Contrast and Fluoro Worksheet

Question 1

By mouth

Answer 1

Oral

Question 2

Administered rectally

Answer 2

Rectal

Question 3

By needle

Answer 3

Parenteral

Question 4

Against the flow

Answer 4

Retrograde

Question 5

Anatomic areas filled with negative contrast media will appear _____ on radiographs

Answer 5

Dark

Question 6

List examples of positive contrast media:

Answer 6

-Barium sulfate-Iodinated contrast media

Question 7

What is the atomic number of barium?

Answer 7

56

Question 8

What is the chemical of barium sulfate?

Answer 8

BaSO4

Question 9

Describe a colloidal suspension:

Answer 9

Particles are suspended in the water and will settle out when allowed to sit for too long

Question 10

What type of barium is best suited to coat the mucosal lining of the esophagus?

Answer 10

Thich barium

Question 11

What are barium pills used for?

Answer 11

-To evaluate for strictures in the esophagus

Question 12

List contraindications for the administration of barium:

Answer 12

Perforation or Obstruction

Question 13

A patient must undergo a SBS today and is scheduled for abdominal surgery tomorrow. What type of oral contrast should be used?

Answer 13

Oral iodinated contrast media (water soluble)Ex: Gastrogafin or Gastroview

Question 14

What is the most common complication of barium administration?

Answer 14

Constipation

Question 15

List other complications of barium administration:

Answer 15

-Perforation-Vaginal rupture-Fluid overload-Aspiration-Allergic reactions

Question 16

What is the atomic number of iodine?

Answer 16

53

Question 17

A double contrast study involves the administration of what types of contrast media?

Answer 17

-Radiopaque (pos)-Radiolucent (neg)

Question 18

Measure of the total # of particles per kilo of water

Answer 18

Osmolality

Question 19

-Resistance of fluid movement-Measured by force-How thick or thin something is

Answer 19

Viscosity

Question 20

-Dissociate in a solution-Greater chance of a retain

Answer 20

Ionic Contrast

Question 21

-Does not dissociate in a solution-Less chance of adverse reaction

Answer 21

Non ionic contrast

Question 22

What type of contrast media contains the same number of particles as blood plasma?

Answer 22

IsomolalEx: Visipaque

Question 23

List some common side effects of injectable iodinated contrast media:

Answer 23

-Hot flash-Metalic taste in mouth

Question 24

Fluid is injected into tissue

Answer 24

Extravasation

Question 25

What type of reaction to iodinated contrast media is vomiting?

Answer 25

Mild

Question 26

What type of reaction to iodinated contrast media is Arrythmia?

Answer 26

Severe

Question 27

What type of reaction to iodinated contrast media is Tachycardia?

Answer 27

Moderate

Question 28

What type of reaction to iodinated contrast media is Urticaria?

Answer 28

Moderate

Question 29

What type of reaction to iodinated contrast media is Nausea?

Answer 29

Mild

Question 30

What type of reaction to iodinated contrast media is Anaphylactic Shock?

Answer 30

Severe

Question 31

What type of reaction to iodinated contrast media is Dyspnea?

Answer 31

Moderate

Question 32

What type of reaction to iodinated contrast media is Dysphagia?

Answer 32

Moderate

Question 33

What type of reaction to iodinated contrast media is Laryngeal swelling?

Answer 33

Severe

Question 34

What type of reaction to iodinated contrast media is Anxiety?

Answer 34

Mild

Question 35

What is the kVp range used for a single contrast barium study?

Answer 35

110- 120 kVp

Question 36

What is the kVp range used for a Double contrast barium study?

Answer 36

90 kVp

Question 37

What is the kVp range used for an injectable iodinated contrast study?

Answer 37

80-85 kVp

Question 38

What is the normal BUN (blood urea nitrogen)?

Answer 38

-8-24 men-6-21 women

Question 39

What are normal creatine levels?

Answer 39

6- 1.2 mg/dl* Many facilities will not inject if above 1.5

Question 40

What is the normal GFR for normal kidney function?

Answer 40

90-130

Question 41

What is the normal GFR for mild kidney damage?

Answer 41

60-90

Question 42

What is the normal GFR for moderate kidney damage?

Answer 42

30-60

Question 43

What is the normal GFR for severe kidney damage?

Answer 43

15-30

Question 44

What is the normal GFR for kidney failure?

Answer 44

0-15

Question 45

Describe the valsalva maneuver that can be used during an esophagram?

Answer 45

-Deep breath-Bear down like having a bowel movement

Question 46

What kind of patient prep is needed for a UGI?

Answer 46

-NPO 9 hours prior-Stomach should be empty

Question 47

Which view in the UGI series is best for evaluation of a hiatal hernia?

Answer 47

PA (compression)

Question 48

A SBS is considered complete when the contrast is seen in the:

Answer 48

Cecum

Question 49

When the balloon of the retention tip used for a barium enema is inflated with one squeeze, how much air will fill the balloon?

Answer 49

90ml

Question 50

Most barium enema bags have a capacity of _____ ml and the tubing is approximately ___ feet long.

Answer 50

-3,000ml (3 quarts)-6'

Question 51

What temperature should the barium be for a barium enema be?

Answer 51

85-90 degrees

Question 52

What can happen if barium is too hot?

Answer 52

Burns

Question 53

What can happen if barium is too cold?

Answer 53

Cramping

Question 54

Describe the sims position?

Answer 54

-Modified LAO-Left Lat, roll forward 35-40 degrees, bring right leg up

Question 55

What should the height of the barium bag be for a barium enema?

Answer 55

19-24" above anus

Question 56

Why is it important to void the bladder prior to an intravenous urogram (IVU)?

Answer 56

-Rupture avoidance-Dilutes contrast

Question 57

When using compression for an IVU, at what level is the compression placed on the patient?

Answer 57

Center at ASIS

Question 58

A nephoromogram is done to visualize:

Answer 58

Renal parenchyma

Question 59

When performing the RPO view for an IVU, which kidney is best seen?

Answer 59

Right (down side)