My Mock Registry Flashcards

1
Q

What is a normal pulse rate for a healthy adult

A

60-100 beats/minute

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2
Q

Systolic blood pressure corresponds with the contraction of which chamber of the heart

A

Left ventricle contraction

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3
Q

What is a normal blood pressure

A

120/80 or less

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4
Q

Diastolic blood pressure corresponds to

A

Ventricular diastole or ventricular relaxation

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5
Q

Initial electrical impulse in the heart is generated by the

A

Sinus node

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6
Q

An elevated ST segment on an EKG indicates what

A

Myocardial infarction

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7
Q

Which reasons might a patient’s pulse ox reading fall below 90%

A

Sleep apneaPoorly placed oximetry sensorChronic obstructive pulmonary diseaseCardiac arrest

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8
Q

Which aspect of the EKG rhythm strip represents the electrical conduction through the atria of the heart

A

P segment (the first little bump)

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9
Q

Which aspect of the EKG rhythm strips represents the electrical activity of the ventricles during diastole e

A

T segment(small little bump at the end)

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10
Q

Normal range for BUN

A

7-21 mg/dL

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11
Q

What factors can cause creatinine levels to fluctuate

A

AgeMuscle massHydrationGender

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12
Q

Which tests are used for renal function

A

BUNCreatinineGFR

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13
Q

Which tests are hematology tests

A

HematocritHemoglobinPlateletsWBC

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14
Q

What tests are coagulation tests

A

PT (Prothrombin time)PTT (Partial thromboplastin time)INR (International standardized ratio)ACT (activated coagulation time)

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15
Q

What is the normal range for creatinine

A

0.7-1.5mg/dL

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16
Q

What is the normal GFR range

A

90-120

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17
Q

A GFR below 90 would indicate what

A

Poor renal function

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18
Q

A GFR below 30 would indicate

A

Potential renal failure

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19
Q

A BUN over 50 would indicate

A

Potential renal failure

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20
Q

A creatinine over 2 indicates what

A

Potential renal failure

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21
Q

What factors are used to calculate a patient’s GFR

A

Creatinine levelAgeGender

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22
Q

What represents the amount of red blood cells in whole blood

A

Hematocrit

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23
Q

Which lab tests may help to indicate if a patient has anemia

A

HemoglobinHematocrit

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24
Q

Which lab tests May indicate bleeding or blood loss

A

HematocritHemoglobin

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25
Q

What lab test may indicate a patient’s potential for bleeding

A

Platelet countPTTPTINRACT

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26
Q

What is a normal hemoglobin range for males

A

14-17

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27
Q

What is a normal hemoglobin range for females

A

12-15

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28
Q

A software program that allows for digital documentation of all patient health information

A

EHR

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29
Q

This system has replaced hard copy and film storage systems in most Radiology departments

A

PACS

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30
Q

“Meaningful use” is a set of electronic medical records standards as governed by

A

Center for Medicare and Medicaid services (CMS)

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31
Q

An information-sharing system unique to the diagnostic imaging department is identified as

A

RIS

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32
Q

The acronym PACS stands for

A

Picture archiving and communication system

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33
Q

A PACS program consists of what three things

A

Storage deviceDisplay workstationImaging modality

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34
Q

The acronym RIS stands for

A

Radiology information system

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35
Q

Definitions for appropriate sharing of personally identified health information is largely provided by

A

Health insurance portability and accountability Act (HIPAA)

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36
Q

Define embolism

A

Anything blocking a vessel

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37
Q

Define thrombus

A

Clotting within a vessel

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38
Q

Define thrombotic embolism

A

Condition in which the formation or movement of a thrombus occludes a vessel causing infarction of the tissues being supplied by the vessel

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39
Q

Define CVA

A

A critical condition in which a thrombus in the brain causes irreversible damage to brain cells

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40
Q

Define TIA

A

Focal cerebral ischemia not associated with permanent cerebral infarction

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41
Q

How long do the symptoms of a TIA typically last

A

Less than 1 hour

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42
Q

Which of the following terms are synonymousIschemic strokeTransient ischemic attackCerebral infarctCerebrovascular accident

A

Ischemic strokeCerebral infarctCerebrovascular accident

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43
Q

Which signs/symptoms are often associated with CVA

A

Acute confusionPermanent brain infarctionAcute dysphasiaUnilateral weakness

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44
Q

Define cardiogenic shock

A

A physiologic state in which inadequate tissue perfusion results from cardiac dysfunction

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45
Q

Define myocardial infarction

A

Irreversible necrosis of heart muscle secondary to prolonged ischemia

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46
Q

Define congestive heart failure

A

A clinical syndrome in which the heart fails to pump blood at the rate required by the metabolizing tissues

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47
Q

Define cardiac tamponade

A

A clinical syndrome caused by the accumulation of fluid in the pericardial space

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48
Q

Which of these compensatory mechanisms are associated with CHFIncreased blood volumeIncreased cardiac filling pressureDecreased heart rateDecreased myocardial mass

A

Increased blood volumeIncreased cardiac filling pressure

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49
Q

Which of the following is a critical cardiac arrhythmiaVentricular tachycardiaAtrial fibrillationVentricular fibrillationAsystole

A

Ventricular tachycardiaVentricular fibrillationAsystole

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50
Q

Which of these cardiac conditions can cause inadequate ventricular filling in the presence of a healthy myocardiumMyocardial infarctionCongestive heart failureCardiogenic shockCardiac tamponade

A

Cardiac tamponade

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51
Q

Which of these conditions typically occurs secondary to myocardial infarctionCardiogenic shockCardiac tamponadeCongestive heart failureTransient ischemic attack

A

Cardiogenic shock

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52
Q

Which of these conditions is caused by a thrombus in the coronary arteriesCongestive heart failureCardiac tamponadeMyocardial infarctionCardiogenic shock

A

Myocardial infarction

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53
Q

Which of the following can cause respiratory arrestTraumaAirway obstructionRespiratory muscle weaknessDecreased respiratory drive

A

All of them

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54
Q

Which of the following are clinical signs of anaphylaxisHypertensionAirway edemaVasoconstrictionMucus secretions

A

Airway edemaMucus secretions

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55
Q

Hypotension and hypertension are always secondary to other clinical conditions true or false

A

False

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56
Q

Which of the following could potentially cause a vasovagal responseAnxietyFearMedicationsPain

A

All of them

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57
Q

Which of the following are considered common vasovagal responsesFaintingSpontaneous arrhythmiasSyncopeDeath

A

FaintingSyncope

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58
Q

Which of the following correctly describes the intended effect of contrast agent administration in medical imagingEnhance tissue discriminationDifferentiate between normal tissuesDifferentiate between normal tissues and abnormalitiesStimulate physiological response in abnormal tissues

A

Enhanced issue discriminationDifferentiate between normal tissuesDifferentiate between normal tissues and abnormalities

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59
Q

Tissue differentiation in sonography imaging is based on

A

Tissue harmonics

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60
Q

Tissue differentiation in MRI imaging is based on

A

Variable nuclear resonance

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61
Q

Tissue differentiation in Interventional Imaging is based on

A

Differential attenuation of the radiation beam

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62
Q

Tissue differentiation in a computed tomography is based on

A

Differential attenuation of the radiation beam

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63
Q

Which of these materials would be correctly described as paramagneticIodineAirMicrobubblesIron

A

Iron

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64
Q

Differential ultrasonic imaging may be enhanced with what type of contrast

A

Microbubbles

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65
Q

Describe what effect a non-toxic contrast agent has on the body

A

Unless it’s minimal adverse effects in the body

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66
Q

Describe what effect a stable contrast agent has on the body

A

Does not break down in the body

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67
Q

Describe what effect an inert contrast agent has on the body

A

Does not readily react with other chemicals or medications

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68
Q

Describe what effect contrast agent specificity has on the body

A

Engages only the organs or tissues it is intended to affect

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69
Q

A contrast material requiring a large volume injection to produce the necessary image contrast would be described as having poor

A

Carrier efficiency

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70
Q

The harmonic qualities of tissues and materials is a physical characteristic most relevant to which imaging modality

A

Sonography

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71
Q

The administration of a gadolinium nanoparticle for an MRI procedure would have the most pronounced effect on which aspect of the digital imageSpatial resolutionTemporal resolutionContrast resolutionDigital matrix size

A

Contrast resolution

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72
Q

A patient in your department is injected with an iodonated contrast material. Which of these reactions would be described as a normal, non-idiosyncratic response to the contrast agentSensations of warmthPersistent vomitingPulmonary edemaScattered urticaria

A

Sensations of warmth

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73
Q

Mild palpitations, tachycardia, and bradycardia are all symptoms of which level of contrast reactionNon-idiosyncratic ModerateMildSevere

A

Moderate

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74
Q

With which of these symptoms of a contrast reaction to the administration of contrast be stopped immediatelyLaryngeal edemaBronchospasmHivesDizziness

A

All of them

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75
Q

Define diaphoresis

A

Sweating

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76
Q

Define urticaria

A

Hives

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77
Q

Define pruritus

A

Itching

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78
Q

Define rhinorrhea

A

Runny nose

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79
Q

Define retching

A

Dry heaving

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80
Q

Define laryngeal edema

A

Throat swelling

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81
Q

The imager’s response to a contrast reaction should includeCall for nursing and physician on staffHave contrast reaction kit and O2 mask on handAcquire vital signsBe prepared to call a code blue if necessary

A

All of them

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82
Q

A patient presented to your department has a regular bowel incontinence and has an accident on the examination table it was later determined that patient has c-diff as a consequence of inadequate cleaning of the exam table at least one other patients can do later in the day develops the same infection this type of infection is referred to as

A

Nosocomial

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83
Q

Acquiring an infectious agent while bathing a patient is what kind of transmission

A

Direct contact

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84
Q

Influenza requires what kind of isolation precaution

A

Droplet isolation

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85
Q

Acquiring an infectious agent through the hospital ventilation system is what kind of transmission

A

Airborne

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86
Q

Another word for aseptic technique

A

Sterile technique

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87
Q

What procedure is focused on the absence of pathogenic organisms but does not require items to be sterile

A

Medical asepsis

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88
Q

Procedures including hand washing, routine equipment cleaning, and proper personal hygiene are considered

A

Medical asepsis

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89
Q

What procedures should be followed any time the patient’s skin is intentionally perforated

A

Sterile technique

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90
Q

What procedures should be used during procedures involving entry into the peritoneal cavity

A

Sterile technique

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91
Q

Another term for “clean technique”

A

Medical asepsis

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92
Q

What procedure is required during IV catheter insertion

A

Sterile technique

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93
Q

Which of the following applies to a patient with standard precautionsHand hygieneSafe injection practicesUse of personal protective equipmentRespiratory hygiene/cough edicate

A

All of them

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94
Q

Which of the following is a transmission based infection precautionContact isolationDroplet isolationStandard precautionAirborne isolation

A

Contact isolationDroplet isolationAirborne isolation

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95
Q

What isolation precaution is applicable to a patient with an infectious condition that may be transmitted through skin-to-skin contact

A

Contact isolation

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96
Q

Which precaution is most relevant when a patient care is an infectious agent that can be carried by sputum droplets through the air

A

Droplet isolation

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97
Q

Pneumonia requires what kind of isolation precaution

A

Droplet isolation

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98
Q

Meningitis requires what kind of isolation precaution

A

Droplet isolation

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99
Q

What type of isolation precaution is used for all patients at all times

A

Standard precautions

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100
Q

Which type of isolation precautions require special air handling units

A

Airborne isolation

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101
Q

Tuberculosis requires what kind of isolation precaution

A

Airborne isolation

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102
Q

What type of isolation precaution is most relevant when infectious agents can be suspended in air for long periods of time over long distances

A

Airborne isolation

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103
Q

MRSA requires what kind of isolation precaution

A

Contact isolation

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104
Q

C-diff requires what kind of isolation precaution

A

Contact isolation

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105
Q

Acquiring an infectious agent by touching a contaminated door handle is what kind of transmission

A

Indirect contact

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106
Q

876 year old female is brought to your department for imaging of the abdomen. The patient is in contact isolation for MRSA. To avoid transmitting this infection to other patients you shouldShut down the room after the patients departureWash your hands after the procedureWear a fitted surgical mask during the examinationDisinfect any equipment used for imaging

A

Wash your hands after the procedureDisinfect and equipment used for imaging

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107
Q

Which precaution is most relevant when infectious agents may be spread through a contaminated EKG machine

A

Contact isolation

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108
Q

VRE requires what kind of isolation precaution

A

Contact isolation

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109
Q

What type of precaution is the most relevant when a patient care is an infectious agent that may be spread through talking, sneezing, or coughing

A

Droplet isolation

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110
Q

You receive a requisition in your department to complete an imaging procedure of a patient’s lower extremity. This patient has VRE. An appropriate way of minimizing potential infection to other patients in this situation isPerform the exam portably in the patient’s roomWear a mask during the examinationRequest the patient wears a mask during the examinationPerform the exam in a negative pressure room

A

Perform the exam portably in the patient’s room

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111
Q

Reusing gloves between patients is most likely to result in what kind of infection transmissionInfluenzaC-diffMeningitisPneumonia

A

C-diff

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112
Q

What factors potentially affect the human body’s response to a medication

A

Patient weightPatient immune statusPatient genderPatient age

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113
Q

Define duration of action

A

The time during which the drug is in the body and elicits a therapeutic response

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114
Q

Define onset of action

A

The point at which a drug reaches its intended effect

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115
Q

Define maximum Peak

A

This is when a drug reaches its highest potential and begins to subside

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116
Q

Define antagonist

A

A drug or natural substance that is attracted to and blocks specific receptor sites

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117
Q

Define therapeutic index (TI)

A

A measure of the relative safety of a drug

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118
Q

Define drug receptors

A

Specific biologic sites located on a cell surface or within the cell

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119
Q

Define Agonist

A

A drug or natural substance with an attraction to a specific receptor site that produces a physiologic response

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120
Q

Which of the following represents the most desirable therapeutic index10:11:12:1200:1

A

200:1

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121
Q

Define narcotic

A

Opium-based or opium-like pain relievers

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122
Q

Define analgesic

A

Pain relievers

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123
Q

Define sedatives

A

A drug that calms anxiety

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124
Q

Define antibiotics

A

A soluble substance derived from a mold or bacteria that kills or inhibits the growth of other microorganisms

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125
Q

Define anxiolytics

A

An anti-anxiety medication

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126
Q

Define antiemetic

A

A drug that prevents or minimizes nausea and vomiting

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127
Q

Define anticoagulant

A

A drug that prevents or reduces the coagulation of blood

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128
Q

Define vasoconstrictors

A

A drug causing increased blood pressure

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129
Q

Define anti-arrhythmic

A

A medication that may prevent tachycardia

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130
Q

Define thrombolytics

A

A clot dissolving medication

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131
Q

Define vasodilators

A

A drug causing relaxation and opening of blood vessels

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132
Q

What drug classification do calcium channel blockers fall under

A

Anti-arrhythmic

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133
Q

What drug classification does epinephrine fall under

A

Vasoconstrictor

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134
Q

What drug classification does Xanax fall under

A

Anxiolytic

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135
Q

What drug classification does tPA fall under

A

Thrombolytic

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136
Q

What drug classification does Zofran fall under

A

Antiemetic

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137
Q

What drug classification does fentanyl fall under

A

Narcotic

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138
Q

What drug classification does Valium fall under

A

Sedative

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139
Q

What drug classification does tetracycline fall under

A

Antibiotic

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140
Q

What drug classification does Coumadin fall under

A

Anticoagulant

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141
Q

What drug classification does aspirin fall under

A

AntiplateletAnalgesicAnticoagulant

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142
Q

What drug classification does morphine fall under

A

Narcotic

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143
Q

Which of these drugs is known to increase heart rate, constrict blood vessels, dilate air passages, and stimulate the sympathetic nervous responseBenadrylOxygenAlbuterolEpinephrine

A

Epinephrine

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144
Q

Which of these medications might be valuable to a patient having a respiratory reaction to ICMAtropineAlbuterolAtenololOxygen

A

AlbuterolOxygen

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145
Q

Which of these medications function as an immunosuppressant to counteract hives and/or itchingEpinephrineSolu-MedrolBenadrylAtropine

A

BenadrylSolu-Medrol

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146
Q

Which of these medications would be valuable to a patient experiencing hypotension or bradycardia during and medication reactionBenadrylAtropineVersedEpinephrine

A

EpinephrineAtropine

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147
Q

What medication types. The body’s inflammatory response to iodinated contrastDiazepamSolu-MedrolEpinephrineBenadryl

A

Solu-MedrolBenadryl

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148
Q

Which of these medications would be useful to a patient experiencing acute dyspnea? (choose all correct) Epinephrine Albuterol Zofran Oxygen

A

Epinephrine Albuterol Oxygen

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149
Q

A patient with atrial fibrillation is prone to ischemia stroke as a result of blood thrombi formed in the heart and deposited in the cerebrum. Examples of medications that may reduce the risk of stroke for this patient are: (choose all correct) warfarin epinephrine diazepam heparin

A

warfarin heparin

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150
Q

A patient with severe pulmonary edema is brought to your department for an examination of the lungs. A patient with this condition is likely to be on which of these medications? Atropine Lasix Normal saline Epinephrine

A

Lasix

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151
Q

CT angiography of the heart is sometimes performed prior to ablation procedures in patients with atrial fibrillation. Which of these medications may help to stabilize the rhythm of the heart during the CT angiography study? Antibiotic Antiemetic Narcotic Beta-blocker

A

Beta-blocker

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152
Q

Describe deep sedation

A

limited response to stimuli

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153
Q

Describe general anesthesia

A

requires significant support of vital functions

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154
Q

Describe anxiolysis sedation

A

relaxes patient and reduced anxiety

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155
Q

Describe conscious sedation

A

patient follows specific instructions

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156
Q

Which of these medications are likely to be used together for sedation and analgesia during a radiology procedure? (choose all correct) midazolam hydromorphone morphine fentanyl

A

midazolamfentanyl

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157
Q

When should vital signs be assessed for a patient scheduled for an interventional procedure requiring some level of sedation? (choose all correct) after the procedure before the procedure only during deep sedation during the procedure

A

after the procedure before the procedure during the procedure

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158
Q

T/F: All contrast media is potentially harmful and should be used knowledgeably.

