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2498 Cards in this Set

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At what age is it recommended that a woman begin getting annual mammograms?
40 years old
What is the large muscle commonly seen on a mammogram that is located between the bony thorax and the mammary gland?
Pectoralis major
What are the two basic projections for mammographic exams?
Craniocaudal (CC) and Mediolateral Oblique (MLO)
True or false. To avoid grid cutoff, the angulation of the CR must be perpendicular to the length of the grid.
False. Must correspond to the length of the grid lines.
A patient with a possible Pott's fracture enters the ER. Which of the following routines should be performed on this patient?
AP and lateral lower leg
A patient with a possible pleural effusion in the right lung enters the ER. The patient is unable to stand or sit erect. Which position would best demonstrate this condition?
Right lateral decub
A patient with a possible Greenstick fracture enters the ER. What age group does this type of fracture usually affect?
Pediatric
Which of the following terms describes a poor alignment between the ends of a fractured bone?
Lack of apposition
What is the minimum number of projections generally required for any trauma study?
2
An bruise type of injury in which there is no fracture or breaking of the skin would describe a:
Contusion
True or false. Lead grid lines usually run parallel to the centerline of the long axis of the grid.
TRUE
True or false. A foot routine for a 7 year old would be the same as for an adult patient.
TRUE
True or false. Interventional angiographic procedures are used primarily for providing diagnostic information and secondarily for treatment of disease.
FALSE
True or false. The right common carotid originates from the aortic arch.
FALSE
The most common vascular approach during pulmonary arteriography is the :
Femoral vein
Solid food should be withheld for approximately _____ hours before an angiographic procedure.
8 hours
True or false. The common puncture site for selective abdominal angiography is the femoral artery using the Seldinger technique.
TRUE
Each common carotid artery bifurcates into the internal and external arteries at the level of:
Upper margin of the thyroid cartilage
What two arteries that deliver blood to the heart muscle are:
Right and left coronary arteries
Which aspect of the CT systems houses the x-ray tube and detector array?
Gantry
The central opening in the CT support structure whre the patient is scanned is called the:
Aperture
Which device controls slice thickness in a CT image?
Source collimator
Each tiny picture element in the display matrix is called a (an):
Pixel
In what year did the first successful clinical demonstration of computed tomography take place?
1972
Radiographic demonstration of the female reproductive tract with a contrast medium.
Hysterosalpingography
A radiographic study of the spinal cord and its nerve root branches with a contrast medium.
Myelography
A contrast study for visualization of the salivary glands and associated ducts.
Sialography
A straight or right angle radiograph.
Orthoroentgenogram
An exam used to assess the bone mineral density for the diagnosis of osteoporosis.
Bone densitometry
A special type of imaging used to obtain a diagnostic image of a specific layer of tissue or object that is superimposed by other tissues or objects.
Tomography
What is the fulcrum?
The pivot point through which the x-ray tube and IR move.
What is pantomography?
Used for a curved body part, most commonly for the mandible and dental purposes.
What modality uses a measurement of the intensity of acoustic energy received from anatomic structures?
Echo
What is teletherapy?
The application of external beam radiation, which historically has been of three types: x-ray type units, cobalt-60 gamma ray, and linear accelerator.
What does SPECT stand for?
Single photon emission computed tomography
What creates the "romance" of the abdomen?
Head of pancrease and c-loop of the duodenum
What is a negative contrast?
Radiolucent (air, CO2 crystals)
What is a positive contrast?
Radiopaque (barium sulfate)
When the blood shunts from the aorta to the pulmonary artery and this shunt fails to close at birth, this is termed _______.
Patent ductus arteriosus
Pulmonary hypertension caused by left to right shunts is called:
Eisenmenger's Syndrowm
What is the most common cause of congestive heart failure?
Hypertension
What is the most common cause of chronic valve disease?
Rheumatic fever
What would cause the medial end of the clavicle to project at the level of T5-T6 on a PA chest radiograph?
If the patient is leaning in towards the bucky
The middle muscular layer of arteries and veins is called:
media
In a PA chest radiograph, the heart lying to the right of midline is composed mainly of:
Right atrium
In a PA chest radiograph, the heart lying to the left of midline is composed mainly of:
Left ventricle
The sac which contains a small amount of fluid (to reduce friction of the beating heart) and the heart itself is called:
Pericardial sac
Which imaging procedure allows for interventional processes?
angiography
The right lung receives ___% of blood pumping from the heart.
60%
The left lung receives ___% of blood pumping from the heart.
40%
Which vessels fill during diastole?
Coronary arteries
Which part of the heart is demonstrated with a lateral position?
Left atrium, right ventricle
What is the inner layer of the heart tissue?
Endocardium
What is the outer layer of the heart tissue?
Epicardium
Describe systole.
Contraction of ventricles
Describe diastole.
Ventricles at rest, coronary arteries receive blood
What is the middle layer of the circulatory vessels called?
Media
What is the outermost layer of the circulatory vessels called?
Adventitia
What is the innermost layer of the circulatory vessels called?
Intima
Valves in the veins are made up of which type of cells?
Endothelial cells
Where does exchange take place in the circulatory vessels?
Capillaries
What stage on an EKG represents contraction of atria and beginning of depolarization?
P wave
What stage on an EKG represents the time from beginning of atrial contraction to beginning of ventricular contraction (time from SA node to ventricles)
P-R Interval
What stage on an EKG represents ventricular contraction?
QRS Complex
What stage on an EKG represents the time between ventricular contraction and recovery?
S-T segment
What stage on an EKG represents ventricular recovery (repolarization)?
T Wave
What stage on an EKG would indicate metabolic interference with conduction?
U wave
Which stage on an EKG represents the spread of electrical activity from the SA node to the ventricles?
P-R Interval
Swelling of the ankles is a common complaint from patients experiencing :
Right sided heart failure
What is the most common cause of left sided heart failure?
Hypertension
An area of ischemic necrosis is called :
infarct
Coronary artery disease is responsible for over ___% of annual deaths in the U.S.
30%
What is the term for enlargement of the heart?
cardiomegaly
What type of imaging involves the patient swallowing a mobile, flexible probe containing a transducer to image the heart?
Transesophageal echocardiography (TEE)
What type of imaging uses a stationary ultrasound beam to provide an examination of the atria, ventricles, heart valves, and aortic root, allowing evaluation of left ventricular function?
M-Mode echocardiography
What type of imaging allows for spatially correct, real-time imaging of the heart that provides multiple tomographic projections of the heart and great vessels?
2-D echocardiography
What is the most widely used procedure in nuclear cardiology?
myocardial perfusion scan
Gated cardiac blood pool scans are also called:
radionuclide ventriculograms
What is the purpose of gated cardiac blood pool scans?
To evaluate ventricular function and ventricular wall motion
__________ is a procedure in which a high intensity anticoagulant, such as streptokinase, is dripped over a period of hours directly onto a clot to dissolve it.
Thrombolysis
What procedure uses devices such as coils to clot off vessels?
Embolization
In what procedure is a catheter used to connect the jugular vein to the portal vein to reduce the flow of blood through a diseased liver?
TIPSS (transjugular intrahepatic portosystemic shunt)
Although the ductus arteriosus may close normally at birth, a narrowing of the aorta may occur at the junction site. This is called:
Coarctation of the aorta
What is the most common type of congenital heart defect?
Atrial septal defect
What is an atrial septal defect?
If the foramen ovale does not close at birth, an opening remains between the right and left atria
Which septal defects are most serious and why?
Ventricular because there is greater pressure difference between the ventricles than the atria
Describe transposition of great vessels.
The aorta arises from the right ventricle instead of the left ventricle and the pulmonary trunk arises from the left ventricle instead of the right.
Tetralogy of Fallot is a combination of four defects. Name them.
pulmonary stenosis, ventricular septal defect, overriding aorta, and hypertrophy of the right ventricle.
The "boot sign" indicates:
Tetralogy of Fallot
The heart chamber located most anteriorly and forming the anterior border of the cardiac shadow on a lateral chest xray is:
Right ventricle
The bicuspid valve is also known as:
Left atrioventricular valve
Contraction of the myocardium is termed:
systole
How many posterior ribs should be seen on a PA chest xray?
10
In a fetus the ductus arteriosus connects which two structures?
Aorta and pulmonary trunk
A condition in which the left ventricle cannot pump an amount of blood equal to the venous return of the right ventricle is:
Left-sided congestive heart failure
What are risk factors associated with atherosclerosis?
Hypertension and cigarette smoking
A decrease in tissue blood supply is termed:
Ischemia
The single most frequent cause of death in the US is:
Coronary artery disease
What are some clinical signs of a myocardial infarction?
Shortness of breath, crushing chest pain, neck pain
Aortic aneurysms most commonly occur in the:
abdominal aorta below the level of the renal arteries
What imaging procedures may be used to demonstrate an abdominal aneurysm?
Angiography, CT, ultrasound
Venous thrombosis most often occurs in the:
deep veins in the lower extremeties
These aneurysms are "berry" shaped.
Saccular
What type of aneurysm includes the entire circumference of the vessel?
Fusiform
What type of aneurysm occurs when the intima tears away from the media creating a flap that causes blood to clot?
Dissecting
What type of aneurysm is common to occur in the aorta?
Dissecting
Where do fusiform aneurysms commonly occur?
Abdomen
Where do saccular aneurysms usually occur?
Cerebral artery
___% of aortic aneurysms occur in the abdomen.
75%
Aneurysms larger than ____ require surgical repair.
6 cm
The majority of AAA's occur where?
Below the renal arteries
When a clot detaches and enters the bloodstream it is called :
an embolus
Pulmonary emboli usually originate:
in the lower extremeties
Fat emboli are possible from:
skeletal fracture
Stasis of blood causes :
varicose veins
___________ is the leading cause of strokes and congestive heart failure.
Hypertension/high blood pressure
What is blood pressure?
Blood pressure is function of cardiac output and peripheral resistance
What is considered elevated BP for 40 and under?
140/90 considered elevated for 40 and under
What causes pericardial effusion?
bacteria, viruses, neoplasm, idiopathic
___% of patients that have a pulmonary embolism will have another.
50%
What is referred to as the "silent killer"?
Hypertension
What is the ideal BP for those 40 years and younger?
120/80
The cardiovascular system is really made up of two systems. Name them.
Pulmonary and systemic
What is the imaging modality of choice for patent ductus arteriosus?
Echocardiography
What is the imaging modality of choice for coarction of teh aorta?
echocardiography, CXR
What is the imaging modality of choice for septal defects?
Echocardiography, CXR, cardiac catheterization
What is the imaging modality of choice for transposition of great vessels?
Echocardiography and cardiac catheterization
What is the imaging modality of choice for Teralogy of Fallot?
Echocardiography and CXR
What is the imaging modality of choice for valvular disease?
Echocardiography, cardiac catheterization, CXR
What is the imaging modality of choice for CHF?
CXR
What is the imaging modality of choice for COR pulmonale?
Echo, Nuc Med cardiac studies, CXR
What is the imaging modality of choice for atherosclerosis?
Ultrasound and angiography
What is the imaging modality of choice for coronary artery disease?
Echo, nuc med cardiac studies, CT
What is the imaging modality of choice for myocardial infarction?
cardiac catheterization, nuc med cardiac studies
What is the imaging modality of choice for aneurysms?
Ultrasound, MRI, CT
What is the imaging modality of choice for venous thrombosis?
Ultrasound
What is the imaging modality of choice for pulmonary embolism?
CT, nuc med, angiography
What is the term for inflammation of a vein?
Phlebitis
What is the term for blood clots in a vein?
Venous thrombosis
In the emergency room, your patient has been in a serious snowboarding accident. Which exam would be first in your list of priorities?
chest xray
_________ are sometimes used in reducing varicose veins.
Sclerosing agents
Which part of an EKG waveform indicates ventricular depolarization and contraction?
QRS wave
Therapeutic intervention which involves expansion of a balloon within the blood vessel to reopen the lumen of the vessel is referred to as:
Percutaneous transluminal angioplasty
Which segment of an ECG represents the recovery or repolarization of the ventricles?
T wave
In fetal circulation, that hole in the atrial septum allowing blood to move from right atria to left atria without traveling through the pulmonary system is called:
Foramen ovale
The outer most layer of vessels is:
Adventitia
The most common site for thrombus formation is:
lower extremity vein
One form of treatment for aneurysm, provided in the interventional angiographic suite involves introduction of clotting devices. This procedure is called:
Embolization
Edema, both pulmonary and lower extremity may be a symptom of:
Valvular disease
That congenital pathology which creates two closed vascular systems, systems that do not communicate or share blood with one another is:
Transposition
Direction of blood flow through cardiac congenital defects is based on pressure differences. In post partum circulation, what is most common?
Left to right
Hypertension may be a result of other ongoing pathologies like diabetes or adrenal abnormalities. This type of hypertension is referred to as:
Secondary
Identify that inflammatory condition (frequently streptococcal) which creates valvular degeneration.
Rheumatic fever
Most arteries fill upon contraction of the ventricles, however the _______ arteries fill as the ventricles relax.
Coronary
What are contraindications for angiography?
"impaired renal function
Which vessel carries deoxygenated blood into the lungs?
Pulmonary artery
One of the serious complications in angiography results from guidewire or catheter moving between intima and media creating:
Dissection
Filters, to halt the movement of emboli. are most commonly placed in the _________
Inferior vena cava
Which term is used to describe “hardening of the arteries”?
Atherosclerosis
Factors contributing to pericardial effusion are:
"Bacterial or viral infection
That modality which provides a less invasive method of obtaining angiograms, based on imaging fluid changes within the vessel is:
MRA
Which congenital cardiovascular anomalies results in pulmonary hypertension based on increased blood to the pulmonary system?
Patent ductus arteriosus
The most easily treated aneurysm is:
Saccular
The lateral chest X-ray will give us a good silhouette of the heart. What part of the heart is evaluated in the lateral image?
Right ventricle, left atrium
That congenital condition which decreased blood supply to the abdomen and lower extemities but allows unimpeded flow to the upper extremities is:
Coarction
Because of the importance of blood supply to this organ, it's arteries are the first to branch off the aorta. Identify the vessels.
Coronary
Valves of the heart are made up of:
Endocardium
________ makes up the innermost tissue layer of the heart.
Endocardium
The preferred approach (vascular access) in interventional arteriography is:
Femoral artery
_______ bring information to the cell body.
Dendrites
_______ bring information away from the cell body.
Axons
________ provide physical and nutritional support for neurons.
Neuroglia or glial cells
What are the functions of neuroglia or glial cells?
"-provide physical and nutritional support for neurons
White matter consists of:
myelinated nerve bundles
The surface or cortex of the brail consists of:
Nerve cell bodies (gray matter)
What brain functions occur in the cerebrum?
Voluntary movement and sensory functions
What brain functions occur in the cerebellum?
Coordinates movement and maintains posture (receives information from the peripheral nervous system)
The diencephalon houses the:
Thalamus and hypothalamus
What is the function of the thalamus?
integrates sensory stimuli
What is the function of the hypothalamus?
Key in maintaining homeostasis, regulates autonomic response (fight or flight)
What is the function of the brainstem?
Regulates primary functions like respiration
The brainstem houses the:
Midbrain, pons, medulla oblongata
The spinal cord terminates at:
L1-L3 at the conus medullaris
The portion of the spinal cord that extends beyond the conus medullaris is the _______.
Cauda equina
Where is CSF produced?
Within the choroid plexis located in the right and left lateral ventricles
Where is the choroid plexis located?
In the right and left lateral ventricles
At what location does CSF exit into the subarachnoid space?
At the fourth ventricle via the median and lateral foramina.
How is CSF reabsorbed?
Dural sinus
Starting from that closest to the spinal cord, list the meninges layers.
Pia mater, subarachnoid, dura mater
What part of the meninges contains CSF?
Subarachnoid
What system puts the body at a relaxed state?
parasympathetic
Why is the subdural space a "potential" for lumbar puncture?
as it may or may not contain cerebrospinal fluid
What causes CSF to travel?
Hydrostatic pressure, respiration, and movement
What is the blood brain barrier?
Tightly woven capillaries protecting the brain tissue that prevents unwanted substances from entering the brain
In which modality is a radionuclide attached to a glucose molecule in order to pass the blood brain barrier?
PET imaging
What is the modality of choice for brain imaging other than trauma?
MRI
What is the modality of choice for brain trauma?
CT
_________ is an excellent evaluation of bony anatomy, hemorrhage after trauma, shunt evaluation and post injection myelography.
CT
___________ evaluates chemical processes within the brain.
PET
List some examples of calcified structures that may shift and be visualized using diagnostic imaging.
"Pineal gland
That disease which is characterized by patients demonstrating stooped posture, slow movement and tremor and evidenced radiographically by cortical atrophy is:
Parkinson's
True or false. Contrast currently being used for myelography, starts to be absorbed by the body within 20 – 30 minutes.
TRUE
The spinal cord terminates at the L1-L3 level, this terminal portion of the cord is referred to as __________.
Conus medullaris
That artery which connects the anterior cerebral arteries – allowing formation of the Circle of Willis, is:
Anterior communicating artery
The ________skull position may be useful in evaluating internal auditory canals, mastoid aircells and foramen spinosum for size and shape.
Sub-mento vertex
Traumatic head injury, without fracture, which can be compared to "brusing of the brain" is called:
Contusion
Identify that slow growing, infiltrating glial neoplasm which is comprises about 1/3 of all gliomas.
Astrocytoma
Prolapsed intervertebral disks most commonly occur in the :
C spine and L spine
Impaired nerve conduction caused by degeneration of neuron mylelin sheath may cause poor coordination, speaking difficulty or double vision for patients with __________.
Multiple sclerosis
Those cells which provide physical and nutritional support for brain cells and regulate content of extracellular space are called:
Neuroglia
tPA is the medication administered to reverse effects of:
ischemic CVA
The most common demyelinating disorder is ____________. This disorder is problematic because plaque may develop within the CNS creating impaired nerve conduction.
Multiple sclerosis
That pathologic condition which frequently results from the migration of pyogenic bacteria from middle ear or mastoid air cells to cerebral anatomy is called:
Meningitis
If access at the lumbar level is not a possibility in myelography and the procedure is still a must, access at ________ is the next option.
Cervical cistern
The occupation of space within the cranial vault is a primary concern for:
any type of neoplastic cerebral growth
That pathologic condition (commonly a viral invasion ) which results in multiple hemorraghic points of brain parenchyma is:
Encephalitis
That condition which allows protrusion of spinal cord or meningies outside the spinal canal is:
Spina bifida
That portion of a vertebral disk, which acts as a tough protective cover is the:
Annulus fibrosus
A benign, cystic tumor growing from remnants of pituitary development is called
craniopharyngioma
Identify that inherited condition which demonstrates as atrophy of the caudate nucleus in CT
Huntington's
The most common nonglial tumor originates in the arachnoid tissues. This neoplasm is:
Meningioma
What is the most common nonglial tumor?
