lesson 6

Question 1

Radiographic examination of the pharynx and upper
esophagus during active deglutition

Answer 1

PHARYNGOGRAPHY

Question 2

PHARYNGOGRAPHY INDICATIONS:

Answer 2

• Abnormalities in
  deglutition.

Question 3

PHARYNGOGRAPHY CONTRAINDICATIONS:

Answer 3

• Known allergies to
  C.M.

Question 4

PHARYNGOGRAPHY TYPE OF C.M AND ROUTE OF ADMINISTRATION

Answer 4

• Thick creamy Barium sulfate held by the tongue
  administered via swallowing.

Question 5

PHARYNGOGRAPHY
PROCEDURE/PROJECTIONS:

Answer 5

1. Hold C.M. in the mouth until signaled to swallow.
2. Attempt mucosal study by restricting the patient from swallowing again.
3. Take mucosal study using Modified Valsalva Maneuver for double contrast
   delineation.

Question 6

Radiographic examination of laryngeal structures using C.M

Answer 6

LARYNGOGRAPHY

Question 7

LARYNGOGRAPHY TYPE OF C.M AND ROUTE OF ADMINISTRATION

Answer 7

• Negative C.M. (To demonstrate air containing
  laryngeal structures)
• Positive C.M. (5 hrs NPO) – 10-15 ml of Dionosil

Question 8

LARYNGOGRAPHY
PROCEDURE/PROJECTIONS:

Answer 8

1. Have the patient position in Seated Upright/Supine AP and Lateral and used soft
   tissue technique during exposure.
2. Head is extended to prevent superimposition of mandible to larynx during
   AP projection.
3. If negative and positive C.M. are used the
   procedure is made during Respiratory Stress
   Maneuvers.

Question 9

FOR TOMOLARYNGOGRAPHY (Tomographic
study of laryngeal structures):

Answer 9

1. Made during quiet inspiration and expiration phonation.
2. Exposure made using arc of 40-50 degrees.

Question 10

CONTRAST STUDY OF THYROID GLANDS
PROCEDURE/PROJECTIONS:

Answer 10

1. Position the patient in lateral making the
   thyroid mass tangent to the IR.
2. Rotate shoulders posteriorly in LATERAL
   POSITION to demonstrate intrathoracic
   extension of goiter.
3. Obtain OBLIQUE views of the neck to
   demonstrate Nodular enlargement.

Question 11

For Vocal cords and cleft palate

Answer 11

PHONATION OF VOWELS

Question 12

For distention of subglottic larynx and trachea with air.

Answer 12

VALSALVA MANEUVER

Question 13

For distention of supraglottic larynx and laryngopharynx with air

Answer 13

MODIFIED VALSALVA MANEUVER

Question 14

HEIGHT OF ACT OF SWALLOWING OF 1 TBSP. OF CREAMY C.M

Answer 14

For Pharyngeal structures

Question 15

ACT OF SWALLOWING WITH TUFT/PLEDGET OF COTTON SATURATED
IN C.M

Answer 15

For non-opaque foreign bodies in pharynx and upper esophagus.