Sos: Planar Neuroimaging Flashcards

1
Q

33-year-old construction worker presents to the ED with a one week history of “the worse headache I have ever had”

A

subarachnoid hemorrhage

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2
Q

best and quickest test to get in ED of the brain

A

CT

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3
Q

best imaging modalities to use for brian

A

CT and MRI

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4
Q

what cut

A

coronal

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5
Q

what cut

A

horizontal (axial)

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6
Q

what cut

A

sagittal

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7
Q

thousands of x-rays put together

A

CT (computerized tomography)

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8
Q

viewing from foot of bed; what is orientation

A

R to L

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9
Q

bone, calcifications and clotted blood appear what color on CT

A

white (hyperdense tissues)

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10
Q

air, fat, CS fluid, infarct appear what color on CT

A

black (hypodense tissues)

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11
Q

gray and white matter and flowing blood appear what color on CT

A

gray (isodense tissues)

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12
Q

contains myelin which has a high lipid content and appears slightly darker than gray matter

A

white matter

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13
Q

used with IV contrast and highlights vasculature; takes time

A

Contrast enhanced CT

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14
Q

to use or not to use contrast enhanced CT with intracranial hemorrhage (<1 week old and appears hyperdense)

A

no contrast

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15
Q

intracranial hemorrhage
skull fractures
mass effect

A

when to use CT

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16
Q

In the ED, fast, useful tool that can drive the clinical plan for the patient

A

CT

17
Q

uses magnetic field and electromagnetic energy waves

A

MRI (magnetic resonance imaging)

18
Q

what type of MRI

A

T1-weighted

19
Q

gray matter is gray and white matter is white on this MRI

A

T1

20
Q

gray and white matter color are switched on this type of MRI (useful for what disease)

A

T2-weighted (MS)

21
Q

this type of MRI highlights blood vessels

A

contrast enhanced MRI

22
Q

lights up bone

A

CT

23
Q

bone is not lit up on this imaging

A

MRI

24
Q

30-yr-old man attacked by his girlfriend’s husband at a bar

A

epidural hematoma

25
Q

_____ artery lysed that causes epidural hematoma

A

middle meningeal a.

26
Q

70-yr-old man presents to the ED after falling down the stairs at his home

A

acute subdural hematoma

27
Q

45-year-old man presents to the ED with the worse headache of his life

A

subarachnoid hemorrhage

28
Q

main thing to keep compression and herniation away from in the brain

A

brain stem

29
Q

acute infarct from occluded_______ artery on CT

A

anterior cerebral artery

30
Q

acute infarct from occluded ______ artery on CT

A

middle cerebral artery

31
Q
A

AV malformation

32
Q

what imaging (detects metastatic cancer)

A

PET scan

33
Q

detects movement of protons in water molecules; provides more detailed info

A

diffusion-weighted MRI

34
Q

highlights white matter black; useful in detecting white matter diseases such as MS

A

FLAIR MRI

35
Q

imaging type; what is the mass

A

CT; brain bleed