Meningioma
Identify that glioma which develops within the lining of the ventricles:
Ependymoma
The imaging modality of choice in the event of a prolapsed disk is:
MRI
The acute condition of adult onset encephalitis, usually caused by stroke or injury is:
Encephalitis ex-vacuo
Foward slippage of one vertebra on another is called:
spondylolithesis
Maintaining a balance of cerebral spinal fluid requires absorption of CSF through:
Dural venous sinus
Identify that neoplastic growth which is usually benign, affects hormone production and may erode the sella turcia:
Pituitary adenoma
True or false. A herniated disk is a contraindication for a myelogram?
FALSE
Identify that parasitic disease which may create large cystic lesions in liver or brain.
Echinococcosis
Ischemic cerebrovascular accidents occur in one of two ways - with either gradual build up and progressively worsening symptoms OR acute, sudden onset of symptoms and dramatic effects. Those acute episodes are usually the result of :
embolism
An infarct is ___________.
Ischemia
How does a thrombosis develop?
Slowly over time (hours or days)
For what type of stroke is tPA given for?
Ischemic to dissolve clots
An ischemic stroke that occurs from an embolism at a foreign site has what type of onset?
Sudden
How do nonglial neoplasms grow?
Through expansion
What is the most common type of nonglial neoplasm?
Meningioma
How do glial neoplasms grow?
Through infiltration
Half of primary brain tumors are _________.
Gliomas
Gliomas arising from the lining of ventricles are :
Ependymomas
Advanced highly malignant gliomas are :
Astrocytomas
A slow growing usually benign astrocytoma is :
Oligodendroglioma
Slow growing, infiltrative, low grade gliomas are :
Astrocytomas
______ account for half of all gliomas.
Malignant glioblastomas
Name the rapidly growing, highly malignant, infiltrating tumor of neuroepithelial tissue.
Medulloblastoma
Medulloblastomas occur in the _________.
Cerebellum, usually extending from the fourth ventricle
Medulloblastomas occur in what age groups?
Children and young adults
What type of neoplasm originates in the arachnoid space?
Meningioma
Enlarged foramen spinosum and increased meningeal vascular markings are indicators of :
Meningioma
________ is a neoplasm that is usually benign and affects hormone production.
Pituitary adenoma
Erosion of the sella tursica may be visible on CT or a lateral skull image with this neoplasm.
Pituitary adenoma
List the three tumors of central nerve sheath cells.
Acoustic neurilemoma, acoustic neuroma, Schwannoma
Tumors of the central nerve sheath cells are most commonly located where?
8th cranial nerve
Name the three types of tumors of central nerve sheath cells that compress brain tissue and erode temporal bone.
Acoustic neurilemoma, acoustic neuroma, schwannoma
These types of neoplasms account for 25% of brain tumors.
Secondary metastases
Secondary metastases usually occur from:
Lung carcinoma
What are symptoms of secondary metastases?
headache and ataxia
What type of neoplasm presents with signs of increased intracranial pressure?
Secondary metastases
Extramedullary and intramedullary tumors are classified as :
Intramedullary
Spinal tumors are divided into two categories. List them.
Extradural intradural
What types of tumors are classified as extramedullary?
Meningiomas and neurofibromas
What types of tumors are classified as intramedullary?
Astrocytomas and ependymomas
This type of head trauma is reversible interference with brain function.
Concussion
This type of head trauma is the brusing of brain tissue with rupture of small vessels and edema.
Contusion
This type of head trauma occurs when the skull is not compromised but tissue is damaged resulting from force exerted against the skull.
Closed head injury
The nerves travelling beyond the spinal cord ending at L1-L3 are referred to as ________.
Cauda equina
Non ionic contrast injected in myelography is absored withing ______ min and visualized for up to ______.
20-30 min, 1 hour
_______ is a disruption or imbalance of flow of cerebrospinal fluid.
Hydrocephalus
What type of hydrocephalus is linked to dementia?
Normal pressure
What type of hydrocephalus has primary symptoms consisting of headache, nausea, vomiting, and drowsiness?
Congenital
What CNS disorder causes loss of coordination or balance, shuffling gait, memory loss, headache, and bladder control problems?
Adult onset hydrocephalus
What type of hydrocephalus occurs with damage to the brain caused by stroke or injury?
Ex-vacuo
In which type of hydrocephalus may we also see brain shrinkage?
Ex-vacuo
Gradual blockage of the CSF draining may cause:
Normal pressure hydrocephalus
What type of hydrocephalus has the following symptoms: memory loss, gait disorder, urinary incontinence, and general slowing of activity?
Normal pressure hydrocephalus
What disease shows atrophy of the caudate nucleus radiographically?
Huntington's
Ventricles loose concavity of caudate nucleus in which disease?
Huntington's
Acute inflammation of the pia mater and arachnoid occur with :
Meningitis
What pathology can occur from pyogenic bacteria migrating from the middle ear or sinuses?
Meningitis
What are symptoms of cerebral echinococcosis?
Headaches, paralysis, vertigo
Infection of brain parenchyma (usually viral) occurs with:
Encephalitis
_________ causes cerebral edema with areas of bleeding throughout the brain.
Encephalitis
About ___% of encephalitis are pediatric.
30
______ is usually a result of chronic infection of middle ear, mastoids, sinuses, or systemic infection.
Brain abscess
With _____________, infection leads to cerebral softening, necrosis, and liquefaction of tissue.
Brain abscess
Osteoarthritic changes impinging on the nerve root occurs with:
Spondylosis
Slippage of vertebrae occurs with:
Spondylolithesis
PET imaging shows areas of decreased glucose metabolism with:
Alzheimer's
_________ is a progressive disease characterized by stooped posture, stiffness, slowness of movement, fixed facial expression and involuntary rhythmic tremor.
Parkinson's disease
Degenerative changes in the basal ganglia indicates:
Parkinson's disease
________ seems to be an enzyme defect resulting in deficient production of dopamine.
Parkinson's
Cortical atrophy visualized in CT indicates:
Parkinson's, also a normal sign of aging
Contributing substances to cerebellar atrophy are:
alcohol and phenytoin
What is the most common type of demyelinating disorder?
Multiple sclerosis
Name that disease. Impaired nerve conduction may result in double vision, involutary rapid movement of the eye, loss of balance, poor coordination, shaking tremor, muscular weakness, speaking difficulty and bladder dysfunction.
Multiple sclerosis
A temporary localized reduction of blood flow in the brain is a ___________.
Transient ischemic attack
Name that disease. Uncontrollable discharge of neurons on BOTH sides of the brain is most common. The seizure starts in one area of the brain and spreads across the brain.
Epilepsy
Reid’s baseline (aka "base line" or "anthropologic baseline") is more commonly referred to as:
IOML
What cranial bones form the upper lateral walls of the calvarium?
Parietals
For the Parietoorbital oblique projection, Rhese method, of the orbit, how many degrees of angle should be formed between the MSP and the IR?
53 degrees
Which position is performed with the patient’s head positioned true lateral and the CR directed 25 degrees cephalad?
Axiolateral oblique projections of the mandible.
True or false. The opposite side of the mandible should overlap the ramus for an axiolateral oblique projection of the mandible.
False.
How many degrees and in which direction should the CR be directed for the Axiolateral oblique projection of the mandible?
25 degrees cephalad
For the Parietoorbital oblique projection, Rhese method, of the orbits, which positioning line should be perpendicular to the IR?
Acanthiomeatal
Which of the following structures can be well demonstrated with an Axiolateral oblique projection (Modified Law method)?
TMJ
To demonstrate the mandibular body with the Axiolateral oblique projection, how should the patient’s head be positioned?
From true lateral, rotate the head 30 degrees toward the IR.
How many degrees and in which direction should the CR be directed for the Axiolateral oblique projection (Schuller method) for TMJs?
25 degrees caudal
An AP axial projection (Towne method) of the bilateral zygomatic arches is performed similarly to the AP axial projection (Towne method) of the skull, except that the projection for the zygomatic arches requires which of the following be done?
CR should be directed to the glabella
Which projection of the skull can be correctly performed with the CR angled 15 degrees?
PA Axial, Caldwell method
How many degrees are in the angle formed between the midsagittal plane and the petrous pyramids in the brachycephalic skull?
54 degrees
From which cranial bone does the zygomatic process arise?
Temporal
How many degrees are in the angle formed between the midsagittal plane and the petrous pyramids in the dolichocephalic skull?
40 degrees
The external acoustic meatus is a part of which cranial bone?
Temporal
On which cranial bone is the Crista galli located?
Ethmoid
With which bone does the mandible articulate?
Temporal
Which skull classification refers to a typical skull (in terms of length and width)?
Mesocephalic
Which bone comprises most of the lateral wall of the orbital cavities?
Zygomatic
Where should the petrous ridges be seen in the image of the Parietoacanthial projection of the facial bones?
Below the maxillary sinus
Which bones from the posterior one fourth of the roof of the mouth?
Palatine
Which skull classification refers to a long, narrow skull?
Dolichocephalic
Which skull classification refers to a short, wide skull?
Brachycephalic
Which projection of the skull can be correctly performed with the CR angled 37 degrees?
AP Axial, Towne method
With reference to the IR, how should the MSP be adjusted for the tangential projection demonstrating an individual zygomatic arch?
15 degrees from perpendicular
Which suture joins both parietal bones with the occipital bone?
Lambdoidal
Where are the lacrimal bones located?
On the medial wall of each orbit
Which positioning line should be parallel with the IR for the SMV projection of the skull?
Infraorbitomeatal line
Which suture joins a parietal bone with both a sphenoid bone and a temporal bone?
Squamosal
The Bregma fontanel is located at the junction of which two sutures?
Coronal and sagittal
With reference to the patient, where should the IR be centered for the lateral projection of the skull?
2" above EAM
Which projection of the skull produces a full basal image of the cranium?
SMV Schuller method
Where is the vomer bone found?
On the floor of the nasal cavity
Which projection of the skull projects the petrous bones in the lower third of the orbits?
PA Axial Caldwell method
The Lambda fontanel is located at the junction of which cranial bones?
Occipital and both parietals
The lambda fontanel is located at the junction of which two sutures?
Lambdoidal and Sagittal
The Pterygoid processes project inferiorly from which cranial bone?
Sphenoid
The Bregma fontanel is located at the junction of which cranial bones?
Frontal and both parietals
With reference to the IR, how should the CR be directed for the Parietoacanthial projection, Waters method?
Perpendicular
With reference to the patient, where should the IR be centered for the PA 15 degree (Caldwell method) projection of the skull?
Nasion
For the PA axial projection, Haas method, of the skull, where should the CR enter the patient’s head?
1 ½ inches (3.8cm) below the external occipital protuberance
How many degrees and in which direction should the CR be directed for the PA axial projection, Haas method, of the skull?
25 degrees cephalad
Which suture articulates the frontal bone with both parietal bones?
Coronal
Which two positioning lines or planes should be perpendicular to the IR for the PA projection of the skull?
Orbitomeatal line and midsagittal plane
True or false. For an SMV projection for the paranasal sinuses, the mandibular condyles should be anterior to the petrous ridges.
TRUE
Which sinus group is of primary interest on the lateral projection of sinuses?
Sphenoid
Where should the petrous ridges be seen in the image of the PA 15 degree axial projection, Caldwell method?
Lower one third of the orbits
Which sinus group is NOT well visualized in the image produced by the Parietoacanthial projection, Waters method?
Sphenoidal
Which sinus groups are best demonstrated with the PA projection, Caldwell method?
Frontal and anterior ethmoidal
The tangential projection for a unilateral zygomatic arch requires that the skull be rotated 15 degrees and tilted 15 degrees away from the affected side.
False (towards the affected side)
True or false. The mandible articulates with the zygomatic bone.
FALSE
The CR is centered to exit at the level of the _______________ for a well positioned 15 degree PA Axial projection of the facial bones.
Nasion
Name the cranial bones that the occipital bone articulates with.
Sphenoid, atlas (C1), Parietals, Temporals
Name the cranial bones that each temporal bone articulates with.
Parietal, occipital, sphenoid
What cranial bones does the sphenoid articulate with?
All of them!
What are the other names for the petrous portion?
Petrous pyramid, pars petrosa, petromastoid portion
The petrous ridge corresponds to the level of which external landmark?
TEA (top of ear attachment)
In which cranial bone is the opening (orifice) located that transmits the nerves of hearing and equilibrium and what is the name of the orifice?
Temporal bone, Internal acoustic meatus
WHat is the alternate name of the pituitary gland?
Hypophysis Cerebri
Name the foramina of the sphenoid, anterior to posterior.
Rotundum, ovale, spinosum
At what age do cranial sutures close? Fontanels?
12-13 years. 18 months.
What is another name for the auricle?
Pinna
What is the ear "lip" called?
Tragus
What is the "ear drum"?
Attic or epitympanic recess
What position would demonstrate the internal acoustic meatus?
Modified PA Caldwell (5-10 degrees caudal angle to the OML)
The shape of the average head is termed ________ and has a width of ____ cm and length of ____ cm.
Mesocephalic, 15, 19 (width 75% of length)
In a mesocephalic head, petrous ridges are at an angle of ____ MSP.
47 degrees
What is a brachycephalic head and at what angle are the petrous ridges?
Width 80+% more than length (>47 degrees, + or - 54 degrees)
In a dolichocephalic head at what angle are the petrous ridges in relation to the MSP?
+ or - 40 degrees (<47 degrees), width is less than 75% of length
That malabsorption disorder which is a sensitivity to gluten and increases lymphocyte production is:
celiac disease (sprue)
The omentum is formed by double fold of:
parietal peritoneum
_________ describes a mucosal thickening in the lower esophagus associated with a sliding hiatal hernia:
Schatzke’s ring
That type of diverticulum which involves a ballooning of all layers of the alimentary wall is called:
traction
Body habitus determines where certain structures will lay within the abdominal cavity, for example in the hypersthenic habitus the stomach will generally be:
high and horizontal with bulb around T11-12
The telescoping of one part of the intestinal tract into another is termed:
Intussusception
A mechanical blockage of the lumen of bowel, involving a stone migrating from biliary system to GI is called
gallstone ileus
A mechanical blockage of the lumen of bowel, involving a stone migrating from biliary system to GI is called
Methylcellulose
Twisting of the bowel around it's mesenteric base is termed:
Volvulus
A causative factor of a paralytic ileus is ________.
Infection
That diverticula, which is thought to be a remnant of the duct connecting small bowel to unbilicus, located proximal to the ileocecal valve is:
Meckel's diverticula
True or false: Visualization of an apple core lesion is suggestive of colon cancer.
TRUE
Crohn's disease is also called :
regional enteritis
That diverticulum occurring at the pharyngoesophaeal junction is called:
Zenker's
Barium sulfate is used as what type of suspension?
colloidal
Patient prep for an esophagram series includes:
no prep
True or false. Motility of barium during procedures is dependent on type of barium salt used.
FALSE
The most common site for colonic diverticula is:
sigmoid colon
An esophageal abnormality produced when normal epithelium is destroyed by gastric acid from repeated reflux and replaced with other cells is a condition called:
Barrett's esophagus
Whipple’s disease is a form of which syndrome?
Malabsorption
That inflammatory condition which involves the mucosal lining of the stomach and may be related to alcohol intake or smoking is:
gastroenteritis
Veriform appendix obstruction often leads to:
appendicitis
Colonic polyps which attach directly to the bowel wall are called:
sessile
Which of the following imaging modalities would be most useful in demonstrating GI bleeding?
Nuc med
A term describing a benign smooth muscle tumor is:
leiomyoma
True or false. Gastric carcinoma has ill defined borders.
TRUE
_________ usually starts around the terminal ileum with inflammation of the mucosal cells which may ulcerate through the bowel wall.
Granulomatous colitis
That neurogenic condition in which the EG sphincter cannot relax resulting in dilated esophagus at the EG junction is:
Achlasia
This congential condition of the eosophagus which stops short of actually connecting to the stomach and is usually associated with tracheosophageal fistulas:
esophageal atresia
An infant demonstrating the double bubble sign on imaging accompanied by gastric distention, no stool produced is probably suffering from:
duodenal atresia
Identify that area of the digestive system least likely to develop neoplasms:
small bowel
Cirrhosis of the liver interferes with blood flow through the hepatic portal system often resulting in:
esophageal varices
The transjugular intrahepatic portosystemic shunt may be useful in treating:
esophageal varices
Peptic ulcer disease is thought to be associated with:
Helicobacter pylori
Fungal infections resulting in the shaggy appearance of the esophagus is attributed to:
Candida
A mass of undigested vegetable fiber within the stomach of bowel is called a:
phytobezoar
What is the name of the pathology is associated with bowel invading scrotal sac?
Inguinal hernia
The rhythmic smooth muscle contractions found in the upper gastrointestinal system are called:
Peristalsis
Retroperitoneal structures include:
Pancreas, duodenum, ascending and descending colon and upper rectum
Infraperitoneal structures include:
Lower rectum
How will the stomach be oriented in a sthenic patient?
J shaped w/ bulb at L1-2
How will the stomach be oriented in a hypostenic patient?
Elongated and low w/ bulb around L3-L4
What transport types take place in the esophagus?
Gravity and peristalsis
A small bowel series is complete when:
The barium reaches the ileocecal valve
Motility of barium is dependent on:
"Suspending medium
What are contraindications for barium?
"GI perforation
What is the patient prep for a UGI or SBS?
"NPO after midnight
For a small bowel enema the tube must pass :
The ligament of Treitz
Another name for a small bowel enema is:
Enteroclysis
What is the most common type of NG tube?
Levin
Miller Abbott, Harris and Cantor are what types of tubes?
Decompression
Dobhoff, Corpak, and Entriflex are what types of tubes?
enteral for prolonged use
What is a Levacuator tube?
double lumen for lavage and suction
What is atresia?
absence or closure of normal body orifice
What is Hirschsprung's disease?
absence of neurons in bowel wall (typically sigmoid colon) results in gross dilation
What is toxic megacolon?
Bacterial growth with fluid and electrolyte imbalance
What is Meckel's diverticulum?
remnant of duct connected small bowel to umbilicus in fetus
Malabsorption sydrome is a group of disease also referred to as:
sprue
What is whipple's disease?
dilation of intestine, edema, malabsorption, fatty deposits on bowel wall
What is celiac disease?
sensitivity to gluten producing lymphocytes which attack mucosa
What is carbohydrate/lactose insufficiency?
small bowel lacks enzyme lactase, lactose stays in bowel drawing water into the colon
What is the treatment for esophageal stricture?
Balloon dilation (Hurst & Maloney dilators)
What is candida esophagitis?
fungal infection common in patients who receive immunsuppressant agents and radiation therapy/chemo
Severe GERD may cause:
Barrett's esophagus
Gastric acid eating away the epithilium will cause:
GERD
H. Pylori is associated with :
chronic antral gastritis
Erosion of mucosal membrane most often in proximal esophagus, stomach or duodenum is:
Peptic ulcers
Ingestion of contaminated food (salmonella) causes:
Gastroenteritis
Infection of lumen of small bowel by a protozoa is :
Giardiasis
Infestation of roundworms is:
Ascariasis
This pathology starts with inflammation of mucosal cells with ulceration of bowel wall. Scaring may lead to obstruction and creates cobblestone appearance
Crohn's disease
What are causes of paralytic ileus?
