharton’s duct is:
- the main sublingual duct
- associated with the submandibular gland
- associated with parotid gland
- sublingual ducts that open around tongue
associated with the submandibular gland
Ducts of Rivinus is:
- submandibular ducts that drain into the mouth
- associated with the submandibular gland
- associated with parotid gland
- sublingual ducts that open around tongue
sublingual ducts that open around tongue
Stenson’s duct is:
- the main sublingual duct
- associated with the submandibular gland
- associated with parotid gland
- sublingual ducts that open around tongue
associated with parotid gland
In the tomographic study of the pharynx and larynx, you would ask the patient to make which sound during the exposure:
- h-h-h
- o-o-o
- e-e-e
- z-z-z
e-e-e
Cleft palate studies are done to:
- demonstrate the vocal cords and their size and shape
- visualize foreign bodies
- visualize the range of motion of the soft palate and the position of the tongue during different phonations
- visualize the movement of the epiglottis
visualize the range of motion of the soft palate and the position of the tongue during different phonations
Which of the following is a function of the pharynx:
- for deglutition
- for passage of food
- for passage of air
- for sound resonance
all of the above
The entrance to the larynx is guarded by the:
- glottis
- epiglottis
- glossoepiglottic fold
- piriform recess
epiglottis
Dysphagia is:
- a pouch or sac of lining membrane
- a narrowing or a body passageway or opening
- difficultly in swallowing
- failure of peristalsis and relaxation of cardia
difficultly in swallowing
Stenosis is the:
- pouch or sac of lining membrane
- narrowing of a body passageway or opening
- inability to swallow
- failure of peristalsis and relaxation of cardia
narrowing of a body passageway or opening
Achalasia is the:
- pouch or sac of lining membrane
- narrowing or a body passageway or opening
- inability to swallow
- failure of peristalsis and relaxation of the sphincter
inability to swallow
Diverticulum is the:
- pouch or sac of lining membrane
- narrowing or a body passageway or opening
- inability to swallow
- failure of peristalsis and relaxation of the sphincter
pouch or sac of lining membrane
The parathyroid glands control what?
- Thyroid hormones
- Heart rate
- Calcium levels
- Thyroxine (T3)
Calcium levels
What is the normal state of the cricopharyngeus muscle?
- Contracted
- Relaxed
- Spasm
- None of the above
Relaxed
What is the primary distal attachment point of the pharynx?
- Larynx
- Epiglottis
- Lower esophageal sphincter
- Esophagus
Esophagus
What is the reason for taking “control” images before the start of the sialography exam?
- Look for radio-opaque calculi.
- To visualize Stensen’s duct.
- To find the salivary glands.
- Look for sialadentis.
Look for radio-opaque calculi.
What is the term for an infected pharyngeal tonsil?
- Von Ebner’s gland.
- Sublingualitis.
- Calcitonin.
- Adenoid.
Adenoid.
What are the main spot film views used in sialography?
- Tangential and Lateral.
- AP and SMV.
- Lateral oblique and Townes.
- No spot films, only fluoroscopy.
Tangential and Lateral.
Another name for the gastric folds is:
- Cardia
- Rugae
- Pylora
- Angula
Rugae
If the kidneys are not a primary concern.What is the reason for performing an upright abdomen as a PA projection as opposed to an AP projection
- Easier to assess the gastroesophageal junction.
- Its easier for the patient to hang on to the wall bucky.
- Better view of the fundus.
