DI Quiz 1 Flashcards
Which layer of the duodenum is the thickest layer?
Mucosal layer
(hypoechoic)
How do you double mAs?
Increase the time
Colon causes ____ on ultrasound
clean shadowing
MRI brain lesions show an increase in _____
water
1 clean (dark)
2 dirty (white)
Label A-D according to orientation
A- cranial
B- ventral
C- caudal
D- dorsal
Normal anatomy in the liver
Veins are Visible, not arteries or bile duct
Portal veins: hyperechoic wall
Hepatic veins isoechoic walls
Label A and B
A- Portal vein
B- Hepatic vein
Rank the 5 opacites in order from radiolucency to radiopacity
Radiolucent
Radiopacity
Air Fat Water Bone Metal
My cat loves sunny places
know order and direction
Anechogen(black)
hyperechogen(white)
My Cat Loves Sunny Places
Medulla Cortex Liver Spleen Prostate
Is a mass in the left lung lobe harder to see on a R or L lateral radiograph?
left lateral
What type of transducer is used on large animals?
2-5MHz
What type of transducer is used on tendons and small parts (like the eye)?
>10MHz
(linear)
What type of transducer is used on small dogs/cats?
7.5-10MHz
What type of transducer is used for medium sized dogs?
5-7.5MHz
What type of transducer is used for large breed dogs?
5MHz
Label A & B
A- underexposed (too light) kVp or mAs is too low
B- overexposed (too dark) kVp or mAs is too high
What can you do to better this image?
Increase mAs (problem bc increases time so shows movement)
Increase kVp**
What can be done to fix this image?
Decrease mAs
Decrease kVp
How much do we change mAs or kVp?
mAs is usually halved or doubled (decreases or increases the # of x rays by factor of 2)
kVp is not halved or doubled!! (change 16%-20%)
4
The 6 roentgen signs
Size, shape, number, location, margination, opacity
What causes the most interference on an ultrasound?
Air/fat
CT works by….
attenuating x rays emitted from the body
The shorter the wavelength, the ___ energy
more
When may ionizations occur?
if energy is too high in xrays
ionizations can be dangerous: cell death, mutation
Dose limits for pregnant women?
if you get pregnant you can still receive some dose
<5 mSv during gestation
must notify employer in writing of pregnancy
Reducing ones dose: ALARA
As Low As Reasonably Achievable
principle protection philosophy
Three things to reduce dose of radiation:
Time
Distance
Shielding
Inverse Square Law:
doubling the distance reduces the x ray intensity to ____
tripling the distance reduces the x ray intesnsity to ____
quadruple the distance reduces the x ray intesnsity to ____
double: 1/4th (1/2)2
triple: 1/9th (1/3)2
quadruple: 1/16th (1/4)2
1
Scatter radiation
degrades the image
increases personal dose of radiation
Shielding protects from what?
Types?
Gloves and gowns DO NOT protect from the primary beam- only protect from scatter radiation
Aprons: .5mm lead (Pb)
Thyroid shields: .25 or .5mm lead
Gloves: .5mm Pb
Glasses: .75mm Pb
How can we reduce scatter from the beam?
COLLIMATION
Badge Guidelines
Wear only your own badge
Do not wear badge during personal medical/dental procedures
Never intentionally expose badge
Never take your badge home
Wear at collar, outside of apron
Cathode:
Made from tungsten
x rays produced is proportional to amount of filament current (mA) and time (sec) current is “on”
Doubling mAs, ____ the number of x rays produced
doubles
mAs is the ____ of xrays produced
number
kVp is the _____ of xrays produced
energy
What does x ray exposure do to film?
EXPOSURE = BLACKNESS
An underexposed radiograph is too _____
light
(either kVp or mAs is too low)
An overexposed radiograph is too____
dark
(either kVp or mAs is too high)
If a radiograph is too light, not enough x rays reached the film. How to correct this?
Increase mAs: if increase time, motion will be a problem
Increase kVp
Radiograph that is too dark, because too many x rays reached the film.
How can we correct this?
Decrease mAs
Decrease kVp
High contrast image
low kVp, high mAs
few shades of grey
better for fatty areas
Low contrast image
high kVp, low mAs
many grey shades
better to see the lungs
What kVp should I use on film for thorax?
use high kVp, low mAs
already have subject contrast due to air in lungs
air provides contrast
What kVp should I use on film for abdomen?
fat provides contrast
subject contrast needs to be maximized by technique
use low kVp, high mAs