Mixed Review Deck 6 Flashcards

1
Q

During IVU, what position is generally recommended to demonstrate filling of obstructed ureters and the renal pelvis?

A

Prone! The kidneys’ oblique position angles the renal pelvis, and ureter, anteriorly. Prone position allows contrast to flow into these structures.

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2
Q

In what position are a barium filled pyloric canal and duodenal bulb best demonstrated during a GI series?

A

RAO

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3
Q

What position is frequently used to project the gallbladder away from the vertebrae in the asthenic patient?

A

LAO

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4
Q

To demonstrate contrast filled distal ureters during IVU, what position is helpful?

A

15 degree AP Trendelenberg. This moves the contrast filled bladder superiorly, encouraging filling of the distal ureters and superior bladder.

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5
Q

In the Fuji system, an “S” number (sensitivity index) of ___ indicates ideal exposure.
What does it mean if the number is significantly higher than this? Lower?

A

200 = ideal
higher number = underexposure
lower number =overexposure

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6
Q

What is the “telltale sign” of saturation due to overexposure?

A

Inability to see soft tissue differentiation (loss of contrast between soft tissue and background)

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7
Q

A deviation index of 3 indicates the image is ___ % overexposed.

A

100%

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8
Q

If an image has a DI number of -3, and demonstrates quantum mottle, what should you do to correct this?

A

BEcause there is mottle, you need to repeat the image. DI of -3 indicates 50% underexposure, so you need to repeat the radiograph and adjust mAs or kVp so as to double receptor exposure.

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9
Q

What radiographic exam would most likely be performed to diagnose Wilm’s tumor?

A

IVU (Wilm’s tumor affects the kidney)

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10
Q

What is the most common childhood renal tumor?

A

Wilm’s tumor

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11
Q

What’s the most common solid abdominal tumor seen in children and where does it commonly occur? What does it need to be differentiated from?

A

Neuroblastoma; commonly found in the adrenal glands; presents large abdominal mass. Differentiate from Wilm’s tumor, or nephroblastoma

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12
Q

Nephroblastoma is also known as _____. It needs to be differentiated from _____ because both occur in or near the _____.

A

Wilm’s tumor.
Neuroblastoma.
in or near the kidneys

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13
Q

Give the conversion formula for Centrigrade to Fahrenheit and vice versa!

A

Centrigrade = 5/9 (Fahrenheit temperature - 32)
Fahrenheit = (9/5 Centigrade) + 32

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14
Q

1 Sv = ___ rem

A

100

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15
Q

1 mSv = ____ mrem

A

100

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16
Q

1 rad = ____ Gy

A

0.01 Gy

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17
Q

Whole-body dose is calculated to include …

A

all of the especially radiosensitive organs (includes gonads, lens of eye, blood forming organs)

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18
Q

Are extremities included in whole-body dose?

A

No.

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19
Q

Which of these can be utilized for secondary barriers?

  1. gypsum board
  2. lead acrylic
  3. glass
A

All three. Secondary barriers require less lead equivalency and they don’t necessarily need to be made of lead, just to meet the lead equivalency requirement.

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20
Q

Transparent shields used for scoliosis radiography contain how much lead?

A

30% lead

21
Q

Transparent eyeglasses used in fluoroscopy contain a minimal protection level of …

A

0.35 mm lead equivalent

22
Q

All of the following are likely to be included in both single- and double-contrast exams of the large bowel except …

  • lateral rectum
  • AP axial rectosigmoid
  • Right and left lateral decubitus abdomen
    -RAO and LAO abdomen
A

Right and left lateral decubitus: these are ONLY included in double contrast exams to visualize double contrast of the medial and lateral walls of the ascending and descending colon.

23
Q

What is cone cutting, and what causes it?

A

Cone cutting refers to cutoff (reduced exposure) due to using cylinder or cone extensions for beam restriction. This is caused by misalignment of the tube, cone/cylinder and/or the IR.

24
Q

Values of interest, as determined through histogram analysis, refer to exposure values within the radiograph that …

A

represent actual patient anatomy

25
Q

What process, occurring during histogram analysis, makes the actual histogram look like the expected histogram, correcting for over- or under-exposure errors?

A

rescaling

26
Q

If you accidentally process a chest x-ray under a knee histogram protocol, how can this be corrected?

A

Reprocess the raw data under the correct (chest) histogram protocol

27
Q

The lowest exposure readings on a radiographic histogram usually represent areas of …

A

collimated exposure

28
Q

Process through which the values of interest are identified in post-processing

A

histogram analysis

29
Q

Pixel malfunction (DEL malfunction) within a DR receptor is likely to manifest on the radiograph as …

A

a hyperdense (white) artifact (small, usually the size of one pixel)

30
Q

On an AP hip radiograph, a foreshortened femoral neck is caused by …

A

incomplete inversion of the leg

31
Q

In a properly positioned chest xray, the clavicles should be seen where, in relation to the lung apices?

A

one inch below the apices (approximately)

32
Q

The actual center of the x-ray field must align to the indicated center within ____ of SID

A

1% of SID

33
Q

The actual SID must be accurate to within ___ of indicated SID

A

2%

34
Q

the light field must align with the x-ray field collimation within ____ of SID

A

2%

35
Q

What is “coincidence testing?”

A

Testing (quality control) to ensure that the light field and actual x-ray field coincide (to within 2% of SID)

36
Q

Actual exposure time must be accurate within ____ of the indicated/prescribed exposure time

A

5%

37
Q

Exposure values for identical technical parameters should be within ____%

A

5%

38
Q

Exposure per mAs (microgray/mAs) should not change more than ___% between adjacent mA stations

A

10%

39
Q

A 15 degree medial oblique ankle shows the mortise, which includes which joints?

A

Talofibular and tibiotalar

40
Q

A technique chart for AEC should include what 3 things?

A

Photocells used
Optimal kV
Backup time

41
Q

Wide histogram = ___ contrast
Wide window width = ____ contrast

A

High
Low

42
Q

What is fractionation in terms of radiation exposure?

A

Length of time over which exposure is spread

43
Q

What can be used in lieu of an image intensifier and CCD in digital fluoroscopy?

A

Flat panel image receptor

44
Q

Unit of exposure in air

A

Air kerma

45
Q

Effect of fractionation on radiation induced tissue damage

A

Longer time period = less tissue effects

46
Q

The cathode assembly focusing cup is made of

A

Nickel

47
Q

For every inch of OID, add ___ of SID

A

7 inches

48
Q

A higher window level indicates a ___ image

A

Darker