XRAY A&P Flashcards
Dr. Johnson is your favorite radiologist, so you decided to go to his office to say hello. While there, he explains that the hospital administrator is a patient in ICU. He asks you to log into the computer system so he can check the medical records and the health status of the administrator. Which of the following is the appropriate response?A. You quickly type in your password so Dr. Johnson can look at the administrator’s medical records.B. You explain to Dr. Johnson that you cannot do that because you could get in trouble for breaching the patient’s rights to privacy.C. You check with the department manager to see if it is all right to use your password to login for Dr. Johnson.D. You inform Dr. Johnson that you just did a portable chest exam on the administrator and he was just put on life support.
B. You explain to Dr. Johnson that you cannot do that because you could get in trouble for breaching the patient’s rights to privacy.
After a barium enema, you notice that the sheets have fecal material and blood on them. What should be done with the sheets?A. Place them in a leak proof linen bagB. Place them in a red biohazardous bagC. Place them in a red bag and then put them in a leak-proof linen bagD. Double bag them
A. Place them in a leak proof linen bag
Seven pairs of ribs are visualized in the right lung field of an infant AP chest radiograph. Which of the following would be necessary to improve this radiograph?A. Increase kVp to see the ribs below the diaphragmB. Catch infant on inspiration to visualize ten ribs in the right lung fieldC. Use a grid to absorb scatter radiationD. Pinch the infant to make it cry
B. Catch infant on inspiration to visualize ten ribs in the right lung field
Which of the following positions is used to demonstrate foreign bodies in the hand?A. TunnelB. CarpalC. Ulnar flexionD. Lateral in extension
D. Lateral in extension
Which of the following positions of the abdomen should be used to demonstrate air-fluid levels when an erect position cannot be obtained?A. ProneB. FowlerC. Right anterior obliqueD. Left lateral decubitus
D. Left lateral decubitus
When manipulating a digital image, what does changing the window width do?A. Changes the brightness of the imageB. Changes the contrast of the imageC. Changes the resolution of the imageD. Changes the size of the image
B. Changes the contrast of the image
What does the term asepsis mean?A. Free from infectionB. UnsterileC. CleanD. Spread of disease
A. Free from infection
To demonstrate the greater tubercle of the humerus, which of the following would be correct?A. Supinate the handB. Internally rotate the armC. Abduct the armD. Flex the elbow
A. Supinate the hand
Where should the central ray be directed for an AP projection of the knee joint?A. 1 cm proximal to the base of the patellaB. 1 cm distal to the apex of the patellaC. 1 cm distal to the base of the patellaD. Parallel to patellar surface
B. 1 cm distal to the apex of the patella
The distal end of an endotracheal tube should be placed _______ superior to the carina.A. 1 cmB. 3 cmC. 5 cmD. 7 cm
C. 5 cm
Which of the following are best demonstrated in the oblique position of the lumbar spine?A. Intervertebral foraminaB. Spinous processesC. Zygapophyseal jointsD. Pedicals
C. Zygapophyseal joints
Which of the following refers to the movement of the imaging plate as it is being read by the laser?A. Fast scanB. Slow scanC. DirectionD. Sliding
B. Slow scan
The red arrow is pointing at what anatomical structure?A. Sella turcicaB. External auditory meatusC. Lateral margin of the orbitD. Sphenoid sinus
D. Sphenoid sinus
Fuji’s cassette-based system uses a sensitivity (S) number to determine if the proper exposure was received by the imaging plate. If 200 is the ideal number, what number would indicate the plate was exposed to twice the necessary radiation?A. 50B. 100C. 200D. 400
B. 100
Which of the following positions/projections will best demonstrate the distal tibiofibular joint?A. APB. 15 - 20 degree medial obliqueC. 45 degree medial obliqueD. Lateral
C. 45 degree medial oblique
Non-ionic, water-soluble iodinated contrast media:A. contains no iodine.B. produces no adverse reaction.C. does not dissolve into charged particles.D. is less expensive than ionic, water-soluble contrast media.