Infection or drug induced
Esophageal achalasia is:
Reduced peristalsis at EG sphicter, unable to relax, becomes dilated
What pathology causes aganglionic bowel preventing peristalsis?
Hirschsprung's Disease
Zenker's diverticulum occurs where?
Pharyngoesophageal junction
Where is Meckel's diverticula located?
proximal to ileocecal valve
Benign tumors make up what percentage of stomach tumors?
less than 10%
What is a bezoar?
Mass of undigested materials trapped in stomach
What is a trichobezoar?
mass of hair trapped in stomach
What is a phytobezoar?
mass of vegetable fiber or seeds trapped in stomach
Malignant neoplasms of the stomach are commonly found:
pylorus or antrum and lesser curvature
Predisposing factors for small bowel neoplasms are:
"Polyposis
What is a pendunculated neoplasm?
is stalked
What are predisposing factors for colon cancer?
"Family history
Information from this gland, neural and chemical, stimulates the pituitary gland to secrete different hormones
Hypothalamus
The largest endocrine gland in the body is:
Thyroid
The "master" gland of the endocrine is seated in the sella turcica - this gland is:
Hypophysis (Pituitary gland)
Another name for the pituitary gland is the:
Hypophysis
This endocrine gland plays a significant role in immunity and leukocyte maturation.
Thymus
That endocrine gland, referred to as the "third eye" because it secretes hormones to regulate circadian rhythm in humans, is called the __________.
Pineal
Primary adrenal insufficiency resulting from autoimmune destruction of the adrenal cortex is called ___________.
Addison's Disease
This endocrine gland is responsible for stimulating osteoclasts and increasing calcium absorption in kidneys and bowel.
Parathyroid gland
Which pathology may result in nephrocalcinosis?
Hyperparathyroidism
Which diabetes is a genetic disorder presenting as an autoimmune event associated with ketoacidosis?
Diabetes mellitus type 1
That part of the adrenal gland responsible for electrolyte balance is:
Cortex
"Little People" that are well proportioned suffer from:
Hypopituitarism
That endocrine gland with primary responsibility for regulating tissue growth is:
Thyroid
If this condition occurs prior to growth place closure we call it "rickets". Occurring after closure we call it:
Osteomalacia
Release of hormones by the endocrine system in response to changes in blood chemistry is called:
Humoral
Hypersecretion of steroid hormones may result in excess fat deposits in the neck and trunk of the body and a moon shaped face. These characteristics are indicative of:
Cushing's syndrome
What is the difference between the endocrine and exocrine system?
Exocrine uses ducts for secretion whereas the endocrine system releases hormones directly
This type of stimuli is in direct response to changes in blood chemistry.
Humoral
This type of stimuli is in response to sympathetic nervous system.
Neural stimuli
This type of stimuli is in response to other hormones secreted in the body.
Hormonal stimuli
This organ has both endocrine and exocrine functions.
Pancreas
This gland is considered the "master" endocrine gland.
Pituitary
What gland secretes major hormones affecting growth, sexual development, reproduction, and metabolism?
Pituitary
This gland is located in the cranium, posterior to third ventricle and superior to midbrain and inferior to corpus callosum.
Pineal
This gland may calcify and become visible on radiographs.
Pineal
Which gland produces and excretes melatonin?
Pineal
These glands are lcoated on upper poles of kidneys bilaterally.
Adrenal
The inner portion of the ________ acts as part of sympathetic nervous system.
Adrenal medulla
What part of the adrenal gland is responsible for electrolyte balance, cell metabolism and sex hormones?
Adrenal cortex
What gland is responsible for maintaining normal blood pressure and tissue growth?
Pituitary
An overweight person may have an __________ thyroid. This is referred to as __________.
Underactive, hypothyroidism
An underweight person may have an ___________ thyroid. This is referred to as _________.
Overactive, hyperthyroidism
This gland produces and secrets PTH which controls blood calcium levels.
Parathyroid
What does PTH do?
Stimulates osteclasts and increases calcium absorption in kidneys and bowel
Which gland is responsible for stimulating osteclasts and increases calcium absorption in kidneys and bowel?
Parathyroid
This gland is claimed by the endocrine as well as the lymphatic system.
Thymus
This gland secretes hormones responsible for stimulation of white blood cell production.
Thymus
T cell leukocytes mature in this gland.
Thymus
This gland is significant in establishing immune system.
Thymus
This gland starts shrinking after puberty.
Thymus
Where is the pancreas located?
Mid abdomen, posterior to stomach
This organ functions as both endocrine and exocrine.
Pancreas
__________ produce glucagon and insulin.
Islets of Langerhans
What does antagonist mean?
Inhibits
Insulin is an antagonist to :
Glucagon
Insulin does what to glucagon?
Inhibits the breakdown
_________ promotes breakdown of glycogen to glucose in the liver.
Glucagon
Glucagon promotes the breakdown of _________ to _________ in the liver.
Glycogen to glucose
What is the inner portion of the adrenal gland?
Adrenal medulla
What is the outer portion of the adrenal gland?
Adrenal cortex
What is another name for the Islets of Langerhans?
Pancreatic islets
A radiographically visible decrease in density is :
Osteopenia
___________ is a condition caused by a lack of calcium in the tissues and a failure of bone tissue to calcify.
Osteomalacia
If osteomalacia occurs before growth plate closure, it is known as:
Ricket's
__________ is an endocrine disorder caused by a distrubance of the pituitary gland that causes the sella turcica to enlarge.
Acromegaly
The hypothalamus gets input from the __________ and outputs to the ____________.
Thalamus, pituitary
This organ is located inferior to the thalamus and just superior to the pituitary.
Hypothalamus
This organ is responsible for homeostasis in the body.
Hypothalamus
The ___________ interprets information received by the brain.
Thalamus
Which modality is very useful in pituitary disorders and gland evaluation?
MRI
Which modality is very useful in pituitary disorders and gland evaluation?
MRI
Which modality is useful in thyroid and adrenal diagnosis?
Nuclear medicine
Osteomalacia can be associated with these diseases.
Hepatic disease, chronic pancreatitis, and ileitis
This disease results in wideing medullary cavity with thinning cortical margins.
Osteoporosis
How does osteomalacia occur?
From inadequate intake or absorption of calcium, phosphors, or vitamin D or inhibited absoprtion of dietary fats.
With this disease, osteoid material replacing bone is porous, bulky and soft.
Osteitis deformans (Paget's Disease)
Paget's disease is also known as:
Osteitis deformans
This disease is caused by excessive secretion of growth hormones as an adult causing the bones to become thick and coarse because the epiphyses have closed already.
Acromegaly
Acromegaly is a _________ disorder affecting the skeletal system.
Pituitary
Which type of diabetes is neurological in originn or genetic and caused by a deficiency in vasopressin?
Central diabetes insipidus
What type of diabetes causes polyuria, weight loss and increased thirst?
Diabetes insipidus
This disorder is caused by a decreased level or absence of pituitary hormones, possibly due to infarct.
Hypopituitarism
What modalities would be helpful in diagnosing hypopituitarism?
CT or MRI along with cerebral angiography
This disease is caused by hypersecretion of glucocorticoids.
Cushing's syndrome
Cushing's syndrome is a type of :
Adrenal gland disorder
This disease causes the patient's face to become moon shaped with excess fat deposits in neck and trunk of body.
Cushing's syndrome
With this disease females have male tendencies due to increased production of androgens.
Cushing's syndrome
This disease is a primary adrenal insufficiency and usually results from autoimmune destruction of adrenal cortex.
Addison's disease
What is the treatment of Addison's disease?
Diet and hormone therapy
Elevated ACTH and inadequate corticosteroid synthesis occurs in:
Addison's disease
What type of diabetes is associated with chronic hyperglycemia and glucose intolerance changing metabolism of carbohyydrates, fats and proteins?
Diabetes mellitus
What type of diabetes causes autoimmune destruction of pancreatic B cells, producing little or no insulin?
Type 1 Diabetes mellitus
What type of diabetes causes insulin resistance?
Type 2 diabetes mellitus
What type of diabetes is one of the most common childhood diseases?
Type 1 diabetes mellitus
With which type of diabetes is ketoacidosis a common complication?
Type 1 diabetes mellitus
What is the treatment for type 1 diabetes mellitus?
Meal planning, exercise, multiple checks of blood glucose and daily insulin injections
With which type of diabetes does the risk of development increase with age?
diabetes mellitus type 2
Which type of diabetes is associated with obesity and inactivity?
diabetes mellitus type 2
Which type of diabetes occurs as result of altered cellular metabolism?
diabetes mellitus type 2
What causes hyperthyroidism?
Autoimmune disorder
In which disease does the body create atibodies countering thyroid TSH receptor causing thyroid to secrete excessive amounts?
Hyperthyroidism
What type of thyroid disorder is life threatening?
Hyperthyroidism
What disease is commonly seen in patients with autoimmune thyroiditis?
Hypothyroidism
What is Hashimoto's disease?
Autoimmune thyroiditis
What disease could be iatrogenic resulting from treatment of goiter with radioactive iodine therapy or surgery or caused by iodine deficiency?
Hypothyroidism
In which endocrine disease would you see a slow progression of decreased energy, cold interolerance, personality change and slight weight gain.
Hypothyroidism
What is the treatment for hypothyroidism?
Synthetic hormone replacement therapy
The term hyperparathyroidism refers to:
any disorder that disrupts calcium-phosphate ratio in the body resulting in elevated levels of PTH leading to bone destruction
Which thyroid disease may result in nephrocalcinosis?
Hyperparathyroidism
Which thyroid disease may be characterized by small deposits of calcium phosphate dispersed in renal parenchyma?
Hyperparathyroidism
What is the treatment for hyperparathyroidism?
Lower serum calcium levels
Which thyroid disease will be indicated by high serum calcium levels?
Hyperparathyroidism
Hyperthyroidism is most commonly caused by :
Grave's disease
Upper GI: The stomach appears blotchy within the barium filled areas, what may cause this?
Residual food particles, inadequate preparation
Upper GI: If the air filled fundus is overexposed, preventing demonstration of abnormalities, what was the error?
mAs too high or the AEC is positioned beneath the barium filled body and pylorus
During an upper GI you notice that the stomach is foreshortened and compressed, what can you do to correct this?
Exposure on expiration
List the seven major components of the alimentary canal.
Mouth, pharynx, esophagus, stomach, small intestine, large intestine, anus
List the four accessory organs of digestion.
salivary glands, pancreas, liver, gallbladder
What are the primary functions of the digestive system?
intake/ingestion, digestion, absorption, elimination
What two terms refer to a radiographic examination of the pharynx and esophagus?
barium swallow or esophagram
Which term describes the radiographic study of the distal esophagus, stomach and duodenum?
upper GI
What three pairs of salivary glands are accessory organs of digestion associated with the mouth?
parotid, submandibular, sublingual
What is the act of swallowing called?
deglutition
List the three divisions of the pharynx.
Nasopharynx, oropharynx, and laryngopharynx
What two structures create the two indentations seen along the lateral border of the esophagus?
Aortic arch and left primary bronchus
List the three structures that pass through the diaphragm.
Aorta, inferior vena cava, esophagus
What part of the upper GI tract is a common site for ulcers?
dilation of esophagus
What term describes the junction between the duodenum and the jejunum?
duodenojejunal flexure
True or false. The c-loop of the duodenum and pancreas are retroperitoneal structures.
TRUE
True or false. The body of the stomach curves inferiorly and posteriorly from the fundus.
False, inferiorly and anteriorly
Name the three main divisions of the stomach.
fundus, body, pyloric
Which two structures form the "romance of the abdomen"?
The c-loop of the duodenum and the pancreas
True or false. Mechanical digestion includes movements of all the GI tract.
TRUE
True or false. Peristaltic activity is not found in the pharynx.
TRUE
What are stomach contents called once they are churned into a semifluid mass?
Chyme
What is the churning or mixing activity present in the small bowel called?
rhythmic segmentation
List the three classes of substances that are ingested and need to be chemically digested.
carbohydrates, lipids, proteins
What are the biological catalysts that speed up the process of digestion?
enzymes
List the end products of digestion for carbohydrates, lipids and proteins.
"Carbohydrates: Simple sugars
What is the name of the liquid substance that aids in digestion and is manufactured in the liver and stored in the gallbladder?
bile
Absorption of nutrients primarily takes place in the ______, although some substances are absorbed through the lining of the ________.
small intestine, stomach
__________ is a substance that is not an enzyme but serves to emulsify fats.
bile
Of the three primary food substances, the digestion of which one begins in the mouth?
Carbohydrates
Any residues of digestion or unavsorbed digestive products are eliminated from the ___________.
Large intestine
Peristalsis is an example of which type of digestion?
mechanical
What body habitus would have a high and transverse stomach?
Hyperstenic
What body habitus would have a J-shaped stomach that is more vertical and lower in the abdomen with the duodenal bulb at the level of L3-L4?
Hyposthenic/Asthenic
On the average, how much will the abdominal organs drop in the erect position?
1-2"
Name the two abdominal organs most dramatically effected by body habitus?
stomach and gallbladder
Would the fundus be more superior or more inferior when one takes a deep breath? Why?
inferior, the stomach is proximal to the diaphragm
What types of mechanical digestion and/or movement occur in the oral cavity?
Mastication and deglutition
What types of mechanical digestion and/or movement occur in the pharynx?
Deglutition
What types of mechanical digestion and/or movement occur in the esophagus?
Deglutition and peristalsis
What types of mechanical digestion and/or movement occur in the stomach?
Peristalsis and mixing
What types of mechanical digestion and/or movement occur in the small intestine?
Peristalsis and rhythmic segmentation
What is another term for a negative contrast medium?
radiolucent
What is another name for a positive contrast medium?
Radiopaque
What substance is most commonly ingested to produce carbon dioxide gas as a negative contrast medium for GI studies?
CO2 crystals
What is the ratio of barium to water for a thin barium mixture?
1:01
What is the chemical symbol for barium sulfate?
BaSO4
What is the term for the speed with which barium passes through the GI tract?
gastric motility
What is the purpose of the gas with a double contrast study of the GI tract?
forces the barium against the stomach mucosa
For photospot or cine images, such as recorded on a 105-mm film, what side of the image intensifier are the images taken from?
Output side
For conventional spot film images on 8x10 cassettes, what side of the image intensifier are the images taken from?
Input side
Do photospot or cine images (taken from the output side), or conventional spot film images (taken from the input side) have a brighter image?
Photospot or cine
How many times brighter is the fluoroscopic image when enhanced or brightened by the image intensifier?
1000-6000 times
What device, found beneath the table, greatly reduces the exposure to the technologist from the fluoro tube?
Bucky slot shield
What is the major benefit of using a compression paddle during an upper GI?
reduces exposure to the arms and hands of radiologist
List six advantages or unique features and capabilities of digital fluoro over conventional.
"No cassettes
What is another term that describes intermittent "road mapping" when used in digital fluoro?
Frame hold
What is difficulty swallowing also referred to as?
Dysphagia
What is it called when there is replacement of normal squamous epithelium with columnar epithelium?
Barrett's esophagus
What is it called when there is large outpouching of the esophagus?
Zenker's diverticulum
Cardiospasm is also referred to as ____________.
Achalasia
What is the most common form of adenocarcinoma?
carcinoma of the esophagus
What is it called when there is blood in the vomit?
hematemesis
What is it called when there is inflammation in the lining of the stomach?
gastritis
What is blind outpouching of the mucosal wall called?
diverticula
What is it called when undigested material gets trapped in the stomach?
Bezoar
What is synonymous with gastric or duodenal ulcer?
peptic ulcer
eWhat is it called when a portion of the stomach protrudes through the diaphragmatic opening?
Hiatal hernia
Only 5% of ulcers lead to _____________.
perforating ulcers
Double-contrast upper GI is the golden standard for diagnosing __________.
gastric carcinoma
Its presence indicates a possible sliding hiatal hernia.
Schatzke's Ring
What pathologic condition appears as speckled gastric mucosa?
gastritis
What pathologic condition appears as a worm-like esophagus?
esophageal varices
What is it called when there is a stricture of the esophagus?
achlasia
What may irregular filling of the diaphragm indicate?
gastric carcinoma
What may an enlarged recess in the proximal esophagus indicate?
Zenker's Diverticulum
What may a "lucent-halo" sign during an upper GI indicate?
ulcers
Wavelike involuntary contractions that help propel food down the esophagus are called:
Peristalsis
True or false. If a patient exhibits itching, sneezing and tearing of the eyes with no other symptoms, during an UGI, they are most likely having a severe reaction to a contrast media.
FALSE
The distal esophagus empties its contents into which of the following?
cardiac antrum
Which opening is located between the stomach and the small intestines?
pyloric oriface
What is the position? 10x12 IR lengthwise, patient prone and rotated 40-70 degrees into a right anterior oblique position. CR is perpendicular and centered to the level of approximately L2 and midway between the spine and lateral border of the elevated side.
RAO stomach
True or false. The entrance and exits of the stomach are called the cardiac and pyloric orificices, respectively.
TRUE
For the double-contrast UGI examination with the patient recumbent, which projection produces the best image of the gas-filled fundus?
RAO
True or false. The abdominal portion of the esophagus is called the cardiac orifice.
FALSE
14x17 IR lengthwise, patient prone and rotated 35-40 degrees into the right anterior oblique position, with the CR directed perpendicular to the level of T5-6, respiration suspended on expiration."
RAO esophagus
Which two oblique positions can be used to best demonstrate an unobstructed image of a barium-filled esophagus between the vertebrae and the heart?
RAO & LPO
To which level of the patient should the CR be directed for the right PA oblique projection (RAO position) as part of the UGI examination?
L1-L2
For the UGI examination with the patient recumbent, which projection best demonstrates the right retrogastric space?
Right lateral
True or false. The duodenum is the last segment of the stomach.
FALSE
Which breathing procedure should the patient perform when the UGI radiographs are performed?
suspend on expiration
What is the name of the condition that results from a viral infection of the parotid gland?
Mumps
True or false. The abdominal portion of the esophagus lies beneath the diaphragm.
TRUE
With the body in a supine position, air will fill which portion of the stomach?
Pylorus (as well as duodenal bulb and descending duodenum)
The distal esophagus empties its contents into the ________.
Cardiac Antrum
Name the salivary glands.
Parotid, submandibular, sublingual
What is another term for esophagram?
barium swallow
What is the opening between the stomach and small intestines?
pyloric orifice
What is the most inferior part of the stomach?
pylorus
The medial margin of the stomach is called the ______.
lesser curvature
10x12 IR lengthwise, patient prone and rotated 40-70 degrees into a right anterior oblique position. CR is perpendicular and centered to the level of approximately L2 and midway between the spine and lateral border of the elevated side."
RAO stomach
The greater curvature of the stomach is on which side?
Lateral
True or false. The entrance and exit of the stomach are called the cardiac and pyloric orifices?
