IR - MIDTERM (RFA & Biopsy)

Question 1

A medical procedure in which part of the electrical conduction system of the heart, tumor, or other dysfunctional tissue is ablated using the heat-generated from medium frequency alternating current

Answer 1

Radiofrequency Ablation

Question 2

Which is considered as RFA specifically using heat to reduce or stop the transmission of pain ?

Answer 2

Rhizotomy

Question 2

What are the three (3) common steps or considerations for the function of RFA ?

Answer 2

1. Energy Source
2. Heat Application
3. Treatment Areas

Question 2

Patients with what conditions can undergo Rhizotomy (4):

Answer 2

1. Trigeminal Neuralgia
2. Spinal Pain
3. Pain in Neck
4. Cerebral Palsy

Question 2

Treatment areas may include (3):

Answer 2

1. Cancerous Tumors
2. Heart Arrhythmias
3. Chronic Pain

Question 2

RFA is commonly used for (3):

Answer 2

1. Urological Treatments
2. Gastrointestinal and Gynecological Treatments
3. Cancer Therapy

Question 3

RFA is also called as _____

Answer 3

Fulguration

Question 3

Who are the physicians involved in RFA procedure (5):

Answer 3

1. Pain Management Specialists
2. Interventional Radiologist
3. Neurologist or Neurosurgeon
4. Orthopedic Surgeons
5. Physiatrists

Question 4

To which physician do patients reach out for second opinions/decisions of undertaking RFA ?

Answer 4

Neurologist / Neurosurgeon or Pain Management Specialists

Question 5

Who are the physicians directly involved in the RFA procedure ?

Answer 5

1. Interventional Radiologist
2. Orthopedic Surgeons

Question 6

This is a blood-thinning medication that needs to be halted for consumption in seven days before the procedure

Answer 6

Aspirin

Question 7

What are the steps During RFA procedure:

Answer 7

1. Prepare the Patient
2. Insert the Needle
3. Deliver the Heating Current

Question 7

TRUE OR FALSE

RFA is usually performed in an outpatient special procedure suite that has access to fluoroscopy.

Answer 7

TRUE

Question 7

Patients may resume work and life activities ____ to ____ hours after the procedure

Answer 7

24 to 72 Hours

Question 8

Patients may experience pain from the procedure from up to _____

Answer 8

14 Days

Question 9

Nerve regrowth takes about usually _____ after the procedure

Answer 9

6-12 Months

Question 9

Pain relief may last from ____ to _____

Answer 9

9 Months to More Than 2 Years

Question 9

RFA is ______% effective in people who have successful nerve blocks

Answer 9

70 - 80 %

Question 9

RFA complications/risks that may occur include (6):

Answer 9

1.Temporary Increase in Nerve Pain

2. Neuritis
3. Neuroma
4. Localized Numbness
5. Infection
6. Allergic Reaction to Medications Used During the Procedure, and/or Lack of Pain Relief

Question 9

What do you call RFA intended for tumor or other dysfunctional tissue ablation ?

Answer 9

Fulguration

Question 10

It is a procedure where a sample of tissue is taken from the body in order to examine it more closely to look for cancer

Answer 10

Biopsy

Question 11

TRUE OR FALSE

A doctor should recommend a biopsy before a test can even be conducted to initially determine abnormal tissue areas.

Answer 11

FALSE

A doctor should recommend a biopsy when an initial test
suggests an area of tissue in
the body isn’t normal.

Question 12

Biopsies are classified into 11 types, namely:

Answer 12

1. Needle Biopsy
2. CT-Guided Biopsy
3. Ultrasound-Guided Biopsy
4. Bone Biopsy
5. Bone Marrow Biopsy
6. Liver Biopsy
7. Kidney Biopsy
8. Aspiration Biopsy
9. Prostate Biopsy
10. Skin Biopsy
11. Surgical Biopsy

Question 13

It uses a needle to access suspicious tissues

Answer 13

Needle Biopsy

Question 14

This is a biopsy involving a patient resting in a CT-scanner; the scanner's images help doctors determine the exact position of the needle in the targeted tissue

Answer 14

CT-Guided Biopsy

Question 15

It makes use of an ultrasound scanner to help a doctor direct the needle into the lesion

Answer 15

Ultrasound-Guided Biopsy

Question 16

It is used to look for cancer in the bones, performed via the use of CT scan technique or by an orthopedic surgeon

Answer 16

Bone Biopsy

Question 17

A large needle is used to enter the pelvis bone to collect bone marrow. This detects blood diseases such as leukemia or lymphoma.

Answer 17

Bone Marrow Biopsy

Question 18

A needle is injected into the liver through the skin on the belly

Answer 18

Liver Biopsy

Question 19

A needle withdraws material out of a mass.

Answer 19

Aspiration Biopsy

Question 19

A needle is injected through the skin on the back

Answer 19

Kidney Biopsy

Question 20

Aspiration Biopsy is also called as ______

Answer 20

Fine-needle Aspiration

Question 21

Multiple needle biopsies are taken at one time from the prostate gland.

Answer 21

Prostate Biopsy

Question 22

This makes use of a Punch Biopsy with a circular blade to get a cylindrical sample of skin tissue

Answer 22

Skin Biopsy

Question 23

Surgical Biopsy may be done either ______ or ______

Answer 23

1. Open 2. Laparoscopic Surgery

Question 24

Biopsies vary greatly according to how difficult the tissue is to obtain, this is medically called as ______

Answer 24

Invasiveness

Question 25

This may be done in the doctor’s clinic during the same visit the lesion is discovered. A small injection of numbing medicine can make the procedure almost painless

Answer 25

Minimally Invasive Biopsy

Question 25

Collected and preserved tissues from biopsy procedures are delivered to a ________

Answer 25

Pathologist

Question 25

Patient H was told by his neurosurgeon that his Trigeminal Neuralgia will be alleviated with the help of RFA, which particular ablation procedure will be necessary ? A. Fulguration B. Rhizotomy C. Biopsy D. NOTA

Answer 25

B. Rhizotomy

Question 25

Patient W is advised to undergo biopsy to confirm cirrhosis in this organ, which particular biopsy type will be conducted ? A. Kidney Biopsy B. Aspiration Biopsy C. Liver Biopsy D. Bone Marrow Biopsy

Answer 25

C. Liver Biopsy