C. does not dissolve into charged particles.
Where should the CR enter for an AP projection during an operative cholangiogram?A. At the level of the iliac crestB. At the level of the ASISC. At the xiphoid tipD. Where the surgeon indicates
D. Where the surgeon indicates
The 4th cervical vertebra lies at the level of which of the following topographical landmarks?A. Sternal notchB. Angle of the mandibleC. Thyroid cartilageD. Mastoid process
C. Thyroid cartilage
Which of the following would NOT be considered a type of transmission-based precaution?A. AIDSB. ContactC. AirborneD. Droplet
A. AIDS
Which of the following is the name for the socket which holds the head of the femur?A. Glenoid fossaB. AcetabulumC. Mandibular fossaD. Olecrannon
B. Acetabulum
What is the greatest advantage of digital imaging?A. Contrast resolutionB. Spatial resolutionC. Decreased exposureD. Less distortion
A. Contrast resolution
Which of the following documents express a patient’s choices about his/her future care?A. Patient’s Bill of RightsB. Standards of EthicsC. Living WillD. Informed Consent
C. Living Will
When should the exposure be made for an AP projection or lateral position of the upper airway?A. After deep inspirationB. After expirationC. During a slow, deep inspirationD. During rapid respiration
C. During a slow, deep inspiration
In computed radiography, if a cassette has NOT been used for _______ hours, the imaging plate should be erased.A. 8B. 16C. 24D. 48
D. 48
For a lateral position of the L5-S1 junction, the central ray enters on the midcoronal plane at a point:A. 1 1/2” inferior to the iliac crest.B. 2 1/2” superior to the iliac crest.C. 3 1/2” inferior to the iliac crest.D. directly on the iliac crest.
A. 1 1/2” inferior to the iliac crest.
In the radiograph to the right, the red arrow is pointing to which of the following anatomical parts?A. Medial cuneiformB. Lateral cuneiformC. CuboidD. Navicular
B. Lateral cuneiform
The nasal bones articulate with which of the following bones?1. Ethmoid2. Frontal3. MaxillaeA. 1 onlyB. 1 & 2 onlyC. 2 & 3 onlyD. 1, 2 & 3
D. 1, 2 & 3
Medications include which of the following?A. Contrast mediaB. AnalgesicsC. DiureticsD. All of the above
D. All of the above
Which of the following DICOM standards assures digital images will look the same on various monitors?A. DICOM LCDB. DICOM encoding schemeC. DICOM grayscale standard display functionD. DICOM capture system
C. DICOM grayscale standard display function
Which of the following would relate to a film-screen radiograph having low contrast?1. Long scale2. Many shades of gray3. Low kVpA. 1 & 2 onlyB. 1 & 3 onlyC. 2 & 3 onlyD. 1, 2 & 3
A. 1 & 2 only
A patient that develops hives after the injection of a contrast medium may be given which type of drug?A. AntihistamineB. AntibioticC. AnalgesicD. Anti-inflammatory
A. Antihistamine
Which of the following positions/projections best demonstrates the esophagus filled with barium?A. APB. LAOC. RAOD. Right lateral decubitus
C. RAO
What is the name of the most distal part of the stomach?A. Cardiac orificeB. PylorusC. BodyD. Fundus
B. Pylorus
Which of the following is an acceptable means for receiving a request to perform an examination?1. Verbal request over the phone from the physician’s office2. Written request from the physician’s office3. Verbal request from the patientA. 1 onlyB. 1 & 2 onlyC. 2 & 3 onlyD. 1, 2 & 3
B. 1 & 2 only
Where is the needle placed for a lumbar puncture during a myelogram?A. T12 - L1B. L1 - L2C. L3 - L4D. L5 - S1
C. L3 - L4
Which of the following radiographic procedures would require nonionic contrast media as opposed to ionic contrast media?A. Intravenous urographyB. MyelographyC. SialographyD. Venography
B. Myelography
Which of the following is/are associated with good body mechanics?A. Provide a broad base of supportB. When lifting, bend your knees and keep your back straightC. Keep your load well balanced and close to your bodyD. All of the above
D. All of the above
Which of the following is the preferred SID for a portable (mobile) radiograph of the chest?A. 36”B. 40”C. 55”D. 72”
