UGI Test Flashcards
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
b.) right lateral
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
a.) confirm the patients NPO status
d.) explain what the barium will taste like
Typically, the patient should be NPO for __________ before their UGI.
a.) 8-9 hours
b.) 2 hours
c.) 6 hours
d.) 4 hours
a.) 8-9 hours
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
d.) body and pylorous
The longitudinal folds in the stomach are called:
a.) mucosa
b.) rugae
c.) gyri
d.) fissures
b.) rugae
Thick barium is mixed in a ___________ ratio with water.
a.) 2:1
b.) 5:1
c.) 4:1
d.) 1:1
c.) 4:1
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
b.) AP
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
c.) 2’’ lower than L1-L2
Besides solid food, name at least one other item that the patient should refrain from using before an UGI procedure.
gum or smoking
The entrance and exit of food in the stomach is controlled by:
a.) antrum
b.) peristalsis
c.) sphincters
d.) deglutition
c.) sphincters
The espohagus begins at what level?
a.) T1
b.) C6
c.) C2
d.) C7
b.) C6
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
d.) none of the above; patient preperation is not needed as long as an upper GI series is not scheduled to follow
The CR should enter the patient at ___________ for an AP/PA espohagus.
a.) T1
b.) T5-T6
c.) T11
d.) T2
b.) T5- T6
Where is the best place for a radiographer to stand during an UGI procedure?
90 degrees from the source
The bucky slot cover should be at least ____________ mm of lead thickness
a.) .5
b.) .25
c.) 2
d.) 2.5
b.) .25
Describe one of the four tests that can be done to demonstrate reflux.
compression test
water test
toe touch test
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
c.) increases the visibility of the esophagus
Most esophagrams begin with the patient:
a.) recumbent prone
b.) recumbent supine
c.) erect
d.) in a left lateral decub position
c.) erect
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
a.) move food to the stomach
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
a.) 2’’ higher than L1
A high and transverse stomach would be found in an __________ patient
a.) asthenic
b.) hypersthenic
c.) hyposthenic
d.) sthenic
b.) hypersthenic
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
a.) there is air in the fundus on the PA
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
b.) 0.5
For which type of body habitus is the stomach nearly vertical?
a.) sthenic
b.) hypersthenic
c.) asthenic
d.) hyposthenic
c.) asthenic
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
d.) LPO
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
a.) entire stomach
b.) retrogastric space
d.) duodenal loop
The most inferior portion of the stomach is the:
a.) greater curvature
b.) lesser curvature
c.) pylorous
d.) fundus
c.) pylorous
The esophagus ends at level:
T11
What is the classification of barium sulfate as a contrast media?
a.) negative contrast media
b.) radiolucent
c.) iosdense
d.) radiopaque
d.) radiopaque
Gastrograffin can move throught the stomach in ______________
a.) 10 hours
b.) 4 hours
c.) 1-2 hours
d.) 30 minutes
c.) 1-2 hours
When would gastrograffin be contraindicted?
a.) pre surgery
b.) bowel obstruction
c.) iodinated contrast allergy
d.) perforation of the stomach or intestines
c.) iodinated contrast allergy
During normal digestion, food should exit the stomach within:
a.) 6 hours
b.) 1 hour
c.) 2 hours
d.) 30 minutes
c.) 2 hours
Once barium is given, radiographic technique will need to be:
a.) kept the same
b.) decreased
c.) increased
d.) doubled
c.) increased
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
a.) right lateral
The pyloric sphincter is the opening between what two structures?
a.) duodenum
b.) fundus
c.) esophagus
d.) body of the stomach
a.) duodenum
d.) body of the stomach
When should gastrograffin be used? (choose all that apply)
a.) perforation
b.) obstruction
c.) pre surgery procedure
d.) esophageal varices
a.) perforation
c.) pre surgery procedure
The hyposthenic patient should be oblique __________ degrees for a PA oblique stomach
a.) 70
b.) 30
c.) 40
d.) 60
c.) 40
Mastication is:
chewing
Magnesium citrate (air crystals) are considered to be a ___________ contrast agent.
a.) negative
b.) positive
a.) negative
Gastrograffin is _________ which makes it ideal when barium cannot be used.
a.) water soluble
b.) non iodinated
c.) opaque
d.) viscious
a.) water soluble
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
a.) storage area for food
b.) secretes acids to breakdown food
e.) breakdown food by perstalsis
Which projection of the stomach demonstrates its anterior and posterior surfaces?
a.) lateral
b.) AP oblique, LPO
c.) PA oblique, RAO
d.) PA
a.) lateral
Smooth muscle contractions that move food through the digestive system are called ________________.
a.) mastication
b.) perstalisis
c.) deglutition
b.) peristalsis
When imaging the stomach, exposure should be made on:
a.) expiration
b.) use a breathing technique
c.) inspiration
a.) expiration
The patient should be rotated _______________ degrees for an AP oblique stomach.
a.) 15 to 20
b.) 25-50
c.) 40-70
d.) 30-60
d.) 30-60