A

True

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159
Q

T/F: Intravascular contrast media administration is performed under the supervision of a licensed physician.

A

True

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160
Q

T/F: Technical and nursing personnel injecting contrast media must be knowledgeable in the recognition of, and able to assist in the treatment of any adverse reaction.

A

True

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161
Q

T/F: Literature in the MRI community and manufacturer recommendations lists the dosage of intravenous gadolinium chelate contrast to be 0.1 mmol/kg of body weight.

A

True

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162
Q

T/F: Any and all adverse events, incidents or “near incidents” that occur pertaining to MR safety are to be reported to the MRI Medical Director, the MRI Department Supervisor or the Radiology Administrator immediately.

A

True

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163
Q

T/F: A student may review and sign the MRI screening sheet prior to an individual entering the scan room.

A

False

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164
Q

T/F: The Medical Director will be involved with the introduction of new policies and procedures as needed with the advancement of technologies and procedures in the MRI environment.

A

True

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165
Q

T/F: Zone III – This area is synonymous with the MR scanner room itself.

A

False

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166
Q

T/F: Lenz’s Law is an important consideration with non-ferromagnetic objects.

A

True

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167
Q

T/F: Having undergone a previous MRI successfully with an implanted device indicates that the device is MRI safe.

A

False

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168
Q

T/F: The potential for translational forces (“projectile forces”) exists at any field strength.

A

True

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169
Q

T/F: After a quench the patient and personnel should evacuate the area immediately.

A

True

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170
Q

Which of the following describe T1 Recovery? (Choose all that apply) Spin lattice relaxationThe time it takes 63% of transverse magnetization to decay in the tissue.Caused by the nuclei giving up their energy to the surrounding environment or lattice.Spin-spin relaxation that results in decay or loss of coherent transverse magnetization.

A

Spin lattice relaxationCaused by the nuclei giving up their energy to the surrounding environment or lattice.

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171
Q

What MUST be done prior to anyone entering the scan room? (Select the BEST answer) Pat the patient down for metal objects.A screening sheet must be filled out and in the patient’s chart.The patient must be scanned with the metal detector.The completed screening sheet must be signed by a level II staff member and the patient must be scanned with the metal detector, prior to admittance to the MRI scan room.

A

The completed screening sheet must be signed by a level II staff member and the patient must be scanned with the metal detector, prior to admittance to the MRI scan room.

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172
Q

What happens to the alignment of hydrogen protons when placed in an external magnetic field? (Check all that apply) Nothing until an RF pulse is applied.The magnetic moments of the nuclei align with or against the main magnetic field.More nuclei oppose the main magnetic field than line up with the main magnetic field.Slightly more nuclei line up with the main magnetic field than against it.

A

The magnetic moments of the nuclei align with or against the main magnetic field.Slightly more nuclei line up with the main magnetic field than against it.

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173
Q

Where do we look up the safety of an implanted device? (Check all that apply) www.MRISafety.comShellock’s reference manualThe manufacturer’s websiteIf we remember that it is a safe implant, there is no need to look it up again.

A

www.MRISafety.comShellock’s reference manualThe manufacturer’s website

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174
Q

What effect does the magneto-hemodynamic effect have? Is this a permanent effect? (Check all that apply)Increase in the amplitude of the “R” wave on EKG gating.Increase in the amplitude of the “T” wave on EKG gating.Reversible effect– EKG tracing returns to normal when the patient is removed from the static magnetic field.Permanent effect– EKG tracing continues to show an elevated wave form after the patient has had an MRI exam.

A

Increase in the amplitude of the “T” wave on EKG gating.Reversible effect– EKG tracing returns to normal when the patient is removed from the static magnetic field.

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175
Q

What is the gyromagnetic ratio of hydrogen? 21.28 MHz/T 33.8 MHz/T42.57 MHz/T 42.57 MHz/G

A

42.57 MHz/T

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176
Q

Select the three components of the magnetic field from those listed below. Static Magnetic Field Faraday’s Field Radiofrequency FieldsTime Varying Magnetic Fields Precessional Frequency Field

A

Static Magnetic Field Radiofrequency FieldsTime Varying Magnetic Fields

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177
Q

What are the guidelines for pregnant employees? (Choose all that apply) No changes to pregnant employees work environment in MRI. Everyone knows that MRI doesn’t use radiation.Pregnant employees may enter the scan room, but should leave before scanning begins.Pregnant employees are exempt from scanning and may only do paperwork.Pregnant employees MUST transfer to x-ray once they’ve announced their pregnancy to the MRI department.

A

Pregnant employees may enter the scan room, but should leave before scanning begins.

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178
Q

T/F: The gyromagnetic ratio expresses the relationship between the angular momentum and the magnetic moment of each MR active nucleus.

A

True

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179
Q

Identify which of the following describe a “fringe field.” (Select all that apply) The stray magnetic field outside the bore of the magnet.An area on the outskirts of the magnet– generally two feet long by three feet wide.Active or passive shielding is used to reduce the size of the fringe field.The fringe field is not confined by walls, floors, or ceilings.

A

The stray magnetic field outside the bore of the magnet.Active or passive shielding is used to reduce the size of the fringe field.The fringe field is not confined by walls, floors, or ceilings.

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180
Q

What would you do in the event of a CODE BLUE in MRI? (Select all that apply) Stay with the patient in the scan room until help arrives. Begin CPR.Activate the Code Blue response process (push the Code Blue button)Get the patient out of the scanner and into Zone III; locking the scan room door and monitoring it when other Code Team members arrive

A

Begin CPR.Activate the Code Blue response process (push the Code Blue button)Get the patient out of the scanner and into Zone III; locking the scan room door and monitoring it when other Code Team members arrive

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181
Q

What are the two results of resonance? (Choose from the list below) The NMV moves out of alignment and away from B0.The NMV moves into a repeating pattern of /- 100 MHZ.The magnetic momements of hydrogen nuclei move out of phase with each other.The magnetic moments of hydrogen nuclei move into phase with each other.

A

The NMV moves out of alignment and away from B0.The magnetic moments of hydrogen nuclei move into phase with each other.

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182
Q

T/F: The “warm zone” in MRI is the scan room itself.

A

False

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183
Q

Which of the following best describe spin-lattice relaxation? (Choose all that apply) T2 Decay T1 RecoveryTime it takes 88% of the longitudinal magnetization to recover in tissue.Nuclei give up energy to the surrounding environment, resulting in longitudinal recovery.

A

T1 RecoveryNuclei give up energy to the surrounding environment, resulting in longitudinal recovery.

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184
Q

What makes a nucleus an MR active nucleus? (Select all that apply) Odd mass numbers Atoms with a balanced mass number Nuclei with a net spin or angular momentumNone of the above

A

Odd mass numbers Nuclei with a net spin or angular momentum

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185
Q

T/F: We ALWAYS scan pregnant patients with contrast.

A

False

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186
Q

T/F: For resonance of hydrogen to occur, RF at EXACTLY the Larmor frequency of hydrogen must be applied.

A

True

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187
Q

What are the three types of motion present in an atom? (Select all that apply) Electrons spinning on their own axis. Nuclei spinning around each other.Electrons orbiting the nucleus.The nucleus itself spinning about its own axis.

A

Electrons spinning on their own axis.Electrons orbiting the nucleus.The nucleus itself spinning about its own axis.

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188
Q

Identify the two factors that determine which hydrogen nuclei align parallel and which align anti-parallel with the main magnetic field. The strength of the external magnetic fieldHow many nuclei there are in each patient’s body The thermal energy level of the nucleiThe orientation of the patient in the scanner (head first vs. feet first)

A

The strength of the external magnetic field The thermal energy level of the nuclei

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189
Q

Which way does the main magnetic field run in permanent magnets? HorizontallyVerticallySide to SideDown the bore of the magnet

A

Vertically

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190
Q

What is the terminal velocity of a paperclip at 1.5T? 64 mph55mph40mphNone- not attracted

A

40mph

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191
Q

Which of the following describe the purpose of gradients in MRI? (Choose all that apply) Alter the main magnetic field in a linear fashion Change thermal equilibrium Spatially encode data Cause electrons to spin on their own axis

A

Alter the main magnetic field in a linear fashion Spatially encode data

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192
Q

What does SAR stand for?Special Atomic RateStart Atoms RollingSpecific Absorption RateSpecific Atomic Rate

A

Specific Absorption Rate

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193
Q

What does the net magnetization vector (NMV) represent? The type of MR active nuclei present The relative number of electrons to protons The atomic number of the nuclei presentThe relative balance of spin-up to spin-down nuclei

A

The relative balance of spin-up to spin-down nuclei

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194
Q

Which way does the main magnetic field run in superconducting magnets? Along the bore of the magnet (horizontal)Along the Y-axisVerticallySide to side

A

Along the bore of the magnet (horizontal)

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195
Q

What is the best device to use when monitoring a patient’s status in MRI? Blood pressure cuff Pulse ox EKGAuditory monitoring

A

Pulse ox

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196
Q

What does the Larmor Equation calculate? The NMVThe precessional frequencyThe gyromagnetic ratio The atomic mass

A

The precessional frequency

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197
Q

What is the T2 relaxation time of tissue?[Hint: Think about which axis T2 relaxation is occurring in (longitudinal vs. transverse) and whether T2 relaxation indicates recovery vs. decay.]The time it takes 43% of the longitudinal magnetization to recover in the tissue.The time it takes 63% of the transverse magnetization to recover in the tissue.The time it takes 63% of the longitudinal magnetization to decay in the tissue.The time it takes 63% of the transverse magnetization to decay in the tissue.

A

The time it takes 63% of the transverse magnetization to decay in the tissue.

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198
Q

What is another term for T2 Decay? Spin-lattice relaxationSpin-spin relaxationT1 recoveryNMV

A

Spin-spin relaxation

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199
Q

How do gradients affect the main magnetic field? (Select all that apply) They add to the main magnetic field They subtract from the main magnetic fieldThey alter the main magnetic field in a linear fashion They give the image its shades of gray

A

They add to the main magnetic field They subtract from the main magnetic fieldThey alter the main magnetic field in a linear fashion

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200
Q

T/F: Rewinders are gradients that rephase.

A

True

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201
Q

Which of the following controls T2* weighting in gradient echo? TETRFlip angleTR and flip angle

A

TE

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202
Q

What controls the polarity of a gradient?The steepness of the slice select gradientThe sharpness of the frequency readoutThe direction of the current through the gradient coilThe strength of the main magnetic field

A

The direction of the current through the gradient coil

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203
Q

T/F: TR controls T2 weighting.

A

False

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204
Q

Which of the following is known as the basic MRI contrast? T1 weightingT2 weightingGray imagingProton density weighting

A

Proton density weighting

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205
Q

Choose extrinsic contrast parameters from the list below.T1 Recovery TimeTRProton DensityFlip AngleFlowTEb Value

A

TRFlip AngleTEb Value

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206
Q

What are the two extremes of contrast in MRI?T1 RecoveryFatAirWater

A

FatWater

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207
Q

T/F: The TE is twice the TAU.

A

True

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208
Q

T2* decay is faster than T2 decay since it is a combination of which two of the following effects? T1 decay with spin echoT2 decay itselfDephasing due to magnetic field inhomogeneities*weighting

A

T2 decay itselfDephasing due to magnetic field inhomogeneities

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209
Q

Which of the following best describes a T1 weighted image? (Select all that apply) Bright water Bright fat Dark Water Dark Fat

A

Bright fat Dark Water

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210
Q

Which of the following statements is true: Spin-spin interactions drive T1 contrastSlow tumbling molecules lead to decreased spin-spin dephasingFast tumbling molecules lead to increased spin-spin dephasing Spin-spin interactions drive T2 contrast

A

Spin-spin interactions drive T2 contrast

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211
Q

What is the approximate T1 relaxation time of water at 1T?200 ms500 ms2000 ms2500 ms

A

2500 ms

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212
Q

Which of the following items are T1 and T2 relaxation times dependent on? (hint: there are three) How well the molecular tumbling rate matches the Larmor frequency of hydrogenSpin-spin interactions of oxygen atomsHow closely packed the molecules are The inherent energy of the tissueThe number of electrons orbiting the nucleus

A

How well the molecular tumbling rate matches the Larmor frequency of hydrogenHow closely packed the molecules are The inherent energy of the tissue

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213
Q

T/F: Intrinsic parameters are those that cannot be changed because they are inherent to the body’s tissues.

A

True

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214
Q

To achieve T1 weighting in gradient echo sequences, the flip angle should be ______. LargeSmallNo flip angle should be used

A

Large

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215
Q

T/F: Spin echo sequences do not compensate for magnetic field inhomogeneities, while gradient echo sequences do compensate for magnetic field inhomogeneities.

A

False

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216
Q

___ controls the amount of T1 weighting. TRTETIPD

A

TR

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217
Q

For PD weighting, the TR must be ______. LongShortIntermediateT1

A

Long

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218
Q

T/F: Generally speaking, gradient echo sequences are faster than spin echo sequences.

A

True

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219
Q

For T2 weighting, the TE must be _____. shortlongintermediatePD

A

long

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220
Q

Gradients that dephase are called __________. rewindersweighted spoilersvariable flip angles

A

spoilers

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221
Q

The spin echo is created by: The application of a long TE The application of a rewinding gradient A 180 degree RF pulse A rapid TI

A

A 180 degree RF pulse

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222
Q

Gradients are used to rephase spins in gradient echo sequences because: The resulting images have less artifact than spin echo images They are faster to apply than an RF pulseThey rephase spins more completely than an RF pulseThey result in images with better contrast resolution

A

They are faster to apply than an RF pulse

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223
Q

Which of the following controls T1 weighting in gradient echo? TITEGradient amplitudeTR and flip angle

A

TR and flip angle

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224
Q

Saturation results in T1 weighting because: The flip angle used was small so vectors are not pushed beyond the transverse planeOnly occurs when the TR is long as this allows for full recoveryVectors are pushed beyond the transverse plane because they were completely recovered before the RF excitation pulseVectors are pushed beyond the transverse plane as they were incompletely recovered before the RF excitation pulse

A

Vectors are pushed beyond the transverse plane as they were incompletely recovered before the RF excitation pulse

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225
Q

T/F: nhomogeneities are areas within the magnetic field that do not exactly match the external magnetic field strength.

A

True

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226
Q

What does the phase encoding gradient do? Encode data along the LONG axis of the anatomyEncode data along the DIAGONAL axis of the anatomyEncode data along the SHORT axis of the anatomy Both the DIAGONAL and SHORT axes

A

Encode data along the SHORT axis of the anatomy

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227
Q

Which gradient performs slice selection for coronal slices?X gradientY gradientZ gradientAny combination of gradients

A

Y gradient

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228
Q

Which gradient performs phase encoding for coronal slices?X gradientY gradientZ gradientAny combination of gradients

A

X gradient

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229
Q

When is the slice select gradient switched on during a spin echo pulse sequence? During the rephasing pulse onlyDuring the 90 and 180 degree pulses During the excitation pulse onlyIt is always on during the scan

A

During the 90 and 180 degree pulses

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230
Q

To achieve thin slices, do we need a STEEP or SHALLOW slice select slope? STEEPSHALLOW

A

STEEP

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231
Q

To achieve THIN slices would we use a narrow or broad transmit bandwidth? NarrowBroad

A

Narrow

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232
Q

When is the phase encoding gradient switched on in a pulse sequence? Before the 90 degree excitation pulseUsually just before the application of the 180 degree rephasing pulse Between TRs During the spin echo

A

Usually just before the application of the 180 degree rephasing pulse

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233
Q

What does the slope of the frequency encoding gradient determine? (Select all that apply)The size of the anatomy covered along the frequency encoding axisThe 180 degree rephasing pulse The FOV The size of the phase matrix

A

The size of the anatomy covered along the frequency encoding axis The FOV

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234
Q

What is another term for the duration of the readout gradient? X gradient Sampling time Z gradient Window of opportunity

A

Sampling time

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235
Q

How often must we sample frequencies, according to the Nyquist Theorem? Once per cycleTwice per cycleThree times per cycleLess than once per cycle

A

Twice per cycle

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236
Q

What artifact occurs if we sample frequencies less than once per cycle? Zipper Cross talk Cross excitationAliasing

A

Aliasing

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237
Q

What is the unit of K space? Inches Radians per meterRadians per centimeterDegrees

A

Radians per centimeter

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238
Q

T/F: The phase axis of K space is vertical and is centered in the middle of K space perpendicular to the frequency axis.