D. 72”
For a true lateral position of the skull, the midsagittal plane must be in which for these positions?A. Perpendicular to the image receptorB. At a right angle to the image receptorC. Parallel to the image receptorD. Parallel to the CR
C. Parallel to the image receptor
After a myelogram, the patient may be taken to _______ for additional studies while the contrast is still in the subarachnoid space.A. CTB. MRIC. SonographyD. Nuclear medicine
A. CT
Which of the following will be on the cover of a patient’s chart if he/she does not want to be resuscitated if he/she quits breathing or his/her heart stops beating?A. CPRB. NPOC. DNRD. Stop
C. DNR
During retrograde urography contrast media is administered in which of the following ways?A. IntravenouslyB. Via a cystoscopeC. Via a ureteral catheterD. Intramuscularly
C. Via a ureteral catheter
How would you attempt to stop the bleeding if your patient started to hemorrhage from the radial artery?A. Raise the armB. Place a tourniquet directly above the elbowC. Place a tourniquet directly below the elbowD. Apply direct pressure to the wound
D. Apply direct pressure to the wound
Which of the following describes the term projection?A. Patient positionB. Path of the x-ray beamC. Radiographic viewD. Body habitus type
B. Path of the x-ray beam
Any image on a radiograph that is foreign to the patient, describes which of the following?A. StaticB. EmissionC. ArtifactD. Crescent mark
C. Artifact
Which of the following is NOT an accessory organ of the digestive system?A. GallbladderB. SpleenC. PancreasD. Liver
B. Spleen
For the oblique position, the foot should be rotated how many degrees medially?A. 15B. 30C. 45D. 60
B. 30
Which of the following should be done to reduce OID on a PA projection of the wrist?A. Increase SIDB. Flex fingers slightlyC. Elevate elbowD. Extend thumb upward
B. Flex fingers slightly
Which of the following positions would best demonstrate the rectum filled with barium?A. SupineB. ErectC. RPOD. Lateral
D. Lateral
Betadine is used for which of the following?A. Topical anestheticB. Contrast agentC. LubricantD. Skin disinfectant
D. Skin disinfectant
According to the anode heel effect, in the diagram to the right, which letter corresponds to the greatest radiation intensity?A. AB. BC. CD. D
D. D
AP weight bearing knees are ordered to demonstrate which of the following pathologies?A. Tibial plateau fractureB. ArthritisC. EdemaD. Torn meniscus
B. Arthritis
Failure of a radiographer to provide reasonable care describes which of the following?A. AssaultB. BatteryC. NegligenceD. Slander
C. Negligence
To best demonstrate the body of the mandible in an axiolateral projection, the head must be placed in which of the following positions?A. True lateralB. 30 degree rotation toward the affected sideC. 45 degree rotation toward the affected sideD. 60 degree rotation toward the affected side
B. 30 degree rotation toward the affected side
To prevent shape distortion which of the two elements must be parallel?A. The object and the CRB. The object and the image receptorC. The CR and the image receptorD. The CR and the object
B. The object and the image receptor
A patient suddenly has difficulty breathing, what is the first thing a radiographer must do?A. Lie the patient supineB. Call for helpC. Administer oxygenD. Begin CPR
B. Call for help
Which of the following is a graphical representation of the numerical values that make up a digital image?A. HistogramB. Bar graphC. Scatter graphD. Pictograph
A. Histogram
Beam restriction will affect which of the following radiographic qualities?A. BrightnessB. ContrastC. Recorded detailD. Distortion
B. Contrast
Why was this lumbar spine radiograph repeated?A. Bucky tray was not pushed inB. Grid cutoffC. Right marker in anatomyD. X-ray tube was not detented
D. X-ray tube was not detented
The scapular Y position is used to demonstrate which of the following?A. Acromioclavicular separationB. The shoulder joint in an oblique positionC. Anterior or posterior dislocation of the humerusD. The relationship between the coracoid process and the scapular spine
