Digestive System UGI SBS BASW Review Flashcards

1
Q

The most anterior part of the stomach is the –1–.

A

Pylorus

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2
Q

The –1– position will best demonstrate the esophagus without superimposition on the heart or spine.

A

RAO

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3
Q

The recommended degree of obliquity for an unobstructed image of the esophagus is –1– degrees.

A

35-40 degrees

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4
Q

This portion of the small bowel has a “feathery” appearance.

A

Jejunum

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5
Q

The most superior portion of the stomach is the –1–.

A

Fundus

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6
Q

What type of Kv is necessary for adequate penetration during barium studies?

A

High

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7
Q

Digestion and absorption takes place in this portion of the alimentary tract.

A

Small Intestines

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8
Q

The normal emptying for the stomach is approximately –1–.

A

2-3 hours

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9
Q

The medical term for swallowing is –1–.

A

Deglutition

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10
Q

When the patient who has had barium is lying prone, the barium will be located in this portion of the stomach.

A

Pylorus

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11
Q

List 3 ways that gas products can be introduced for a barium study.

A
  1. Gas Crystals
  2. Carbonated Beverage
  3. Poke holes in the straw the patient is drinking from
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12
Q

The CR should be directed to the vertebral level of –1– for a stomach follow-up radiograph. What bony landmark is at this level that is used for stomach centering?

A
  1. L1-L2

2. Costophrenic angle

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13
Q

How will the stomach be demonstrated in the LAO or RPO position?

A

Elongated

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14
Q

How much should the patient be rotated when performing oblique images of the stomach?

A

40-70 degrees

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15
Q

Which positioning of the stomach will demonstrate the entire duodenal loop?

A

Right Lateral, AP, and PA.

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16
Q

Which projection, PA or AP is preferred when demonstrating the small intestines?

A

PA

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17
Q

What is another name for the LES?

A

Cardiac Sphincter/ Lower Esophageal Sphincter

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18
Q

Where should the IR be placed when performing BASW f/u radiographs?

A

Top of IR placed at EAM

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19
Q

The stomach lies in which quadrant?

A

Left Upper Quadrant

20
Q

What is rugae and what is its main function?

A

Rugae are the folds in stomach lining that allow for the stomach to expand. Rugae gives the stomach more area.

21
Q

Name 2 pathologies that the Valsalva Maneuver will demonstrate during barium studies of the upper digestive tract.

A

Esophageal Varacies and GERD

22
Q

Why would barium not be the contrast of choice if a patient has a suspected perforation?

A

Barium does not get absorbed by the body. You would want to use a water soluble contrast.

23
Q

What is the term for a wavelike movement of food through the digestive tract?

A

Peristalsis

24
Q

What position will best demonstrate the duodenal bulb?

A

RAO

25
Q

The structure that allows passage of food/ barium from the small intestines into the large intestines is called the –1–.

A

Ileocecal Valve

26
Q

A thinner suspending medium…

A

will pass quicker

27
Q

A thicker suspending medium…

A

will pass slower

28
Q

A cooler suspending medium…

A

will pass quicker

29
Q

A warmer suspending medium…

A

will pass slower

30
Q

A patient with a disease or blockage…

A

will pass slower

31
Q

What type of contrast should be used if there is a suspected perforation in the digestive tract and why?

A

A water soluble contrast should be used because if it leaks into the abdominal cavity it will be absorbed by the body.

32
Q

What is meant by the term “full column” or single contrast study of the esophagus?

A

You are trying to see the esophagus filled with barium by swallowing one thickness of barium and taking the exposure while it is filled when the patient swallows.

33
Q

Where do we center for oblique views of the esophagus?

A

2’’ from MSP toward side up (L) when done prone

34
Q

List the proper prep for the following exams.

  1. BASW
  2. UGI
  3. SBS
A
  1. No prep needed
  2. NPO since midnight
  3. NPO
35
Q

What position may better demonstrate hiatal hernias?

A

Trendelenburg

36
Q

If a patient is positioned in an upright AP projection describe where the barium and air will be.

A

Barium in the Pylorus

Air in the Fundus

37
Q

Explain what happens to the stomach if the patient is hypersthenic.

A

The stomach lays high, is elongated, is away from midline and more horizontal.

38
Q

What will the radiographer do in regard to the patient rotation when performing oblique stomach views for the hypersthenic patient?

A

The radiographer will oblique the patient more.

39
Q

Which section of the small bowel is the shortest?

A

Duodenum

40
Q

Name the three organs with ducts that enter/empty into the small bowel?

A
  1. Liver
  2. Pancreas
  3. Gallbladder
41
Q

Referring to question #40, these organs (Liver, Pancreas, Gallbladder) are referred to as the –1– system.

A

Billiary

42
Q

What organ is part of both the respiratory and digestive systems?

A

Pharynx

43
Q

What is the correct vertebral level used when centering for an esophagus study?

A

T5-T6

44
Q

The esophagus joins the stomach at the esophagogastric junction, which is at the vertebral level of –1–.

A

T11

45
Q

The duodenaljejunal flexure is suspended by the –1–.

A

Ligament of Trietz