Digestive System UGI SBS BASW Review

Question 1

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

Answer 1

Pylorus

Question 2

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

Answer 2

RAO

Question 3

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

Answer 3

35-40 degrees

Question 4

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

Answer 4

Jejunum

Question 5

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

Answer 5

Fundus

Question 6

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

Answer 6

High

Question 7

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

Answer 7

Small Intestines

Question 8

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

Answer 8

2-3 hours

Question 9

The medical term for swallowing is –1–.

Answer 9

Deglutition

Question 10

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

Answer 10

Pylorus

Question 11

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

Answer 11

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

Question 12

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?

Answer 12

1. L1-L2

2. Costophrenic angle

Question 13

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

Answer 13

Elongated

Question 14

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

Answer 14

40-70 degrees

Question 15

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

Answer 15

Right Lateral, AP, and PA.

Question 16

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

Answer 16

PA

Question 17

What is another name for the LES?

Answer 17

Cardiac Sphincter/ Lower Esophageal Sphincter

Question 18

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

Answer 18

Top of IR placed at EAM

Question 19

The stomach lies in which quadrant?

Answer 19

Left Upper Quadrant

Question 20

What is rugae and what is its main function?

Answer 20

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

Question 21

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

Answer 21

Esophageal Varacies and GERD

Question 22

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

Answer 22

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

Question 23

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

Answer 23

Peristalsis

Question 24

What position will best demonstrate the duodenal bulb?

Answer 24

RAO

Question 25

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

Answer 25

Ileocecal Valve

Question 26

A thinner suspending medium...

Answer 26

will pass quicker

Question 27

A thicker suspending medium...

Answer 27

will pass slower

Question 28

A cooler suspending medium...

Answer 28

will pass quicker

Question 29

A warmer suspending medium...

Answer 29

will pass slower

Question 30

A patient with a disease or blockage...

Answer 30

will pass slower

Question 31

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

Answer 31

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

Question 32

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

Answer 32

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.

Question 33

Where do we center for oblique views of the esophagus?

Answer 33

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

Question 34

List the proper prep for the following exams. 1. BASW 2. UGI 3. SBS

Answer 34

1. No prep needed 2. NPO since midnight 3. NPO

Question 35

What position may better demonstrate hiatal hernias?

Answer 35

Trendelenburg

Question 36

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

Answer 36

Barium in the Pylorus | Air in the Fundus

Question 37

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

Answer 37

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

Question 38

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

Answer 38

The radiographer will oblique the patient more.

Question 39

Which section of the small bowel is the shortest?

Answer 39

Duodenum

Question 40

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

Answer 40

1. Liver 2. Pancreas 3. Gallbladder

Question 41

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

Answer 41

Billiary

Question 42

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

Answer 42

Pharynx

Question 43

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

Answer 43

T5-T6

Question 44

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

Answer 44

T11

Question 45

The duodenaljejunal flexure is suspended by the --1--.

Answer 45

Ligament of Trietz