A

True

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239
Q

Which part of K space do steep phase gradients fill? Outer lines of K space, positive onlyOuter lines of K space, both positive and negativeCentral lines of K space, positive onlyCentral lines of K space, both positive and negative

A

Outer lines of K space, both positive and negative

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240
Q

Which part of K space do shallow phase gradients fill? Outer lines of K space, positive onlyOuter lines of K space, both positive and negative Central lines of K space, positive onlyCentral lines of K space, both positive and negative

A

Central lines of K space, both positive and negative

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241
Q

T/F: K space is not the image

A

True

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242
Q

Which gradient locates signal along the LONG axis of the anatomy? Phase encoding gradient Frequency encoding gradient Slice select gradient Isocenter gradient

A

Frequency encoding gradient

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243
Q

T/F: The scan time is the time to fill K space.

A

True

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244
Q

T/F: Data in K space are symmetrical.

A

True

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245
Q

What kind of information is contributed by data collected in the central lines of K space? (Select all that apply) ResolutionSignalContrast*weighting

A

SignalContrast

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246
Q

What kind of information is contributed by data collected in the outer lines of K space?ResolutionSignalContrast*weighting

A

Resolution

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247
Q

What controls the polarity of a gradient? The steepness of the slice select gradient The sharpness of the frequency readoutThe direction of the current through the gradient coil The strength of the main magnetic field

A

The direction of the current through the gradient coil

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248
Q

T/F: Phase encoding gradient positive fills the bottom half of K space.

A

False

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249
Q

Which gradient performs slice selection for sagital slices?X gradientY gradientZ gradientAny combination of gradients

A

X gradient

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250
Q

What is another name for the frequency encoding gradient? Phase encoding gradient Short gradient Readout gradient Rephasing gradient

A

Readout gradient

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251
Q

Where are the data points collected by the system stored?FFTK spaceFrequency domain42.57 MHz

A

K space

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252
Q

During a typical spin echo sequence, there are three gradient applications. In chronological order they are: Phase encoding, Slice select, Frequency encodingSlice select, Phase encoding, Frequency encoding Frequency encoding, Phase encoding, Slice select Slice select, Frequency encoding, Phase encoding

A

Slice select, Phase encoding, Frequency encoding

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253
Q

Which gradient lies along the horizontal axis of a typical superconducting MRI system? X gradientY gradientZ gradientW gradient

A

X gradient

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254
Q

If a 512 phase matrix is selected, which k-space lines are likely to be filled in a normal acquisition? 0 to 512256 to -256 0 to -512 256, 0 to -255

A

256 to -256

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255
Q

Which of the following statements is true? A data point contains frequency encoding information onlyA data point contains phase encoding information onlyA data point contains both phase and frequency informationA data point represents a specific pixel on the image

A

A data point contains both phase and frequency information

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256
Q

T/F: A thicker slice has a better SNR than a thinner slice.

A

True

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257
Q

Decreasing receive bandwidth by half increases the SNR by how much? 60%40% 1/2 .22

A

40%

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258
Q

T/F: A fine matrix is one with a low number of frequency encodings and/or phase encodings, and results in a small number of pixels in the FOV.

A

False

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259
Q

Choose three factors that affect the SNR from the list below (there are three factors). Magnetic field strength of the system Proton density of the area under examination The patient’s height and weightReceive bandwidth

A

Magnetic field strength of the system Proton density of the area under examinationReceive bandwidth

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260
Q

T/F: A long TE increases SNR and a short TE decreases SNR.

A

False

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261
Q

T/F: TR controls the amount of T2 weighting.

A

False

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262
Q

Choose the term that best describes “a unit volume of patient tissue” from the list below. Pixel Grayscale value Voxel Slice thickness

A

Voxel

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263
Q

Which of the following factors affect scan time during a sequential acquisition? (choose all that apply) TRTEPhase MatrixNEXFrequency Matrix

A

TRPhase MatrixNEX

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264
Q

Which of the following factors affect voxel size (choose all that apply)? Slice thickness Number of pixels or matrix Size of the flip angle FOV

A

Slice thickness Number of pixels or matrix FOV

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265
Q

T/F: Square pixels ALWAYS provide better spatial resolution than rectangular pixels.

A

True

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266
Q

If we double the NEX, what does that do to our scan time? Reduces the scan time by 1/2 Doubles the scan time Reduces the scan time by 1.4 Increases the scan time by 1.4

A

Doubles the scan time

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267
Q

Decreasing the phase matrix does which of the following? Decreases SNR Increases spatial resolution Makes the scan shorter Has no effect on scanning

A

Makes the scan shorter

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268
Q

Of the following parameters, which would give the best spatial resolution? 256 × 256, 3 mm slice thickness, 12 cm FOV, 1 NEX256 × 128, 8 mm slice thickness, 40 cm FOV, 4 NEX512 × 256, 6 mm slice thickness, 14 cm FOV, 2 NEXNone of the above would give good spatial resolution.

A

256 × 256, 3 mm slice thickness, 12 cm FOV, 1 NEX

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269
Q

Of the following parameters, which would give the highest SNR? 256 × 256, 3 mm slice thickness, 12 cm FOV, 1 NEX256 × 128, 8 mm slice thickness, 40 cm FOV, 4 NEX512 × 256, 6 mm slice thickness, 14 cm FOV, 2 NEXNone of the above.

A

256 × 128, 8 mm slice thickness, 40 cm FOV, 4 NEX

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270
Q

Increasing the field strength increases SNR because: The flip angle increasesThe NMV increases in size because the high energy population of spins increases The precessional frequency increasesThe NMV increases in size because the low energy population of spins increases

A

The NMV increases in size because the low energy population of spins increases

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271
Q

Halving a square FOV reduces the SNR by: 1/21/43/41/8

A

3/4

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272
Q

Which of the following does NOT occur when the receive bandwidth is reduced? SNR increases Chemical shift artifact improves Number of slices available decreases TE increases

A

Chemical shift artifact improves

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273
Q

Doubling the number of signal averages changes the SNR by how much? × 21/222 √2

A

√2

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274
Q

Which of these is a consequence of decreasing the TR from 2500 ms to 500 ms? Scan time decreases T1 weighting decreases Spatial resolution decreases Slice number available increases

A

Scan time decreases

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275
Q

Do we achieve greater SNR with a long or a short TR? longshort

A

long

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276
Q

Pixel area = __ / matrix size. SNRResolutionFOVGNR

A

FOV

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277
Q

Which sequence is considered the gold standard for MR imaging? SSFP Spin EchoGradient Echo Coherent Gradient Echo

A

Spin Echo

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278
Q

What is the approximate T1 relaxation time of CSF at 1T? 2000 ms150 ms500 ms3000 ms

A

2000 ms

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279
Q

What is the approximate T1 relaxation time of fat at 1T? 2000 ms200 ms500 ms3000 ms

A

200 ms

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280
Q

What do T1 images typically best demonstrate? Anatomy Pathology Bright fluid Everything

A

Anatomy

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281
Q

What does STIR stand for? Short ___ Inversion Recovery.

A

TautauTAU

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282
Q

When would we be most likely to use a STIR sequence? CSF flow studies MSK studies (i.e. knee, wrist)Head or Spine studies (to look for periventricular lesions)All studies must include a STIR sequence

A

MSK studies (i.e. knee, wrist)

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283
Q

T/F: FLAIR stands for Fluid Low Attenuation Inversion Recovery

A

False

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284
Q

When would we be most likely to use a FLAIR sequence? MSK studies (i.e. knee, wrist)Head or spine studies (to look for periventricular lesions) All studies must include a FLAIR sequence To image the great vessels

A

Head or spine studies (to look for periventricular lesions)

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285
Q

How is time reduced in fast spin echo? (Choose all that apply) The operator must prescribe fewer slicesUse a turbo factor Use thinner slices Use an echo train

A

Use a turbo factorUse an echo train

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286
Q

What artifact can occur as a result of using long echo trains?Cross talkTruncationImage BlurringAliasing

A

Image Blurring

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287
Q

An inversion recovery pulse sequence begins with which of the following? 90 degree RF pulse 180 degree inverting pulse180 rephasing pulse Gradient pulse (variable flip angle)

A

180 degree inverting pulse

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288
Q

Which Fast Inversion Recovery sequence(s) do we often use? STIRSSFPFLAIRIncoherent Gradient Echo

A

STIRFLAIR

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289
Q

What is Double IR prep used to accomplish? Used to null blood for cardiac imagingFlips the NMV back to zero Imaging large patients FSE sequences

A

Used to null blood for cardiac imaging

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290
Q

A coherent gradient echo sequence samples which of the following? FID Only Stimulated Echo Only Both the FID and Stimulated Echo T2 Information Only

A

Both the FID and Stimulated Echo

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291
Q

T/F: During EPI all the lines of K space are filled during one repetition.

A

True

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292
Q

How is K space filled in Fast Gradient Echo Sequences? (choose all that apply) Elliptical filling Centric filling Keyhole filling Outside to inside

A

Centric filling Keyhole filling

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293
Q

In which of the following sequences is all the transverse magnetization rewound at the end of each TR period? Coherent gradient echo Incoherent gradient echoEPI

A

Coherent gradient echo

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294
Q

Which of the following statements is true in an incoherent gradient echo sequence? Residual transverse magnetization has the same phase as the magnetization most recently created The flip angle is always 10°The system discriminates between residual and the most recently created transverse magnetization because it has a different phase value It is not a steady state sequence

A

The system discriminates between residual and the most recently created transverse magnetization because it has a different phase value

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295
Q

What type of echoes are sampled during SS-FSE? Spin echoes Gradient echoes Incoherent Gradient echoes

A

Spin echoes

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296
Q

What are the advantages of propeller K Space filling? Better detailLow SNR but high resolution Bright signalRapid imaging, increased SNR and CNR, reduced motion artifact.

A

Rapid imaging, increased SNR and CNR, reduced motion artifact.

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297
Q

T/F: Using a long echo train decreases the SAR.

A

False

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298
Q

T/F: STIR sequences should NOT be used in conjunction with contrast enhancement.

A

True

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299
Q

T/F: Spin echo pulse sequences are classified according to whether the residual transverse magnetization is in phase (coherent) or out of phase (incoherent).

A

False

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300
Q

SSFP sequences usually produce images that are ___ weighted. T1T2T2T1 or T2

A

T2

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301
Q

T/F: Parallel imaging is usually used to increase resolution or decrease scan time.

A

True

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302
Q

Which artifact is produced as a result of motion of flowing nuclei? Zipper effect Aliasing Phase ghosting Truncation

A

Phase ghosting

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303
Q

Which type of motion can we compensate for in MRI? First order laminar flowSecond order motion accelerationThird order motion jerk All of those listed can be compensated for

A

First order laminar flow

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304
Q

T/F: TOF phenomenon results in a dark vessel.

A

True

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305
Q

Which of the following effects does TOF depend on? (Select all that apply) Velocity of flowTE Slice ThicknessTR

A

Velocity of flowTE Slice Thickness

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306
Q

Choose the two main uses of spatial pre-saturation from the list below. (Select all that apply) Chemical Pre-saturationSTIRFLAIRSPIR

A

Chemical Pre-saturationSPIR

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307
Q

T/F: Counter current flow occurs when flowing nuclei are traveling in the same direction as slice selection.

A

False

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308
Q

Which of the following is/are result(s) of time of flight? (Select all that apply) Flow-related enhancement Entry slice phenomenon High velocity signal void Zipper effect

A

Flow-related enhancement High velocity signal void

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309
Q

In a dual echo sequence, which of the following combinations would result in reduced flow artifact in the second echo? TE 20 and 50 ms TE 20 and 70 ms TE 40 and 80 msTE 40 and 95 ms

A

TE 40 and 80 ms

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310
Q

What is the chemical shift at 1.5 T? 2.2 Hz22 Hz220 Hz220KHz

A

220Hz

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311
Q

T/F: STIR is most useful in post contrast imaging.

A

False

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312
Q

T/F: Even echo rephasing reduces intra-voxel dephasing.

A

True

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313
Q

T/F: Intra-voxel dephasing results in an increase in total signal amplitude from the voxel.

A

False

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314
Q

Stationary nuclei always receive both excitation and rephasing pulses, but flowing nuclei present in the slice for the excitation may have exited the slice before rephasing. This is called ______________. Time of Flight Phenomenon Entry Slice PhenomenonIntra-Voxel Dephasing Turbulent Flow Effects

A

Time of Flight Phenomenon

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315
Q

T/F: As velocity of flow decreases, the time of flight effect decreases.

A

True

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316
Q

T/F: Another term for time of flight is inflow effect.

A

False

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317
Q

Determine which of the following parameters would result in the most entry slice phenomenon (i.e. entry slice phenomenon would increase compared to the other options). Slice 1 of 20, 3000 TR, .7 mm slice thickness Slice 1 out of 20, 400 TR, 1.2 mm slice thicknessSlice 10 out of 20, 3000 TR, 1.2 mm slice thickness Slice 10 out of 20, 400 TR, .7 mm slice thickness

A

Slice 1 of 20, 3000 TR, .7 mm slice thickness

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318
Q

T/F: Flow affects image quality.

A

True

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319
Q

The frequency difference between fat and water is called ___________ and can be used to specifically null the signal from either fat or water. Chemical Pre-Saturation Chemical Shift Precessional Frequency Even Echo Rephasing

A

Chemical Shift

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320
Q

T/F: Any tissue can be nulled as long as an RF pulse matching its precessional frequency is applied to the imaging volume before excitation.

A

True

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321
Q

T/F: Pre-saturation techniques increase the RF deposition to the patient.

A

True

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322
Q

What is another term for phase ghosting?Phase wrapPhase mismappingChemical misregistraionAliasing

A

Phase mismapping

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323
Q

What is another term for phase ghosting?Phase wrapPhase mismappingChemical misregistraionAliasing

A

Phase mismapping

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324
Q

In which direction does phase ghosting occur? (Choose all applicable)Phase AxisFrequency AxisSlice Select AxisAnterior to Posterior

A

Phase Axis

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325
Q

Which of the following are methods of reducing phase ghosting? (Choose all that apply)Using respiratory compensation techniquesDecrease the TECarefully explain the procedure to the patientSwap phase and frequencyUse pre-saturation pulsesUse “no phase wrap” software

A

Using respiratory compensation techniquesCarefully explain the procedure to the patientSwap phase and frequencyUse pre-saturation pulses

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326
Q

In which direction does aliasing occur? (Choose all that apply)Phase AxisFrequency AxisSlice Select AxisAnterior to Posterior

A

Phase AxisFrequency Axis

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327
Q

Which of the following is a remedy for aliasing?Decreasing the slice thicknessDecreasing the size of the FOVDecreasing the TEUsing “no phase wrap” software

A

Using “no phase wrap” software

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328
Q

Which of the following best describes the appearance of chemical shift artifact on an image?Extra information wraps into the imageThe cancellation of fat and water signals when they are out of phase.Banding artifact at the interfaces of high and low signal.Produces a dark edge at the interface between fat and water.

A

Produces a dark edge at the interface between fat and water.

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329
Q

In which direction does chemical shift artifact occur? (Choose all that apply)Phase AxisFrequency AxisSlice Select AxisAnterior to Posterior

A

Frequency Axis

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330
Q

What unit is used to express the amount of chemical shift?MHz Hz ppm gyromagnetic ratio

A

ppm

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331
Q

What is another name for a truncation artifact in a sagital cervical spine?TruncationGyromagnetic ArtifactGibbsFaraday

A

Gibbs

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332
Q

How can we reduce truncation? Increase the TEIncrease the TRIncrease the number of phase encoding stepsIncrease the number of frequency encoding steps

A

Increase the number of phase encoding steps

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333
Q

In which direction does truncation occur? (Choose all that apply)Phase AxisFrequency AxisSlice Select AxisAnterior to Posterior

A

Phase Axis

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334
Q

Which best describes the appearance of a zipper artifact?Distortion of the image together with large signal voids.Anatomy folded into the FOVA dense line on the image at a specific point.Tissues return a high signal intensity

A

A dense line on the image at a specific point.

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335
Q

Which best describes the appearance of a zipper artifact?Distortion of the image together with large signal voids.Anatomy folded into the FOVA dense line on the image at a specific point.Tissues return a high signal intensity

A

A dense line on the image at a specific point.

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336
Q

Which of the following is a possible cause of shading artifact?A hemorrhageA leak in the RF shielding of the scan roomSpin echo sequencesInhomogeneities in the main magnetic field

A

Inhomogeneities in the main magnetic field

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337
Q

Which of the following best describes Moire artifact?Black and white banding artifact on the edge of the FOVFat and water are out of phase and their signals cancel each other out.Different chemical environments of fat and water produce a dark edge at the interface between fat and water.Anatomy from outside the FOV are wrapped into the image.

A

Black and white banding artifact on the edge of the FOV

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338
Q

T/F: To reduce chemical shift artifact, ALWAYS use the widest receive bandwidth in keeping with good SNR and the smallest FOV possible.

A

True

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339
Q

T/F: To reduce chemical shift artifact, ALWAYS use the widest receive bandwidth in keeping with good SNR and the smallest FOV possible.

