Study Guide Digestive System 1st section Positioning Flashcards

1
Q

Most common contrast media for the digestive system?

A

barium sulfate

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2
Q

When perforation is suspected what contrast is used?

A

water soluble iodinated contrast

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3
Q

Double contrast is?

A

barium and gas producing substance

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4
Q

single contrast is?

A

barium only (gastrograffin)

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5
Q

3 methods of contrast administration?

A

oral
reflux filling
direct injection (enterocylsis)

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6
Q

For the MBSS All Projections what is the cassette size?

A

10x12

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7
Q

For the MBSS (soft palate, Pharynx, Larynx, Cervical Esophagus) Lateral Projection what is the patient position?

A

seated/standing (true lateral)

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8
Q

For the MBSS (soft palate, Pharynx, Larynx, Cervical Esophagus) Lateral Projection what is the IR position?

A

Perpendicular to MSP

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9
Q

For the MBSS (soft palate, Pharynx, Larynx, Cervical Esophagus) Lateral Projection what is the CR position?

A

Perpendicular to IR
Oropharynx- @ level of mandibular angles
Larynx/pharynx/upper esophagus- @ level of laryngeal

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10
Q

For the MBSS all Projections what is the Collimation?

A

@ the level of EAM to jugular notch

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11
Q

For the MBSS (soft palate, Pharynx, Larynx, Cervical Esophagus) AP Projection what is the patient position?

A

upright

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12
Q

For the MBSS (soft palate, Pharynx, Larynx, Cervical Esophagus) AP Projection what is the IR position?

A

@ the level or below the laryngeal prominence

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13
Q

For the MBSS (soft palate, Pharynx, Larynx, Cervical Esophagus) AP Projection what is the CR position?

A

Perpendicular to laryngeal prominence

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14
Q

For (Esophagus) all AP/PA, AP/PA Oblique, Lateral Projection what is the SID?

A

40”

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15
Q

For (Esophagus) all AP/PA, AP/PA Oblique, Lateral Projection what is the cassette size?

A

14x17

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16
Q

For (Esophagus) all AP/PA Projection what is the patient position?

A

supine/prone

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17
Q

For (Esophagus) all AP/PA Projection what is the IR position?

A

center to the MSP

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18
Q

For (Esophagus) all AP/PA, AP/PA Obliques, lateral Projection what is the CR position?

A

Perpendicular to Midpoint of IR @ the level of T5-T6

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19
Q

For (Esophagus) all AP/PA, AP/PA oblique, lateral Projection what is the collimation?

A

12x17

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20
Q

For (Esophagus) all AP/PA Oblique Projection what is the patient position?

A

Recumbent RAO (prone) LPO (supine) with a 35-40 degree angle

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21
Q

For (Esophagus) AP/PA Oblique Projection what is the IR position?

A

Center elevated side to the grid through the plane 2” lateral to MSP

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22
Q

For (Esophagus) Lateral Projection what is the patient position?

A

lateral position recumbent

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23
Q

For (Esophagus) Lateral Projection what is the IR position?

A

Center MCP

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24
Q

For (Stomach/duodenum) all PA, PA oblique, AP oblique, lateral, AP projection what is the SID?

A

40”

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25
Q

For (Stomach/duodenum) all PA, PA oblique, AP oblique, lateral, AP projection what is the cassette size?

A

10x12 or 14x17 (lengthwise)

26
Q

For (Stomach/duodenum) PA projection what is the patient position?

A

recumbent/upright

27
Q

For (Stomach/duodenum) PA projection what is the IR position?

A

1-2” above lower rib margin
Prone- @level of L1-L2
Upright- center @ 3-6” below L1-L2

28
Q

For (Stomach/duodenum) all PA, PA oblique, AP oblique, lateral, and AP projection what is the CR position?

A

Perpendicular to IR

29
Q

For (Stomach/duodenum)All PA, AP, PA oblique,AP oblique, lateral projection what is the Collimation?

A

smaller patient 10x12

larger patient 11x14

30
Q

For (Stomach/duodenum) all PA, AP, PA oblique, AP oblique, lateral projection what are the respiration instructions?

