final Flashcards
As a contrast material, barium is described as
being positive, suspension, radiopaque.
For the RAO position of the stomach the midsagittal plane is
rotated approximately 40-70 degrees.
For the PA projection of the colon the central ray is
directed to the level of iliac crest.
For all views of the esophagus the top of the image receptor should be placed
at the level of the patient’s mouth.
The routine KVP for imaging the alimentary canal with barium is
approximately 100 to 110 KVP
Contents from the small bowel enter into the large bowel through
the ileocecal valve
The most proximal portion of the large intestine is
the cecum.
For the AP esophagus position the central ray should
be directed to the level of T5-T6.
For the lateral rectum the CR is directed
to a point that is the level of the ASIS, midcoronal plane.
The body habitus that would present a very long, very slim stomach reaching into the pelvis would be
asthenic
For the LAO position of the esophagus the patient’s left arm is
extended along the left side of body.
The position that best demonstrates the small bowel loops “spread out” and with minimal OID is
prone.
For the RPO oblique of the colon the midsagittal plane is
rotated 35-45 degrees.
For the AP stomach position perpendicular to the IR is
the midsagittal plane.
For the PA axial projection of the colon the central ray is
directed through the level of the ASIS.
For the lateral esophagus position perpendicular to the IR is
the midcoronal plane.
For the right lateral portion of the stomach the midsagittal plane is
rotated from the IR approximately 90 degrees.
For the lateral esophagus projection the central ray should be
directed to the level of T5-T6.
The barium enema position that best demonstrates the elongated recto-sigmoid is
the PA axial.
The “S-shaped” portion of the colon is known as
the sigmoid.
For the RAO position of the stomach the patient’s left arm is
flexed at the elbow, with hand near head.
The position that best demonstrates the splenic flexure in profile is the
LAO
For the LPO position of the stomach the midsagittal plane is
rotated approximately 30 to 60 degrees.
With the patient in the recumbent RAO stomach position, air will be found in the
fundus.
For the RAO esophagus position the central ray should enter the body
3 inches to the left side of the spine.
For the RPO position of the colon the central ray enters the body
2 inches to the side up from the midline.
The body habitus that would present a very short wide and horizontal stomach would be
hypersthenic.
The stomach digests food through the action of
mechanical and chemical digestion.
Contents from the esophagus enter the stomach through the
cardiac sphincter.
After a contrasted imaging study patients should be advised to
drink extra water for the next 48 hours.
For the AP esophagus position perpendicular to the IR is the
midsagittal plane.
The kvp range routinely used for imaging the alimentary canal with iodine based contrast agents is
70-80 KVP.
The most proximal portion of the small intestine is
the duodenum.
For the RAO position of the esophagus the midsagittal plane is
rotated 35-40 degrees.
The thick muscular folds found within the stomach are known as
rugae.
For the RAO position of the esophagus the patient’s right arm is
extended along the right side of the body.
The most commonly used negative contrast media for gastrointestinal imaging is
room air.
For the PA axial projection of the colon the central ray is
angled approximately 30-40 degrees caudal.
For the RAO esophagus projection the central ray
should be directed to the level of T5-T6.
In the recumbent right lateral stomach position, barium will be found in all of the following:
pylorus, duodenum, corpus
Correctly aligned, the RAO position projects the barium filled esophagus
between the spine and the heart.
For the RAO oblique of the colon the midsagittal plane is
rotated 35-45 degrees.
For the lateral position of the esophagus the patient’s hands
are placed above the patient’s head.
For the Rao stomach projection of a sthenic patient the central ray
should be directed to the level of L1-L2
For the lateral esophagus position the central ray should enter
the body along the midcoronal plane.
In the supine, AP stomach position barium will be found in the
fundus.
As a contrast material, air is described as
being negative, radiolucent.
For the lateral stomach projection of a sthenic patient the central ray
should be directed to the level of L1-L2.
For the LAO position of the esophagus the midsagittal plane is
rotated 35-40 degrees.
The term referring to the separation of particles within a suspension is known as
flocculation.
For the LAO esophagus position the central ray should enter the body
3 inches to the right of the spine.
The atomic number of barium is
56.
For the RAO position of the stomach the patient’s right arm is
extended along the left side of the body.
For the LAO position of the esophagus the patient’s right arm is
flexed at the elbow, hand near head.
The most commonly used positive contrast media for gastrointestinal imaging is
barium.
For the PA stomach projection of the sthenic patient the central ray should be
directed to the level of L1-L2.
The stomach empties to the small bowel through the
pyloric sphincter.
For the AP small bowel projection the central ray should be
directed to the level of iliac crest.
For the RAO position of the esophagus the patient’s left arm is
flexed at elbow, hand near head.
The position that best demonstrates a barium filled fundus is
LPO.
The most distal portion of the small intestine is
the ileum.
The position that best demonstrates the barium filled duodenum in profile is
RAO.
The atomic number of iodine is
53.
In the prone, PA stomach position barium will be found in all of the following:
duodenum, pylorus, and corpus.
For the LAO esophagus position the central ray should be
directed to the level of T5-T6.