A

True

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340
Q

In spin echo sequences using a pre-saturation pulse, what would persistent bright signal within the vessel indicate?Slow Flowing BloodFast Flowing BloodBlood ClotVascular Occlusion

A

Slow Flowing BloodBlood ClotVascular Occlusion

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341
Q

Which of the following best describes what the “P” wave represents?Atrial Systole (Contraction)Ventricular SystoleVentricular DiastoleNone of the above

A

Atrial Systole (Contraction)

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342
Q

Which of the following best describes what the “QRS” complex represents?Atrial Systole (Contraction)Ventricular SystoleVentricular Diastole (Relaxation)None of the above

A

Ventricular Systole

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343
Q

Which of the following best describes what the “T” wave represents?Atrial Systole (Contraction)Ventricular SystoleVentricular Diastole (Relaxation)None of the above

A

Ventricular Diastole (Relaxation)

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344
Q

Which of the following sequence(s)/technique(s) can be used to make vessels appear bright?Gradient Echo ImagingGradient Moment RephasingContrast EnhancementAll of the above

A

All of the above

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345
Q

Which of the following is used to trigger each pulse sequence when using ECG gating?P waveQ waveR waveS wave

A

R wave

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346
Q

How much does a typical patient’s heart rate vary during an exam?10- 20 %20- 30%40- 50%60- 70%

A

10- 20 %

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347
Q

If the R to R interval is 500 ms, the trigger window is 10%, and the trigger delay is 50 ms, what is the time available to acquire data?310 ms400 ms460 ms500 ms

A

400 ms

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348
Q

If the R to R interval is 500 ms, the trigger window is 10%, and the trigger delay is 50 ms, what is the time available to acquire data?310 ms400 ms460 ms500 ms

A

400 ms

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349
Q

What determines the length of the R to R interval?The technologist performing the examThe radiologist who establishes the protocolThe patient’s heart rateThe type of sequence

A

The patient’s heart rate

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350
Q

What is the waiting period before each R wave called?Trigger WindowTrigger DelayR to R IntervalAvailable Imaging Time

A

Trigger Window

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351
Q

T/F: ECG gating is prospective.

A

True

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352
Q

When using MRA to evaluate intracranial vascularity, flow within smaller vessels can best be demonstrated by:2D Time of Flight MRA3D Time of Flight MRA3D Phase Contrast MRAAll of the Above

A

3D Time of Flight MRA

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353
Q

When using MRA to evaluate intracranial vascularity, flow within smaller vessels can best be demonstrated by:2D Time of Flight MRA3D Time of Flight MRA3D Phase Contrast MRAAll of the Above

A

3D Time of Flight MRA

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354
Q

MRA techniques include all of the following EXCEPT:TOF-MRAPC-MRACE-MRACT-MRA

A

CT-MRA

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355
Q

Which of the following does NOT reduce flow motion artifact?SATECG gatingGMNSubtraction

A

Subtraction

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356
Q

Which of the following can be used to improve coverage and at the same time maintain the signal from blood flowing within the larger volume?MC-TOFPC-MRAMOTSAPhase images

A

MOTSA

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357
Q

The vascular signal, produced on time of flight MRA (TOF-MRA), relies on:MOTAPCFlow related enhancementVelocity-induced phase shifts

A

Flow related enhancement

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358
Q

The vascular signal, produced on PC-MRA, relies on:MOTAPCFlow related enhancementVelocity-induced phase shifts

A

Velocity-induced phase shifts

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359
Q

Contrast enhanced MRAs are acquired with all of the following EXCEPT:Test bolusBolus trackingVENC settingsFluoro triggering

A

VENC settings

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360
Q

Contrast enhanced MRAs are acquired with all of the following EXCEPT:Test bolusBolus trackingVENC settingsFluoro triggering

A

VENC settings

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361
Q

Multiphase images, acquired with additional modulation of magnetization, are known as:TOF-MRAPC-MRAVENCSPAMM

A

SPAMM

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362
Q

What is the available imaging time using these parameters? R to R 800 ms, trigger window 10%, delay after trigger 4 ms.688 ms700 ms716 ms800 ms

A

716 ms

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363
Q

When using MRA to evaluate peripheral vascular flow, such as that within the arteries of the legs, saturation pulses are:Placed superior to the acquired slicesPlaced in the acquired slicesPlaced inferior to the acquired slicesNot necessary

A

Placed inferior to the acquired slices

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364
Q

When using MRA to evaluate extracranial vascular flow, such as that within common carotid arteries, a recommended technique is:2D time of flight MRA3D time of flight MRA3D phase contrast MRAAll of the above

A

2D time of flight MRA

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365
Q

When using MRA to evaluate extracranial vascular flow, such as that within common carotid arteries, a recommended technique is:2D time of flight MRA3D time of flight MRA3D phase contrast MRAAll of the above

A

2D time of flight MRA

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366
Q

Magnetic field strength can be expressed in units of Tesla (T) or gauss (G), where:1 T = 1 G1.5 T = 1500 G3.0 T = 0.3 G1 T = 10 000 G

A

1 T = 10 000 G

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367
Q

The homogeneity of a magnetic field is expressed in units of:ppm (parts per million)T (Tesla)G (gauss)MHz (megaHertz)

A

ppm (parts per million)

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368
Q

The homogeneity of a magnetic field is expressed in units of:ppm (parts per million)T (Tesla)G (gauss)MHz (megaHertz)

A

ppm (parts per million)

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369
Q

Gradient strength is expressed in units of all of the following EXCEPT:w/kgmT/mG/cmT/m/s

A

w/kg

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370
Q

Gradient strength is expressed in units of all of the following EXCEPT:w/kgmT/mG/cmT/m/s

A

w/kg

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371
Q

Passive magnetic shielding can be accomplished by lining the scan room walls with:CopperLeadSteelShim plates

A

Steel

372
Q

Fourier transform (FT) is a mathematical process that is used to convert MR signal from a FID into a spectrum. FT occurs in the:Image processorArray processorRF coilGradient amplifier

A

Array processor

373
Q

What rule determines the direction of current flow through a coil, and the direction of the magnetic field that the current produces?The size of the magnetic fieldRight hand thumb ruleMRI Fringe Field RuleWhether you are using an open or closed configuration

A

Right hand thumb rule

374
Q

What is the maximum field strength allowed for clinical imaging of adults in the USA?3 T4 T8 T10 T

A

8 T

375
Q

T/F: The purpose of magnetic field shimming is to reduce the size of the fringe field.

A

False

376
Q

What is the most common material used to make permanent magnets?TitaniumHeliumIronAlnico

A

Alnico

377
Q

Ohm’s law states:B = k (l)V = I (R)B = H (1 x)1 T = 10 kG

A

V = I (R)

378
Q

T/F: The law of electromagnetic induction indicates that whenever a charge particle such as an electron exhibits motion, a corresponding magnetic field is induced.

A

True

379
Q

Which cryogen is commonly used to super cool wires in MRI?Liquid heliumNiobiumAlnicoHydrogen

A

Liquid helium

380
Q

Which material is most commonly used to make superconducting wires?Liquid heliumNiobium-titanium alloyAlnicoHydrogen

A

Niobium-titanium alloy

381
Q

Why do we use shimming?To apply a magnetic fieldTo make the field even or homogenousTo make the magnetic field smallerTo induce a current

A

To make the field even or homogenous

382
Q

Select all of the following that determine the strength of an electromagnet:The amount of current passed through the windingsThe number of windings in the coilThe distance or spacing between the windingsThe diameter of the wire used in the windings

A

All of the above

383
Q

In a typical superconducting magnet, the direction of the magnetic field is:VerticalHorizontalAround the flux linesHard to measure

A

Horizontal

384
Q

T/F: The SNR is enhanced when using local coils.

A

True

385
Q

T/F: The SNR is enhanced when using local coils.

A

True

386
Q

What does BOLD stand for?Blood oxygenation level dependentBlood oxygen line developedBody oriented level dependentType of CT scanning

A

Blood oxygenation level dependent

387
Q

Functional imaging techniques include which of the following (check all that apply)?DWIfMRISpectroscopyPerfusion imaging

A

All of the above

388
Q

T/F: Functional imaging techniques allow MRI to be used to assess function and physiology as opposed to merely conventional structural imaging.

A

True

389
Q

What term is used to describe the net displacement of diffusion spins across a tissue?SWI fMRIADC MRS

A

ADC

390
Q

What is the extrinsic parameter that controls the amount of diffusion seen in an image?TRTEflip angleb factor

A

b factor

391
Q

What signal intensity is an area of abnormality likely to have on an ADC map?HypointenseHyperintenseIsointense

A

Hypointense

392
Q

What signal intensity is an area of abnormality likely to have on a trace image?HypointenseHyperintenseIsointense

A

Hyperintense

393
Q

T/F: Perfusion is the regional blood flow in tissues and is defined as the volume of blood that flows into one gram of tissue.

A

True

394
Q

Which of the following best describes a use for MR Spectroscopy (MRS)?To show ankle anatomyTo aid in brain tumor stagingTo demonstrate perfusion

A

To aid in brain tumor staging

395
Q

T/F: Interventional MRI includes performing biopsies in the MR suite.

A

True

396
Q

Chemical shift is measured in which of the following units?mm/sppmT/mG/cm

A

ppm

397
Q

T/F: Perfusion is measured using MRI by tagging the fat in arterial blood during image acquisition.

A

False

398
Q

The anatomy of white matter tracts can be mapped using strong multi-directional gradients in which of the following?SWIdiffusion tensor imaging (DTI)continuous arterial spin labeling (CASL)CBV

A

diffusion tensor imaging (DTI)

399
Q

T/F: MR microscopy (MRM) is useful as a research tool when studying detail in a very small area of tissue.

A

True

400
Q

T/F: MR microscopy (MRM) is useful as a research tool when studying detail in a very small area of tissue.

A

True

401
Q

T/F: Gadolinium chelates are ferromagnetic.

A

False

402
Q

After gadolinium administration, it is recommended that which images are acquired?One T1 weighted imageOne T2 weighted imageMultiple T1 weighted imagesMultiple T2 weighted images

A

Multiple T1 weighted images

403
Q

Enhanced MR images are evaluated for sensitivity and specificity, where sensitivity is ________ and specificity is ________.The ability to detect the lesion/the ability to classify the lesionThe ability to classify the lesion/the ability to detect the lesionTE used to evaluate the lesion/TR used to evaluate the lesionTR used to evaluate the lesion/TE used to evaluate the lesion

A

The ability to detect the lesion/the ability to classify the lesion

404
Q

T/F: All gadolinium contrast agents have the same ‘relaxivity’.

A

False

405
Q

Choose all of the following that enhancement agents can be useful in detecting.InfectionTumorsInfarctionInflammation

A

All of the above

406
Q

On a T1 weighted pre-contrast image, fat appears _____ and water appears _____.Bright, DarkBright, BrightDark, BrightDark, Dark

A

Bright, Dark

407
Q

T/F: Scar tissue enhances in the lumbar spine shortly after the injection of contrast.

A

True

408
Q

T/F: Scar tissue enhances in the lumbar spine shortly after the injection of contrast.

A

True

409
Q

Which sequence would be used to best visualize metastatic lesions in the bone?FLAIR with contrastFat saturation techniques with contrastT2 weighted sequencesNon-contrast imaging

A

Fat saturation techniques with contrast

410
Q

T/F: Gadolinium cannot cross the intact blood-brain barrier (BBB).

A

True

411
Q

Gadolinium element is ________ and gadolinium chelate contrast media is ________.Ferromagnetic/paramagneticFerromagnetic/ferromagneticParamagnetic/ferromagneticParamagnetic/paramagnetic

A

Ferromagnetic/paramagnetic

412
Q

T/F: When using gadolinium, the T1 relaxation time of the water is reduced so enhancing lesions (such as tumors associated with free water) appear bright on a T1 weighted image.

A

True

413
Q

Select all of the following that were discussed as possible MR contrast agents in the text.GadoliniumBlueberry juiceMango juiceDilute barium solutions

A

All of the above

414
Q

An axial plane divides the body into _______ and ________ portions.Dorsal and ventralUpper and lowerFront and backRight and left

A

Upper and lower

415
Q

In standard anatomic position, the hands and feet are:Internally RotatedPronatedDorsaflexedForward

A

Forward

416
Q

In standard anatomic position, a sagittal plane is oriented:HorizontallyObliquelyVerticallyAxially

A

Vertically

417
Q

Define Anterior/Ventral

A

Towards the front

418
Q

Define Superior

A

Above

419
Q

Define Posterior/Dorsal

A

Towards the back

420
Q

Define Medial

A

Towards the midline

421
Q

Define Inferior

A

Below

422
Q

Define Lateral

A

Away from midline

423
Q

Define Proximal

A

Towards the origin

424
Q

Define Deep

A

Away from skin/surface

425
Q

Define Cranial/Cephalic

A

Towards the head

426
Q

Define Caudal

A

Towards the feet

427
Q

Define Distal

A

Away from the origin

428
Q

Define Superficial

A

Towards the skin/surface

429
Q

Define Ipsilateral

A

On the same side

430
Q

Define Plantar

A

Bottom of foot

431
Q

Define Contralateral

A

On the opposite side

432
Q

Define Palmar

A

Anterior hand

433
Q

Define Costal Margin

A

L3

434
Q

Define Symphysis Pubis

A

Coccyx

435
Q

Define Mastoid Tip

A

C1

436
Q

Define Umbilicus

A

L3/4

437
Q

Define Iliac Crest

A

L4

438
Q

Define ASIS

A

S1

439
Q

Define Vertabra Prominens

A

C7

440
Q

Define Jugular Notch

A

T2/3

441
Q

Define Sternal Angle

A

T4/5

442
Q

Most of the Stomach is located within which quadrant of the abdomen?RLQLLQLUQRUQ

A

LUQ

443
Q

Much of the SB is located within which quadrant of the abdomen?RLQLLQLUQRUQ

A

LLQ

444
Q

The appendix is located within which quadrant of the abdomen?RUQRLQLLQLUQ

A

RLQ

445
Q

The cecum is located within which quadrant of the abdomen?RUQLLQRLQLUQ

A

RLQ

446
Q

The Dorsal cavity is partitioned into what two cavities? (mark all correct)CranialPelvisSpinalMediastinalAbdominal

A

CranialSpinal

447
Q

The elbow is _________ to the shoulder.DeepSuperficialProximalDistal

A

Distal

448
Q

The gallbladder is located within which quadrant of the abdomen?LLQRLQRUQLUQ

A

RUQ

449
Q

The hepatic flexture of the colon is located within which quadrant of the abdomen?LUQRUQRLQLLQ

A

RUQ

450
Q

T/F: The kidneys are oriented deep to the muscles of the abdominal wall.

A

True

451
Q

The lungs are located within which body cavity?All of the aboveDorsalMediastinumPleural

A

Pleural

452
Q

The neck is ________ to the chest.CephalicInferiorCaudalPosterior

A

Cephalic

453
Q

The right and left arms would be referred to as:IpsilateralLateralContralateralMedial

A

Contralateral

454
Q

The sigmoid colon is located within which quadrant of the abdomen?LLQRUQRLQLUQ

A

LLQ

455
Q

The spine is nearest what surface of the body?DorsalRostralVentralAnterior

A

Dorsal

456
Q

The spleen is located within which quadrant of the abdomen?RLQLLQRUQLUQ

A

LUQ

457
Q

The thoracic cavity is further subdivided into what other body cavities? (choose all correct)CranialSpinalPleuralPelvisMediastinal

A

PleuralMediastinal

458
Q

The thymus is located within which body cavity?PleuralMediastinumDorsalAll of the above

A

Mediastinum

459
Q

The thyroid cartilage is at the level of:C3C4C2C5

A

C5

460
Q

The Xiphoid process is at the level of:T12T10T9T11

A

T10

461
Q

Which of the following is the largest cavity of the body?DorsalMediastinumCranialVentral

A

Ventral

462
Q

Which of the following organs is not located within the mediastinum?None of the aboveThyroidHeartGreat Vessels

A

Thyroid

463
Q

Which of these structures are contained within the mediastinum? (choose all correct)ThyroidEsophagusTracheaThymus

A

EsophagusTracheaThymus

464
Q

Which of these structures are contained within the pelvic cavity? (choose all correct)OvariesGonadsKidneysRectum

A

OvariesGonadsRectum

465
Q

A process of the malar bone joins with which bone of the cranium to form the zygomatic arch?TemporalParietalSphenoidFrontal

A

Temporal

466
Q

Internal and external protuberances are processes of what cranial bone?SphenoidParietalEthmoidOccipital

A

Occipital

467
Q

Structures within which portion of the ear also control equilibrium and balance?ExternalTympanic portionMiddleInner

A

Inner

468
Q

The angle of the mandible is also known as the:GonionRamusAlveolar ProcessBody

A

Gonion

469
Q

The bones of the cranium are joined together at immovable joints called:SinusesSuturesSpinesSphenoid

A

Sutures

470
Q

T/F: The boney orbit is formed by several bones including the maxillae, frontal, lacrimal, and ethmoid bones.