C. Anterior or posterior dislocation of the humerus
To make sure the proper patient information and images get sent to the proper folder in PACS, the best practice is to make sure the _______ on the worklist matches the _______ on the patient’s requisition.A. gender, genderB. birth date, birth dateC. accession number, accession numberD. patient’s name, patient’s name
C. accession number, accession number
In the radiograph to the right, the red arrow is pointing to which of the following anatomical parts?A. Distal phalanx of the great toeB. Middle phalanx of the great toeC. Proximal phalanx of the great toeD. 1st metatarsal of the great toe
C. Proximal phalanx of the great toe
What is the greatest disadvantage of digital imaging?A. Contrast resolutionB. Spatial resolutionC. Decreased exposureD. Less distortion
B. Spatial resolution
What is the function of contrast in a radiograph?A. Increase brightnessB. Increase the sharpness of detailC. Increase the visibility of detailD. Increase distortion
C. Increase the visibility of detail
How would the digit “0” of a CR or DR digital image appear on a monitor?A. Black pixelB. White pixelC. Gray pixelD. Dull pixel
B. White pixel
What is the rounded process on the proximal, lateral aspect of the femur called?A. Lateral epicondyleB. Greater trochanterC. Medial tubercleD. Femoral tuberosity
B. Greater trochanter
Which of the following positions/projections is demonstrated in this radiograph?A. Lateral cervical spineB. Lateral cervical spine in flexionC. Lateral cervical spine in extensionD. Oblique
C. Lateral cervical spine in extension
A lateral projection of the thoracic spine requires a breathing technique of at least how many seconds?A. 1B. 3C. 5D. 7
B. 3
Which of the following would increase the signal-to-noise ratio (SNR)?A. Increase x-ray intensityB. Increase scatter radiationC. Increase electronic noiseD. Increase background noise
A. Increase x-ray intensity
How will the use of radiographic grids affect the contrast of a radiograph?A. Produce lower contrastB. Produce higher contrastC. Eliminate contrastD. Have no effect on contrast
B. Produce higher contrast
If a digital imaging system can record 10 lines per millimeter, what is its spatial resolution?A. 1 lp/mmB. 5 lp/mmC. 10 lp/mmD. 20 lp/mm
B. 5 lp/mm
An AP projection of the pelvis requires the patient to be supine, the CR perpendicular, and entering a point:A. midway between the crests of the ilium.B. 2” superior to the symphysis pubis.C. parallel to the sacroiliac joints.D. at the level of the sacral foramina.
B. 2” superior to the symphysis pubis.
During a myelogram, what position is the patient in when his head is put lower than his feet?A. FowlerB. ProneC. TrendelenburgD. Sim’s
C. Trendelenburg
Name 10 endocrine glands
PinealPituitary (Anterior/Posterior)ThyroidParathyroidAdrenal (medulla/cortex)OvariesPlacentaTestesPancreasThymus
What gland secretes melatonin?
pineal
What gland secretes growth hormone?
Anterior pituitary
What gland secretes thyroid stimulating hormone?
anterior pituitary
What gland secretes adrenocorticotropic hormones?
anterior pituitary
What gland secretes prolactin?
anterior pituitary
What gland secretes luteinizing hormone?
anterior pituitary
What gland secretes follicle stimulating hormone?
anterior pituitary
What gland secretes antidiuretic hormone?
posterior pituitary
What gland secretes oxytocin?
posterior pituitary
What gland secretes thyroxine?
thyroid
What gland secretes triiodothyronine?
thyroid
What gland secretes parathyroid hormone?
parathyroid
What gland secretes thymosins?
thymus
What gland secretes calcitonin?
thyroid
What gland secretes chromaffin cells?
adrenal medulla
What gland secretes epinephrine & norepinephrine?
adrenal medulla
What gland secretes vital hormones?
adrenal cortex
What gland secretes aldosterone?
adrenal cortex
What gland secretes cortisol?
adrenal cortex
What gland secretes male adrenal androgens?
adrenal cortex
What gland secretes hormones of Islets of Langerhans?
pancreas
What gland secretes alpha, beta & delta hormones?