TRUE
For the double-contrast UGI examination with the patient recumbent, which projection produces the best image of the gas-filled fundus?
RAO
Which area is the most superior part of the stomach?
Fundus
True or false. The abdominal portion of the esophagus is called the cardiac orifice.
False (cardiac antrum- the orifice is the esophagogastric junction into the stomach)
14x17 IR lengthwise, patient prone and rotated 35-40 degrees into the right anterior oblique position, with the CR directed perpendicular to the level of T5-6, respiration suspended on expiration."
RAO esophagus
List the stomach anatomy from inferior to superior.
"Pylorus
Which two oblique positions can be used to best demonstrate an unobstructed image of a barium-filled esophagus between the vertebrae and the heart?
RAO or LPO
Which aspect of the stomach will fill with air when the patient is prone?
Fundus
For the AP projection as part of the UGI examination, why should the lower lung fields be included on the image receptor?
To demonstrate a possible hiatal hernia.
To which level of the patient should the CR be directed for the right PA oblique projection (RAO position) as part of the UGI examination?
L1-L2
For the UGI examination with the patient recumbent, which projection best demonstrates the right retrogastric space?
Right Lateral
What are the gastric folds of the stomach called?
Rugae
Which breathing procedure should the patient perform when the UGI radiographs are performed?
Suspend on expiration
For the double-contrast UGI examination, which projection produces the best image of a gas-filled duodenal bulb and pyloric canal?
LPO
With the body in an erect position, air will fill which portion of the stomach?
Fundus
With the body in a prone position, air will fill which portion of the stomach?
Fundus
What is the name of the condition that results from a viral infection of the parotid gland?
Mumps
With the body supine, air will fill which portion of the stomach?
Pylorus
True or false. Follicular cysts in the ovaries commonly develop as a normal part of the menstrual cycle.
TRUE
What are indications for a hysterosalpingogram?
evaluate functional or structural defects of uterus and uterine tubes, evaluate fertility, can be therapeutic
Females are born with about 1 million "eggs". They do not produce additional eggs or ova during their lifetime. At the time of puberty girls generally have about _________ remaining.
400,000
Ther term used to describe an unfertilized ova going through neoplastic changes is:
dermoid cyst (teratoma)
Benign breast tumors are most commonly found in:
Upper outer quadrant
Breast tissue goes through changes as women age. This change takes breast from dense fibroglandular to adipose tissues. This process is called:
involution
A cancer of abnormal growth of epithelial cells, associated with human papillary virus, in female reproductive system which is often is identified in a pap smear is:
cervical carcinoma
Which neoplastic condition is characterized as being a benign, solid mass influenced by estrogen?
Leiomyoma
Malignant breast tumors are most commonly found in:
upper outer quadrant
Which of the following terms describes a duplication of uterus?
uterus didelphys
That diagnostic procedure used to measure distance between ishial spines (pelvic outlet) and compare information with measurements taken of fetal head is:
pelvimetry
The absence of menstrual cycle is called:
Amenorrhea
Radiologists studying mammograms will often look for clusters of calcifications because calcifications will occur in _____% of malignant lesions.
40
When an embryo develops within the uterine tube it is called:
ectopic pregnancy
True or false. Patient dose in mammography has been significantly reduced (cut in half) with the use of digital imaging.
TRUE
Stein-Leventhal syndrome is often associated with:
Polycystic ovaries
True or false. Malignant breast tumors are dense and stellate?
TRUE
Normal uterine tissue located outside the uterus is called:
endometriosis
What can predispose a woman to cervical cancer?
HPV, STDs and multiple sex partners
Fertilization of the ova takes place in:
Uterine tubes
What types of bacteria can cause PID?
Gonococcus, staphylococcus or streptococcus
Termination of a hystersalpingogram is dependent on:
spillage of contrast into the abdomen
That imaging modality which best differentiates between cystic or solid lesions is:
Ultrasound
Mastitis is an infection of the breast most commonly associated with what type of bacteria:
Staphylococcus
This type of malignant ovarian tumor "seeds" cancer cells along peritoneal surfaces and so spreads throughout the abdomen.
Cystadenocarcinoma
Which factors aids in the reduction of patient exposure during mammography?
Digital and the use of compression devices
When a lack of uterine support is present, a device is insterted into the vagina to provide support. Name the device.
Pessary
What does gravid mean?
Pregnant
In a normal woman the fundus of the uterus lies anterior to the crevis and away from the rectum. This is ___________.
Anteverted
If the uterus is more vertical than normal it is said to be __________.
Retroverted
If the juterus is completely bent back and lies against the rectosigmoid colon, it is said to be ____________.
Retroflexed
If the uterus is tilted vertically forward and lies on top of the bladder it is said to be ____________.
Anteflexed
Inflammation of the breast is called:
Mastitis
_____________ result fro faulty reabsorption of the fluid from incompletely developed follicles.
Follicular ovarian cysts
__________ occur when resorption of any blood leaked into the cavity after ovulation leaves behind a small cyst.
Corpus luteum ovarian cysts
Enlarged ovaries containing multiple small cysts are called:
Polycystic ovaries
The most lethal gynecologic malignancy is:
Cystadenocarcinoma
____________ is a malignant tumor of the ovary, accounting for more than 60% of all ovarian cancers.
Cystadenocarcinoma
Another name for cervical carcinoma is:
dysplasia
__________ is a common malignancy caused by an abnormal growth pattern of epithelial cells around the neck of the uterus.
Cervical carcinoma
___________ are benign solid masses of the uterus that develop from an overgrowth of the uterine smooth muscle tissue.
Leiomyomas
After menopause, leiomyomas are replaced largely by scar tissue, leading to the misnomer:
Uterine fibroids
The most common malignancy of the uterus is:
Adenocarcinoma of the endometrium (endometrial carcinoma)
Benign breast tumors that are usually unilateral and consist of solid, well defined mass that does not invade surrounding tissue is:
Fibroadenoma
______ is formed by an overgrowth of fibrous and glandular tissue.
Fibroadenoma
An overgrowth of fibrous tissue or cystic hyperplasia results in:
fibrocystic breasts
____________ is when there is too much amniotic fluid present.
Polyhydramnios
_____________ is when there is not enough amniotic fluid present.
Oligohydramnios
___________ is when an embryo develops outside the uterine cavity.
Ectopic pregnancy
What is it called when the implantation of the placenta leaves all or part of the cervical os covered?
Placenta previa
When a placenta prematurely separates from the uterus it is called:
placental abruption
___________ is a condition in which the placenta extends into the myometrium, causing an unduly firm attachment that bleeds at delivery because it does not separate normally.
Placental percreta
What is a hydatidiform mole?
Abnormal conception in which there is usually no fetus. The uterus fills with cystically dilated chorionic villi that resemble a bunch of grapes.
What are contraindications for a hysterosalpingogram?
PID, pregnancy, during menstrual cycle
What is a sonohystogram?
Ultrasound imaging, saline is injected, terminates when saline enters abdomen
During the menstrual cycle the ________ enlarges.
Myometrium
What is bicornuate uterus?
Paired uterine horns
What is unicornuate uterus?
Single uterine tube
What is uterine didelphys?
Duplicate reproductive organs
What is PID?
Pelvic inflammatory disease caused by bacterial infection. The uterine tubes often infected, usually bilaterally. May lead to sterility from scarring. Antibiotics used to treat.
Mastitis is a bacterial infection usually caused by ____________ bacteria.
Staphylococcus aureus
Follicular and corpus luteum cysts are examples of :
Ovarian cysts
What type of cysts are common and a normal part of menstrual cycle?
Follicular and corpus luteum cysts
What is the treatment for endometriosis?
Mild cases are treated with hormones. Can be treated surgically.
What is Stein-Leventhal syndrome?
An endocrine abnormality inhibiting maturation and release of ova.
What pathology is associated with Stein-Leventhal syndrome?
Polycystic ovaries
What is the treatment for polycystic ovaries?
Drugs to induce ovulation
Polycystic ovaries may lead to:
Amenorrhea and sterility
What is the treatment for teratomas?
Surgical removal
Unfertalized ova that go through neoplastic change form:
Dermoid cysts (cystic teratoma)
What type of malignancy accounts for more than 75% of all ovarian cancers?
Cystadenocarcinoma
What are risk factors for cystadenocarcinoma?
High fat diet, late child bearing, delayed menopause, family history
What is the treatment for cystadenocarcinoma?
Surgery, chemo, and radiation therapy
Metastasis to abdominal structures is common in which ovarian pathology?
Cystadenocarcinoma
What is the prognosis for cystadenomacarcinoma?
Poor because of vague or absent symptoms
Solid tissue invading the outside of the ovary presents in which pathology?
Ovarian papillary cystadenocarcinoma
This malignancy is caused by abnormal growth of epithelial cells.
Cervical carcinoma
This pathology is tied to hormonal changes in aging women.
Endometrial cancer
What is the treatment for endometrial cancer?
Surgery, chemo and radiation
This pathology is caused by overgrowth of uterine smooth muscle tissue.
Leiomyoma
What sized focal spot is used in mammo?
.4-.6
What type of female reproductive pathology is influenced by estrogen?
Leiomyoma
What type of breast tumor is estrogen dependent?
Fibroadenoma
What are risk factors for fibrocystic breasts?
Hormone levels, family, high fat diet, high salt intake, high caffeine intake
Why do hydatidiform moles form?
Absence of female chromosome (Y only)
What is the primary female reproductive organ?
Ovary
What does the corpus luteum do?
Houses the ova as it is maturing, prior to ovulation
XX are chromosomes indicating a __________ whereas XY indicates a __________.
Female, male
The majority of blood is composed of:
plasma
Bilirubin is formed during the destruction of:
erythrocytes
Which cells are most important in the development of immunity?
lymphocytes
What is the most common pulmonary complication resulting from AIDS?
Pneumocystis carinii pneumonia
True or false. Kaposi's sarcoma may effect the GI system, lymph nodes as well as the skin.
TRUE
Kaposi's sarcoma is linked to:
AIDS
Multiple myeloma is a neoplastic disease of the :
plasma
Acute lymphocytic leukemia predominantly effects:
Children
Reed-Sternberg cells are associated with what type of neoplastic disease?
Hodgkin's
Non-Hodgkin's lymphoma affects what type of blood cells?
Lymphocytes
Plasma makes up __% of total blood volume.
55%
Water makes up __% of total blood volume
90%
Immune globulins are synthesized by:
The lymphatic system
What type of plasma proteins are responsible for fighting infectious agents?
Globulins
What type of plasma proteins regulate the passage of water and solutes through capillaries?
Albumins
Albumins are synthesized by:
The liver
Clotting factor plasma proteins are synthesized by:
The liver
_________ is a precursor to fibrin clot.
Fibrinogen
What is the Law of Bergonie and Tribondeau?
Rapidly dividing, undifferentiated cells are more sensitive to radiation.
What are the types of blood cells?
Erythrocytes, Thrombocytes, Leukocytes
The hemopoietic system consists of:
Blood, spleen, bone marrow, lymphatic system
Red blood cells are also known as:
erythrocytes
__________ cells transport oxygen and carbon dioxide.
Erythrocytes
Erythrocytes live how long?
120 days
What type of cells carry the antigen that determines blood type?
Erythrocytes
Clumping of blood after transfusion of incompatible blood type is also known as:
agglutination
What is the life span of a granular leukocyte?
two weeks
What is the life span of a non-granular leukocyte?
Years
What makes up 45% of the total blood count?
Erythrocytes, thrombocytes, leukocytes
What type of cells are formed by the myeloid tissue w/in red bone marrow?
Erythrocytes and thrombocytes
What type of cells are formed by red bone marrow?
Granular leukocytes
What type of cells are formed by lymphatic tissue?
Nongranular leukocytes
What blood cells transport oxygen and carbon dioxide?
Erythrocytes
What type of cells serve as the body defense?
Granular leukocytes
What type of cells act as the immunity cells?
Nongranular leukocytes
What type of cells serve as blood clotting cells?
Thrombocytes
What is the life span of a thrombocyte?
10 days
What does hematocrit test?
Red blood cell count
Erythrocytes are formed by specialized cells called:
Hemocytoblasts
Erythrocytes are phagocytosed by which system?
Reticuloendothelial system
__% of the human population has the Rh factor.
85%
_____________ is a neoplastic disease of the plasma cells that results in cell proliferation.
Multiple myeloma
_______ are non nucleate biconcave disks.
Erythrocytes
_______ include basophils, neutrophils and eosinophils.
Granular leukocytes
What is the function of a basophil?
Release histamines, responsible for hives, etc
What is the function of neutrophils?
Leave capillary to attack infection
What is the function of eosinophils?
Fight parasites or allergy
_________ consist of lymphocytes and monocytes.
Nongranular leukocytes
What is the function of lymphocytes?
Make antibodies
What is the function of monocytes?
Macrophages eat invading organisms
In which blood cells does the activation of thrombin occur?
Thrombocytes (platelets)
Platelets are also known as:
Thrombocytes
There is an increase in production of ____________ cells with inflammation.
Thrombocytes
____________ is released from damaged endothelium during vessel trauma.
Thromboplastin
During clotting, enzymes transform __________ to ____________.
Prothrombin to thrombin
__________ is also a powerful stimulus for platelet activation and aggregation.
Thrombin
_________ converts fibrinogen into fibrin.
Thrombin
_________ also has vasomotor effects.
Thrombin
How do bruises form and change?
Blood leaks into tissue and as the RBC lose oxygen the hemoglobin turns blue. After a couple days phagocytes attach to RBC and remove iron leaving a yellow molecule.
What is the function of the lymphatic system?
"Maintain pressure and volume of extracellular tissues
How does lymph move?
Hydrostatic pressure, skeletal muscle action, respiratory motion
What is the lymphatic comprised of?
Vessels containing lymph, nodes, spleen, thymus, red bone marrow
Lymphatic ducts drain into :
Subclavian veins
The right lymphatic duct drains the:
Right upper extremity and right side of head and neck
T Lymphocytes are from the:
Thymus
B lymphocytes are from the:
Bone marrow
Immunoglobulin is produced by:
plasma cells
__________ attacks antigens.
Lymphocytes
What causes lymph edema?
Blockage of lymphatic vessels
What is the function of the spleen?
Produce lymphocytes and plasma cells, reservoir for blood and phagocytes and cleanse blood and lymphocytes
Plasma cells are mature _________.
B Lymphocytes
Blood for the spleen comes from the ___________ and empties into the _________.
Comes from the celiac trunk and empties into the portal vein
True or false. Skeletal imaging may visualize multiple myeloma or leukemia.
TRUE
True or false. CT allows lymph node assessment.
TRUE
True or false. MRI images bone marrow changes.
TRUE
What type of contrast is used for lymphangiography?
Oily
What is a contraindication for lymphangiography?
Compromised pulmonary function
Each erythrocyte contains _____ molecules of hemoglobin.
200-300
What is anemia?
Decreased hemoglobin in peripheral blood: decreased oxygen to peripheral tissues
What is hemoglobin?
Complex protein-iron compound
Cell destruction is also known as:
Hemolysis
Decreased hemoglobin (anemia) is caused by:
Increased rate of red cell destruction (hemolysis), iron deficiency and loss of red blood cells (bleeding)
Iron deficiency anemia is caused by:
chronic blood loss, malignant tumor, excessive bleeding, inadequate dietary intake of iron, intestinal parasites
What is hemolytic anemia?
Shortened life span of red blood cells, hemolysis and release of hemoglobin into plasma
What may cause hemolytic anemia?
Hereditary defect, allergic reactions, malarial parasite
What are the different types of hemolytic anemia?
Spherocytic, sickle cell anemia, erythroblastosis fetalis, thalassemia
What types of cells are rapidly dividing and therefore radiosensitive?
Stem cells and lymphocytes
What is the difference between somatic and embryonic cells?
Somatic cells are specific stem cells to a certain organ, embryonic can be evolved into any type of cell
What is spherocytic anemia?
"Erythrocytes have circular shape
What is the treatment for spherocytic anemia?
Blood transfusions and pain management
What is sickle cell anemia?
Hemoglobin molecule is abnormal and cell is sickle shaped when deoxygenated. Hemolytic anemia creates focal ischemia.
What is the treatment for sickle cell anemia?
Preventing deoxygenation of tissue, blood transfusions, pain relief
What is a radiographic pathology linked to sickle cell anemia?
Fish vertebrae
What is it called when an Rh negative mother gives birth to a second Rh positive child and the body creates antibodies?
Erythroblastosis fetalis (hemolytic anemia of newborn)
What is injected for a post partum mother to prevent fetal hemolytic complications?
Rogahm (immunoglobulin)
Intracranial lesions are most common in what type of anemia?
Hemolytic anemia (erythroblastosis fetalis)
What causes Thalassemia?
defect in hemoglobin formation
What is thalassemia?
Rapid destruction of new RBC, widening of medullary spaces (thinning cortex), marrow may perforate creating new bone spicules/osteoblasts form under periosteum
What is "blue blood disease"?
Hemophilia
What inflammatory disease may be linked to the Epstein-Barr virus?
Mononucleosis
What will blood tests show if a patient has mono?
Elevated white blood cell count with atypical lymphocytes
Radiographically demonstrating osteoporosis with osteolytic regions, ____________ most often disrupts kidney function due to increased protein production.
Multiple myeloma
Immunoglobulins are:
antibodies
Antigens (like the A or B factors used in blood typing) are:
glycoproteins
During which pathology do deoxygenated erythrocytes loose their normal shape and creating focal ischemia?
sickle cell anemia
What are treatment options for lymphedema?
"compression garments or bandages
Hemoglobin is carried by which cells?
Erythrocytes
Lymphocytes are identified by their site of maturation as either B lymphocytes or T lymphocytes. T lymphocytes mature in:
Thymus
Identify pathology(s) which demonstrate radiographically as cystic or necrosed boney intrusion.
"hemophilia
True or false. During lymphangiography, blue dye injected between the toes is visualized on immediate radiographs.
False. Contrast can be visualized immediately.
Purpura refers to:
Deficiency of platelets
Rh negative mothers may create unsafe environment in subsequent pregnancies after delivering a Rh positive baby, because:
maternal antibodies against Rh factor may cross through placenta
Blood typing identifies the universal donor as:
O-
Edema in the right lower extremity is probably a result of obstruction of the _______ lymphatic duct.
Left
Lymph flows throught the lymphatic vessels, propelled by:
"Hydrostatic pressure differences
Patients suffering from malaria also exhibit symptoms of _______ anemia.
Hemolytic
Which of the following are directly related to the Rh factors of mother and fetus?
Erythroblastosis fetalis
The infective agent responsible for malaria is:
Protozoa
Which of the following Leukemia most often strike with children with a sudden onset?
Acute leukemia
Which cell is the most important in development of immunity?
Lymphocytes
Of the lymphomas, which pathology is generally associated with increased mesentery involvement?
Non-Hodgkins
That hereditary pathology which visualized dramatically on radiographs with spicules under periosteum and widening of the meduclaay spaces is:
Thalessemia
The most common cause of bleeding disorders is
thrombocytopenia
Lymph is returned into the circulatory system as these vessels empty into:
Subclavian vein
Which Leukocyte is responsible for secreting histamines and dilating blood vessels?