A

suspend at end of expiration

31
Q

For (Stomach/duodenum) PA Oblique RAO projection what is the patient position?

A

recumbent with 40-70 rotation (show pyloric canal/duodenum)

Hypersthenic patient require greater degree of rotation than asthenic/sthenic

32
Q

For (Stomach/duodenum) PA Oblique RAO projection what is the IR position?

A

1-2” above lower rib margin @ level of L1-L2 (prone)

33
Q

For (Stomach/duodenum) AP Oblique LPO projection what is the patient position?

A

supine with a 45 degree for sthenic patient

degree can vary 30-60 degree

34
Q

For (Stomach/duodenum) AP Oblique LPO projection what is the IR position?

A

@ the level of body of the stomach

35
Q

For (Stomach/duodenum) Lateral projection what is the patient position?

A

upright left lateral (left retro gastric space)

recumbent right lateral (right retro gastric space)

36
Q

For (Stomach/duodenum) Lateral projection what is the IR Position?

A

@ level of L1-L2 (recumbent) (about 1-2” above the lower rib margin)
@level L3 (upright)

37
Q

For (Stomach/duodenum) AP projection what is the patient position?

A

Supine

38
Q

For (Stomach/duodenum) AP projection what is the IR position?

A

@ level midway between xiphoid process and lower rib margin (10x12)
adjust up or down based on diaphragm or small bowel (14x17)

39
Q

For (Small intestines) PA/AP projection what is the SID?

A

40”

40
Q

For (Small intestines) PA/AP projection what is the cassette size?

A

14x17 lengthwise

41
Q

For (Small intestines) PA/AP projection what is the Patient position?

A

prone/supine

42
Q

For (Small intestines) PA/AP projection what is the IR position?

A

@ level of L2 for images taken within 30 minutes

@ level of iliac crest for delayed images

43
Q

For (Small intestines) PA/AP projection what is the CR position?

A

Perpendicular to IR (early images)

@ level of iliac crest (delayed images)

44
Q

For (Small intestines) PA/AP projection what is the collimation?

A

14x17 with 1 “ past abdominal flanks

45
Q

For (Small intestines) PA/AP projection what is the respiration instructions?

A

suspend at end of expiration

46
Q

To show esophageal varices instruct the patient to?

A

exhale fully and swallow barium avoiding inspiration or take a deep breath and hold while swallowing

47
Q

The average empty time of normal stomach is?

A

2-3 hours

48
Q

Peristalsis occurs in intervals of?

A

3-4 seconds

49
Q

The first portion of the Barium reaches ileocecal valve in how many hours?

A

2-3 hours

50
Q

The last portion of the Barium reaches the ileocecal valve in how many hours?

A

4-5 hours

51
Q

Barium reaches rectum within how many hours?

A

24 hours

52
Q

In esophageal examinations what is the exposure time?

A

0.1 seconds or less

53
Q

In stomach/small intestines examinations what is the exposure time for normal patients? patients with hypermotility?

A
  1. 2 -0.5seconds

0. 1 seconds or less for hypermotility patients

54
Q

A ____ examination is a combination of single contrast and double contrast methods during the same procedure.

A

biphasic

55
Q

For a single contrast barium what is the weight/volume used?

A

60%

56
Q

The head end of the table is lowered ____ to ____ degrees to show a hiatel hernia?

A

25-30 degrees

57
Q

To show esophageal regurgitation and hiatel hernias the head end of the table is lowered ____ to ____ and the patient is rotated slightly to the right side to place esophagogastric junction in profile

A

10-15 degrees

58
Q

The double contrast barium weight/volume is?

A

up to 250%

59
Q

The biphasic weight/volume is?

A

15%

60
Q

First exposure of the small intestine is usually taken ____ minutes after the patient drinks barium?

A

15

61
Q

The next exposure of the small intestine varies from ___ to ____ minutes/

A

15-30

62
Q

For hypomotility patients the radiologist will give __________ after ___ or ___ hours of administrating barium sulfate?

A

iced water, 3,4