final exam! Flashcards

1
Q

what disease processes of the lungs are considered destructive?

A

Bronchiectasis
COPD
Cystic fibrosis (early stages)
Emphysema

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2
Q

what anatomy is best demonstrated on the medial obi elbow?

A

coronoid process

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3
Q

what anatomy is best demonstrated on the lateral obi elbow?

A

radial head and neck

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4
Q

what type of joint is the elbow joint?

A

ginglymus hinge type

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5
Q

what type of joint is the proximal radioulnar joint?

A

trochoidal or pivot type

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6
Q

what type of joint is the scapulohumeral joint?

A

speroidal or ball and socket, diarthroidal, synovial

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7
Q

what type of joint is the sternoclavicular joint?

A

gliding, diarthroidal, synovial

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8
Q

what type of joint is the ankle?

A

ginglymus hinge type, diarthroidal

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9
Q

what are the two joints of the knee and what are their types?

A

femorotibial-bycondylar

patellofemoral-sellar or saddle

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10
Q

what must you do when an elbow cannot be straightened out?

A

obtain two radiographs- one with the humerus parallel to the IR and one with the forearm parallel to the IR, CR directed at mid elbow joint

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11
Q

describe the Jones method?

A

done when patient cannot fully extend hand. Obtain 2 radiographs, one with CR perpendicular to the humerus and one with the CR perpendicular to the forearm

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12
Q

describe the coyle method:

A

trauma axial lateral elbow, one projection to demonstrate radial head and one projection to demonstrate coronoid process

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13
Q

what are the routine projections for demonstrating the AC joints?

A

AP bilateral with weights and AP bilateral without weights- CR to midpoint between AC joints, 1” above jugular notch; 14x7; Rule out fracture of the shoulder 1st

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14
Q

describe the transthoracic lateral humerus trauma view

A

Patient erect or supine
Place patient in lateral position with side of interest against IR
Affected side against the upright bucky
place affected arm at patients side, drop shoulder; raise opposite arm & place hand over top of head
CR directed to the surgical neck of the affected side, arm neutral- Use a breathing technique.

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15
Q

in a true AP ankle which malleoli will be more distal?

A

lateral malleoli

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16
Q

what are the differences between the male and female pelvis?

A

Male: more narrow, oval shaped, angle of pubic arch is less than 90 degrees
Female: more broad, round shaped, angle of pubic arch is greater than 90 degrees

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17
Q

how do you find the hip joint?

A

1-draw a line between the ASIS and the symphysis pubis-drop down 1 ½” from the middle of the line to locate the femoral head-drop down 2 ½” from the middle of the line to locate the femoral neck
2-Locate the ASIS and come medially 1-2”-drop down 3-4” to locate the femoral neck

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18
Q

describe the Modified Axiolateral-Clements Nakayama Method

A

done in the case of bilateral trauma. Lateral oblique views of acetabulum, femoral head & neck and trochanteric area

19
Q

describe the Danelius miller method

A

lateral view for fx or dislocation of hip.entire femoral head & neck, trochanter & acetabulum
X Table lateral

20
Q

describe the greater or false pelvis

A

lared portion, ala or wings of ilium, form lateral and posterior limits-abdominal muscles of the anterior wall define the anterior limit-lower abdominal organs and fetus in a pregnant uterus rest on the floor of the greater pelvis

21
Q

describe the lesser or true pevis:

A

inferior to the pelvic brim-a cavity completely surrounded by bony structures-size and shape important during birthing process because true pelvis forms the birth canal

22
Q

what does ERCP stand for?!!!

A

endoscopic retrograde choleangiopancreatography

23
Q

describe the t tube procedure

A

Perform to: Visualize any residual or previously undetected choleliths; evaluate the status of the biliary duct system; demonstrate small lesions, strictures or dilations within the biliary ducts
- If surgeon suspects residual stones a T-tube placed in common bile duct during surgery and extending outside body
Contrast media injected into T-tube catheter

24
Q

describe the ERCP procedure:

A

Endoscopic inspection, cannulation, and injection of biliary ducts with the use of a duodenoscope
Examination of the biliary and the main pancreatic ducts
An endoscope is inserted into the duodenum through the mouth, esophagus and stomach following administration of anesthetic to patients throat- which allows for visualization of internal lining of the duodenum and locate the duodenal papilla
Patient remain NPO for 1 hour or more after exam to prevent aspiration

25
Q

what therapeutic procedures can be performed during an ERCP?

A
  • sphincterotomy
  • stone removal
  • duct dilation and stenting
26
Q

what is a cholecystocholangiogram?

A

study of both gall bladder and biliary ducts

27
Q

what is a cholangiogram?

A

study of biliary ducts

28
Q

what is a cholecystectomy?

A

surgical removal of gall bladder

29
Q

what is the most common biliary abnormality?

A

cholelithiasis-gall stones

30
Q

what position best demonstrates the esophagus?

A

RAO-places it between the trachea and heart shadow

31
Q

where is the barium in the stomach when the patient is supine, prone and errect?

A

supine- fundus
prone- body and pylorus
errect-pylourus

32
Q

where is the barium in the intestines when the patient is supine or prone?

A

supine-accending and deccending colon

prone- transverse and sigmoid colon

33
Q

what is gastric carcinoma?

A

stomach neoplasm

34
Q

what is hypertrophic pyloric stenosis?

A

gastric obstruction in infants

35
Q

what is an ulcer?

A

erosions of the stomach or duodenal mucosa caused by excessive gastric secretions, stress, diet and smoking

36
Q

what is a peptic ulcer?

A

ulceration of the mucous membrane of the esophagus, stomach or duodenum-caused by the action of acid gastric juice

37
Q

what is a defacating proctogram?

A

functional study of the anus and the rectum during the evacuation and rest phases of defacation

38
Q

what is the patient prep for the defacating proctogram?

A

soap suds enemas 2 hours prior to exam

39
Q

what are the indications of a defacating proctogram?

A

o demonstrate rectoceles, rectal intussesception and prolapse of the rectum

40
Q

what does the RAO and LPO BE positions demonstrate?

A

right colic (hepatic) flexure

41
Q

what does the LAO and RPO BE positions demonstrate?

A

left colic (splenic) flexure

42
Q

what is an arthrogram?

A

Radiography of a synovial joint & related soft tissue structure w/ contrast media

43
Q

what structures are visualized on an arthrogram?

A

Demonstrates Soft tissue structures of joint: menisci, ligaments, cartilage, bursae

44
Q

what joints is an arthrogram performed on?

A

knee, shoulder, hip, ankle, elbow, wrist, and TMJ