Basophils
In which anomaly does the red blood cell have a rounded, circular shape:
Spherocytosis
Iron deficiency anemia may result from:
"lack of dietary intake of iron
_________ is characteristized by increased production of myelocytes and decreased production of erythrocytes and platelets.
myelocytic leukemia
True or false. The primary difference between adult stem cells and embryonic stem cells is that adult stem cells are limited to creating cells tissue specific to the parent cell, where embryonic stem cells can become any type of cell in the body.
TRUE
Plasma composes about ____% of the total blood volume.
55%
Leukocytes are classified as granular and nongranular based on where they mature. Granular leukocytes mature in:
Red bone marrow
Which blood cell is best described by; formed in myeloid tissue, carrying antigens determining blood type:
Erythrocytes
Which is the most common malignancy is AIDS patients?
Kaposi's sarcoma
Identify that condition commonly considered autoimmune or viral which leads to deficiency in platelets:
Thrombocytopenia
Which of the following is considered a self limiting viral infection (possibly linked to Epstein-Barr), diagnosed with elevated white cell count and antibody identification?
Mononucleosis
True or false. In AIDS patients the human immunodeficiency virus is the organism which proves fatal for the large majority of patients.
FALSE
What neoplasm causes an overproduction of white blood cells?
Leukemia
What are the two types of lymphoma?
Hodgkin's and Non-Hodgkin's
True or false. Hodgkin's disease involves the mesentery.
False, retroperitoneal structures. Non-Hodgkin's involves mesentery.
What is the treatment for lymphoma?
Chemo and radiation
What is the treatment for thrombocytopenia?
transfusions, adrenocortical steroids or splenectomy
What is the cause of thrombocytopenia?
autoimmune disorder or viral
What is the treatment for leukemia?
Destruction of leukocytes
cyst means :
sack
Which veins makeup the hepatic portal system?
inferior and superior mesenteric veins and the splenic vein
During an ERCP, what causes the biliary tree to have a curly appearance?
The valves in the cystic duct
The right and left hepatic duct come together to form the ________.
common hepatic duct
The common hepatic duct and the cystic duct come together to form the ________.
common bile duct
The pancreatic duct is also known as the :
duct of Wirsung
The pancreatic duct and the common bile duct join at the :
hepatopancreatic ampulla (ampulla of Vater)
The hepatopancreatic ampulla is also known as the :
ampulla of Vater
The hepatopancreatic sphicter is also known as the :
Sphincter of Oddi
The duodenal papilla is also known as the:
papilla of Vater
What is the exocrine function of the pancreas?
Production of digestive enzymes discharged through the pancreatic duct
What is the endocrine function of the pancreas?
Production of insulin and glucagon which specialized cells (Islets of Langerhans) secrete directly into the blood.
What is the modality of choice for gallbladder and biliary tree visualization?
Sonography
Radiopaque stones consist of :
Calcium
Radiolucent stones consist of :
bile salts/pigment and cholesterol
What quadrant is the liver located?
Right upper quadrant
What vessels supply blood to the liver?
Hepatic artery (from celiac axis) and portal vein (union of superior mesenteric and splenic veins)
What are the functions of the liver?
"Metabolism
The gallbladder is found under what lobe of the liver?
Right
Bile release is triggered by :
CCK (cholecystokinin)
The common bile duct and the pancreatic duct come together to form the:
Ampulla of Vater
What is the function of the gallbladder?
Store and concentrate bile
Where is the pancreas located?
behind the stomach, crosses the left side of abdomen
During an oral cholecystogram, we can proceed to step two if:
"The gallbladder is visualized
What is step two of an oral cholecystogram?
Fatty meal or CCK to stimulate bile production
What is the failure rate of an oral cholecystogram?
25% fail at first attempt
Why would a patient fail an oral cholecystogram?
"Hepatobiliary disease
Medical jaundice is caused by:
hemolytic or hepatocellular disease caused by damage done by cirrhosis or hepatitis
Surgical jaundice is caused by:
obstruction, such as blockage of the common bile duct caused by stones or masses
PTC best images:
distal duct obstruction
What therapeutic options are available during a PTC?
"Drainage
What is an ERCP?
Fiberoptic scope to the 2nd portion of the duodenum to the papilla of vater. Contrast is injected retrograde into ampulla of Vater through sphincter of Oddi.
What therapeutic options are available during an ERCP?
"Sphincterotomy
During operative cholangiography, where is the needle inserted?
Cystic duct
During what procedure may a T-Tube be placed for drainage?
operative cholangiogram
Sonography can demonstrate lesions in the liver greater than :
1 cm
True or false. CT is used for follow up and staging of liver masses.
TRUE
The leading cause of death is cirrhosis in people ages :
45-65
How will shunts divert blood from the liver?
1/2 to splenic vein and 1/2 to the renal vein
What does thrombose mean?
clot
What causes ground glass appearance on an abdomen xray?
Cirrhosis causing ascites
What is viral hepatitis?
"Excretion of bilirubin is impaired causing jaundice
What is hepatitis A?
HAV is excreted in the GI tract and is spread by ingestion of contaminated material, very contagious
What is hepatitis B?
Transmitted via infected blood serum (same as HCV)
What is hepatitis C?
Transmitted via infected blood serum (same as HBV) and accounts for the majority of cases caused by blood transfusions
What is hepatomegaly?
Enlargement of the liver
Only ___ percent of gallstones have enough calcium to visualize on xray.
10
What view best seperates the kidney and gallbladder for better visualization?
Right later (placing part closest to IR)
What is cholelithiasis?
Gallstones
What is gallstone ileus?
When a stone erodes through wall creating fistula into duodenum - can become impacted and obstructing. usually occurs at the ileocecal valve. May cause air in the biliary tree.
What would a porcelin gallbladder indicate?
Chronic cholecystitis, may predispose adenocarcinoma
What enzyme causes autodigestion of the pancreas?
Trypsin
Trypsin may begin to autodigest if:
"Pancreatitis is caused. May be caused by:
What is a hemangioma?
Benign tumor of newly formed blood vessels that are well circumscribed and solitary. most common tumor of the liver.
What is another name for hepatocellular adenoma?
Hepatoma
Liver carcinoma is caused by:
"Hep B or C
What is the most common malignant tumor of the liver?
Hepatic metastases
What is the most common type of pancreatic cancer?
Adenocarcinoma (90%)
60% of pancreatic cancer is found :
in the head of the pancreas
Why would a transhepatic chole be performed for pancreatic cancer?
to determine if the biliary tree is involved
What is a pancreatic pseudocyst?
Loculated fluid collection caused by trauma or acute pancreatitis. May resolve on its own or need to be drained.
What is the best exam to visualize a pneumoperitoneum?
Upright
Why is a pneumoperitoneum better visualized on the right side?
stands out against the liver
What does iatrogenic mean?
adverse reaction to medication/treatment
If the patient is not able to stand, what image would best demonstrate a pneumoperitoneum?
Left lateral decub
What does TIPSS stand for?
transjugular intrahepatic portal systemic shunt
What is chemoembolization?
"Agent mixed with radiopaque contrast
Which is the most common malignant tumor of the liver?
Hepatic metastasis
Bile drains from the gallbladder directly into the:
cystic duct
Evaluation of pancreatic disease is best accomplished by contrast administered:
into adjacent structures
The introduction of electrical current within a tumor to destroy those cells is called:
ablation
The endocrine function of the pancreas is to produce:
hormones, glucagon and insulin
A common tumor of the liver which is a collection of blood vessels within a well circumscribed area is called:
hemangioma
In patients suffering from jaundice the yellow pigmentation of the skin and whites of the eyes are a result of:
inability of liver to dispose of excess bile pigment
Emphysematous gallbladder is directly related to
cholecystitis
A primary malignant tumor of the liver seen as a single large mass originating from liver parenchyma is:
hepatoma
We know that 25% of oral cholecystograms do not visualize in the first attempt. Identify all possible reasons listed for nonvisualization:
"vomiting after taking contrast
What patient position would best distinguish kidney stones from gallbladder stones?
lateral
Alcohol abuse was indicated as a contributing factor in all of the following except one; identify the one condition / pathology which is not alcohol related.
cholecystitis
Which of the following procedures is not a likely theraputic option in ERCP?
cholecystectomy
That type of jaundice resulting from stone or mass obstruction is called
surgical jaundice
What percentage of gall stones contain enough calcium to be visible on plain abdominal imaging?
10%
When normal hepatic parenchyma is being replaced with fibrous (scar) tissue a condition known as ___________ exists.
cirrhosis
Studies focusing on the form or function of the gallbladder or biliary tree are named according to:
route of administration of contrast and anatomy visualized
That term used to identify an abnormal fluid accumulation in the abdomen is,
ascites
Of those viral agents that cause hepatitis, which agent is contracted by ingestion?
Hep A
The release of bile into the duodemun is triggered by:
high fat meal and cholecystokinin
Identify that procedure which would not offer theraputic intervention as well as diagnosis.
Oral cholecystography
Gallstone ileus refers to impaction of a gallstone in the:
small bowel
85% of primary gallbladder cancers are:
adenocarcinoma
When would the high fatty meal, the second step in a oral cholecystogram be contraindicated?
When an UGI procedure has been scheduled immediately following OCG
Your patient history reads "suspected pneumoperitoneum". As you further evaluate your patient you notice that they are quadraplegic. What position will be preferred to demonstrate this condition if present?
left lateral decub abdomen
Esophageal varicies can be directly related to:
hepaticportal hypertension
That inflammatory process initiated by trypsin digesting tissues is:
pancreatitis
True or false. Pancreatitis may be an iatrogenic response to an ERCP.
TRUE
Identify that term which does not relate to the pancreas
hepatoportal system
glucagon acts as an antagonist to _______
insulin
Another name for the anatomy which regulates release of bile from the biliary tree into duodemun is:
sphincter of Oddi
Gallstones are a common finding in carcinoma of the gallbladder, occuring in about _____of identified cancers.
75%
When were the first medical xrays done in the US?
3-4 months after discovery
Who was the first person to die of exposure to man-made radiation?
Clarence Dally
The cathode end of the tube carries a ________ electrical charge.
Negative
The source of the projectile electrons used in making xrays is the _________.
Filament
What is the type of radiation that is produced when a projectile electron passes near the nucleus of a target atom and sheds it's kinetic energy in the form of a photon?
Brehmsstruhlung
Who invented and refined fluoroscopy?
Thomas Edison
The anode end of the tube carries an overall _________ electrical charge.
Positive
Electrons have an overall __________ electrical charge.
Negative
The tungsten atom has only ___ electrons in its K Shell.
2
What are the two currents that pass through an xray tube?
Filament and the tube current
On the xray emission spectrum, the energy of the xray beam is measured in _____.
keV
The space charge produced when you rotor up an xray tube is limited in size. This limiting factor is known as __________.
Space charge effect
The area on the target where most of the projectile electrons strike the target anode is known as the __________.
Actual focal spot
True or false. Thermionic emission takes place on the anode target of the xray tube.
FALSE
By placing an angle on the target anode, we can have a larger actual focal spot and still maintain a smaller effective focal spot. This is known as the ___________.
Line focus principle
The anode heel effect is a consequence of the ___________.
Line focus principle
What events must be completed before the exposure process can continue by pressing the second part of the exposure switch?
The space charge is formed by applying the filament current and the rotor is spinning at a high RPM
The heat units produced by a single-phase machine can be computed by which equation?
Hu = mAs x kVp
The controlling factor for beam quality is kVp. KVp is also a controlling factor for beam quantity because when kVp is increased then :
Target interaction efficiency increases at the anode
The US government states that all xray machines capable of 70 kVp or higher must have a total filtration of _______.
2.5 mm of aluminum or the equivalent
The process in which some xrays are transmitted and some are absorbed is called ___________.
Differential absorption
What is it called when the portion of the beam that isn't transmitted is either absorbed or scattered?
Attenuation
The type of scatter radiation that seldom exits the body is ________.
Photoelectric effect
The type of scatter radiation that is secondary radiation produced by an interaction between a photon and an inner shell electron is __________.
Photoelectric effect
If you are standing 2 feet from a patient that is being exposed to radiation and you step back 2 more feet so that you are 4 feet from the patient, how will this affect your exposure to the scatter radiation?
You will decrease your exposure by a factor of 4.
True or false. Photoelectric interactions are non-ionizing interactions and are not a risk to the patient.
FALSE
If an orbiting electron moves into another shell closer to the nucleus, the result is ____________.
A characteristic photon
What is the type of radiation that is a risk to both the patient and anyone else in the proximity?
Compton's
The part of an intensification tube in which the light photons are converted to photoelectrons is known as ____________.
The photocathode
Define ionization of an atom.
The removal of an electron from an atom cfreating an ion with a positive charge.
The end of the image intensification tube that is closest to the patient is the ___________.
Cathode end
The part of the intensification tube that has a small 1" screen where the image is reproduced is called the _____________.
Output phosphor
True or false. Decreasing OID will increase detail.
TRUE
What has the most detrimental effect on the detail of an image?
Motion
True or false. Increasing the SID will increase detail.
TRUE
If you know that size of the image of an object and the magnification factor you can compute the actual size of the object with what equation?
object size=image size/MF
Geometric unsharpness is a result of the relationship between SID, OID and _________.
Focal spot size
True or false. All radiographs have some distortion because of the divergence of the beam.
TRUE
What equation is used to measure the magnification of an object created by the OID?
MF = SID/OID
As SID increases, focal spot blur __________.
Decreases
What type of distortion occurs when the body part is not parallel to the IR?
Foreshortening
What type of distortion occurs when the body part is parallel to the IR and the tube is angled?
Elongation
How are grid ratios determined?
The height of the lead strips and the distance between them
The system used to automatically collimate the beam and lightfield to the cassette in a bucky tray is called _________________.
Positive beam limitation device
The bucky factor for a grid with a 12:1 ratio is ______.
5
Grids are employed when the body part thickness is greater than _________.
10 cm
True or false. A parallel grid used upside down will create grid cut-off.
FALSE
When using an air gap technique, increasing the OID also will _______________.
Increase magnification and decrease detail
How is a focused grid different than a parallel grid?
The grid lines on a focused grid are angled to match the divergency of the beam.
What does DICOM stand for?
Digital imaging communication in medicine
The post processing technique that removes superimposed structures so that the anatomic area of interest is more visible is known as ____________.
Subtraction
What was the first imaging modality to become digital?
CT
True or false. A CRT monitor with 525 lines of resolution is well suited for viewing xrays.
FALSE
Spectral matching of film and screen refers to the ___________.
Color of light that film is sensitive to and the color of light produced by the screen phosphors
Changing from a 400 speed screen to a 200 speed screen requires ________________.
An increase in mAs by a factor of two
Changin from a 400 speed screen to a 100 speed screen requires _____________.
An increase in mAs by a factor of four
If you made an exposure using 10 mAs with a 400 speed screen, what would your mAs be if you made that same exposure using a 100 speed screen?
40 mAs
What film/screen combination would require the highest mAs?
Slow speed detail screen or extremity
An artifact inside the cassette between the screen and the film will create ____________.
A light or white area on the film
True or false. The resolution created by good film to screen contact can be evaluated by doing a wire mesh screen test.
TRUE
Using a detail cassette with the AEC unit will result in ___________.
The film being lighter that intended
When changing from a detail screen to a high speed screen, the mAs should be _____________.
reduced
Define spatial resolution.
The minimum separation between two objects at which they can be recognized.
The production of light during the stimulation of the phosphors is _________.
Fluorescence
The continuation of light emission after the stimulation of phosphors is _____________.
Phosphorescence
If a film comes out of the processor with a milky appearance over the image, the reason is most likely :
The clearing agent in the fixer is exhausted
True or false. An increase in density on films being run through a processor can be caused by the transport rollers running too fast.
False, running too slow
Inadequate washing of film during processing will result in the films ____________.
Having a brownish stain
The reducing agents in a processor are found in the ____________.
Developer
The purpose of the restrainer in the processor is to do what?
Prevent the unexposed crystals from being converted to metallic silver during developing.
What is superadditivity?
Two components that work better together than they do individually
Unexposed silver halide crystals are removed from the emulsion in the _________ tank.
Fixer
Stacking film boxes on one another can cause _________.
Static artifact
The active ingredient found in the fixer that halts the developing process is _________.
Acetic acid
Developer has what type of base?
Alkaline
True or false. The most common type of replenishment system found in processors used in busy hospitals is the flood replenishment.
FALSE
If your films come out of the dryer most and tacky it is because ___________.
The hardener in the developer or fixer is exhausted
The time it takes for a processor to pass a film through from start to finish is refered to as _________.
the processor cycle
Define the half value layer
The amount of material required to reduce the xray beam to half its original value.
The type of scatter that is predominant about 75 kVp is __________.
Compton's scattering
The type of scatter radiation that is produced when an incident photon interacts with an outer shell electron, sheds enough energy to remove that electron from it's orbit and then continues on in a different direction minus the energy it lost during the interaction is ___________.
Compton's scattering
The natural filtration created by the glass and oil between the focal spot and the patient is _____________.
Inherent filtration
THe area on the target that is seen from viewing into the port of the tube and is angled to increase resolution is know as the ____________.
Effective focal spot
The current that is responsible for thermionic emission is the ___________.
Filament current
The current that is utilized to send the projectile electrons from cathode to anode is the ____________.
Tube current
In order to keep the projectile electrons in a small area before completing an exposure the focusing cup will exhibit a _________ charge.
Negative
By placing an angle on the target anode, we can have a larger actual focal spot and still maintain a smaller effective focal spot. This is also known as :
The line focus principle
Making a visible change in radiographic density requires that the minimum amount of change in mAs must be approximately __________.
30%
180 cm is the same as ____ inches.
72
The rectification number for computing heat units when operatin a three phase six pulse xray machine is ______.
1.35
The type of xray interaction that happens when a projectile electron collides with an inner K-Shell electron, dislodges it from its orbit, and a photon is produced when an outer shell electron falls into the void is called ___________.
Characteristic
The type of xray generator that turned the beam on and off 60 times per second is called ___________.
single phase
In order to produce characteristic radiation your kVp setting must be at least _______.
70
If your beam is 100% Bremsstruhlung radiation, that means that your kVp setting is no greater than ______.
69
What is the primary controlling factor for beam quantity?
mAs
True or false. Although mAs is the measurement of the quantity of photons produced during an exposure, increasing the kVp will also increase this quantity.
TRUE
What are the three most important characteristics of a radiographic film?
Speed, contrast, and latitude
Most film cassettes should be replaced every how many years?
7-May
What are halide crystals mainly composed of?
Silver bromide
What type of atoms remain on the polyester base after processing that show up black on the xray?
silver
What is the substance that holds the silver halide crystals in place and allows processing chemicals to reach the crystals?
Gelatin
The distibution of exposed and unexposed crystals in the undeveloped film is called the __________.
