UGI Test

Question 1

A patient comes to radiology for an upper GI series. Her clinical history indicates that there may be a tumor posterior to the stomach. Which of the following projections/positions will best demonstrate this condition?

a.) RAO
b.) right lateral
c.) LPO
d.) PA

Answer 1

b.) right lateral

Question 2

A good radiographer will do which of the following upon greeting the patient for their UGI procedure: (choose all that apply)

a.) confirm the patients NPO status
b.) give the patient a lead apron to shield their breasts
c.) go ahead and give the patient the crystals
d.) explain what the barium will taste like

Answer 2

a.) confirm the patients NPO status
d.) explain what the barium will taste like

Question 3

Typically, the patient should be NPO for __________ before their UGI.

a.) 8-9 hours
b.) 2 hours
c.) 6 hours
d.) 4 hours

Answer 3

a.) 8-9 hours

Question 4

Toward which aspects of the stomach will barium gravitate with the patient in a prone position?

a.) fundus and body
b.) fundus
c.) cardiac
d.) body and pylorous

Answer 4

d.) body and pylorous

Question 5

The longitudinal folds in the stomach are called:

a.) mucosa
b.) rugae
c.) gyri
d.) fissures

Answer 5

b.) rugae

Question 6

Thick barium is mixed in a ___________ ratio with water.

a.) 2:1
b.) 5:1
c.) 4:1
d.) 1:1

Answer 6

c.) 4:1

Question 7

Which of the following esophagram projections/positions will project the majority of the esophagus over the spine?

a.) LAO
b.) AP
c.) left lateral
d.) RAO

Answer 7

b.) AP

Question 8

When performing a PA stomach on an asthenic patient, the IR should be centered:

a.) at L1-L2
b.) 2’’ higher than L1-L2
c.) 2’’ lower than L1-L2

Answer 8

c.) 2’’ lower than L1-L2

Question 9

Besides solid food, name at least one other item that the patient should refrain from using before an UGI procedure.

Answer 9

gum or smoking

Question 10

The entrance and exit of food in the stomach is controlled by:

a.) antrum
b.) peristalsis
c.) sphincters
d.) deglutition

Answer 10

c.) sphincters

Question 11

The espohagus begins at what level?

a.) T1
b.) C6
c.) C2
d.) C7

Answer 11

b.) C6

Question 12

Patient preperation for an esophagram includes:

a.) NPO 4 to 6 hours before the procedure
b.) NPO 30 minutes to 1 hour before the procedure
c.) NPO 4 to 6 hours and no gum chewing or smoking before the procedure
d.) none of the above; patient preperation is not needed as long as an upper GI series is not scheduled to follow

Answer 12

d.) none of the above; patient preperation is not needed as long as an upper GI series is not scheduled to follow

Question 13

The CR should enter the patient at ___________ for an AP/PA espohagus.

a.) T1
b.) T5-T6
c.) T11
d.) T2

Answer 13

b.) T5- T6

Question 14

Where is the best place for a radiographer to stand during an UGI procedure?

Answer 14

90 degrees from the source

Question 15

The bucky slot cover should be at least ____________ mm of lead thickness

a.) .5
b.) .25
c.) 2
d.) 2.5

Answer 15

b.) .25

Question 16

Describe one of the four tests that can be done to demonstrate reflux.

Answer 16

compression test
water test
toe touch test

Question 17

The RAO position of the esophagus is preferred over the LAO because it:

a.) is easier for the patient to hold the cup of barium in his left hand
b.) is a more comfortable position for the patient
c.) increases the visibility of the esophagus
d.) reduces thyroid exposure to the patient

Answer 17

c.) increases the visibility of the esophagus

Question 18

Most esophagrams begin with the patient:

a.) recumbent prone
b.) recumbent supine
c.) erect
d.) in a left lateral decub position

Answer 18

c.) erect

Question 19

The purpse of the esophagus is:

a.) move food to the stomach
b.) produce enzymes that help digest food
c.) absorb nutrients
d.) provide an airway

Answer 19

a.) move food to the stomach

Question 20

The CR for AP/PA and oblique projections of the stomach in a hypersthenic person should enter at the level of:

a.) 2’’ higher than L1
b.) none of these, each view has different centering points
c.) L1
d.) 2’’ lower than L1

Answer 20

a.) 2’’ higher than L1

Question 21

A high and transverse stomach would be found in an __________ patient

a.) asthenic
b.) hypersthenic
c.) hyposthenic
d.) sthenic

Answer 21

b.) hypersthenic

Question 22

The criteria difference between an AP and PA projection of the stomach is:

a.) there is air in the fundus on the PA
b.) the entire stomach is seen on the AP only
c.) the duodenal loop is seen on the PA only
d.) there is barium in the fundus on the PA