A

True

471
Q

The chin is also called the:GonionRamusMentumAcanthion

A

Mentum

472
Q

The cochlea is found in which portion of the ear?InnerMiddleTympanic portionExternal

A

Inner

473
Q

The cranium is comprised of how many bones?22814None of the above

A

8

474
Q

The external and middle ear are separated by the:Eustachian tubeAuricleTympanic membraneEAM

A

Tympanic membrane

475
Q

The external walls of the EAM are formed by which portion of the temporal bone?PetrousSquamousTympanicMastoid

A

Tympanic

476
Q

The foramen ovale provides passage for which of the following?Optic NerveMandibular branch of the trigeminal nerveMaxillary NerveMiddle meningeal artery

A

Mandibular branch of the trigeminal nerve

477
Q

The foramen rotundum provides passage for which of the following?Mandibular branch of the trigeminal nerveMaxillary NerveMiddle meningeal arteryOptic Nerve

A

Maxillary Nerve

478
Q

The foramen spinosum provides passage for which of the following?Maxillary NerveOptic NerveMiddle meningeal arteryMandibular branch of the trigeminal nerve

A

Middle meningeal artery

479
Q

The jugular foramen is formed at the junctions of what two bones?Occipital and temporalSphenoid and temporalTemporal and sphenoidTemporal and parietal

A

Occipital and temporal

480
Q

The largest immovable bones of the face are which of the following?MaxillaeMandiblePalatineZygoma

A

Maxillae

481
Q

The mandible and maxillary bones each have which of the following processes?ZygomaticCondylarAlveolarPalatine

A

Alveolar

482
Q

The mandibular condyle articulates with which of the following cranial bones?OccipitalFrontalTemporalParietal

A

Temporal

483
Q

The mastoid air cells are found in which of the following cranial bones?TemporalOccipitalSphenoidEthmoid

A

Temporal

484
Q

The middle and inner ear are formed by which portion of the temporal bones?SquamousPetrousMastoidTympanic

A

Petrous

485
Q

The most superior point of the junction of what two bones is referred to as the vertex of the skull?TemporalParietalSphenoidFrontal

A

Parietal

486
Q

The optic nerve and the ophthalmic artery pass through the optic canals in which cranial bone?ParietalSphenoidOccipitalEthmoid

A

Sphenoid

487
Q

The perpendicular plate of what bone forms the superior portion of the nasal septum?SphenoidEthmoidPalatineVomer

A

Ethmoid

488
Q

The perpendicular plate articulates with which bone to form the boney nasal septum?OccipitalEthmoidVomerSphenoid

A

Vomer

489
Q

The posterior portion of the sella turcica is called the:Dorsum SellaeStyloid ProcessGreater wingsTuberculum Sellae

A

Dorsum Sellae

490
Q

The sphenoid sinus is located below which aspect of the sphenoid bone?Optic CanalSella turcicaLesser wingGreater wing

A

Sella turcica

491
Q

The zygomatic process extends from which portion of the temporal bone?PetrousSquamousTympanicMastoid

A

Squamous

492
Q

What single cranial bone articulated with all other cranial bones?OccipitalEthmoidParietalSphenoid

A

Sphenoid

493
Q

Which aspect of the ear contains the auditory ausicles?InnerExternalMiddleAuricular portion

A

Middle

494
Q

Which boney process within the cranium contains the pituitary gland?Sella TurcicaSphenoid sinusForamen magnumDorsum Sellae

A

Sella Turcica

495
Q

Which of the following is not a process of the Ethmoid bone?Inferior nasal conchaeSuperior nasal conchaeMiddle nasal conchaeCribriform plate

A

Inferior nasal conchae

496
Q

Which of the following is a process of the sphenoid bone? (choose all correct)Sella TurcicaTuberculum SellaeLesser wingsGreater wings

A

All of the above

497
Q

Which of the following is the largest of the facial bones?MaxillaFrontalZygomaMandible

A

Mandible

498
Q

Which of the paranasal sinuses is present at birth?SphenoidFrontalEthmoidMaxillary

A

Maxillary

499
Q

Which of the sinuses is the largest?FrontalEthmoidMaxillarySphenoid

A

Maxillary

500
Q

Which portion of the temporal bone is considered the thickest boney aspect of the cranium?TympanicMastoidSquamousPetrous

A

Petrous

501
Q

All of the venous pathways in the brain ultimately drain into which major vessels of the neck?Internal jugular veinsCommon carotid arteriesInternal carotid arteriesVertebral arteries

A

Internal jugular veins

502
Q

Blood is supplied to the Circle of Willis by way of which of the following? (mark all correct)Basilar arteryCommunicating arteriesInternal CarotidsCerebral arteries

A

Basilar arteryInternal Carotids

503
Q

The basilar artery is formed by the union of what two arteries?Communicating arteriesVertebralsInternal carotidsCerebral arteries

A

Vertebrals

504
Q

The cerebellum communicates with other aspects of the brain by way of which of the following?All of the aboveTentoriumPedunclesVermis

A

Peduncles

505
Q

The cerebral aqueduct of the ventricular system is a passage way for: which of the following?CSFVenous bloodArterial bloodMyelinated axon bodies

A

CSF

506
Q

The cerebrum is connected medially by which of the following structures?VermisInsulaMidbrainCorpus Callosum

A

Corpus Callosum

507
Q

The fold of the dura mater extending into the longitudinal fissure is termed the:Falx CerebelliInferior Sagittal SinusSuperior Sagittal SinusFalx Cerebri

A

Falx Cerebri

508
Q

The folds of the brain’s surface may be referred to as:SinusesFissuresSulciGyri

A

Gyri

509
Q

The lobes of the cerebellum are connected medially by which of the following structures?VermisCorpus CallosumInsulaMidbrain

A

Vermis

510
Q

The lobes of the cerebellum are connected medially by way of the:Cerebral CortexInsulaVermisCorpus Callosum

A

Vermis

511
Q

The longitudinal fissure separates which aspects of the brain?Cerebral and CerebellarRight and Left Cerebral LobesTemporal and Parietal LobesFrontal and Parietal

A

Right and Left Cerebral Lobes

512
Q

The most posterior aspect of the cerebrum is the:DiencephalonBrainstemCerebellumOccipital lobe

A

Occipital lobe

513
Q

The pineal gland is the most important feature of which aspect of the diencephalon?HypothalamusThalamusPituitary glandEpithalamus

A

Epithalamus

514
Q

The pituitary gland is attached by the infundibulum to what other feature of the diencephalon?ThalamusEpithalamusPituitary glandHypothalamus

A

Hypothalamus

515
Q

The pre-central and post-central gyri are adjacent to which fissure of the brain?Longitudinal FissureInterhemispheric FissureLateral FissureCentral Fissure

A

Central Fissure

516
Q

The sigmoid sinus is an extension of what vein in the brain?Sigmoid sinusStraight sinusInferior sagittal sinusTransverse sinus

A

Transverse sinus

517
Q

The space outside of the dura mater is termed the:Cisterna magnaSubdural spaceSubarachnoid spaceEpidural space

A

Epidural space

518
Q

The subarachnoid space is between which meninges?Pia and duraArachnoid and piaDura and arachnoid

A

Arachnoid and pia

519
Q

The subdural space is between which layers of the meninges?Dura and arachnoidPia and duraArachnoid and pia

A

Dura and arachnoid

520
Q

The superior sagittal sinus continues as what venous pathway in the brain?Inferior sagittal sinusTransverse sinusStraight sinusSigmoid sinus

A

Transverse sinus

521
Q

The trigone is a feature of which CSF reservoir?Lateral ventriclesFourth ventricleThird ventricleSuperior Sagittal Sinus

A

Lateral ventricles

522
Q

Through which aspect of the brainstem does the cerebral aqueduct transverse?Mid brainPonsNone of the aboveMedulla oblongata

A

Mid brain

523
Q

What fissure separates the frontal and parietal lobes from the temporal lobe?Lateral FissureRolandic FissureLongitudinal FissureCentral Fissure

A

Lateral Fissure

524
Q

What fissure separates the frontal and parietal lobes of the brain?Central FissureLongitudinal FissureLateral FissureInterhemispheric Fissure

A

Central Fissure

525
Q

Which aspect of the brainstem is continuous with the spinal cord?Mid brainNone of the abovePonsMedulla oblongata

A

Medulla oblongata

526
Q

Which aspect of the diencephalon is considered the master endocrine gland?ThalamusEpithalamusPituitary glandHypothalamus

A

Pituitary gland

527
Q

Which aspect of the diencephalon helps to form the lateral walls of the third ventricles?Pituitary glandThalamusEpithalamusHypothalamus

A

Thalamus

528
Q

Which aspect of the ventricular system is positioned between the lobes of the thalamus?Fourth ventricleLateral ventriclesSuperior Sagittal SinusThird ventricle

A

Third ventricle

529
Q

Which aspect of the ventricular system is shaped like a diamond?Fourth ventricleLateral ventriclesSuperior Sagittal SinusThird ventricle

A

Fourth ventricle

530
Q

Which CSF passage allows for communication between the lateral and third ventricles?Cerebral aqueductForamen of LuschkaInterventricular foramenForamen of Magendie

A

Interventricular foramen

531
Q

Which fold of the dura mater divides the two lobes of the cerebellum?Falx cerebrumFalx cerebelliTentoriumDiaphragma sellae

A

Falx cerebelli

532
Q

Which fold of the dura mater divides the right and left halves of the cerebrum?Diaphragma sellaeTentoriumFalx cerebrumFalx cerebelli

A

Falx cerebrum

533
Q

Which fold of the dura mater covers the pituitary gland?Falx cerebrumDiaphragma sellaeFalx cerebelliTentorium

A

Diaphragma sellae

534
Q

Which fold of the dura mater separates the cerebrum and cerebellum?TentoriumFalx cerebelliFalx cerebrumDiaphragma sellae

A

Tentorium

535
Q

Which of the following is the largest aspect of the brain?CerebrumDiencephalonBrainstemCerebellum

A

Cerebrum

536
Q

Which of the following vessels circulate blood from the Circle of Willis into the brain?Cerebral arteriesBasilar arteryInternal carotidsCommunicating arteries

A

Cerebral arteries

537
Q

Which of the following arteries circulate blood around the major vessels of the Circle of Willis?Internal carotidsCerebral arteriesCommunicating arteriesBasilar artery

A

Communicating arteries

538
Q

Which of the following veins does not directly connect to the Confluence of Sinuses?Straight sinusSigmoid sinusInferior sagittal sinusTransverse sinus

A

Sigmoid sinus

539
Q

Which of the following is not an aspect of the cerebrum?InsulaCerebral CortexCorpus CallosumVermis

A

Vermis

540
Q

Which of the following is not composed of white brain matter?Myelinated AxonsCerebral cortexNone of the aboveCorpus Callosum

A

Cerebral cortex

541
Q

Which of the following is the most inferior aspect of the brainstem?None of the aboveMid brainPonsMedulla oblongata

A

Medulla oblongata

542
Q

Which of the following houses most of the thalamus?Mid brainPonsMedulla oblongataNone of the above

A

None of the above

543
Q

Which of the following allows for CSF communication between the third and fourth ventricles?Foramen of LuschkaCerebral aqueductForamen of MagendieInterventricular foramen

A

Cerebral aqueduct

544
Q

Which of the following connects the ventricular system to the subarachnoid space?Cerebral aqueductInterventricular foramenForamen of MagendieForamen of Luschka

A

Foramen of Luschka

545
Q

Which of the following is the largest aperture connection the 4th ventricle to the basal cisterns and central canal of the spinal cord?Interventricular foramenForamen of LuschkaCerebral aqueductForamen of Magendie

A

Foramen of Magendie

546
Q

Which of the following structure is responsible for producing CSF?VentriclesBasal cisternsChoroid plexusMeninges

A

Choroid plexus

547
Q

Which of the meninges attaches directly to the surface of the brain?ArachnoidAll of the abovePia materDura mater

A

Pia mater

548
Q

Which portion of the brainstem is identifiable as a prominent bulge near the center of the brain?None of the aboveMedulla oblongataPonsMid brain

A

Pons

549
Q

Widened areas of the subarachnoid space are referred to as:MeningesBasal cisternsChoroid plexusVentricles

A

Basal cisterns

550
Q

T/F: All vertebrae of the cervical spine share the same characteristic features.

A

False

551
Q

An abnormal forward curvature of the thoracic spine is termed:KyphosisHypnosisPrognosisLordosis

A

Kyphosis

552
Q

An exaggerated curve of the lumbar spine is termed:ScoliosisHunchbackKyphosisLordosis

A

Lordosis

553
Q

Costo-vertebral joints are a feature unique to which aspect of the vertebral column?CervicalLumbarSacralThoracic

A

Thoracic

554
Q

How many vertebra of the spine are movable?24302333

A

24

555
Q

Spinal nerves exit the vertebral column via what feature of the spine?Transverse foraminaSpinal canalVertebral canalIntervertebral foramina

A

Intervertebral foramina

556
Q

T/F: The 2nd cervical vertebra has both an anterior arch and a posterior arch.

A

False

557
Q

The anterior projections of the gray matter within the spinal cord continue outside of the cord as which of the following?Dorsal nerve rootsWhite matterVentral nerve rootsGanglia

A

Ventral nerve roots

558
Q

The dens is a feature of which cervical vertebra?C7C1C2C6

A

C2

559
Q

T/F: The external borders of the spinal cord are composes of white matter.

A

True

560
Q

T/F: The fluid-filled outer ring of the intervertebral discs is termed the nucleus pulpous.

A

False

561
Q

T/F: The lateral masses of C1 bear the weight of the head.

A

True

562
Q

The nerve bundles extending from the distal end of the spinal cord are termed the:Cauda equinaConus medullarisSella TurcicaMedulla oblongata

A

Cauda equina

563
Q

The semispinalis muscles belong to which of the following muscle groups?Splenius musclesTransversospinal musclesPsoas musclesErector spinae muscles

A

Splenius muscles

564
Q

The spinal cord continues from what other feature of the CNS?Sella TurcicaConus medullarisCauda equinaMedulla oblongata

A

Medulla oblongata

565
Q

The spinal cord ends at the level of which vertebra?C1S1T1L1

A

L1

566
Q

The terminal end of the spinal cord is described by which of the following?Sella TurcicaConus medullarisCauda equinaMedulla oblongata

A

Conus medullaris

567
Q

The transverse foramina are a pathway for which of the following?Jugular veinsVertebral arteriesSpinal cordSpinal nerves

A

Vertebral arteries

568
Q

The vertebral column is composed of how many vertebrae?24332330

A

33

569
Q

Which of the following aspects of the spine have a normal kyphotic curve? (choose all correct)LumbarSacrumThoracicCervical

A

SacrumThoracic

570
Q

Which of the following lacks a typical vertebral body?C1C7C2C6

A

C1

571
Q

Which of the following lacks a bifid spinous process? (Choose all correct answers)C7C1C6C2

A

C7C1

572
Q

Which of the following is used a as landmark dividing the abdominal and pelvic cavities?Sacral hiatusLateral massesSacral ForaminaSacral promontory

A

Sacral promontory

573
Q

Which of the following is also known as the ala?Lateral massesSacral hiatusSacral ForaminaSacral promontory

A

Lateral masses

574
Q

Which of the following describes the large opening on the inferior aspect of the sacrum?Sacral ForaminaLateral massesSacral hiatusSacral promontory

A

Sacral hiatus

575
Q

Which of the following is formed within the transverse processes of the sacral vertebrae?Sacral hiatusSacral promontoryLateral massesSI Joint

A

Lateral masses

576
Q

Which of the following cavities is not filled by CSF?None of the aboveSubdural spaceSubarachnoid spaceCentral canal

A

Subdural space

577
Q

Which of the following is a direct extension of the ventricular system of the brain?None of the aboveCentral canalSubdural spaceEpidural space

A

Central canal

578
Q

Which of the following is accessed and injected with contrast for a myelogram?Central canalNone of the aboveSubarachnoid spaceSubdural space

A

Subarachnoid space

579
Q

Which of the following is accessed during an epidural to inject anesthetic agents?Central canalSubarachnoid spaceSubdural spaceNone of the above

A

None of the above

580
Q

Which of the following terms refers to the lateral aspects of the vertebral arch to which the vertebral body attaches?Articular FacetsPedicleTransverse processLamina

A

Pedicle

581
Q

Which of the following muscle groups are the chief extends of the entire spine?Psoas musclesSplenius musclesTransversospinal musclesErector spinae muscles

A

Erector spinae muscles

582
Q

Which of the following muscle groups extend from the cervical vertebrae through the upper thoracic spine?Erector spinae musclesSplenius musclesPsoas musclesTransversospinal muscles

A

Splenius muscles

583
Q

Which of the following muscle groups attach between the spinous processes and transverse processes of different vertebrae?Erector spinae musclesSplenius musclesPsoas musclesTransversospinal muscles

A

Transversospinal muscles

584
Q

Which of the following terms refers to the most lateral appendages of a typical vertebra?Transverse processPedicleArticular FacetsLamina

A

Transverse process

585
Q

Which of the following terms refers to the most posterior aspect of the neural arch?Articular FacetsTransverse processLaminaPedicle

A

Lamina

586
Q

Which of the following is an insertion site for the transversospinal muscles of the vertebral column?PedicleArticular FacetsTransverse processLamina

A

Transverse process

587
Q

Which of the following is a feature characteristic of only cervical vertebrae?Large vertebral bodiesFused transverse processesTransverse foraminaFacets and demi-facets

