Diagnostic Agents

Question 1

Agent used in certain diagnostic radiographic tests to enable pathological conditions, such as tumors, stones, or blockages, to become visible on an x-ray; high-density pharmcological agents used to visualize low-contrast body tissues that include vascular structures, the urinary bladder, kidneys, the gastrointestinal tract, and the biliary tree

Answer 1

Radiopaque contrast media (ROCM)

Question 2

Characteristic of contrast media in which the substance does not permit the x-rays to pass through

Answer 2

Radiopaque

Question 3

solutions that color or mark tissue for identification

Answer 3

Dyes

Question 4

Solution that is used in surgery to help to differentiate normal from abnormal tissue. _

Answer 4

Staining Agent

Question 5

All contrast media contain ____________; therefore a thorough patient history of allergies or reactions to _____________ must be obtained and noted in the chart.

Answer 5

Iodine

Question 6

First generation ROCM that is used mainly in the GU tract for visualizing a stone/blockage or the bladder. This Contrast media can be instilled through a urethral catheter or IV.

Answer 6

Hypaque-76

Question 7

A second generation contrast media. This water-soluble iodine-based radiographic contrast medium used for angiography, excretory urography, and myelography. It is also less likely to have adverse reactions that first generation Contrast medias. This is one of few ROCM to be approved by the FDA for intrathecal use.

Answer 7

Omnipaque

Question 8

Dye is inserted via the ureter & injected up the urinary tract. Fluid runs in & back our & is used as a diagnostic flow. This procedure can use iodine based dyes on patients with iodine allergies.

Answer 8

Retrograde Pyelogram (RPG)

Question 9

radiographic image the biliary tree including the gall bladder and common bile duct

Answer 9

choliangiogram

Question 10

The duct that carries bile from the gallbladder and liver to the small intestine (duodenum). It is made up of 3 hepatic ducts & 1 Cystic Duct.

Answer 10

Common Bile Duct

Question 11

The duct that leads from the liver to the common bile duct; transports bile.

Answer 11

Hepatic Duct

Question 12

Duct leading from the gallbladder to the common bile duct; carries bile

Answer 12

Cystic Duct

Question 13

a staining dye/indicator that interacts with nucleic acid molecules and proteins, turning them to a very dark blue color. Often used on procedures pertaining to the urinary bladder, uterus, or fallopian tubes. This dye is given IV and excreted in urine.

Answer 13

Methylene Blue

Question 14

Blue dye used in urologic surgery cases and is not metabolized by the liver. This causes it to be excreted by the kidneys unchanged in the urine.

Answer 14

Indigo Carmine

Question 15

-Purple dye
-Used in surgery to mark incision lines
-Available in pens
-Useful in plastic & reconstructive surgery
-Topically it’s good to treat fungal infections inside the mouth -thrush, vagina -yeast infections & on the skin

Answer 15

Gentian Violet

Question 16

This solution has a strong iodine mixture used to perform Schiller tests on cervical tissue. The solution is then applied to the suspect area of the external cervical os with a sponge stick. Abnormal cells will not take up the brown iodine stain as readily as normal cells.

Answer 16

Lugol Solution

Question 17

This solution has a weaker concentration of iodine and is used as a staining agent. Most often used on the cervix to detect abnormal cells.

Answer 17

Schiller’s Solution

Question 18

This solution is used to stop patient bleeding after medical procedures. It is a hemostatic agent.

Answer 18

Monsel’s Solution

Question 19

Although this is not specifically a colored staining agent, This staining agent causes abnormal tissue to appear whiter than surrounding healthy tissue.

Answer 19

Acetic Acid (Vinegar)

Question 20

What four contrast media agents are frequently used in surgery ?

Answer 20

Hypaque , Omnipaque , Isovue and Visipaque

Question 21

Cerebral angiography, peripheral arteriography, venography, urography, arthrography, CT enhancement and CECT head and body imaging

Answer 21

Isovue

Question 22

Four common dyes used in surgery

Answer 22

Methylene blue, Lymphazurin , indigo carmine , gentian violet

Question 23

What happens to abnormal cervical tissue when Lugol solution is applied?

Answer 23

Nothing- it won’t take up the brown iodine stain. Healthy tissue stains however.

Question 24

Used for sentinel node biopsy for breast tumors.

Answer 24

Isosulfan blue

Question 25

Current way to treat nephrotoxicity

Answer 25

Hydration

Question 26

What is the premedication protocol for patients with a sensitivity to iodine?

Answer 26

Prednisone and diphenhydramine

Question 27

What variations of angiography uses omnipaque?

Answer 27

Angiocardiography, aortography, peripheral arteriography

Question 28

Dyes are administered in which ways?

Answer 28

Intravenously, topically and by instilling them into body cavities.

Question 29

During chromotubation, or tubal dye study, Methylene blue is administered where?

Answer 29

Into the uterus; the dye enters the Fallopian tubes and is observed exiting into the pelvic cavity.

Question 30

Reasons against giving a particular drug

Answer 30

Contraindicated