UGIS

Question 1

UGIS requires

Answer 1

8 oz. of BaS04

Question 2

Contrast media in UGIS

Answer 2

Thin Barium Sulfate mixture
Thick mixture of BaS04
Water soluble iodinated CM

Question 3

Types of examination

Answer 3

Single Contrast Examination
Double Contrast Examination
Dual Contrast Examination
Hypotonic Duodenography

Question 4

BaS04 suspension is administered during initial flouro exam

Answer 4

Single contrast examination

Question 5

Gives the patient a gas producing substance in the form of powder crystals then a small amount of high density Barium suspension

Answer 5

Double contrast examination

Question 6

Anticholinergic

Antispasmodics

Answer 6

Glucagon

Question 7

Allow for greater distention of the stomach and bowel improved visualization / relax GI tract

Answer 7

Glucagon

Question 8

Example of glucagon

Answer 8

Atropine

Question 9

Patient is first examined using double contrast examination and on completion of single contrast exam

Answer 9

Biphasic
Dual Contrast
Welin Technique exam

Question 10

Less frequently used examination

Detection of lesions in the duodenum

Answer 10

Hypotonic Duodenography

Question 11

Indications of UGIS

To demonstrate:

Answer 11

Gastric, duodenal and peptic ulcer
Hiatal hernia
Gastric varices and colics
Obstruction
Tumor and carcinoma
Gastritis

Question 12

Ulceration of the mucosal lining caused by pepsin

Answer 12

Peptic ulcer

Question 13

A mass of undigested material that becomes trapped in the stomach

Answer 13

Bezoar

Question 14

Compulsive urge to pull out one’s own hair

Answer 14

Trichotillomania

Question 15

Contra-indications

Answer 15

Sensitivity

History of bowel perforation laceration

Question 16

It can be used in place of barium sulfate

Answer 16

Oral water -soluble iodinated contrast media

Question 17

Fundus of the stomach is the most posterior portion

Answer 17

Supine position

Question 18

The fundus is in the highest position causing gas to fill part of the stomach

Answer 18

RAO / recumbent position

Question 19

Barium settles in the more anterior body and pylorus portion stomach

Answer 19

In RAO / recumbent position

Question 20

Demonstration of the type and position of the stomach

Answer 20

Upright PA Projection

Question 21

Demonstration of the RIGHT retrogastric space, the duodenal loop in profile and duodenojejunal junction

Answer 21

Recumbent Right lateral position

Question 22

Demonstration of LEFT retrogastric space

Answer 22

Upright Left Lateral Position

Question 23

Demonstration of gastro-duodenal surface

Answer 23

Recumbent PA Projection

Question 24

To prevent pressing of stomach and duodenum against the vertebrae

Answer 24

Suitable pads under thorax and pelvis

Question 25

Radiographic examination of the Distal esophagus, stomach and duodenum after administration of CM

Answer 25

Upper Gastro Intestinal Series

Question 26

Demonstration of greater and lesser curvature, antrum of the stomach , pyloric canal and duodenal cap

Answer 26

PA Axial Position

Question 27

Best AP of retrogastric portion of the duodenum and jejunum

Answer 27

Recumbent AP projection

Question 28

Film size to see Stomach and duodenum

Answer 28

11x14 CW

Question 29

Film size to see Small hiatal hernia

Answer 29

11x14 LW

Question 30

Film size to see large diaphragmatic herniation

Answer 30

14x17 lw

Question 31

Demonstration of pyloric canal and duodenal cap

Answer 31

Recumbent RAO position

Question 32

Gastric peristalsis is active in this position

Answer 32

Recumbent RAO position

Question 33

Stomach is descends _________ inch when the person is standing

Answer 33

3-4 inches

Question 34

Instruction after GI exam

Answer 34

Drink plenty of fluids

Take mild laxative