A

Transverse foramina

588
Q

Which of the following is a feature characteristic of only thoracic vertebrae?Facets and demi-facetsFused transverse processesTransverse foraminaLarge vertebral bodies

A

Facets and demi-facets

589
Q

Which of the following is a feature characteristic of only lumbar vertebrae?Large vertebral bodiesTransverse foraminaFacets and demi-facetsFused transverse processes

A

Large vertebral bodies

590
Q

Which of the following is a feature characteristic of only sacral vertebrae?Facets and demi-facetsLarge vertebral bodiesFused transverse processesTransverse foramina

A

Fused transverse processes

591
Q

Which vertebral ligament runs along the ventral surface of the vertebral column?Posterior longitudinal ligamentLigamentum flavumAnterior longitudinal ligamentInterspinous ligament

A

Anterior longitudinal ligament

592
Q

Which vertebral ligament attaches between the lamina of adjoining vertebrae?Interspinous ligamentPosterior longitudinal ligamentLigamentum flavumAnterior longitudinal ligament

A

Ligamentum flavum

593
Q

Which vertebral ligament covers the dorsal surface of the vertebral bodies of the spine?Posterior longitudinal ligamentAnterior longitudinal ligamentLigamentum flavumInterspinous ligament

A

Posterior longitudinal ligament

594
Q

Which vertebral ligament can be seen on sagittal imaging extending between the spinous processes of adjacent vertebrae?Posterior longitudinal ligamentAnterior longitudinal ligamentInterspinous ligamentLigamentum flavum

A

Interspinous ligament

595
Q

A thoracic vertebra may be identified as it has which of the following?Costal facetsLarge vertebral bodyAll of the aboveTransverse foramina

A

Costal facets

596
Q

The first _______ ribs are considered true ribs.EightSixSevenFive

A

Seven

597
Q

Which of the following statements describes the 8th, 9th, and 10th ribs?They are fused together by costal cartilageThey do not attach to the sternumThey are considered floating ribsAll of the above

A

They are fused together by costal cartilage

598
Q

Which aspect of the sternum is visualized on an axial image displaying the articulation of the clavicles with the sternum?ManubriumXiphoid processAny of the aboveBody

A

Manubrium

599
Q

The large projection on the posterior surface of the scapula dividing it into upper and lower fossae is termed the:Coracoid processScapular spineGlenoid fossaAcromion process

A

Scapular spine

600
Q

Which aspect of the scapula articulates which the clavicle?Scapular spineGlenoid fossaAcromion processCoracoid process

A

Acromion process

601
Q

Which aspect of the scapula articulates with the humeral head?Coracoid processAcromion processGlenoid fossaScapular spine

A

Glenoid fossa

602
Q

Which of the following terms describes the posterior-lateral beaklike projection of the scapulae?Coracoid processGlenoid fossaScapular spineAcromion process

A

Coracoid process

603
Q

Posteriorly the trachea is in contact with which structure of the mediastinum?Thyroid tissueCarotid arteriesLarynxEsophagus

A

Esophagus

604
Q

Anteriorly, the trachea is covered by which of the following structures?Carotid arteriesEsophagusLarynxThyroid tissue

A

Thyroid tissue

605
Q

The trachea begins at what level of the spine?T6T12C6T1

A

C6

606
Q

Which primary bronchus is longer?LeftRight

A

Left

607
Q

Which primary bronchus has a greater diameter?LeftRight

A

Right

608
Q

Which primary bronchus divides into three braches?LeftRight

A

Right

609
Q

Which primary bronchus has an eparterial branch?RightLeft

A

Right

610
Q

Which primary bronchus is directed more inferiorly than laterally?RightLeft

A

Right

611
Q

The superior aspect of the lungs are grossly termed the:Diaphragmatic surfaceMediastinal surfaceBaseApex

A

Apex

612
Q

The most lateral aspect of the lung base may be described as which of the following?Lung rootCosto-phrenic anglesHilumCostal surface

A

Costo-phrenic angles

613
Q

The most medial aspect of the lungs’ surface is termed the: (choose all correct)Costo-phrenic anglesLung rootHilumCostal surface

A

Lung rootHilum

614
Q

Which of the following terms are essentially synonymous? (choose all correct)Costal surfaceLung rootHilumCosto-phrenic angles

A

Lung rootHilum

615
Q

Which lobe of the left lung comprises most of that lungs anterior surface?SuperiorMiddleAny of the aboveInferior

A

Superior

616
Q

Which lobe of the left lung constitutes almost the entire lung base?SuperiorInferiorAny of the aboveMiddle

A

Inferior

617
Q

Which lobe of the left lung comprises most of that lungs mediastinal surface?SuperiorInferiorAny of the aboveMiddle

A

Superior

618
Q

The left lung has how many fissures?ThreeTwoOne

A

One

619
Q

The right lung has how many lobes?ThreeTwoOne

A

Three

620
Q

The lungs are connected to the mediastinum via what structure?Mediastinal pleuraLung rootsInterlobular fissuresVisceral pleura

A

Lung roots

621
Q

Which of the following describes the anatomical unit of the lungs?LobesAlveoliPrimary lobulesSecondary lobules

A

Primary lobules

622
Q

The last airway passage in the bronchial tree is which of the following?Secondary bronchiAlveolar ductsLobular bronchiPrimary bronchi

A

Alveolar ducts

623
Q

Which of the following terms is also termed tertiary bronchi?Secondary bronchiLobular bronchiAlveolar ductsPrimary bronchi

A

Lobular bronchi

624
Q

Which of the following is formed at the carina?Secondary bronchiLobular bronchiAlveolar ductsPrimary bronchi

A

Primary bronchi

625
Q

Which of the following supplies blood to the lungs?Pulmonary arteriesAortaPulmonary veinsCoronary arteries

A

Pulmonary arteries

626
Q

Which of the following carries deoxygenated blood?Pulmonary veinsPulmonary arteriesAortaCoronary arteries

A

Pulmonary arteries

627
Q

Which of the following emptied blood into the left atrium?Coronary arteriesPulmonary arteriesPulmonary veinsAorta

A

Pulmonary veins

628
Q

Which of the following arises from the right ventricle?Pulmonary veinsPulmonary arteriesAortaCoronary arteries

A

Pulmonary arteries

629
Q

Which of the following arises from the left ventricle?AortaPulmonary veinsCoronary arteriesPulmonary arteries

A

Aorta

630
Q

Which of the following supplies arterial blood to the myocardium?Pulmonary arteriesAortaPulmonary veinsCoronary arteries

A

Coronary arteries

631
Q

The primary pulmonary veins are how many in number?FourTwoThree

A

Four

632
Q

Which of the following directs blood from the lungs into the heart?Coronary arteriesPulmonary arteriesAortaPulmonary veins

A

Pulmonary veins

633
Q

Which of the following supplies blood to the majority of the body?AortaCoronary arteriesPulmonary veinsPulmonary arteries

A

Aorta

634
Q

Which of the following is a fibrous tissue lining the inner walls of the hearts chambers?MyocardiumEpicardiumEndocardiumPericardium

A

Endocardium

635
Q

Which of the following is the visceral layer of the heart’s serous membrane?EndocardiumEpicardiumPericardiumMyocardium

A

Epicardium

636
Q

Which of the following refers to the heart muscle?MyocardiumEpicardiumEndocardium

A

Myocardium

637
Q

Deoxygenated blood is emptied into which chamber of the heart?Right VentricleRight AtriumLeft VentricleLeft Atrium

A

Right Atrium

638
Q

Deoxygenated blood leaves the heart via what chamber?Right AtriumRight VentricleLeft AtriumLeft Ventricle

A

Right Ventricle

639
Q

The coronary arteries extend from what large vessel of the heart?Superior Vena CavaAortaAzygos VeinPulmonary arteries

A

Aorta

640
Q

Which of the following is a branch of the left main coronary artery?CircumflexNone of the aboveRight anterior descendingRight main

A

Circumflex

641
Q

T/F: The coronary veins drain into the coronary sinus and ultimately into the right atrium.

A

True

642
Q

Which of the following is the first branch of the aorta?Brachiocephalic trunkRight common carotidLeft subclavianRight subclavian

A

Brachiocephalic trunk

643
Q

The SVC is formed by the joining of which of the following vessels? (choose all correct)IVCAzygos veinLeft brachiocephalic veinRight brachiocephalic vein

A

Left brachiocephalic veinRight brachiocephalic vein

644
Q

Which of the following is the chief venous pathway of the trunk and lower body?Right brachiocephalic veinIVCLeft brachiocephalic veinAzygos vein

A

IVC

645
Q

Which of the following drains blood from the posterior thorax and abdomen?Right brachiocephalic veinAzygos veinLeft brachiocephalic veinIVC

A

Azygos vein

646
Q

Which of these muscles marks the division between the chest and abdominal cavities?DiaphragmQuadratus lumborumIliacPsoas

A

Diaphragm

647
Q

Which of the muscles is visualized on the posterior of the abdominal cavity? (select all correct)DiaphragmPsoasQuadratus lumborumIliac

A

PsoasQuadratus lumborum

648
Q

The peritoneum is a:Serous MembraneMuscleOrganVessel

A

Serous Membrane

649
Q

Which of the following is not a retroperitoneal structure?IVCUretersKidneysTransverse colon

A

Transverse colon

650
Q

Which of the following is a retroperitoneal structure? (choose all correct)Small bowelSpleenAscending colonAorta

A

Ascending colonAorta

651
Q

The omentum is attaches to which of the following structures?StomachSmall bowelLarge bowelLiver

A

Stomach

652
Q

The mesentery is primary attached to which of the following structures?LiverStomachSmall bowelLarge bowel

A

Small bowel

653
Q

Which of the following is a retroperitoneal structure?DuodenumIleumJejunumAll of the above

A

Duodenum

654
Q

Which of the following is the largest lobe of the liver?LeftRightCaudateQuadrate

A

Right

655
Q

Blood from the splenic and mesenteric veins is first directed to the:SVCPortal veinAortaIVC

A

Portal vein

656
Q

Arterial blood to the liver is provided by a branch of what artery?Celiac TrunkIMASMA

A

Celiac Trunk

657
Q

Which of the following organs helps to produce antibodies?PancreasKidneysLiverSpleen

A

Spleen

658
Q

Insulin and glucagon are products of which of the following organs?LiverKidneysSpleenPancreas

A

Pancreas

659
Q

The hepatic artery shares a common trunk with which of the following vessels?SMASplenic arteryIMARenal arteries

A

Splenic artery

660
Q

The portal vein is formed by the confluence of which of the following vessels? (Choose all correct)Splenic veinSMVIMVRenal veins

A

Splenic veinSMVIMV

661
Q

What aspect of the SB is related to the head of the pancreas?JejunumIleumDuodenum

A

Duodenum

662
Q

Gerota’s fascia surrounds which of these organs?Small bowelSpleenKidneysPancreas

A

Kidneys

663
Q

Which of the following vessels is visualized on the posterior surface of the pancreas?Left gastric arterySMASplenic arteryHepatic artery

A

Splenic artery

664
Q

Which of the following in not a branch of the celiac truck?SMASplenic arteryHepatic arteryLeft gastric artery

A

SMA

665
Q

Which kidney is usually positioned higher than the other?LeftRight

A

Left

666
Q

Renal pyramids are apparent in which aspect of the kidney?UretersMedullaCollecting systemCortex

A

Medulla

667
Q

The major calyces are formed by which of the following?Renal pelvisMinor calycesUretersRenal cortex

A

Minor calyces

668
Q

The kidneys receive oxygenated blood via what vessel?IMASMASplenic ArteryNone of the above

A

None of the above

669
Q

Generally, the most superior structure of the renal hilum is the:UreterAny of the aboveRenal veinRenal artery

A

Renal artery

670
Q

The adrenal glands are visualized in relation to what other structures of the abdomen?Small bowelPancreasSpleenKidneys

A

Kidneys

671
Q

Which of the following is the most superior aspect of the stomach?AntrumPylorusCardiaFundus

A

Fundus

672
Q

Which of the following marks the beginning of the distal stomach?CardiaAntrumFundusPylorus

A

Antrum

673
Q

Which of these continues as the duodenum?CardiaFundusAntrumPylorus

A

Pylorus

674
Q

Which of these structures describes the junction of the stomach and the esophagus?PylorusCardiaAntrumFundus

A

Cardia

675
Q

Which of the major braches of the aorta feed the stomach?SMACeliac TrunkIMAAll of the above

A

Celiac Trunk

676
Q

The renal arteries extend form what structure?IVCAortaRenal pelvis

A

Aorta

677
Q

The SB receives arterial blood from what branch of the aorta?SMACeliac TrunkIMAAll of the above

A

SMA

678
Q

The descending colon is visualized in what portion of the abdomen?RightLeftCentralNone of the above

A

Left

679
Q

Which of the following continues as the sigmoid colon?Transverse colonAscending colonDescending colonCecum

A

Descending colon

680
Q

Which of these is found between the hepatic and splenic flextures?Transverse colonAscending colonDescending colonCecum

A

Transverse colon

681
Q

The appendix extends from what portion of the colon?Ascending colonDescending colonCecumTransverse colon

A

Cecum

682
Q

Which of these is the only portion of the colon that is peritoneal?CecumTransverse colonAscending colonDescending colon

A

Transverse colon

683
Q

Most venous blood from the lower abdomen travel back to the heart via what vessel?SVCPortal veinAortaIVC

A

IVC

684
Q

The aorta bifurcates at what level?None of the aboveT12DiaphragmUmbilicus

A

Umbilicus

685
Q

The crus, covering the aorta, are an extension of what structure?IVCLungsDiaphragmPeritoneum

A

Diaphragm

686
Q

The right sided branch of the celiac trunk is which of the following?Left gastricHepatic arterySplenic arterySMA

A

Hepatic artery

687
Q

Which of the follow list in order from superior to inferior the major branches of the abdominal aorta:Celiac Trunk, SMA, IMA, Renal ArteriesCeliac Trunk, SMA, Renal Arteries, IMASMA, IMA, Celiac Trunk, Renal ArteriesCeliac Trunk, Renal Arteries, SMA, IMA

A

Celiac Trunk, SMA, Renal Arteries, IMA

688
Q

The whitish opaque portion of the eye is termed the:ScleraCorneaLensConjunctiva

A

Sclera

689
Q

The transparent anterior bulge of the bulbus oculi is termed the:ConjunctivaLensScleraCornea

A

Cornea

690
Q

The thin membrane protected the anterior portion of the eye is termed the:ScleraLensConjunctivaCornea

A

Conjunctiva

691
Q

The structure responsible for directing light onto the retina is termed:ConjunctivaLensCorneaSclera

A

Lens

692
Q

T/F: The large nerve exiting the eye is termed the ophthalmic nerve.

A

False

693
Q

The ophthalmic artery is a direct branch of which of the following vessels?Common carotidInternal carotidInternal jugularExternal carotid

A

Internal carotid

694
Q

Which of the following is not a salivary gland?ParotidSubmandibularParathyroidSublingual

A

Parathyroid

695
Q

Which of the following vessels typically arises directly from the aortic arch?Right common carotidBasilarLeft common carotidVertebral

A

Left common carotid

696
Q

The parotid glands are oriented posterior to what aspect of the mandible?None of the aboveBodyMentumRamus

A

Ramus

697
Q

The submandibular glands are located medially to what aspect of the mandible?RamusBodyNone of the aboveMentum

A

Body

698
Q

Which of the following glands are positioned directly below the tongue?ParotidSublingualLacrimalSubmandibular

A

Sublingual

699
Q

Each common carotid artery bifurcated into internal and external carotid arteries at the level of the:Jugular notchEAMForamen magnumThyroid cartilage

A

Thyroid cartilage

700
Q

Which of the following vessels do not enter the skull?None of the aboveExternal CarotidVertebralsInternal Carotid

A

External Carotid

701
Q

Which of the following vessel pairs ultimately merge and form the basilar artery?Internal CarotidsExternal CarotidsVertebralsInternal Jugulars

A

Vertebrals

702
Q

Which of the following vessels supply blood to the face and scalp?External CarotidsInternal JugularsVertebralsInternal Carotids

A

External Carotids

703
Q

Which of the following does not help supply blood to the Circle of Willis?Internal CarotidsExternal CarotidsNone of the aboveVertebrals

A

External Carotids

704
Q

T/F: The vertebral arteries pass through the vertebral foramina of the cervical spine on the way to the cranium.

A

False

705
Q

T/F: If it weren’t for your awesome instructor you wouldn’t love cross sectional anatomy nearly as much as you do now.

A

True

706
Q

The basilar artery is formed at the level of which of the following structure?Thyroid cartilageEAMJugular notchForamen magnum

A

Foramen magnum

707
Q

T/F: The anterior and external jugular veins usually drain superficial areas such as the face and scalp.