For the LPO position of the colon the central ray is
directed to the level of C6-C7.
The position that best demonstrates an air filled duodenum in profile is
LPO.
The position that best demonstrates the hepatic flexure in profile is the
RAO.
With the recumbent AP position in the fundus will be found
barium.
With the recumbent RAO position in the pylorus will be found
barium.
With the recumbent LPO position in the pylorus will be found
air.
With the AP upright position in the fundus will be found
air.
With the recumbent right lateral position in the pylorus will be found
barium.
With the recumbent RAO position in the fundus will be found
air.
With the recumbent LPO position in the fundus will be found
barium.
With the PA recumbent position in the fundus will be found
air.
With the recumbent right lateral position in the fundus will be found
air.
With the PA recumbent position in the transverse will be found
barium.
With the recumbent LPO position in the right flexure will be found
air.
With the ventral decubitus position in the rectum will be found
air.
With the recumbent RPO position in the left flexure will be found
air.
With the AP recumbent position in the cecum/ascending will be found
barium.
With the AP upright position in the transverse will be found
air.
With the left lateral decubitus position in the lateral margin of the cecum will be found
air.
With the right lateral decubitus position in the medial margin of the descending will be found
barium.
Why would a radiologist order a scout KUB in preparation for a barium study?
To ensure the patient followed prep instructions and to check for residual barium.
Why would you take a post evac image after a barium enema?
To see how much barium was expelled or to see if a part of the colon can be better imaged when not completely full of barium.
Why is barium contraindicated for a patient with a bowel perforation?
Barium will turn to concrete in the abdominal cavity if it leaks out of a perforation.
Differential absorption-
different materials are absorbed at a different rate and by different tissues.
Enteroclysis-
x-ray of the small intestines.
Functions of the small intestines-
digestion and uptake of nutrients.
Functions of the large intestines-
absorb water and form and eliminate stool.
the space between the lungs is known as the
mediastinum
for the AP upright abdomen the central ray is directed to the level of
2” superior of the iliac crest
the most inferior portion of a lung is known as the
costophrenic angle
the abdominal organ with the function of absorbing water as well as forming/eliminating stool is the
large intestine
the point of tracheal bifurcation is known as the
carina
the left lung is composed of
2 lobes
according to merrills, a fully inspired PA chest X-ray should allow the tech to see this many ribs
10
the jugular both is located at the spinal level of
T2
the windpipe is known medically as the
trachea
as adequately penetrated flat abdomen radiograph will demonstrate a muscle known as the
psoas
the standard SID for imaging of the chest is
72”
ballpark kvp for a chest image is approximately
110-120 kvp
for a PA chest projection the central ray enters the body at the spinal level of
T7
the anatomical landmark that is an indicator of the T7 level is the
inferior scapula angle
the standard SID for abdominal imaging is
40”
for the PA chest projection the central ray enters the body along the
MSP
for the lateral chest projection the top of the IR is placed
1 1/2”-2” above the shoulder
the abdominal organ with the function of both digestion and absorption of nutrients is the
small intestines
the standard SID for imaging a supine patient for an AP projection chest Xray is
40”
for the AP axial lordotic chest projection, the central ray is directed to the level of
mid-sternum
for the AP axial lordotic chest projection, the top of the IR is placed
3” above the shoulders
the chest projection that best demonstrates the lung apices free of skeletal superimposition is the
AP axial lordotic
for the PA anterior oblique chest X-ray the patient is rotated this many degrees from the IR
45 degrees
for the AP anterior oblique chest projection the CR enters the body at the level of the
inferior scapular angle
according to merrills a patient positioned for a decubutus chest X-ray should be imaged after waiting
5 minutes
with the patient imaged for a right lateral decubutis chest X-ray the tech should expect to see
air in left and fluid in right thorax
for the AP chest projection the central ray is directed to the level of
mid sternum
the abdominal organ with the function of producing hormones as well as digestive enzymes is the
pancreas
the area of the lungs where vessels enter and leave the organ is known as the
hilum
a ballpark KVP setting for abdominal imaging is approximately
70-80 KVP
the most superior portion of a lung is known as the
apex
the respiratory phase for abdominal imaging is
suspended expiration
the respiratory phase for a routine chest imaging is
suspended inspiration
for the AP supine abdomen (KUB) the central ray is directed to the level of the
iliac crest
the right lung is comprised of
3 lobes
gas exchange occurs in the lungs at the level of the
alveoli
respiration
the act of gas exchange through breathing
bingo wings
flabby old lady arms
pneumothorax
free air in the chest, usually a collapsed lung
digestion
breakdown of food so that nutrients can be absorbed
falciform ligament
ligaments that holds the liver up under the diaphragm
why are chest X-rays taken PA
to minimize the OID of the heart
why are chest X-rays usually taken with the patient upright
to allow for accurate air/fluid levels
why is the decubitus abdomen taken in the left lateral decubitus position
so that if there is any free air, it will be easily visualized because it will rise to the area of the liver versus the air filled stomach
the normal number of cervical vertebra is
7