Imaging and Neurological PT Flashcards

1
Q

What are the 5 D’s and 3 N’s?

A

D’s
1. Dizziness
2. Diplopia
3. Dysphagia
4. Dysarthria
5. Drop Attacks

And
6. HA- worst ever could be impending CVA
7. Ataxia

3 N’s
8. Nausea/vomiting
9. Nystagmus
10. Numbness/paresthesia’s (face/extremities)

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2
Q

White matter is made up of _______ and is unmyelinated/ or myelinated?

A

axons
myelinated

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3
Q

Which common neurological condition affects white matter in the brain?

A

MS (Multiple Sclerosis)

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4
Q

Grey matter is made up of _____ bodies/ _______ and is unmyelinated or myelinated?

A

cell; dendrites
unmyelinated

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5
Q

Fluids: CSF, blood, and edema show up on a _____ and _____

A

MRI/CT

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6
Q

If too little or too much fluid is flowing through the brain this could cause what condition?

A

hydrocephalus (intercranial pressure)

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7
Q

CT stands for what?

A

Computed Tomography

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8
Q

A CT is computerized image reconstruction of multiple _____ of _______ and cannot be detected on an Xray

A

slices; tissue

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9
Q

CT Pro’s?
1.
2.
3.
4.
5.

A

fast
can pick up some soft tissue structures
can be done w/ medial implants
good for cortical bone anatomy
multiplanar views

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10
Q

CT Con’s?
1.
2.
3.

A

expensive
HIGH radiation exposure
accuracy of soft tissue demonstration depends on unit

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11
Q

You should order a CT in _______ situations such as trauma or stroke alert!

A

emergent

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12
Q

Contraindiactions to MRI:
1.
2.

A

pacemaker
medial implant

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13
Q

How to read a CT:

________ plane slices: pt is supine, so ANT. surface is at the top of each image slice

Looking upward at the anatomic structures from below so your _____ is the patient’s _____

________ plane slices: viewed from left to right

A

Transverse

right; left

Sagittal

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14
Q

When reading a CT start with a ______ image first to orient which cross section you are in

A

Scout

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15
Q

What is A and B’s position on the brain?

A

A. ANT
B. POST

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16
Q

Understanding the areas of damage on the imaging will help you anticipate what the patient’s ______ may be

A

symptoms

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17
Q

What does MRI stand for?

A

Magnetic Resonance Imaging

18
Q

A diagnosis of MS could be found on a CT or MRI better?

A

MRI

19
Q

An _____ is a method of exposing tissues to magnetic field and radiofrequency waves to detect properties of tissues and thereby produce images

A

MRI

20
Q

MRI Pro’s?
1.
2.
3.
4.
5.

A

GREAT for soft tissue
NO radiation exposure
multiplanar views
tissue characteristics are highly visible
GREAT accuracy

21
Q

MRI Con’s?
1.
2.
3.
4.
5.
6.

A

Slow
NO medial implants
NO pacemaker
Expensive
Claustrophobia
Less signal in cortical bone

22
Q

MRI prioritized?

  1. To confirm _____ of CT
  2. ____-______ situations
  3. Minimizing _____ ______
  4. Clearer image of _____ _____ necessary
A

diagnosis

non-mergent

radiation risk

soft tissues

23
Q

Swelling/Effusion will show up how on:

CT: ?
T1- W MRI: ?
T2- W MRI?

A

CT: gray/dark/hypodense
T1: low signal density (DARK)
T2: high signal intesnity (BRIGHT)

24
Q

Fat will show up how on:

CT: ?
T1- W MRI: ?
T2- W MRI ?

A

CT: dark/gray/black
T1: high signal intesnity (BRIGHT)
T2: intermediate signal intensity (GRAY)

25
Q

With a T1 MRI, the fluid is _______

With a T2 MRI, the fluid is _______

A

dark
white

26
Q

Is this a T1 or T2 image?

A

T1

27
Q

Is this a T1 or T2 image?

A

T2

28
Q

If you have a patient with S&S of a neurologic condition but the CT is negative, you should send them for an ______

A

MRI

29
Q

If you find positive UMN signs in a non-emergent situation they may need an _______

A

MRI

30
Q

CTA stands for what?

A

Computed tomography angiogram

31
Q

A CTA helps to see ____ _______ to the brain

A

blood flow

32
Q

With a CTA, it is a CT with _______ of dye for the purpose of viewing ______ supply

A

injection
blood

33
Q

CTA Pro’s
1.
2.
3.

A

great view of blood supply
fast
great for finding AVM’s and aneurysms

34
Q

CTA Con’s
1.
2.
3.

A

allergic to dye
radiation exposure
damage to kidney from dye

35
Q

With a CTA you should look for _____ in blood flow

A

gaps

36
Q

What is happening here on this CT scan?

A

gap in the R ICA and this person has probably already had a stroke

37
Q

What does this CT scan indicate?

A

L sided tumor

38
Q

What does this CT scan show?

A

Blood or dead tissue caused by ischemia

39
Q

What does this CT image indicate?

A

Ischemia- blood is taking up space in the ventricles

40
Q

Which is T1 and which is T2?

A

Left- T2: possible vertebral fx and spinal cord swelling

Right- T1: PLL disruption

41
Q

What do you see on the CT scan?

A

Enlarged ventricles filling up with CSF