A

True

708
Q

What structure marks the beginning of the lower respiratory system?LarynxOropharynxNasopharynxNone of the above

A

Larynx

709
Q

The most inferior portion of the pharynx is the:None of the aboveNasopharynxLaryngopharynxOropharynx

A

Laryngopharynx

710
Q

Which of the following is the lower border of the oropharynx?EpiglottisSoft palateThyroid cartilagePalatine tonsils

A

Epiglottis

711
Q

The thyroid cartilage, cricoid cartilage, and the epiglottis are all structures of the:EsophagusOropharynxTracheaLarynx

A

Larynx

712
Q

Which of the following structures marks the transition of the larynx into the trachea?Cricoid cartilageEpiglottisSoft palateThyroid cartilage

A

Cricoid cartilage

713
Q

Which aspect of the larynx covers the trachea during swallowing?Soft palateEpiglottisCricoid cartilageThyroid cartilage

A

Epiglottis

714
Q

Which structure is positioned closest to the spine?EsophagusTrachea

A

Esophagus

715
Q

The trachea bifurcates into the right and left mainstem bronchi at what spinal level?T10-T11T2-T3T4-T5C7-T1

A

T4-T5

716
Q

Which of the following marks the superior margin of the pelvis?Quadratus lumborumIliac bonesAbdominal musclesSacral Prominens

A

Sacral Prominens

717
Q

Which of the following defines the anterior border of the pelvis?Abdominal musclesSacral ProminensIliac bonesQuadratus lumborum

A

Abdominal muscles

718
Q

Which of the following is least likely to be identified in the pelvis?JejunumDuodenumCecumIleum

A

Duodenum

719
Q

Which of the following may be found in the pelvis but not in the abdomen?GI tractUrinary systemPeritoneumReproductive organs

A

Reproductive organs

720
Q

T/F: The appendix extends from the cecum.

A

True

721
Q

What term describes the s-shaped portion of the large bowl in the LLQ?Descending colonSigmoid colonRectumAnus

A

Sigmoid colon

722
Q

What term describes the last segment of the GI tract?Descending colonRectumSigmoid colonAnus

A

Rectum

723
Q

T/F: The appendix is always found directly behind the cecum at the level of S1.

A

False

724
Q

Which of the following describes an organ with thin muscular walls located on the anterior abdominal wall?ProstateUterusRectumBladder

A

Bladder

725
Q

Which of the following is the most posterior structure in the male pelvis?Iliac musclesUterusProstateRectum

A

Rectum

726
Q

Which of the following structures is sometime situated above and behind the bladder?RectumIliac musclesUterusProstate

A

Uterus

727
Q

Which of the following may be found below and behind the urinary bladder?RectumProstateUterusIliac muscles

A

Prostate

728
Q

Which of the following describes the most anterior structure of the female pelvis?RectumBladderProstateUterus

A

Bladder

729
Q

Which of the following describes a sac-like organ with variable appearance and orientation located in the center of the pelvic floor?BladderUterusRectumProstate

A

Uterus

730
Q

The ureters joint to the bladder on which of its surfaces?InferiorAnteriorSuperiorPosterior

A

Posterior

731
Q

The ph of the fluid secreted by the prostate is acidic or alkaline?AlkalineAcidic

A

Alkaline

732
Q

The urethra in males passes through which of these organs?ProstateUterusRectumIliac muscles

A

Prostate

733
Q

T/F: The uterus appears as the same shape and same orientation in all women.

A

False

734
Q

During menstruation the walls of the uterus may appear thicker or thinner usual?ThickerThinner

A

Thicker

735
Q

T/F: During ovulation the ovaries decrease in size.

A

False

736
Q

The most superior bone of the pelvic bone is the:IliumIschiumPubis

A

Ilium

737
Q

The most anterior bone of the pelvic bone is the:PubisIschiumIlium

A

Pubis

738
Q

Which of the following does not form the rami of the obturator foramen?PubisIliumIschium

A

Ilium

739
Q

Which of the following forms the wings attaching to the sacrum?PubisIliumIschium

A

Ilium

740
Q

Which of the following bones joint at the acetabulum? (select all correct)IliumIschiumPubis

A

All of the above

741
Q

Which of the following bone forms an uncomfortable tuberosity on your posterior?IliumPubisIschium

A

Ischium

742
Q

The aorta bifurcates into which of the following at the level of L4?Common femoral arteriesInternal iliac arteriesIVCCommon iliac arteries

A

Common iliac arteries

743
Q

The confluence of the common iliac veins forms which of the following?Common iliac arteriesIVCCommon femoral arteriesInternal iliac arteries

A

IVC

744
Q

As it passes behind the inguinal ligament, the external iliac artery becomes which of the following?Common iliac arteriesIVCInternal iliac arteriesCommon femoral arteries

A

Common femoral arteries

745
Q

Which of these terms specifically describes a cancerous tumor?AbscessMalignantNeoplasmBenign

A

Malignant

746
Q

T/F: Imaging studies alone always allow for differentiation between benign and malignant neoplasms.

A

False

747
Q

Which of these conditions appears as inflammation in the bowel?ColitisAbscessCancerAscites

A

Colitis

748
Q

Which of the following is the most common primary cancer?ProstateLungColorectalBreast

A

Prostate

749
Q

What term describes a cancer in one organ/tissue but originated from a different organ/tissue?Metastatic neoplasmPrimary cancerBenign neoplasmMalignant neoplasm

A

Metastatic neoplasm

750
Q

T/F: The terms inflammation and infection are synonymous.

A

False

751
Q

Define Ascites

A

The condition of pathological fluid collection within the abdominal cavity

752
Q

Define Abscess

A

A localized collection of infection in any part of the body

753
Q

Define Hematoma

A

A collection of blood, usually clotted, outside of a blood vessel

754
Q

Define Colitis

A

inflammation of the colon

755
Q

Which of these pathologic processes is most likely to be associated with hepatitis or malignancy?AscitesCystsAbscessHematoma

A

Ascites

756
Q

Which of these conditions might appear as a walled cavity filled with infected fluid, blood, and sometimes air?HematomaAscitesInflammationAbscess

A

Abscess

757
Q

Which of these conditions appears as excessive fluid inside the abdomen but outside of the GI tract?Ascites AbscessColitisInflammation

A

Ascite

758
Q

Which of these conditions may be further categorized as infectious, ulcerative, or ischemic?CystsAbscessColitisCancer

A

Colitis

759
Q

Which of the following is a common cause of cancer? (choose all correct)RadiationImmune conditionsInherited mutationsChemicals

A

All of the above

760
Q

Define Organ Laceration

A

A tear in the body of an organ that results in bleeding

761
Q

Define Organ Infarct

A

Tissue deprived of blood supply

762
Q

Define Cyst

A

An abnormal, a sac-like structure usually containing a gaseous, liquid or semisolid substance

763
Q

Define Aneurysm

A

An abnormal widening or ballooning of a portion of an artery

764
Q

Which of these conditions describes a blood vessel partitioned by an intimal flap into a true and false lumen?CystDissecting AneurysmAneurysmAbscess

A

Dissecting Aneurysm

765
Q

An organ infarct may be linked to which of the following? (choose all correct)LacerationStenosisEmboliDissection

A

All of the above

766
Q

Which of the following is a kind of organ infarct? (Choose all correct)MIAscitesTIA/CVAMalignancy

A

MITIA/CVA

767
Q

Which of these conditions appears in imaging as tissue ischemia and/or areas of poor contrast perfusion?MalignancyAbscessAneurysmInfarct

A

Infarct

768
Q

Which of these skull fractures is least likely to require intervention?Linear skull fracturePing-pong fractureBasilar skull fractureDepressed skull fracture

A

Linear skull fracture

769
Q

What is the most significant complication often associated with a depressed skull fracture?All of the aboveEpidural hemorrhageCSF leakingDural tearing

A

Epidural hemorrhage

770
Q

Which of these fractures are most likely to result in CSF leakage? (choose all correct)Diastatic fracturePing-pong fractureDepressed skull fractureBasilar skull fracture

A

Diastatic fractureBasilar skull fracture

771
Q

Which of these fractures are most likely to affect children? (choose all correct)Diastatic fractureDepressed skull fractureBasilar skull fracturePing-pong fracture

A

Diastatic fracturePing-pong fracture

772
Q

Which of these fractures is most likely to be comminuted?Basilar skull fracturePing-pong fractureDiastatic fractureDepressed skull fracture

A

Depressed skull fracture

773
Q

Which of these fractures occur only along suture lines?Diastatic fractureBasilar skull fracturePing-pong fractureDepressed skull fracture

A

Diastatic fracture

774
Q

Which of these fractures is comparable to a green stick fracture in long bones?Basilar skull fractureDepressed skull fracturePing-pong fractureDiastatic fracture

A

Ping-pong fracture

775
Q

Which of these fractures is least likely to cause boney protrusion into the cranium?Ping-pong fractureNone of these fractures intrude into the cranium.Linear skull fractureDepressed skull fracture

A

Linear skull fracture

776
Q

Which of the following is considered the most serious linear skull fracture?Diastatic fractureBasilar skull fractureDepressed skull fracturePing-pong fracture

A

Basilar skull fracture

777
Q

Which of these areas are usually affected in a zygomaticomaxillary complex fracture? (choose all correct)Nasal bonesZygomatic archOrbital wallMaxillary sinus

A

Zygomatic archOrbital wallMaxillary sinus

778
Q

Which of these fractures is associated with a floating face?LeFort fracturesZygomaticomaxillary complex fracturesBlow-out fracturesNasal fractures

A

LeFort fractures

779
Q

Which of these are common complications associated with zygomaticomaxillary complex fractures? (Choose all correct)Blood in the maxillary sinus“Floating face”Ocular injuriesDural tearing

A

Blood in the maxillary sinusOcular injuries

780
Q

Which of these fractures may result in injury to the maxillary sinus? (choose all correct)Mandibular fractureZygomaticomaxillary complex fracturesNasal fracturesBlow-out fractures

A

Zygomaticomaxillary complex fracturesBlow-out fractures

781
Q

Which of these fractures follows the “ring rule”?Blow-out fracturesNasal fracturesMandibular fracturesZygomaticomaxillary complex fractures

A

Mandibular fractures

782
Q

Which of these fractures is most often related to a blow to the orbit?Nasal fracturesZygomaticomaxillary complex fracturesLeFort fracturesBlow-out fractures

A

Blow-out fractures

783
Q

Which of these injuries can sometime be associated with more serious injuries to the ethmoid and sphenoid sinuses?Nasal fracturesZygomaticomaxillary complex fracturesBlow-out fracturesLeFort fractures

A

Nasal fractures

784
Q

Which of these conditions may result in or contribute to dental abscess formation? (Choose all correct)diabetesradiation/chemotherapytooth infectionautoimmune disorders

A

All of the above

785
Q

Which of these brain neoplasms is potentially fatal? (choose all correct)Secondary brain cancerBenign brain neoplasmPrimary brain cancerMetastatic brain cancer

A

All of the above

786
Q

What is the most common lesion of the brain?Primary brain cancerGliomasBenign brain neoplasmMetastatic brain cancer

A

Metastatic brain cancer

787
Q

What is the most common primary brain tumor?MedulloblastomaPituitary adenomaMeningiomasAcoustic NeuromaAstrocytoma

A

Astrocytoma

788
Q

What is the most aggressive brain tumor?MeningiomasAcoustic NeuromaMedulloblastomaAstrocytomaPituitary adenoma

A

Medulloblastoma

789
Q

Which of these lesions are most often malignant? (choose all correct)Correct!AstrocytomaAcoustic NeuromasMeningiomasPituitary adenomaMedulloblastoma

A

Medulloblastoma

790
Q

Which of these brain lesions is most likely to appear in multiples?Metastatic brain cancerBenign brain neoplasmPrimary brain cancerGliomas

A

Metastatic brain cancer

791
Q

Which of these lesions generally grows on the periphery of the brain? (Choose all correct)AstrocytomaMeningiomasAcoustic NeuromasMedulloblastomaPituitary adenoma

A

MeningiomasAcoustic Neuromas

792
Q

Which of these lesions grows from the Schwann cell’s of the 8th cranial nerve?MedulloblastomaAcoustic NeuromasPituitary adenomaMeningiomasAstrocytoma

A

Acoustic Neuromas

793
Q

Which of these lesions are most likely to be associated with hormonal imbalances?AstrocytomaAcoustic NeuromasPituitary adenomaMeningiomasMedulloblastoma

A

Pituitary adenoma

794
Q

Which of these lesions grow primarily in the cerebellum/posterior fossa of the cranial cavity?MedulloblastomaAstrocytomaPituitary adenomaMeningiomasAcoustic Neuromas

A

Medulloblastoma

795
Q

Lesions in the brain may be associated with which of these intracranial conditions? (choose all correct)BleedingMass effectIschemiaEdema

A

All of the above

796
Q

Ischemic stroke may be a result of arterial interruption in which of these vessels? (choose all correct)Descending aortaInternal carotidsBasilar arteryCerebral arteries

A

Internal carotidsBasilar arteryCerebral arteries

797
Q

Which of these conditions is the result of thrombosis or arterial stenosis? (choose one or both)Hemorrhagic strokeIschemic stroke

A

Ischemic stroke

798
Q

Which of these conditions causes a permanent loss of neurologic function? (choose one or both)Hemorrhagic strokeIschemic stroke

A

All of the above

799
Q

Which of these conditions is caused by blood extravasation in the brain? (choose one or both)Hemorrhagic strokeIschemic stroke

A

Hemorrhagic stroke

800
Q

Which of these conditions is also called an “intracranial bleed”? (choose one or both)Hemorrhagic strokeIschemic stroke

A

Hemorrhagic stroke

801
Q

Which of these conditions will always present in imaging as an area of infarct in the brain? (choose one or both)Hemorrhagic strokeIschemic stroke

A

Ischemic stroke

802
Q

Which of these conditions is the most likely to be lethal?Ischemic strokeHemorrhagic stroke

A

Hemorrhagic stroke

803
Q

Which of these bleeds generally occurs in the parenchyma (substance) of the brain? (choose all correct)Subdural Hemorrhage (SDH)Subarachnoid Hemorrhage (SAH)Intracranial bleed (ICB)Epidural Hemorrhage (EDH)

A

Intracranial bleed (ICB)

804
Q

Which of these conditions can be further defined with angiographic/contrast enhanced imaging? (Choose all correct)Subarachnoid Hemorrhage (SAH)Intracranial bleed (ICB)Ischemic strokeSubdural Hemorrhage (SDH

A

Subarachnoid Hemorrhage (SAH)Ischemic stroke

805
Q

Which of these conditions is most likely to be associated with an aneurysm? (Choose all correct)Subarachnoid Hemorrhage (SAH)Intracranial bleed (ICB)Subdural Hemorrhage (SDH)Epidural Hemorrhage (EDH)

A

Subarachnoid Hemorrhage (SAH)

806
Q

Which of these conditions causes blood accumulation on the periphery of the brain? (Choose all correct)You AnsweredSubarachnoid Hemorrhage (SAH)Intracranial bleed (ICB)Epidural Hemorrhage (EDH)Subdural Hemorrhage (SDH)

A

Epidural Hemorrhage (EDH)Subdural Hemorrhage (SDH)

807
Q

Which of these conditions is almost always the result of trauma to the brain? (Choose all correct)Intracranial bleed (ICB)Epidural Hemorrhage (EDH)Subarachnoid Hemorrhage (SAH)Subdural Hemorrhage (SDH)

A

Epidural Hemorrhage (EDH)Subdural Hemorrhage (SDH)

808
Q

Traumatic contusions in the brain are one form of which of the following conditions?Intracranial bleed (ICB)Epidural Hemorrhage (EDH)Subarachnoid Hemorrhage (SAH)Subdural Hemorrhage (SDH)

A

Intracranial bleed (ICB)

809
Q

Which of these conditions is almost always associated with a skull fracture? (Choose all correct)Subdural Hemorrhage (SDH)Intracranial bleed (ICB)Epidural Hemorrhage (EDH)Subarachnoid Hemorrhage (SAH)

A

Epidural Hemorrhage (EDH)

810
Q

Which of following describes the appearance of a brain abscess in sectional imaging? (Choose all correct)Often associated with hemorrhageOften rim-enhancingMay shows areas of necrosisMay be associated with edema

A

Often rim-enhancingMay shows areas of necrosisMay be associated with edema

811
Q

Which of these conditions is a result of infection in the brain? (Choose all correct)EncephalitisMeningitisICBBrain abscess

A

EncephalitisMeningitisBrain abscess

812
Q

Which of these conditions is rarely associated with bleeding in the brain? (Choose all correct)You AnsweredMetastatic brain cancerIschemic strokeMeningitisCerebral Aneurysm

A

Ischemic strokeMeningitis

813
Q

Which of these conditions results in bleeding focused in the suprasellar cistern?Intracranial bleed (ICB)Subdural Hemorrhage (SDH)Epidural Hemorrhage (EDH)Subarachnoid Hemorrhage (SAH)

A

Subarachnoid Hemorrhage (SAH)

814
Q

Which of these conditions may be secondary to cerebral atrophy?HydrocephalusMeningitisICBBrain abscess

A

Hydrocephalus

815
Q

Define Chiari Malformation

A

best imaged in the sagittal plane

816
Q

Define Cerebral Atrophy

A

related to dementia and aging

817
Q

Define Arachnoid Cyst

A

presents as abnormal CSF collections formed by the subarachnoid membrane

818
Q

Define Hydrocephalus

A

imaged as CSF engorgement in the ventricles

819
Q

Define Multiple Sclerosis

A

active lesions enhance with contrast

820
Q

Which of these conditions sometimes coexist? (Choose two)Spina BifidaTethered cordSpinal MeningiomaAnkylosing Spondylitis