Latent image
When exposed to radiation, the silver halide crystal releases electrons and silver ions. The ions travel to the sensitivity speck and create a greater positive charge there. Electrons are then attracted to the positive charge near the sensitivity speck, where they join with silver ions to become silver atoms. What is this called?
Gurney Mott Theory
What is the tiny imperfection in a silver halide crystal called?
Sensitivity speck
A wide latitude film provides a what type of contrast image?
Low
A film that uses very small silver halide crystals will have _______ detail.
Greater
The magnification factor is a product of _________.
SID/SOD
How is film speed determined?
By the size of the halide crystals and the concentration of them in the emulsion
True or false. Off level grid cut off is only a problem with focused grids and not parallel grids.
FALSE
What type of grid uses two sets of lead lines that are set in opposite directions from each other?
Crosshatch
When collimation on a large body part is increased and the density of your image decreases because less scatter is produced, what is recommended in order to increase the density?
increase mAs
What is the grid conversion factor for a 12:1 ratio grid?
5
If a technique using an 8:1 grid was 36 mAs, what would the mAs be for a non-grid technique?
9
When changing from a detail screen to a high speed screen, that mAs should be ____________.
Reduced
Focal spot blur is increased when you change to a _______ focal spot.
Larger
True or false. Using a distance that is not within the recommended focal distance of a focused grid will produce grid cut off.
TRUE
What type of grid has lead lines that run perpendicular to the plane of the film all across the grid?
Parallel
When the necessary radiation has been detected by an ionization chamber, the exposure is terminated at the __________.
Timer
True or false. If the entire back-up mAs is used during an exposure and the image is light in density, increasing the density control will supply the additional back up mAs to increase density.
FALSE
The back-up mAs for any exam when using AEC should be no less than ___________.
150% of the anticipated amount of exposure
How many detectors are in an input screen of a fluoroscopic image intensifier?
1
If you are using the AEC and your image comes out too light even after increasing the density control, what should you do?
Reposition the patient so that the thickest body part is over the detector
If you cut your SID in half, you will need to decrease you mAs by how much in order to maintain density?
by a factor of 4
What is the purpose of a focusing cup?
To keep the space charge intact by exhibiting a negative charge
What formula is used to determine change needed in mAs when SID is changed in order to maintain density?
New mAs =old mAs(d2/d1)squared
The type of target interaction that involves a projectile electron passing through the electron field surrounding a target atom and interacting with the nucleus of the atom is called ____________.
Brehmsstruhlung
What is the reciprocity law?
It states that the density produced on an x-ray will be equal for any combination of mA and time as long as the product of the mAs is equal
What type of x-ray interaction absorbs the incoming photon and is a major element in differential absorption?
Photoelectric
What type of scatter radiation seldom exits the patient but is still a concern for the tech because it can produce biological changes in the patient?
Photoelectric
True or false. X-rays are produced isotropically.
TRUE
What should the amount of total filtration be?
2.5 mm of aluminum or equivalent
What is equivalent to increasing the kVp by 15%
doubling the mAs
What is added filtration?
The filtration added to the unit to complete the necessary 2.5 mm equivalent needed to be compliant with federal law.
The area on the target where most of the projectile electrons strike the target anode is the ___________.
Actual focal spot
What are the external electromagnets called that control the spinnin of the anode of an x-ray tube?
the stator
The shaft and rotor are part of what end of the tube?
Anode
The type of xray interaction that happens when a projectile electron collides with K-Shell electron and dislodges it from its orbit is _________.
Characteristic
The type of xray interaction that never varies in energy levels is __________.
Characteristic
What is the grid conversion factor for a 5:1 grid?
2
True or false. Placing an angle on the target in order to increase resolution by reducing the size of the effective focal spot is known as the anode heel effect.
FALSE
What happens when filtration is added to the x-ray beam?
The overall average energy of the beam increases
What interaction occurs when a projectile electron interacts with an inner shell electron of a target atom and that electron is removed from orbit, a photon is produced when an outer shell electron advances towards the nucleus to fill that void?
A characteristic interaction
True or false. Short scale contrast can be achieved by using high kVp settings and long scale contrast can be achieved by using low kVp settings.
FALSE
True or false. Most diagnostic xray tubes will use stationary anodes.
FALSE
What steps processing are considered archiving steps?
Washing & drying
What does reduction do during processing?
Process of gaining electrons in order to change it.
What is oxidation?
Giving up electrons in order to change it
What are the developer reducing agents?
Phenidone and Hydroquinone
What happens during processing when the reducing agents are introduced?
Silver ions are turned into atoms
What is the purpose of the restrainer during processing?
To decrease the reduction or development of unexposed silver halide, prevents fogging
What prevents light from bouncing back on a single emulsion film?
Antihalation layer
High speed film has what type of latitude and contrast?
Narrow or short latitude and high contrast
What formula is used when determining technique when cassette speeds are changed?
mAs1/mAs2=Speed2/Speed1
What is the formula for finding heat units?
HU= mAs x kVp x generator factor
What is the generating factor for a single phase generator?
1
what is the generating factor for a 3 phase 12 pulse generator?
1.41
What is the generating factor for a high frequency generator?
1.45
What is the big difference between characteristic x-rays and the photoelectric effect?
With characteristic x-rays, a projectile electron ejects the inner K-shell electron while with the photoelectric effect; the inner K-shell electron is ejected by an x-ray photon.
The probability of total photon absorption during the photoelectric effect is dependent on what?
The energy of the incoming x-ray photon and the composition of the anatomic tissue.
What is transmission?
When an incoming x-ray photon passes through the anatomic part without any interaction with the anatomic structures
What is the 15% rule?
If you change the kVp by 15% it will have the same effect on density as doubling the mAs or reducing the mAs by 50%
What is the definition of the inverse square law?
States that the intensity of the beam is inversely proportional to the square of the distance from the source.
What is the formula for the inverse square law?
New intensity or mAs = old intensity (d1/d2)squared
What is the density maintenance formula?
New mAs = old mAs (d2/d1)squared
What is the conversion factor for a 5:1 grid?
2
what is the conversion factor for a 6:1 grid?
3
What is the conversion factor for an 8:1 grid?
4
What is the conversion factor for a 12:1 grid?
5
What is the formula for changing or adding/removing a grid?
mAs1/mAs2 = conversion factor1/conversion factor2
The higher the grid ratio, the __________ technique is needed.
higher
What is the formula for changing film screen speed?
"mAs1/mAs2 = RS2/RS1
How does increasing collimation (making the field size smaller) impact density?
Decreases density
At what point do US public law require that generators automatically terminate AEC exposures?
At 600 mAs or 60 kW seconds above 50 kVp and 2000 mAs below 50 kVp
What is the most common grid ratio used?
10:1 or 12:1
True or false. Quantum mottle can be caused by grid cut off.
TRUE
How does off focused grid cutoff occur?
When using an SID outside of the recommended focal range. This will only occur when using a focused grid or with a parallel grid at very short SID.
How does off center grid cut off occur?
When the CR is not aligned from side to side with the center of a focused grid.
How does off level grid cut off occur?
When the CR is not perpendicular with the grid
What is the purpose of using grids?
To improve contrast
What type of grid has grid lines that are angled to match the angle of divergent rays?
Focused grid
True or false. Witha parallel grid, there will always be some grid cut off?
True, due to the lead lines not being angled to include divergent rays
What processing errors can increase density?
High temp, over-replenished developer, light leak, slow roller speed
What processing errors can decrease density?
Exhausted developer, low developer temp, rollers moving too fast
What can cause the xray to have a pinkish stain after processing?
Contamination of chemicals or under replenishment
What can cause the film to have the emulsion removed during processing?
insufficient hardener in developer
What will storing film at higher temp do to the film?
fogging
How can humidity during film storage have an impact on the film?
fungus from high and static from low humidity
A TURP may be the appropriate procedure for which of the following conditions?
Prostatic hyperplasia
That inflammatory condition which may lead to discharge within days and subsequent urethral stricture in men is:
Gonorrhea
At what stage does syphilis manifest radiographic indicators?
Tertiary
The site of sperm maturation and storage is:
Epididymis
This pathology is testosterone dependent and leads to skeletal metastasis in abour 75% of cases. Identify this pathology.
Prostatic adenocarcinoma
That component of male reproductive anatomy which assists in the delivery of viable sperm by altering the pH of the urethra prior to ejaculation is:
Bulbourethral gland
That procedure helpful in visualizing urethral strictures due to conditions like gonorrhea is males is:
Injecting urethrogram
Crytorchidism identifies a condition of:
Undescended testes
That organism responsible for syhpillis is:
treponema pallidum
What part of the male anatomy is responsible for sperm and hormone secretion?
Testes
The tubules within the lobes of the testes are the:
Seminiferous tubules
___________ are located in the abdomen and provide fluid to assist in travel of sperm.
Seminal vessicles
Which structure is responsible for changing the ph in the urethra?
Bulbourethral glands
Which structure is responsible for secreting the majority of seminal fluid?
Prostate
At what age should a boy's testes descend?
3 months
This pathology, gone untreated, may result in fibrosis and urethral stricture in men and PID and scarring in women..
Gonorrhea
True or false. Septic arthritis may occur in either gender.
TRUE
What is the treatment for septic arthritis?
Antibiotics
The ________ stage of syphillis results in ulceration on genitals.
Primary
The ___________ stage of syphillis includes a non itching rash that may go dormant
Secondary
The _________ stage of syphillis may have radigraphy indications.
Tertiary
Symptoms of ___________ include common benign enlargment, nodules in the prostate, may compress urethra creating urinary infections, partial excision of prostate, TURP.
Prostatic hyperplasia
___________ is testosterone dependent and the pathology demonstrates ragged borders. Symptoms include low back pain and urinary problems.
Adenocarcinoma of prostate
Metastasis to skeletal system occurs in ____% of prostate cancer patients.
75
What is the treatment for prostate cancer?
Excision or seed implant
Testicular torsion is:
twisting
What is epididymoorchitis?
Inflammation of epidiymis and testis
What are hydroceles?
collection of fluid in scrotum
What are spermatoceles?
Fluid filled scrotal masses within testis (adjacent to the epididymis)
Malignant tumors of the testicles occur between the ages of:
15 & 34
25% of testicular cancer are __________ which are highly malignant and spread through lymph and blood.
Teratomas
___________ makeup 40% of malignant testicular tumors. They form in the seminiferous tubules and are rapidly growing.
Seminomas
When a man has a vasectomy what exactly occurs?
The vas deferens is severed
What does TURP stand for?
Transurethral resection of the prostate
What organ is responsible for sperm and hormon secretion?
Testes
What organ is responsible for providing fluid to assist in travel of sperm?
Seminal vesicles
Where are the seminiferous tubules located?
Within the lobes of testes
What organ is responsible for changing the pH of urethra?
Bulbourethral glands
What organ is responsible for secreting the majority of seminal fluid?
Prostate
What is the site of sperm maturation and storage?
Epididymis
Where are the vasa deferentia located?
Extends from epididymides through inguinal canal into pelvic cavity
Where are the ejaculatory ducts located?
The junction of vasa derentia and seminal canal forming ejaculatory ducts
At which age should the testes descend?
3 months
At what age is a child able to have surgery to correct undescended testes?
15 months
Gonorrhea can lead to:
"Discharge in men, fibrosis and urethral stricture
What is the primary stage of syphillis?
Ulceration on genitals (10-90 days)
What is the secondary stage of syphillis?
Non-itching rash (may go dormant)
What is the tertiary stage of syphillis?
Radiographic indications (3-15 years later)
What pathology of the male reproductive system may cause low back pain and urinary problems?
Adenocarcinoma of prostate
What male reproductive pathology is testosterone dependent?
Adenocarcinoma of prostate
What testicular pathology causes inflammation of epididymis and testis?
Epididymoorchitis
A collection of fluid in scrotum is:
Hydroceles
What are fluid filled scrotal masses within testes?
Spermatoceles
This testicular pathology is highly malignant and spread through lymph and blood.
Teratomas
This pathology occurs in the seminiferous tubules and are rapidly growing.
Seminomas
Inflammation of the epididymis and testis is :
epididymo-orchidis
___________ are common intrinsic scrotal masses caused by collection of fluid in the testis.
Hydroceles
____________ are fluid filled painless scrotal masses within the testis.
Spermatoceles
_____________ arise from the seminiferous tubules and account for 40% of malignant testicular tumors.
Testicular seminomas
__________ arise from primitive germ cells and account for 25% of malignant testicular masses.
Testicular teratomas
define disease
any abnormal disturbance of function or structure of the human body
define pathology
the study of disease
define pathogenesis
after injury, cellular changes leading to manifestation (observable changes)
define symptom
subjective identification of manifestation
define sign
objective manifestation, detected by exam, can be measured
define syndrome
group of characteristic signs and symptoms of specific disturbance
define etiology
science that deals with the causes of origin of disease, the factors which produce or predispose toward a certain disease or disorder
define nosocomial
"acquired from environment
define iatrogenic
adverse response to medical treatment (ex. ruptured vessel during angioplasty)
define idiopathic
no causative factor identified
define acute
quick onset of disease with short recovery time
define sequelae
lasting effects from acute illness
define chronic
manifest slowly and lasts a long time
define diagnosis
names the disease
define prognosis
predicts course and outcome of disease
define lytic
destructive disease
define subtractive
(a.k.a. lytic or destructive) disease processes that decrease normal tissue density
define epidemiology
the branch of medicine that deals with the study of the causes, distribution, and control of disease in populations
define prevalence
number of cases found in a given population
define incidence
number of new cases found over time
define endemic
high prevalence over a long duration (chronic)
define epidemic
high incidence in a short period of time (outbreak)
define congenital
present at birth, including in utero, resulting from genetic or environmental factors
define hereditary
genetically transmitted
define metabolic
disturbance of normal physiologic function
define neoplasm
abnormal growth
define benign
localized, non-invasive
define malignant
invasive
define hematogenous
through the blood
define carcinoma
cancer from the epithelial tissue
define sarcoma
cancer from connective tissue
define remission
cancer-free for up to 5 years
define curative
considered "cured", cancer-free for 5 years or more
define palliative
designed to relieve pain only
define atrophy
decrease of cell size
define hypertrophy
generalized increase in cell size
define hyperplasia
increase in number of cells (excessive proliferation)
define metaplasia
conversion of one cell type into another cell type not normal for that tissue
define dysplasia
abnormal cell growth
define periosteum
fibrous membrane that covers the outer surface of bone, contains blood vessels
define diaphysis
shaft of bone
define epiphyses
ends of bone
define metaphysis
where diaphysis and epiphyses meet (growth zone/plate)
define endosteum
lines inner canal of bone
define medullary cavity (marrow)
canal within the diaphysis
define diploe
cancellous bone between cortical plates in skull
define fibrous joints
synarthroidal, immovable (ex. skull sutures)
define synarthroidal joints
immovable
define cartilaginous joints
amphiarthrodial, semi-moveable (ex. vertebrae)
define amphiarthroidal joints
semi-moveable
Define trabeculae.
marrow filled web inside bone
Define ossification.
bone formation
Define osteoclasts.
"Osteoclasts enlarge medullary cavity by removing bone
Define osteoblasts.
"Osteoblasts form new bone around outer surface
Define Syndactyly.
webbed digits
Define Polydactyly.
additional digits
Define talipes.
a.k.a. clubfoot; foot turned inward: prevents weightbearing, usually involving ligament malformations. Corrected with splints or surgery.
Define aspiration pneumonia.
(chemical) caused by acid/vomit aspirated into the lower respiratory tract
Define bronchial carcinoid.
(adenoma) usually benign but can invade local tissues and metastasize to lymph nodes. Radiographically shows opacity, bronchial narrowing or obstruction, w/ possible collapse of affected segment of lung
Define bronchiogenic carcinoma.
most common fatal primary malignancy. occurs between ages of 45-70 especially smokers. Will present airway obstruction by a unilateral hilar mass or coin lesion.
What does the abbreviation stand for: a (or 'ante')
before
What does the abbreviation stand for: ac (or 'ante cibum')
before meals
What does the abbreviation stand for: ad lib
freely
What does the abbreviation stand for: AM
ante meridiem or morning
What does the abbreviation stand for: bid (or bis in die)
twice each day
What does the abbreviation stand for: c (or cum)
with
What does the abbreviation stand for: cap
capsule
What does the abbreviation stand for: cc
cubic centimeter
What does the abbreviation stand for: clt
client
What does the abbreviation stand for: D/C or DC
discontinue, terminate
What does the abbreviation stand for: elix
elixir
What does the abbreviation stand for: g or gm
gram, 1000 milligrams
What does the abbreviation stand for: gr
grain, 60 milligrams
What does the abbreviation stand for: gtt or guttae
drops
What does the abbreviation stand for: h or hr
hora, hour
What does the abbreviation stand for: hs
hora somni, at bedtime
What does the abbreviation stand for: IVPB
IV piggyback, secondary IV line
What does the abbreviation stand for: kg
kilogram, 2.2 lb
What does the abbreviation stand for: KVO
keep vein open, very slow infusion rate
What does the abbreviation stand for: L
liter
What does the abbreviation stand for: L
left
What does the abbreviation stand for: ug, mcg
microgram, one millionth of a gram
What does the abbreviation stand for: mg
milligram, one thousandth of a gram
What does the abbreviation stand for: mEq
milliequivalent, number of grams of solute dissolved in 1 ml of a normal solution
What does the abbreviation stand for: min or m
minim, 1/15 or 1/16 ml
What does the abbreviation stand for: ml or mL
milliliter, one thousandth of a liter
What does the abbreviation stand for: ng
nanogram, one billionth of a gram
What does the abbreviation stand for: o
no or none
What does the abbreviation stand for: OD
oculus dexter, right eye
What does the abbreviation stand for: OS
oculus sinister, left eye
What does the abbreviation stand for: os
mouth
What does the abbreviation stand for: OTC
non-prescription, over the counter
What does the abbreviation stand for: OU
oculus uterque, each eye
What does the abbreviation stand for: pc
post cibum, after meals
What does the abbreviation stand for: PM
post meridiem, after noon
What does the abbreviation stand for: PO
per os, by mouth/orally
What does the abbreviation stand for: prn
pro re nata, according to necessity
What does the abbreviation stand for: q or quaque
every
What does the abbreviation stand for: qd or quaque die
every day
What does the abbreviation stand for: qh or quaque hora
every hour
What does the abbreviation stand for: q4h, q4*
every 4 hours
What does the abbreviation stand for: qid
quater in die, four times each day
What does the abbreviation stand for: qod
quaque aliem die, every other day
What does the abbreviation stand for: qs
quantum satis, sufficient quantity
What does the abbreviation stand for: R
right
What does the abbreviation stand for: Rx
receipt, take
What does the abbreviation stand for: s
sine, without
What does the abbreviation stand for: SL
sub linguam, under the tongue
What does the abbreviation stand for: SOS
si opus sit, if necessary
What does the abbreviation stand for: ss
semis, a half
What does the abbreviation stand for: stat
statim, at once
What does the abbreviation stand for: SC, SQ
subcutaneous
What does the abbreviation stand for: tbsp
tablespoon (15 mL)
What does the abbreviation stand for: tid
ter in die, three times a day
What does the abbreviation stand for: TO
telephone order
What does the abbreviation stand for: tsp
teaspoon (4-5 mL)
What does the abbreviation stand for: U
unit, a dosage measure
What does the abbreviation stand for: VO
verbal order
What does the abbreviation stand for: i, ii
one, two (as in "gr","gr")
What does the abbreviation stand for: 3
dram, 4 or 5 ml
What does the abbreviation stand for: Rx
receipt, take
What does the abbreviation stand for: s
sine, without
What does the abbreviation stand for: SL
sub linguam, under the tongue
What does the abbreviation stand for: SOS
si opus sit, if necessary
What does the abbreviation stand for: ss
semis, a half
What does the abbreviation stand for: stat
statim, at once
What does the abbreviation stand for: SC, SQ
subcutaneous
What does the abbreviation stand for: tbsp
tablespoon (15 mL)
What does the abbreviation stand for: tid
ter in die, three times a day
What does the abbreviation stand for: TO
telephone order
What does the abbreviation stand for: tsp
teaspoon (4-5 mL)
What does the abbreviation stand for: Rx
receipt, take
What does the abbreviation stand for: U
unit, a dosage measure
What does the abbreviation stand for: s
sine, without
What does the abbreviation stand for: VO
verbal order
What does the abbreviation stand for: SL
sub linguam, under the tongue
What does the abbreviation stand for: i, ii
one, two (as in "gr","gr")
What does the abbreviation stand for: SOS
si opus sit, if necessary
What does the abbreviation stand for: 3
dram, 4 or 5 ml
What does the abbreviation stand for: ss
semis, a half
What does the abbreviation stand for: stat
statim, at once
What does the abbreviation stand for: SC, SQ
subcutaneous
What does the abbreviation stand for: tbsp
tablespoon (15 mL)
What does the abbreviation stand for: tid
ter in die, three times a day
What does the abbreviation stand for: TO
telephone order
What does the abbreviation stand for: tsp
teaspoon (4-5 mL)
What does the abbreviation stand for: U
unit, a dosage measure
What does the abbreviation stand for: VO
verbal order
What does the abbreviation stand for: i, ii
one, two (as in "gr","gr")
What does the abbreviation stand for: 3
dram, 4 or 5 ml
What does the abbreviation stand for: x
times
What does chelate mean?
bind to
What is the purpose of rapid injection?