Answer 22

a.) there is air in the fundus on the PA

Question 23

According to the NCRP, protective aprons worn during fluoroscopy must possess ___________mm lead equivalency.

a.) 0.75
b.) 0.5
c.) 1
d.) 0.25

Answer 23

b.) 0.5

Question 24

For which type of body habitus is the stomach nearly vertical?

a.) sthenic
b.) hypersthenic
c.) asthenic
d.) hyposthenic

Answer 24

c.) asthenic

Question 25

One radiograph of an upper GI series needs repeating. The technologist is unsure which projection/position is seen on this radiograph. The fundus is filled with barium and the pylorous and duodenal bulb are profiled and air filled. The patient was recumbent for all projections. Which projection/postion needs the repeat?

a.) PA
b.) right lateral
c.) RAO
d.) LPO

Answer 25

d.) LPO

Question 26

On a lateral stomach the following should be seen: (choose all that apply)

a.) entire stomach
b.) retrogastric space
c.) barium filled fundus
d.) dudenal loop

Answer 26

a.) entire stomach
b.) retrogastric space
d.) duodenal loop

Question 27

The most inferior portion of the stomach is the:

a.) greater curvature
b.) lesser curvature
c.) pylorous
d.) fundus

Answer 27

c.) pylorous

Question 28

The esophagus ends at level:

Answer 28

T11

Question 29

What is the classification of barium sulfate as a contrast media?

a.) negative contrast media
b.) radiolucent
c.) iosdense
d.) radiopaque

Answer 29

d.) radiopaque

Question 30

Gastrograffin can move throught the stomach in ______________

a.) 10 hours
b.) 4 hours
c.) 1-2 hours
d.) 30 minutes

Answer 30

c.) 1-2 hours

Question 31

When would gastrograffin be contraindicted?

a.) pre surgery
b.) bowel obstruction
c.) iodinated contrast allergy
d.) perforation of the stomach or intestines

Answer 31

c.) iodinated contrast allergy

Question 32

During normal digestion, food should exit the stomach within:

a.) 6 hours
b.) 1 hour
c.) 2 hours
d.) 30 minutes

Answer 32

c.) 2 hours

Question 33

Once barium is given, radiographic technique will need to be:

a.) kept the same
b.) decreased
c.) increased
d.) doubled

Answer 33

c.) increased

Question 34

If the patient drinks barium before the radiologist is present, which position should they not lay in in order to reduce the barium from leaving the stomach?

a.) right lateral
b.) prone
c.) left lateral
d.) supine

Answer 34

a.) right lateral

Question 35

The pyloric sphincter is the opening between what two structures?

a.) duodenum
b.) fundus
c.) esophagus
d.) body of the stomach

Answer 35

a.) duodenum
d.) body of the stomach

Question 36

When should gastrograffin be used? (choose all that apply)

a.) perforation
b.) obstruction
c.) pre surgery procedure
d.) esophageal varices

Answer 36

a.) perforation
c.) pre surgery procedure

Question 37

The hyposthenic patient should be oblique __________ degrees for a PA oblique stomach

a.) 70
b.) 30
c.) 40
d.) 60

Answer 37

c.) 40

Question 38

Mastication is:

Answer 38

chewing

Question 39

Magnesium citrate (air crystals) are considered to be a ___________ contrast agent.

a.) negative
b.) positive

Answer 39

a.) negative

Question 40

Gastrograffin is _________ which makes it ideal when barium cannot be used.

a.) water soluble
b.) non iodinated
c.) opaque
d.) viscious

Answer 40

a.) water soluble

Question 41

The function of the stomach is ( choose all that apply )

a.) storage area for food
b.) secretes acids to breakdown food
c.) mastication
d.) degultition
e.) breakdown food by perstalsis

Answer 41

a.) storage area for food
b.) secretes acids to breakdown food
e.) breakdown food by perstalsis

Question 42

Which projection of the stomach demonstrates its anterior and posterior surfaces?

a.) lateral
b.) AP oblique, LPO
c.) PA oblique, RAO
d.) PA

Answer 42

a.) lateral

Question 43

Smooth muscle contractions that move food through the digestive system are called ________________.

a.) mastication
b.) perstalisis
c.) deglutition

Answer 43

b.) peristalsis

Question 44

When imaging the stomach, exposure should be made on:

a.) expiration
b.) use a breathing technique
c.) inspiration

Answer 44

a.) expiration

Question 45

The patient should be rotated _______________ degrees for an AP oblique stomach.

a.) 15 to 20
b.) 25-50
c.) 40-70
d.) 30-60

Answer 45

d.) 30-60