A

Spina BifidaTethered cord

821
Q

Which of these conditions results in abnormal stiffening of the vertebral column?Spinal MeningiomaTethered cordAnkylosing SpondylitisSpina Bifida

A

Ankylosing Spondylitis

822
Q

What is the most common primary neoplasm of the spinal cord?Spinal MetastasisSpinal MeningiomaAstrocytomaSpinal Ependymoma

A

Spinal Ependymoma

823
Q

What is most common area of the spine to identify spinal metastasis?Thoracic SpineLumbar SpineSacral SpineCervical spine

A

Thoracic Spine

824
Q

Define Ankylosing Spondylitis

A

chronic spine inflammation resulting in abnormal vertebral stiffening and fusion

825
Q

Define Spinal Stenosis

A

progressive narrowing of the spinal canal and eventual impingement of the spinal cord

826
Q

Define Spondylolisthesis

A

anteriorly displacement of a vertebrae relative to the vertebra below it

827
Q

Define Subluxation

A

dislocation or displacement

828
Q

Define Compression fracture

A

result of excessive compressive force on spine

829
Q

Which of these lesions is most likely to appear in multiples?Spinal EpendymomaSpinal MeningiomaSpinal MetastasisAstrocytoma

A

Spinal Metastasis

830
Q

Which of the lesions may grow from the spinal cord itself? (Choose all correct)Spinal EpendymomaSpinal MeningiomaSpinal Metastasis

A

Spinal EpendymomaSpinal Metastasis

831
Q

Which of these lesions is most likely to be imaged growing in the vertebral column?Spinal MetastasisSpinal MeningiomaSpinal Ependymoma

A

Spinal Metastasis

832
Q

Which of these lesions will only be seen growing near the periphery of the spinal cord?Spinal EpendymomaSpinal MeningiomaSpinal Metastasis

A

Spinal Meningioma

833
Q

Which of these neoplasms is most likely to be associated with cystic developments in the intramedullary canal?Spinal MeningiomaSpinal EpendymomaSpinal Metastasis

A

Spinal Ependymoma

834
Q

Define Ankylosing Spondylitis

A

an autoimmune condition

835
Q

Define Tethered cord

A

visualized as an abnormally low conus medullaris

836
Q

Define Spina Bifida

A

characterized by incomplete closure in the vertebral canal

837
Q

Define Compression Fracture

A

caused by axial loading

838
Q

Which of the following tumors are malignant? (Choose all correct)Spinal EpendymomaSpinal MetastasisAstrocytomaSpinal Meningioma

A

Spinal MetastasisAstrocytoma

839
Q

Which of these pathologies is sometimes accompanied by meningocele formation?Spinal MeningiomaSpina BifidaTethered cordAnkylosing Spondylitis

A

Spina Bifida

840
Q

Which of these conditions is sometimes accompanied by an intradural lipoma? Spinal MeningiomaSpina BifidaAnkylosing SpondylitisTethered cord

A

Tethered cord

841
Q

Define Spina bifida occulta

A

incomplete closure of the spinal column

842
Q

Define Meningocele

A

a collection of CSF formed by herniation of the meninges through an opening in the vertebral canal

843
Q

Define Myelomeningocele

A

herniation of the spinal cord through an opening in the vertebral canal

844
Q

Which of the following is a form of lung cancer? (choose all correct)Bronchogenic CarcinomaPrimary lung cancerMetastatic Lung CancerInterstitial Lung Disease

A

Bronchogenic CarcinomaPrimary lung cancerMetastatic Lung Cancer

845
Q

Which of the following describes the appearance of lung cancer in specialty imaging? (choose all correct)Poorly defined neoplasmSingle lesions onlyMost common in the mediastinumRim-enhancing

A

Most common in the mediastinumRim-enhancing

846
Q

Pulmonary Fibrosis is a severe form of which of these conditions?Interstitial Lung DiseaseCOPDBronchogenic CarcinomaTuberculosis

A

Interstitial Lung Disease

847
Q

Which of the following describes the imaging characteristics of pneumonia? (choose all correct)small to large accumulationsrim-enhancingWell-defined bordersCommon near the fissures of the lower lobes

A

small to large accumulationsCommon near the fissures of the lower lobes

848
Q

T/F: Pneumonia can infect the entire lung.

A

True

849
Q

Which of these pathologies are defined as an abnormal fluid accumulation in the thoracic cavity? (choose all correct)PneumothoraxPleural effusionPericardial EffusionPneumonia

A

Pleural effusionPericardial EffusionPneumonia

850
Q

Which of these conditions might demonstrate necrosis and cavity formation in specialty imaging?PneumoniaTuberculosisPleural effusionPericardial Effusion

A

Tuberculosis

851
Q

What may be responsible for the formation of a pneumothorax? (choose all correct)HemothoraxSurgeryTraumaSpontaneous

A

SurgeryTraumaSpontaneous

852
Q

Which of these conditions appear most similar on sectional imaging? (choose two)Bronchogenic CarcinomaHemothoraxPleural EffusionTuberculosis

A

HemothoraxPleural Effusion

853
Q

Which of these conditions are most likely to co-exist with a hemothorax? (choose all correct)FracturesAtelectasisInterstitial Lung DiseasePneumothorax

A

FracturesAtelectasisPneumothorax

854
Q

Which of these conditions commonly exist secondary to primary or metastatic lung cancer? (choose all correct)Pulmonary EmbolismNecrosisPleural effusionsAbscess formations

A

NecrosisPleural effusionsAbscess formations

855
Q

Which of the following are common causes of pneumonia? (choose all correct)Chest traumaFungal infectionsChemical inhalationAspiration

A

All of the above

856
Q

Which of these conditions appear most similar in sectional imaging? (choose two)Interstitial Lung DiseaseCOPDPneumothoraxHemothorax

A

Interstitial Lung DiseaseCOPD

857
Q

Which of these pathologies have the most similar presentation in diagnostic imaging? (choose two)Pleural effusionTuberculosisPrimary lung cancerPneumonia

A

TuberculosisPneumonia

858
Q

Which of these conditions is imaged as progressive scarring of the lung tissue?HemothoraxPneumothoraxCOPDInterstitial Lung Disease

A

Interstitial Lung Disease

859
Q

Define Cardiomegaly

A

enlargement of the heart for any reason

860
Q

Define CHF

A

a syndrome in which the heart can not adequately circulate blood through the body

861
Q

Define Myxoma

A

the most common beign tumors of the heart

862
Q

Define CAD

A

can resuly in myocardial infarction (MI)

863
Q

Define Pericardial Effusion

A

exccess fluid accumulation in the pericardial sac

864
Q

T/F: A patient diagnosed with CAD will invariably exhibit symptoms characteristic of MI.

A

False

865
Q

Which of the following is possible etiology of cardiomegaly? (choose all correct)MVPCardiomyopathyHTNCHF

A

All of the above

866
Q

Which of these conditions is most likely to be associated with compensatory mechanism such as increased blood volume and increased myocardium muscle mass?CADPericardial EffusionMyxomaCHF

A

CHF

867
Q

Which of these conditions are most likely to be associated with changes in cardiac function? (choose all correct)Pericardial effusionCHF MyxomaMI

A

Pericardial effusion CHF MI

868
Q

Where is a myxoma most likely to be imaged?Right AtriumLeft AtriumRight VentricleLeft Ventricle

A

Left Atrium

869
Q

Which of the following pathologies is imaged as filling a defect(s) in the coronary circulatory system?CADPericardial EffusionCHFMyxoma

A

CAD

870
Q

Which of these conditions will be accompanied by hematoma formation? Choose multiple if applicable.Simple aneurysmRuptured AneurysmDissecting aneurysm

A

Ruptured Aneurysm

871
Q

Which of these conditions appears in sectional imaging as an enlarged artery? Choose multiple if applicable.Simple aneurysm Ruptured AneurysmDissecting aneurysm

A

All of the above

872
Q

Which of these conditions will present with an intimal flap? Choose multiple if applicable.Dissecting aneurysmSimple aneurysmRuptured Aneurysm

A

Dissecting aneurysm

873
Q

Which of these conditions is most likely to show contrast extravasation? Choose multiple if applicable.Dissecting aneurysmRuptured AneurysmSimple aneurysm

A

Ruptured Aneurysm

874
Q

Which of these conditions appears in sectional imaging with a true and false lumen? Choose multiple if applicable.Simple aneurysmRuptured AneurysmDissecting aneurysm

A

Dissecting aneurysm

875
Q

Which of these conditions may account for the formation of a PE? (choose all correct) Recent respiratory infectionpregnancyrecent surgeryimmobility

A

All of the above

876
Q

What is the origin of a pulmonary embolism?Peripheral artery thrombus formationDVT dislodgment from the lower extremitiesDVT dislodgement from the upper extremitiesSpontaneous formation in the pulmonary trunk

A

DVT dislodgment from the lower extremities

877
Q

Which of the following describe imaging characteristics of pancreatitis? (Choose all correct)AscitesReactive fluidPancreas inflammationPancreatic pseudocysts

A

All of the above

878
Q

Which of the following correctly describes the appearance of gastric cancer in sectional imaging? (Choose all correct)gas-filled ulcerationfocal wall thickening with mucosal irregularitywall thickening with loss of normal rugal folding patternfocal mass/polyp with or without ulceration

A

All of the above

879
Q

What is the most common location to visualize Crohn’s disease?Terminal IleumJejunumDuodenumVesicular-Ureteral Junction

A

Terminal Ileum

880
Q

Which of the following statements are true concerning imaging of Crohn’s disease? (Choose all correct)May be associate with abscessMay affect the mesenteryShows chronic inflammation without remissionImaged primarily as large bowel thickening

A

May be associate with abscessMay affect the mesentery

881
Q

Which of the following may be an underlying cause of SBO? (Choose all correct)LesionCrohn’s diseasePregnancyVolvulus

A

All of the above

882
Q

What is the most common cancer of the GI tract?Esophageal CancerSmall Bowel CancerGastric CancerColo-rectal Cancer

A

Colo-rectal Cancer

883
Q

Which of these conditions is related to vascular insufficiency?Ischemic colitisCrohn’s diseaseInfectious colitisUlcerative colitis

A

Ischemic colitis

884
Q

With of these conditions can be identified as bowel wall thickening? (Choose all correct)Ischemic colitisSBOUlcerative colitisCrohn’s disease

A

Ischemic colitisUlcerative colitisCrohn’s disease

885
Q

Which of these conditions is likely to be accompanied by ascites? (Choose all correct)You AnsweredAppendicitisSBOUlcerative colitisCirrhosis

A

Ulcerative colitisCirrhosis

886
Q

Which of these conditions are idiopathic? (Choose all correct)CirrhosisUlcerative ColitisSBOCrohn’s disease

A

Ulcerative ColitisCrohn’s disease

887
Q

What is the most important indication of SBO?Bowel distentionAbscessBowel inflammationHemorrhage

A

Bowel distention

888
Q

What is the most common etiology of colon cancer?Crohn’s diseaseUlcerative colitisColic ulcerPolyp neoplasm

A

Polyp neoplasm

889
Q

What other pathologies are commonly associated with colon cancer? (Choose all correct) HerniationAbscessBowel obstructionInflammation

A

AbscessBowel obstructionInflammation

890
Q

Which of these conditions might be viewed as surface and parenchymal nodularity in the liver?Secondary liver cancerCirrhosisLacerationPrimary liver cancer

A

Cirrhosis

891
Q

Which of these conditions is most likely to present as standing and abscess formation in the RLQ?Ulcerative colitisAppendicitisSBOColon cancer

A

Appendicitis

892
Q

Which of the following statement concerning liver cancer are true? (choose all correct)Metastatic liver cancer will enhance during the venous phase of imagingMetastatic liver cancer can be both singular or multi-focalPrimary liver cancer is more common than secondary liver cancerPrimary liver cancer will enhance during the arterial phase of imaging

A

Metastatic liver cancer will enhance during the venous phase of imagingMetastatic liver cancer can be both singular or multi-focalPrimary liver cancer will enhance during the arterial phase of imaging

893
Q

T/F: Hemangiomas appear only in the liver.

A

False

894
Q

What is the most significant indication of hemangioma in sectional imaging?Rim-enhancementDelayed contrast enhancementAbsence of venous enhancementNo contrast enhancement

A

Delayed contrast enhancement

895
Q

Which of these are common causes of liver cirrhosis? (Choose all correct)Renal failureAlcoholismPancreatitisHepatitis

A

AlcoholismHepatitis

896
Q

Pericholecystic fluid accumulation is most likely to be associated with which of the following conditions?CholelithiasisPancreatic CancerCirrhosisPancreatitis

A

Cholelithiasis

897
Q

Which of the following are imaging indications of organ laceration? (Choose all correct)Limited or absence of contrast perfusion through the organHematoma in the area of the organContrast extravasation in or around the organAtypical contrast perfusion through the organ

A

All of the above

898
Q

Which of the following is a likely cause of organ infarct? (Choose all correct)lacerationembolithrombusarterial dissection

A

All of the above

899
Q

T/F: Lymphoma primarily affects the spleen.

A

False

900
Q

T/F: Malignant lesions identified in the spleen are most likely lymphoma.

A

True

901
Q

Which of the following statements are true concerning imaging of the spleen? (Choose all correct)Malignant splenic lesions may appear as single or multi-focalPatchy contrast enhancement during arterial imaging indicates splenic infarct or lacerationDuring the venous phase of contrast enhancement the spleen should appear homogenous

A

Malignant splenic lesions may appear as single or multi-focalDuring the venous phase of contrast enhancement the spleen should appear homogenous

902
Q

Pancreatic cancers primarily affect what aspect of the pancreas?TailBodyHead

A

Head

903
Q

Which of the following best describe contrast enhancement of pancreatic tumors?Delayed enhancementHighly vascularNo contrast enhancementAbsence of venous enhancement

A

Delayed enhancement

904
Q

Gallstones can be related to which of the following conditions? (Choose all correct)CirrhosisCholecystitisPancreatitisGall bladder cancer

A

CholecystitisPancreatitisGall bladder cancer

905
Q

What is the typical presentation of GB cancer? (Choose all correct)Mass completely replacing the gallbladderNotable GB atrophyWall thickeningIntraluminal mass

A

Mass completely replacing the gallbladderWall thickeningIntraluminal mass

906
Q

From where do renal stones originate?Collecting systemVUJBladderUreters

A

Collecting system

907
Q

Which of the following statements correctly describe PKD? (Choose all correct)May be unilateralPotentially affects other organsCommonly associated with renal stonesOften results in renal failure

A

Potentially affects other organsOften results in renal failure

908
Q

Uterine fibroids are also known as:LeiomyomaBPHendometrial cancerTCC

A

Leiomyoma

909
Q

Which of the following are common causes of renal stones? (Choose all correct)low fluid intakemetabolic abnormalitiesrecurrent yeast infectionsdehydration

A

low fluid intakemetabolic abnormalitiesdehydration

910
Q

T/F: Wilm’s tumor is usually unilateral.

A

True

911
Q

Which of the following describes the early-stage appearance of endometrial cancer?hemorrhageloculationsnecrosiswall thickening

A

wall thickening

912
Q

Which of these conditions may be secondary to renal stone formation?HydronephrosisRenal cancerPKDHorseshoe kidney

A

Hydronephrosis

913
Q

What aspect of the kidney can be affected by renal cell carcinoma (RCC)? (Choose all correct)collecting systemmedullaGerota’s fasciacortex

A

collecting systemmedullacortex

914
Q

What is the most common cause of kidney laceration?InfarctHemorrhageTraumaThrombus

A

Trauma

915
Q

Which of the following statements are true concerning RCC? (Choose all correct)unifocal or multifocalgeneral kidney atrophynecrosis in large lesionscalcification in 30% of lesions

A

unifocal or multifocalnecrosis in large lesions calcification in 30% of lesions

916
Q

Wilm’s tumor is most likely to affect which of the following demographics?SmokersMalesElderlyChildren

A

Children

917
Q

Define Horseshoe kidney

A

Congenital condition in which the kidneys are fused together at the upper and lower poles.

918
Q

Define Wilm’s tumor

A

visualized as a large mass completely replacing the kidneys and filling one side of the abdominal cavity.

919
Q

Define Renal Cancer

A

most common malignancy of the kidneys

920
Q

Which of the following are likely indicators of bladder cancer? (Choose all correct)hydronephrosisasymmetrical wall thickeningrenal stonefocal mass lesion

A

asymmetrical wall thickeningfocal mass lesion

921
Q

Which of the following describes potential characteristics of adrenal lesions (Choose all correct)metastaticcysticmalignantbenign

A

All of the above

922
Q

Which of the following describes the appearance of uterine fibroids in sectional imaging? (Choose all correct)SolidCalcifiedCysticVariable size

A

Variable size

923
Q

What is the distinguishing feature of ovarian cancer?Wall thickeningGeneral enlargementCystic changesRim-enhancement

A

General enlargement

924
Q

Which of the following imaging characteristics indicate prostate cancer as opposed to BPH? (Choose all correct)General enlargementurine outflow obstructionslymphadenopathyasymmetry

A

lymphadenopathyasymmetry

925
Q

By what age will 90% of men have some degree of BPH?80609070

A

90

926
Q

Which of these conditions is most likely to metastasize?Wilm’s tumorUrolithiasisBPHUterine leiomyoma

A

Wilm’s tumor