To limit the dilution of iodine by the cardiovascular system
Define osmolality
controls the distribution and movement of water between body compartments. It is the concentration of molecules per weight of water.
What is standard concentration for serum iodine?
280 to 370 mg/ml
How many patients die as a result of iodine adverse effects?
one of every 20,000-40,000 patients
Define endothelium.
the layer of cells lining the inside of blood and lymph vessels, heart and other closed cavities
What is it called when there is less fluid outside a vessel and more inside? What are the symptoms?
vasodilation, skin flushing experience during injection
What is ischemia?
decreased oxygen
ROCM can chelate calcium ions in the cardiovascular system after injection. What are the effects from this?
adverse heart rhythms, cardiac arrest, and sudden death
Do low osmolality ROCM produce anticoagulant effects?
No
Anaphylaxis is an immediate life-threatening systemic hypersensitivity reaction. What side effects may occur?
Nausea, vomiting, diarrhea, hives, rash, flushing, lightheadedness, unconsciousness, wheezing, etc. Can be fatal.
ROCM is responsible for __% of all acute renal failure events.
10
ROCM is the ____ most common cause of hospital acquired acute renal failure.
3-Jan
What drugs are used in radiology to assist in preventing renal dysfunction after contrast administration?
saline, fenoldopam, acetylcysteine and sodium bicarbonate
ROCM can lead to sickling of RBC's. Why?
A result of osmotic fluid shifts
What effects can occur as a result of barium?
constipation, intestinal obstruction, ulceration, and perforation as a result of impaction of the colon
What are the five rights of drug administration?
"Right patient
What is sublingual administration and what are the benefits of using this route?
Tablet placed under the tongue for absorption or dissolution. Will access the circulatory system without passing through the liver or being affected by gastric or intestinal enzymes.
What is the buccal route? List examples.
holding a tablet in the mouth by the pocket between the gum and cheek to dissolve (ex. nitroglycerin tablets and morphine sulfate solution)
What is keratin?
a tough insoluble protein substance found in hair and nails
What is the ID method of administration?
Intradermal: injection made into the upper layers of the skin almost parallel to the skin surface, injected into the inner aspect of the midforearm or scapula. Amount injected is small and absorption is slow. Use 26 or 27 gauge needle x 3/8 inch, volume= .1 ml (ex. allergy testing, tuberculin and local anesthetics)
What is the SC method of administration?
Subcutaneous. Needle inserted quickly with a slight withdraw to make sure a blood vessel has not been hit. Site of injection: upper arm, thights, abdomen or fat pads. Needle size: 25 to 27 gauge x 1/2 to 5/8 inch, Volume= .5 to 1.5 ml. (ex. epinephrine, insulin, heparin, vaccines)
What is necrosis?
Death of cells or tissue
Describe intramuscular injection.
Common sites of injection: dorsogluteal, mid thigh, upper arm. Needle size: 20-23 gauge x 1 to 3 inches. Volume= 1-5 ml (ex. vaccines, narcotics, sedatives, vitamin B12, or lidocaine)
Describe IV injection.
Used when immediate effects are needed. Most common sites: basilic or cephalic veins on back of hand, basilic vein on anterior forearm and elbow or cephalic vein on elbow. Needle: winged tip or butterfly 18-27 gauge, 1/4 to 1 1/4 inch in length.
Organisms capable of causing disease are _________.
Pathogens
List the shapes of bacteria
spherical, rod shaped, spiral, or comma shaped and can grow together to form S shapes
Every __ minutes bacteria can reproduce by cell division.
20
What is the highly resistant form of bacteria called?
Endospore (resting, nonactive state)
What is the treatment for MRSA?
3 months of bacterium meds, Hibicleans showers for entire family, and nasal flushes
What are the simplest forms of life?
Viruses. They cannot live without a living cell b/c they use the organelles and metabolic functions of a host cell to reproduce. (ex. herpes simplex-cold sores)
What are protozoa?
Unicellular and colonial organisms. Can spread by fecal matter, direct contact, person to person or mechanical transmission (ex. insect bites)
What are fungal diseases called?
Mycoses; the drug Mycostatin is antifungal agent
List the chain of infection
"1. Pathogens in sufficient quantity
What is a fomite?
An object that is been in contact with pathogens
What is a vector?
Insect or animal that transmits disease
True or false. ROCM can pass the placental barrier.
TRUE
What is pharmacodynamics?
The study of actions or the outcome elicited by drugs when the site of action is reached.
True or false. Osmolality controls the distribution and movement of water between body compartments.
TRUE
_________ is the preferred route of administration unless some distinct advantage is to be gained by using an alternative route.
Oral route
_________ is the route by which the drug is placed under the tongue or is held in the mouth in the pocket between the gums.
Sublingual or buccal route
_________ is the route by which a drug is administered through the skin or membrane and absorbed into the blood stream.
Topical route
__________ is the route by which a drug is administered when the stomach is traumatized or when the digestive enzymes can change it.
Rectal route
___________ is the route by which a drug is administered by injection.
Parenteral
What is the method of injection that is administered into the upper layers of the skin, where the amount of drug is small and absorbs slowly?
Intradermal
What injection method involves a quick movement but the injection is slow and steady?
Subcutaneous
What injection method is used when a drug is too irritating to be given by any other method?
Intramuscular
What injection method is used when immediate effects are needed?
Intravenous
Name the veins on the back of the hand.
Basilic or cephalic
Name the vein on the medial, anterior forearm.
Basilic
Name the vein on the lateral, anterior forearm or elbow.
Cephalic
Is "right physician" part of the five rights of administration?
No
The AHA states that there is an increase in survival rate if the patient receives CPR within ___ min plus receive meds through advance cardiac life support within ___ min.
4, 8
What does epinephrine do?
Increases blood pressure and has onset of 1-2 min with action w/in 2-10 min. IM, IV, SC, ET, IO
What does vasopressin (pitressin) do?
Alternative to epinephrine for shock resistant ventricular fibrillation and for cardiovascular shock. Increases blood flow and improves oxygen delivery to the brain. Action w/in 3 min effects w/in 20 min post injection. IV or IM.
What does dopamine (intropin) do?
Is used for treating hypotension secondary to congestive heart failure, myocardial infarction, trauma, sepsis and overt heart failure. Used to increase renal output w/ renal failure. Action w/in 2-4 min duration less than 10 min. IV infusion with controlled delivery.
What does atropine do?
Used when cardiac arrest pt. exhibits bradycardia below 40 bpm. Action w/in 2-4 min after IV administration. Oral, IM and pulmonary. IV & ET are the only acceptable routes for cardiac arrest.
What are the adverse effects of atropine?
Worsening of myocardial ischemia or extension of infarct zone, ventricular fibrillation & tachycardia. Dry mouth, blurred vision, nausea, mental confusion etc.
What does lidocaine (xylocaine) do?
Used to treat ventricular tachycardia after cardiac arrest. Action 30-90 seconds post IV administration and 10 min post IM administration.
What are the adverse effects of lidocaine?
Mild toxicity, drowsiness, confusion, muscle twitching
What is sodium bicarbonate?
Strong alkalinizing agent. Used for treating metabolic or respiratory acidosis. Administered IV or IO.
What is acidosis?
When the body's alkaline level is below normal (acidic)
What are the adverse effects of sodium bicarbonate?
Extravation of IV sodium bicarbonate can lead to cellulitis, tissue necrosis, ulceration, & tissue sloughing.
What is cellulitis?
inflammation of connective tissue
What is necrosis?
death or decay of tissue
When does epinephrine become unstable?
When exposed to light for long periods of time (will turn pink or brown)
When does vasopressin become unstable?
When expired or when outside of temp range of 15-30 degrees celsius
When does atropine become unstable?
When expired or when exposed to light for long periods
When does lidocaine become unstable?
When expired or when exposed to heat > 40 degrees celsius. Should also be administered via separate IV line due to adverse effects with other medications.
When does sodium bicarbonate become unstable?
Until expired or if not kept at temps ranging from 15-30 degrees celsius
What is oliguric ARF?
Urine output does not exceed 400 ml/day
Explain what astringent results look like.
Vasoconstriction, tissue contraction, decreased secretions and sensitivity, thereby counteracting inflammatory effects
Explain what antiseptic or bacteriostatic results look like.
inhibits growth and development of microorganisms (Betadine, Bactroban)
Explain what emollient results look like.
soothing and softening effect to overcome dryness and hardness
Explain what cleansing results look like.
Removal of dirt, debris, secretions, or crusts (ex. Hibiclens)
Explain what anesthetic results look like.
remove sensation of pain (ex. benzocaine)
Explain what antihistamine results look like.
soothes manifestations caused by allergic reactions (ex. Benadryl)
What is the angle of insertion for an SC injection?
45-60 degrees
What system is affected by diptheria?
Respiratory
What system is affected by TB?
Respiratory
What system is affected by mumps?
Respiratory
What system is affected by strep throat?
Respiratory
What system is affected by amebic dysentery?
GI tract
What system is affected by giardiasis?
GI tract
What system is affected by poliomyelitis?
GI tract
What system is affected by salmonellosis?
GI tract
What system is affected by shigellosis?
GI tract
What system is affected by cystitis, nephritis?
Genitourinary tract
What system is affected by lyme disease?
Blood
What system is affected by leptospirosis?
Blood
What system is affected by typhoid fever?
Blood
_______ may cause a patient to experience an unpleasant state of tension forewarning danger.
Anxiety
_____________ occurs as a sudden, unexpected, intense apprehension.
Panic disorder
__________ is a psychological condition that consists of irrational fear leading to avoidance.
Phobia
What are the names of the pharmacologic reversal agents for sedation?
Flumazenil and naloxone
What are the medications used in radiology for sedation?
Barbiturate, benzodiazepine (antianxiety), and opiate analgesic
What do opiate analgesics do?
Stimulate the CNS receptors known as opioid receptors and cause a decrease in pain perception
What are common narcotics used for conscious sedation?
morphine, meperidine and fentanyl
Should a respiratory arrest occur during sedation, what is given to reverse the effects of opiates?
Naloxone
If the reversal of antianxiety drugs is needed, what drug is given?
Flumazenil
Give three examples of barbiturates.
thiopental, methohexital, and phenobarbital
What do barbiturates do?
Drecrease cortical brain activity by facilitating the inhibitory neurotransmitter GABA and drepress cerebral cortex activity by blocking excitatory neurotransmitters.
What is the most commonly used benzodiazepine and why?
Midazolam because of rapid onset (2-15 minutes)
What is the purpose of benzodiazepines?
Cause selective CNS depression, muscle relaxation, antianxiety, anticonvulsant, and sedative-hypnotic w/ some amnesia effects.
What are nucleons?
Protons and neutrons together
When two or more atoms are chemically united, what do they form?
A molecule
When an electron is removed from an atom, what does the atom become?
A positive ion
When an electron is added to an atom, what does the atom become?
A negative ion
What is the atomic mass?
The number and protons and neutrons in the nucleus
What is an isotope?
an atom that has gained or lost neutrons, but the protons in the nucleus remain the same
Do electrons have mass?
Yes
Do photons have mass?
No
Define energy.
The ability to do work
What is the unit of mass?
The kilogram = 1000 g = 1000 cubic cm of water at 0 degrees celsius
What is formed when two or more substances are combined?
A mixture
Simple substances are known as _________.
elements
Complex substances are known as _________.
compounds
How many elements are in the table of elements?
92 naturally occurring and 18 others
The ______ is the unit of current.
The ampere
______ is the force or electrical pressure that produces electron movement and current flow.
Voltage
One ampere is equal to ______.
One coulomb flowing per second
True or false. One kilovolt is equal to 1000 volts.
TRUE
According to ohm’s law, the current in a circuit with 120 volts and a resistance of 5 ohms is:
24 ampere
The unit of power is the watt. One watt is produced by:
1 ampere flowing with a pressure of one volt.
Electric power (the watt) is determined by the formula:
Volts times amperes equals watts.
If the electricity to your home costs $.75 per kilowatt hour and you operate a 2000 watt vacuum cleaner for 30 minutes, what is your cost for this period of time?
0.75
Increasing the length of a conductor will also increase:
resistance
66 kilovolts carrying 500 amperes will have a resistance of:
132 ohms
A semiconductor can be classified as:
being an insulator and a conductor
Objects can be electrified by one of three methods: friction, contact, and ________.
induction
True or false. If a cicuit is carrying 500 volts and has a resistance of 1 ohm, the amperage in this circuit is 500 A.
TRUE
Increasing the temperature in a circuit also increases the:
resistance
The greatest concentration of charge in a solid metallic wire will be:
On the outside surface at an area of sharpest curvature.
The relationship between current and a changing magnetic field is called:
Electromagnetic induction
True or false. It is possible to step-up both the voltage and amperage together with a transformer.
False, when the voltage is increased, the amperage must decrease
True or false. Holding a stationary conductor in a stationary electric field will produce a current in that conductor.
FALSE
You have a current of 100 volts and 2 amperes on the primary side of your autotransformer. In order to get 10 amperes on the secondary side of your transformer, you must _______ the voltage to ______ volts.
Stepdown, 20
A device that converts mechanical energy to electrical energy is called a/an:
Generator
Groups of atoms with their magnetic moments or net magnetic field in the same direction are known as:
Dipoles
True or false. The input watts on the primary side of a transformer should equal the output watts on the secondary side of that transformer.
TRUE
The type of magnet that is produced by heating an alloy within a strong magnetic field is:
Artificial Permanent
If a material has high permeability (easily magnetized), it will have ______ retentivity.
Low
Which of the following types of materials has high permeability?
Ferromagnetic
If the current on the primary side of your step-down transformer is 10,000 volts and the current on the secondary side is 500 volts, how many coils are located in the secondary side if the primary side of the transformer has 100 coils?
5
True of false. An autotransformer operates on mutual induction.
FALSE
A series of coils of wire within proximity of each other will create a combined magnetic field that can be used as a tool. This device is known as a _______.
Solenoid
Rectification of AC current is necessary for:
Changing the current from AC to DC for devices like x-ray tubes and televisions.
A device that can take a DC current and turn it on and off several times per second in order to create an AC current is called a/an:
Inverter
The type of transformer that can both increase and decrease a voltage in a circuit is known as a/an:
Autotransformer
If a transformer has 400 coils on the primary side and 200 coils on the secondary side, this type of transformer is a:
Step-down transformer
True or false. Half wave rectification of the power coming into an x-ray machine will utilize only 50% of the incoming power.
TRUE
A device that is used in portable x-ray machines that can accumulate and store an electrical charge is a/an:
Capacitor
If a transformer has an input of 200 V and 40 amps on the primary side, the output in watts on the secondary side will be:
8000 Watts
What is an atom that has one more proton than electrons?
A positive ion
Electromagnetic waves are unique in that:
They don't require a medium to maintain motion and can travel in a vacuum.
A transformer that is used to step-up 3,000 V to 60,000 V has 4000 coils on the secondary side. How many coils are on the primary side?
200
A transformer used to step-down a voltage of 8,000 V to 500 V may have ____coils on the primary side and ____ coils on the secondary side.
9600, 600
AC current in the United states flows at a frequency of:
60 cycles per second
According to Ohm’s Law, if you multiply the amperage of a circuit by the resistance, your outcome will be the ______.
Voltage
Converting AC current to DC current is done with a semiconductor called a:
Rectifier
If a radiation has the strength to remove an electron from the orbit of an atom, it is known as:
Ionizing
If a transformer has more coils on the secondary side than on the primary side, this is known as a ______ transformer.
Step-up
If an atom has 6 electrons and is not a positive ion, then the atomic number of that atom is:
6
In an electric motor, we are converting:
Electrical energy to mechanical energy
A single-phase half-wave rectified x-ray machine will produce x-rays about:
50% of the duration of the exposure
One hertz is equal to _______.
One cycle per second
One tesla is equal to ______ gauss.
10,000
The amount of protons in a nucleus is equal to the:
Atomic number
The energy of electromagnetic radiation is measured in:
Electron volts (think: keV)
The formation of a positive ion happens when:
An electron is removed from the orbit of an atom.
If the electricity to your home cost you $1.00 per kilowatt hour, the how much would your waterbed cost to run for 24 hours if it used 100 watts per hour?
$2.40
The minimum number of electrons that you will find in a K-shell is:
1 (Hydrogen)
The maximum number of electrons that you will find in a K-Shell is:
2
The most efficient waveform used in diagnostic radiology is:
High Frequency
The transformation of radioactive nuclei into a different element is known as:
Radioactive decay
The unit of current is the______.
Ampere
The unit of electric power is the_____.
Watt
To induce an electric current into a stationary conductor, the electromagnetic field must be _______.