pancreas
What glands secrete estrogen?
ovaries & placenta
What glands secrete progesterone?
ovaries & placenta
What secretes gonadotropin?
placenta
What gland secretes testosterone?
testes
What hormone is also known as Interstitial Cell Stimulating Hormone?
luteinizing hormone
What does thyroxine do?
metabolizes iodine
What does triiodothyronine do?
breaks down food, increases metabolism
Which thyroid hormone is secreted the most?
thyroxine
What does calcitonin do?
decreases calcium in blood
What does parathyroid hormone do?
increases calcium in blood
What happens if you get too much calcium?
become sluggish
What do chromaffin cells do?
store & secrete epinephrine/norepinephrine
What does aldosterone do?
regulates mineral & electrolytes, makes body retain water
What type of hormone is cortisol?
glucocorticoid
What can male adrenal androgens be made into?
estrogen
What do alpha hormones do?
secrete glucagon (breaks down glycogen into glucose)
What do beta hormones do?
secrete insulin (forms glycogen from glucose)
What do delta hormones do?
secrete somatostatin (inhibits secretion of glucagon & insulin)
What does estrogen do?
helps with secondary sex characteristics
What is the main female hormone?
progesterone
Name the 3 types of muscle tissue.
smooth cardiac skeletal
Where is smooth muscle found?
walls of visceral organs (except heart)eye musclesairways
What attaches muscle to bone?
tendons
What attaches bone to bone?
ligaments
What provides the energy to power muscles?
ATP
Muscle contraction results from what?
the sliding together of thick myosin & thin actin filaments within the muscle cell
Which muscle filament is thick?
myosin
Which muscle filament is thin?
actin
Do skeletal muscles act alone or in pairs/groups?
pairs/groups
What do we call the skeletal muscle that is most responsible for a given movement?
agonist or prime mover
What are the muscles that work in cooperation with the agonist/prime mover called?
synergists
What is the muscle that produces the opposite movement of the agonist/prime mover called?
antagonist
Muscles respond to what?
nerve impulses
Where do muscles receive nerve impulses?
neuromuscular junctions
What is secreted at neuromuscular junctions?
neurotransmitters
Explain what causes stimulation of a muscle fiber?
Nerve impulse travels from nerve to muscle cell at neuromuscular junctionneurotransmitter is secreted & is diffused across the junctionneurotransmitter stimulates muscle fiber
What neurotransmitter do motor neurons use to control skeletal muscle?
acetylcholine
Muscles working under anaerobic conditions produce what?
lactic acid
What chemical causes muscle fatigue?
lactic acid
What is the end of a muscle that is attached to a moving part called?
insertion
What is the end of a muscle that is attached to a fixed point called?
origin
What are the functional units of muscle fibers called?
sarcomeres
In a lever system, what is the lever?
a bar
What is a fulcrum?
the fixed point in a lever system
What is the applied force in a lever system called?
effort
In a lever system, what is the load?
some form of resistance
What is an example of a fulcrum in the body?
joints
What is an example of a lever in the body?
a bone
What is an example of an effort in the body?
muscle contraction
What is an example of a load in the body?
the weight of the bone itself along with overlying tissues
What is the contractile response of a single muscle fiber to a muscle impulse?
muscle twitch
What are the important ions in the nervous system?
sodium & potassium
What is it called when many action potentials are triggered in a motor neuron, resulting in a contraction of increasing strength?
a sustained contraction
Slow twitch (red fibers) muscle fibers
dependent on O2 and are fatigue resistant.
Fast Twitch (white fibers) muscle fibers
anaerobic, contract and fatigue rapidly; found in hands and eyes
Describe muscle tone
results from a continuous state of partial contraction; important in maintaining your posture
Describe Isometric Contractions
Contract with no movement; example is pushing against something
Describe Isotonic Contractions
contraction with muscle shortening, example is lifting a weight
What is all or none response?
muscle will respond completely or not at all; stimulus must surpass threshold to illicit response, response will be a complete contraction or none at all
Are voluntary muscles controlled by the somatic or autonomic nervous system?
somatic