- Less dose to the gonads
Less dose to the gonads
The superior portion of the stomach is:
- cardia
- pyloric portion
- body
- fundus
fundus
Continuous with the duodenum is:
- cardia
- pyloric portion
- body
- fundus
pyloric portion
The largest portion of the stomach is:
- cardia
- pyloric portion
- body
- fundus
body
Continuous with the esophagus is:
- cardia
- pyloric portion
- body
- fundus
cardia
When obtaining projections of the stomach on a hypersthenic patient, which of the following may be necessary to assure inclusion of all pertinent anatomy:
1. Adjusting CR to enter at a higher level than for the sthenic patient
2. Adjusting CR to enter at a lower level than for the sthenic patient
3. Adjusting the image receptor to a crosswise orientation
- 2 only
- 2 and 3
- 1 and 3
- 1 only
1 and 3
In the stomach, the narrowing of the lumen is called:
- gastritis
- pyloric stenosis
- pylorospasm
- Antrumitis
pyloric stenosis
Inflammation of the stomach is called:
- gastritis
- pyloric stenosis
- pylorospasm
gastritis
You are positioning an average sized patient for oblique projections of the stomach. The CR should enter at the level of:
- L3/L4
- L4/L5
- T12/L1
- L1/L2
L1/L2
To avoid retention of food in the stomach, and upper gastrointestinal contrast study should not be performed for at least:
- 10 to 12 hours after last food and water
- there is no preparation required
- 8 to 9 hours after last food and water
- 4 to 5 hours after last food and water
8 to 9 hours after last food and water
Compression projections of the stomach are useful for:
- demonstration of small mucosal lesions
- preventing contrast from leaving stomach
- creating a double contrast effect
- moving obstructions
all of the above
During an upper gastrointestinal procedure the radiologist adjusts the table into a slight Trendelenburg position. What is the purpose of this adjustment in patient and table position:
- to smooth out the gastric serosa
- to evaluate for a hiatal hernia
- to best demonstrate the cardiac sphincter
- to demonstrate esophageal varices
to evaluate for a hiatal hernia
What is the principle advantage of the double-contrast method over the single-contrast method in upper gastrointestinal procedures:
- the contrast will pass easier
- no patient preparation is necessary for double-contrast studies
- the double-contrast is more comfortable
- smaller lesions are more obvious
smaller lesions are more obvious
The right border of the stomach is called the:
- angular notch
- sulcus intermedius
- greater curvature
- lesser curvature
lesser curvature
The hand-held compression paddle is often placed under which anatomical part during an upper gastrointestinal procedure:
- body
- pylorus
- duodenal bulb
- distal esophagus
duodenal bulb
In which of the following positions does the stomach move superiorly and to the left, and in most cases, the pyloric end raising to spill barium into the fundic and cardiac portions:
- Upright
- Lateral
- Supine
- Prone
Supine & Prone
When performing a double-contrast study of the stomach, what is the best way to assure that the barium is coating the mucosal lining:
- take all upright projections
- roll the patient from side to side
- ask the patient to perform the Valsalva maneuver
- place the patient in the Trendelenburg position
roll the patient from side to side
Reflux esophagitis is:
- progressive, involuntary movements
- inflammation of mucosa
- the act of swallowing
- a tortuous dilatation
inflammation of mucosa
Varix is:
- progressive, involuntary movements
- inflammation of mucosa
- the act of swallowing
- a tortuous dilatation seen as filling defects
a tortuous dilatation seen as filling defects
According to Merrill’s, for the RAO or LPO projections of the esophagus, what is the degree of angle needed for the patient?
- 45 to 60 degrees from Ap
- 60 to 75 degrees from Ap
- 35 to 40 degrees from Ap
- 15 to 20 degrees from Ap
35 to 40 degrees from Ap
The mucosal lining in the lower esophagus changes to a mucosal lining similar to that found in the stomach. What condition causes this?
- a Presbyesophagus
- reflux esophagitis
- a Barrett’s esophagus
- an esophageal web
a Barrett’s esophagus
Diverticulum is the:
- pouch or sac of lining membrane
- narrowing or a body passageway or opening
- inability to swallow
- failure of peristalsis and relaxation of the sphincter
pouch or sac of lining membrane
Which projection allows a wider space for an unobstructed image of the esophagus between the vertebrae and the heart:
- AP
- Lateral
- RAO
- LAO
RAO
When positioning a patient for the lateral projection of the esophagus, you would direct the CR to:
- the level of T10-T11
- the level of T5 -T6
- the level of T3-T4
- the level of T8-T9
the level of T5 -T6
After positioning the patient for a RAO projection of the esophagus, how do you adjust the CR:
- it should enter approximately 2 inches lateral to the midsagittal plane
- it should enter along the coronal plane
- it should enter approximately 2 inches medial to the midsagittal plane
- it should enter at the midsagittal plane
it should enter approximately 2 inches lateral to the midsagittal plane
Which of the following is NOT general evaluation criteria for all projections of the esophagus:
- there will be adequate penetration of the contrast
- the ribs posterior to the vertebrae will be superimposed
- the esophagus will be filled or partially filled with contrast
- the esophagus will be visualized from the lower part of the neck to its entrance into the stomach
the ribs posterior to the vertebrae will be superimposed
According to Merrill’s, the PA oblique for hiatal hernia is called the ___________ method.
- Compression
- Valsalva
- Wolf
- Bi phasic
Wolf