P3 topic 2 Flashcards

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1
Q

what does CAT stand for?

A

computerised axial tomography

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2
Q

what are CAT scabs commonly used to diagnose?

A

tumours, blood clots, Alzheimer’s disease

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3
Q

why are CAT scans different from conventional 2D X-ray scans?

A

they can also show the structure of soft tissue in the body- they produce a 3-dimensional image of the inside of the body

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4
Q

how are risks of CAT scans reduced?

A

x-rays are ionising radiation and can damage healthy cells- short exposure times minimises risks

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5
Q

how does a CAT scan create an image?

A

during a CAT scan, X-rays are passed through the body from all directions as the X-ray source rotates around the body in a spiral path- detectors produce images of slices of the body to build up a 3D image

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6
Q

what are fluoroscopes used for?

A

to obtain real-time moving images of the internal structure of organs in the body, usually used for diagnosing problems with the digestive system

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7
Q

how do fluoroscopes work?

A

the patient first has to drink a chalky fluid containing barium sulfate, which is opaque to x-rays- when x-rays are passed through the body to a detector, the passage of the ‘barium meal’ can be viewed on a monitor and the doctors can identify any problems

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8
Q

what do radiographer a wear to protect their bodies?

A

lead is a good absorber of x-rays, so radiographers wear lead-lined aprons to protect their bodies

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9
Q

inverse square law

A

the intensity of EM radiation decreases with distance from its source- intensity is inversely proportional to the square of the distance from the source

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10
Q

what is used to produce x-rays to treat cancer?

A

a linear particle accelerator (linac) is used, so that the energy and intensity of the x-rays can easily be controlled, to ensure that the patient receives the correct dose- x-rays produced from a linac can also easily be switched off, unlike gamma rays from radioactive sources

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11
Q

what can x-rays be used for in hospitals?

A

CAT scans and fluoroscopes

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12
Q

what’s an evacuated tube?

A

a glass vessel with no air inside (a vacuum)

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13
Q

what happens if a potential difference is applied across an and a cathode in an evacuated tube?

A

a beam of electrons can be forced to flow

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14
Q

thermionic emission

A

emission of electrons from the surface of a heated metal- a low voltage supply (6 v) heats up the filament at the cathode and causes the electrons in the filament to gain enough energy to escape

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15
Q

what causes the electrons to be accelerated towards the positive by charged anode?

A

a high voltage supply (500 v) applied between the cathode and the anode

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16
Q

when is there a flow of charge or electric current?

A

if there are electrons moving

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17
Q

why does this have to be done in a vacuum?

A

if there is any air in the tube the electrons will collide with air molecules and lose energy, so it has to be a vacuum- this arrangement is sometimes know as a thermionic diode

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18
Q

X-ray tube

A

similar to a thermionic diode, but a higher potential difference (about 100 000 V) is needed between the anode and the cathode

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19
Q

what is the anode in an X-ray tube made of?

A

a high melting point metal, such as tungsten- it’s known as the target

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20
Q

what is another precaution put in place in x-ray machines?

A

when the electrons strike the target at a very high speed, about 1% of their energy is converged to X-rays and the rest is converted to heat- as there is so much heat produced, the target needs to be cooled by circulating water, otherwise it may melt

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21
Q

how can the frequency of the x-rays produced be increased?

A

by increasing the accelerating potential difference between the cathode and the anode

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22
Q

what happens the higher the frequency of the x rays?

A

the higher their energy and higher their ionising power

23
Q

what happens the greater the kinetic energy of the electrons?

A

the higher the frequency of the x rays produced

24
Q

why do radiographers wear lead-lined aprons to protect their bodies?

A

lead is a good absorber of x-rays

25
Q

electrocardiogram (ECG)

A

a recording of the electrical activity of your heart- small metal electrodes are stuck onto arms, legs and chest with a conducting gel- the electrodes are then connected to a monitor which displays the electrical signals which make your heart bear

26
Q

how does a normal heart beat?

A

about 70 beats per minute when resting

27
Q

what is the frequency of the heart beat?

A

the number of cycles per unit time (second)

28
Q

what do you have to bear in mind when converting pulse rate in beats per minute?

A

frequency is measured in beats per second

29
Q

what is the heart?

A

a double pump; the right atrium and ventricle take deoxygenated blood from the body and pump it to the lungs; the left atrium and ventricle take the oxygenated blood from the lungs and pump it round the body

30
Q

what is the regular pumping action of the heart controlled by?

A

special muscle cells which are activated by changes in electrical potential known as action potentials of the heart

31
Q

what does an ECG show?

A

changes in electrical potential and can be linked to the action of the heart

32
Q

how can heart problems be identified?

A

by studying the shape and frequency of an ECG

33
Q

what does the frequency of the heartbeat depend on?

A

the demand from the body

34
Q

how is the shape of the ECG trace affected?

A

by the intake of stimulants such as caffeine

35
Q

what can doctors do to regulate heart beats?

A

prescribe drugs or implant a pacemaker for more severe problems

36
Q

fast heartbeat

A

tachycardia

37
Q

slow heartbeat

A

bradycardia

38
Q

irregular heartbeat

A

arrhythmia

39
Q

what’s the average resting pulse rate for an adult?

A

between 60 and 100 beats per minute

40
Q

what’s the average resting pulse rate of an elite athlete?

A

between 40 and 60 beats per minute

41
Q

what’s the max heart rate?

A

220 minus your age in years- the target for a healthy pulse rate during or just after exercise should be 60%-80%

42
Q

what does a pulse oximeter measure?

A

the pulse rate in beats per minute; the amount of oxygen in the blood

43
Q

pulse oximeter

A

they are small and with on the finger or earlobe

44
Q

where are pulse oximeters regularly used?

A

in intensive care; during anaesthesia; to investigate sleep disorders

45
Q

haemoglobin

A

in the blood- the protein which carries oxygen from the lungs to the others of the body

46
Q

what does the amount of oxygen the haemoglobin carries affect?

A

the amount of light absorbed by haemoglobin

47
Q

what does a pulse oximeter use?

A

a bright light-emitting diode (LED) to shine light through the patient’s finger-a light detector then records the amount of light transmitted through the finger- the difference in intensity between emitted light and transmitted light is used to determine the percentage of haemoglobin which is saturated with oxygen

48
Q

how much of the blood should be saturated with oxygen?

A

97%

49
Q

what are the two different forms of haemoglobin molecule in the blood?

A

oxyhaemoglobin and reduced haemoglobin

50
Q

what does the amount of light absorption of each type of haemoglobin depend on?

A

the wavelength of the light

51
Q

what does oxidised haemoglobin do?

A

absorbs more infrared radiation than visible red light

52
Q

what does reduced haemoglobin do?

A

absorbs more visible red light than infrared light

53
Q

how does a pulse oximeter cater for both types of haemoglobin molecule?

A

a pulse oximeter uses two LEDs, one emitting visible red light (wavelength 650 nm) and one emitting infrared radiation (wavelength 950 nm)- the sensor of an oximeter is connected to a computer which can determine the proportion of each type of haemoglobin from the amount of each wavelength light which is absorbed