Changing
Watts divided by voltage equals_____.
Amperes
X-rays and gamma rays differ in:
Origin
True or false. A binding energy of 69 keV is common with all K-shell electrons of all atoms.
FALSE
True or false. According to US Public Law 90-602, generators must terminate the exposure at 600 mAs for exposures above 50 KVP and 2000 mAs for exposures below 50 KVP.
TRUE
True or false. Because electrons are heavier than protons or neutrons, they carry a stronger electrical charge.
FALSE
True or false. The force between two uncharged particles is attraction.
FALSE
What are groups of atoms with a magnetic field in a distinct direction?
Dipoles
A single wire with several coils used to combine the magnetic force of an electric current is also known as a:
Solenoid
Direct current can be converted into alternating current with the use of:
Inverters
What has the least resistance against the flow of electrons?
Superconductors
______ is the force or electrical pressure that produces electron movement and current flow.
Voltage
The incoming power supply that most all stationary x-ray equipment operates from is:
210-220 V
According to ohm’s law, the current in a circuit with 120 volts and a resistance of 6 ohms is:
20 Amperes
What is the resistance of a circuit if the voltage is 12 V and the current is 6 amperes?
2 Ohms
With a full wave rectified wave form, x-ray production starts and stops:
120 times per second
The unit of power is the watt. One watt is produced by:
1 ampere flowing with a pressure of one volt.
A P-N junction semiconductor allows current to travel:
In only one direction in the circuit
The life expectancy of a tungsten filament is approximately:
6-9 hours
Tungsten is the material of choice for filaments because of its high melting point and:
It is difficult to vaporize
Because of space charge effect, the maximum mA range achievable with most diagnostic x-ray tubes is:
1000-1200 mA
A filament is subject to breaking after _____ of the diameter has vaporized.
10%
A grid biased tube is different than conventional x-ray tubes in that:
The focusing cup can be switched to a positive charge to absorb electrons.
The type of tube that has the ability to increase the negative charge to the focusing cup in order to reduce the size of the actual focal spot is known as:
Bias focusing
How many electrons does a Tungsten atom have?
74
What is the atomic number for tungsten?
74
What is the Octet rule?
The maximum number of electrons in the outermost shell cannot exceed eight
What is the unit of potential difference?
Volt
What unit can be described to produce electron movement and current flow?
Volt
________ is equal to the product of the current flowing and the resistance of the conductor
Voltage
What is the binding energy of an orbiting electron measured in?
Electron volts
What is electron binding energy?
Amount of energy needed to remove the electron from the atom.
What are the two things that we measure with keV?
The binding energy of an electron in orbit around a nucleus and the energy of the x-rays we produce.
How many millimeters are in 1 inch?
25 millimeters
How many centimeters are in 1 meter?
100 (think: century)
What does a kilo mean?
1000 (1 kilometer= 1000 meters)
Why do we need at least 70 kVp to make characteristic x-rays?
The tungsten atom has a K-shell binding energy of 69.5 keV: this means that we need at least 70 kVp set on the control panel in order to knock this electron from it's orbit and produce a characteristic x-ray.
What is the transformer law?
States that the ratio of the Volts to the number of turns on a coil on the primary side will be the same as the ratio of volts to turns of coil on the secondary side. V2/V1=N2/n1
True or false. An autotransformer can only decrease voltage in a circuit.
False, increase or decrease
What is mutual induction?
Two coils being placed in close proximity w/a varying current supplied to the 1st coil, which then induces a similar flow in the second coil.
What is self induction?
When an alternating current (AC) is supplied to a coil, the process by which the current is reversed by the AC also induces a change in the current at another portion of the coil.
True or false. Autotransformers operate on self induction.
TRUE
What operates on DC?
Continuous source, like a battery (cell phones, etc.)
True or false. Diodes (solid semiconductors) are most commonly used as rectifiers.
True, (electrical one way streets, electrons flow one way but not the other. )
What is inversion?
Changing DC to AC
What is created when you add a ferromagnetic core within a solenoid?
Electromagnet
What is the inverse square law?
The intensity of the beam is inversely proportional to the square of the distance from the source. New intensity = old intensity x (d1/d2)squared
What is the federal law for the inverse square law?
Federal law states that it cant exceed 100 mR/hr
What does it mean if something has high permeability?
It is easy to magnetize
What does it mean if something has low retentivity?
it's magnetism is strong, hard to break
What are dipoles?
Groups of atoms with net magnetic field, magnetic domains
What is a single wave rectified waveform?
a single diode placed within the conductor with an AC current, that current will become a pulsating DC current. Only ½ of incoming current is converted to DC, the other is wasted.
What is a full wave rectified waveform?
By placing 4 diodes in a complex circuit you can split and then recombine the current in a full wave rectified waveform. Allows photons to be produced almost 100% of the time.
What is US public law 90-602?
Generators must terminate the exposure @ 600 mAs when above 50 kVp and 2000 mAs when below.
What is a focusing cup made of?
Nickel, good conductor
What does a biased focusing cup/tube do?
Has a more negative charge in order to further focus electrons. Reduces the size of the actual focal spot.
What is the formula for computing heat units?
kVp x mAs x rectification number x number of exposures= heat units
What is a grid biased tube?
Portable. The focusing cup can be switched to a positive charge to absorb thermionic electrons. This makes it possible to regulate, pulse, or synchronize an exposure.
What element is added to the tungsten filament and why?
Thorium is added because it increase efficiency and prolongs the life.
What is the distance between the cathode and anode?
1-2 cm
When were cold cathodes no longer used?
1915
Due to the anode heel effect, which side will have less exposure?
Less exposure on the anode side.
What is caused by the line focus principle?
Anode heel effect
There are 25% ______ photons on anode side and 20% _______ photons on cathode side.
Fewer, more
What is the wavelength of x-rays measured in?
Angstrom is the wavelength of diagnostic x-ray.
______ speed anodes have higher heating capacities than _______ speed anodes(often 50% greater)
high, regular
Wavelength is measured from :
Crest to crest
What is an isotope?
If an atom gains or losses neutrons, the result is an atom called an isotope. Atoms that have the same number of protons in the nucleus but differ in the number of neutrons.
What element is added to the tungsten target and why?
Rhenium is added to the tungsten to increase efficiency and conductivity. Rhenium provides greater elasticity when the focal track expands rapidly due to intense heat
What is different about the tubes used in mammo?
Uses molybdenum, 42. It’s the primary target material, due to its ability to emit more uniform range of lower energy photons. Lower characteristic energy photons permit a better soft tissue image. The tube uses a beryllium glass envelope because glass in x-ray tubes absorbs too much low energy beam.
What is the actual focal spot?
the physical area of focal track that is impacted (focal track- the circular path that will be impacted by electron beam)...controlled by filament size.
What is the effective focal spot?
The area of focal spot that is projected out of the tube toward the object being x-rayed. Controlled by the actual focal spot (which is controlled by the length of the filament) and the anode target area.
What is the line focus principle?
Permits the best resolution of detail while permitting a large actual focal spot (due to heat). When the target angle is less than 45 degrees, the effective focal spot is smaller than the actual focal spot.
Why does the anode get hot when an exposure is made?
Anode serves as a target surface for high voltage electrons from filament. All of these electrons bombard the anode – moving or vibrating atoms at the site-creating heat or thermal energy. These high speed electrons are suddenly stopped (resulting in production of x-ray photon) the anode absorbs that heat.
What is paramagnetic? and give some examples
Low permeability. Platinum and aluminum
What is a three phase generator?
A combination of 3 full wave rectified circuits that produce 6 or 12 pulses per cycle/hertz that are overlapped (by using a wye or Delta configuration)
What is a falling load generator?
Specially designed three-phase or high-frequency generator that begins the exposure at a high mA station and mA decreases as exposure continues. Can do a high mAs without a higher powered generator but tech cannot pick mA and tube gets used up faster.
Give some examples of elements that are diamagnetic.
Beryllium, bismuth, lead. Water is also slightly.
The stage of the manufacturing process in which the halide crystals are allowed to grow is the:
Ripening stage
Who introduced polyester film in the early 1960’s?
Dupont
Describe the Gurney-Mott theory.
When the silver halide crystal interacts with light photon, it reacts by releasing free roaming electrons. These electrons travels to the sensitivity specks and attract silver ions which become silver atoms. These silver atoms then become part of a gate which can allow the processing chemicals to enter the crystal.
Which component limits oxidation of crystals during their formation?
Gelatin
Which equation represents the process for halide crystal production?
Silver nitrate + potassium bromide = silver bromide + potassium nitrate
The type of film that is sensitive to all light except light in the red spectrum is:
Orthochromatic
The stage of the manufacturing process in which colored dyes are added to match the wavelengths of light photons is the:
The mixing stage
The type of filming process that is almost free of any distortion because it doesn’t use divergent light is:
Laser
The impurity added during the crystal formation stage which creates the sensitivity specks on the crystals is:
Gold-silver sulfide
What is duplitized film?
Double emulsion film
When film is pre-exposed to the point that any further exposure will reverse the latent image process, this process is known as:
Solarization
What are the primary reducing agents of the developer?
Phenidone and hydroquinone
What happens during oxidation?
A reducing agent gives up an electron
What component of the developer controls swelling of the gelatin?
The hardener (glutaraldehyde)
What will cause a film to have a milky appearance?
If the clearing agent in the fixer is deplenished
What would cause silver staining or yellowing of emulsion on film after a few years?
Insufficient wash time
If, after a few years, your films are turning yellow in color, it is probably because:
The fixer was not completely removed during the wash cycle.
Developer is a/an _______ solution.
Alkaline
If your films come out of the dryer moist and tacky and the dryer temperature appears adequate, the reason is probably because:
There is insufficient hardener in the fixer or the developer.
If your films are coming out of the processor with scratches in the emulsion, the problem can probably be linked to:
Inadequate glutaraldehyde in the developer.
Superadditivity is:
When two compounds work better together than they do separately.
What does the restrainer in the developer do?
Protects the unexposed halide crystals from being reduced.
The type of silver recovery unit that should be used in a high-volume hospital or clinic is:
Electrolytic
The agent found in fixer that is used to remove the unexposed halide crystals from the image is:
The clearing agent
If, after a few years, silver stains or dark areas appear on your radiographs, the problem can probably be linked to:
The activator in the fixer did not completely stop the developing process.
Which solutions can be affected by even the smallest amount of temperature change?
The developer
When a reducing agent is oxidized, this means that:
It has given up electrons
Which agent is used to help decrease the oxidation of the reducing agents when they are combined with air?
The preservative
Which solution can be affected by even the smallest amount of contamination?
Developer (by as little as 1% change)
The devices within the image intensifier that control the image size sent to the output phosphor are called:
Electrostatic lenses
True or false. The image intensifier of a fluoroscopic imaging unit is actually a cathode tube.
TRUE
The type of distortion caused by insufficient photon penetration during a fluoro procedure is known as:
Quantum mottle
Pin cushion distortion is also known as:
Vignetting
To help reduce shape distortion, the input screen of the intensifier is ____in shape.
Concave
Total brightness gain is a combination of:
Minification gain & flux gain
Changing from standard to magnification mode on an image intensifier _____ patient dose.
Increases
The opaque filter that sits beneath the output phosphor is there to:
To prevent light from the output phosphor from traveling back to the photocathode.
Vignetting is caused by:
Electrostatic repulsion of the electrons traveling from cathode to anode.
The stage of the film manufacturing process in which the halide crystals are allowed to grow is the:
The ripening stage
In order for a silver-halide crystal to become part of the final image:
It must form gates at the sensitivity specks to allow the reducers to enter and convert silver ions to silver atoms.
True or false. If patient size and technical factors are unchanged, fluoroscopic contrast is controlled by changes in the video signal from the intensifier to the monitor.
TRUE
True or false. Radiographic contrast is usually a result of the film and not the intensification screens.
TRUE
What is the Gurney Mott Theory?
The Gurney-Mott theory states that after exposure to light, a silver bromine crystal will release electrons within the crystal. These electrons then travel to the sensitivity specks where they attract silver ions and convert them to silver atoms. If 3 or more silver atoms are located at a sensitivity speck, a gate is formed that is large enough to allow the reducing agents to enter the crystal and continue converting silver ions to silver atoms, thus creating a dark spot on a radiograph.
The type of silver recovery unit that should be used in a high-volume hospital or clinic is:
Electrolytic
If your films are coming out of the processor with scratches in the emulsion, the problem can probably be linked to:
Inadequate glutaraldehyde in the developer.
Fixer is a/an _______ solution.
acidic
The restrainer in the developer:
Protects the unexposed halide crystals from being reduced
The interaction that is responsible for producing most of the light when x-ray photons interact with rare earth phosphors is:
Photoelectric
Brightness gain in an image intensifier deteriorates at a rate of about _____ per year.
10%
Which of the following agents is used to help decrease the oxidation of the reducing agents when they are combined with air?
Preservative
Afterglow emitted by a screen can be a problem when screens are:
Old and their phosphors decrease in activity.
When using a c-arm, moving the image intensifier away from the patient.
Increases magnification
True or false. Only the anode half of the beam is utilized in mammography.
TRUE
Penumbra is reduced when using magnification techniques because:
Small focal spot
True or false. As in conventional radiography, the anode heel effect in mammography is a disadvantage.
FALSE
Magnification on a mammography machine is achieved by:
Decreasing SOD, increasing SID
The automatic exposure control detector on a mammography unit is different from conventional radiography in that:
It can move away from the chest wall towards the nipple.
All mammography x-ray tubes will use a port made of ________.
Beryllium
What is the atomic number for Rhodium?
45
Mammography machines typically use KVP settings of ________ in clinical practice.
25 to 38 KVP
Compared to conventional radiography, mammography film has the:
Highest contrast and highest resolution
Reciprocity failure can happen when:
Long exposure times are used.
The filtration on a x-ray tube with a rhodium anode will be:
.025 mm rhodium
The filtration on an x-ray tube with a molybdenum anode will be:
.03 mm molybdenum
If patients are complaining about the amount of time that they have to wait before getting their exam, this is a problem that concerns:
Quality assurance
Testing an AEC system for reproduceability involves making exposures with a subject phantom and measuring the results with a:
Densitometer
Kilovoltage accuracy must be within ____of the labeled setting.
-0.05
The three readings monitored by doing sensitometry testing on an automatic processor are:
Base fog, contrast and speed
A pinhole camera is used to test:
Focal spot size
Tube angle indicators must be accurate within _____:
-0.01
Exposure reproduceability measurements are done by measuring sequential exposures made with the same mAs and measured with a dosimeter. The differences between these exposures cannot exceed ____.
-0.05
Timer variance allowance is _____.
-0.05
The only test that requires the physicist to open the generator to get an accurate measurement, is for the ____.
mA
The testing done to evaluate the added filtration of the beam is the ____:
Half value layer
Breast cancer is the leading killer among women of what age group?
15-54
Which cancer kills the most women overall?
Lung cancer.
The federal law that requires all mammography facilities to comply with the Mammography Quality Standards Act, went into affect in:
1994
What is the generator range for kVp in mammo?
22-40 but common practice use is 25-38
What is the atomic number for Molybdenum? What is it used for?
42, anode and filter
How is the anode heel effect used in mammo?
The cathode is placed over the chest wall so that the stronger beam is penetrating the thicker tissue
How is mammo film different from conventional film?
It is high contrast & high resolution. Single emulsion & slow in speed so it has low image noise.
What is the process for doing a magnification study in mammo?
A raised platform is placed on the cassette holder unit and the breast is placed on top of the platform w/o a grid. Mag increases resolution, reduces scatter and improves detail.
What is the magnification factor for mammo?
"SID/SOD= MF
What is the max backup mAs for mammo?
"With a grid: 600 mAs
How is penumbra reduced when performing a mag study in mammo?
Small focal spot
What is the atomic number for Beryllium and what is it used for?
4, port/window
What two parts of the mammo tube will always use the same material/element?
Anode & filter
What is changed when imaging breast implants?
Manual exposure technique
What is the minimun SOD when using fluoro?
"15 inches/38 cm
What is the max ESE for fluoro?
10 R/min
How does magnification work with fluoro?
I.I. tubes can mag the image electronically by changing the voltage on the electrostatic lenses. Increased voltage focuses the electrons at a point closer to the input screen casuing magnification when it reaches the output screen. Capable of 1.5-4x mag
How do you compute the MF for fluoro?
Original input screen diamenter/input screen diameter during mag
What is the mA range in fluoro?
.5-5
What are the types of fluoro distortion?
Size, Sheet, and quantum mottle
Does magnification in fluoro effect size distortion?
No, because the distortion is still there when not in mag mode but is not as easy to visualize.
What is sheet distortion?
Vignetting or pincushion; image intensity is greater at center of image
Explain total brightness gain.
A measurement of the increase in image intensity achieved by an image intensification tube. It is determined by minification gain and flux gain.
What is minification gain?
Occurs as a result of the same number of electrons that were produced at the large input screen being compressed into the area of the small output screen. It is calculated as the ratio between the area of the input and output screens
What is flux gain?
A measurement of the increase in light photons due to the conversion efficiency of the output screen.
What is the collimation allowance for the light field matching the IR?
w/in 2%
What is the allowance for the CR matching the IR?
w/in 1%
Describe how the beam hits the intensification tube.
After the primary beam exits the patient, it strikes the input screen of the intensifier which is a vacuum tube with a cathode and anode.
What 3 things do you test for on a sensitometer strip when doing processor quality control?
Speed, contrast, and base fog
What are the stages for film manufacturing?
Crystal production, ripening, mixing, and coating
What is the chemical process for making silver halide crystals?
Silver nitrate + potassium bromide=Silver bromide + potassium nitrate
Describe the solarization process.
Produces prints by exposure to sunlight. If an ordinary silver halide emulsion is exposed long enough it will reach the reversal phase and actually lose density. The film is pre-exposed to light so there is an overall black image on the duplicating film. By exposing the film to UV light the silver atoms release an electron and become an ion again
How do you prevent oxidation of silver halide crystals during their formation?
suspend in gelatin
Radiographic contrast is primarily impacted by :
Contrast of film, although rare earth phosphors of intensifying screens often have slightly higher contrast as well.
What are daily quality control tests?
"dark room fog test (safe light test)
What are annual or semi-annual quality control tests?
"Focal spot size estimation
What is crossover effect?
light from one intensifying screen crossing over to the other
What is halation?
light being reflected from the air interface on the back of the base material (anti-halation layer applied to single emulsion film)
How do you store film?
on end
What is oxidation?
When a reducing agent gives up an electron
What is reduction?
When a silver ion takes an electron and becomes a silver atom neutralizing the positive silver ion and changing it to black metallic silver
What is the life of an intensifying screen?
5-7 years
What is different about the intensifying screens that should be used in pediatrics?
Higher speed to reduce patient dose and exposure time
How do you compute the difference in technique when changing screen speeds?
"mAs 1/mAs 2 = RS2/RS1
What should you do differently on a repeat exam if your image has quantum mottle?
increase mA
Explain bias focusing in mammo.
When the small focal spot is engaged a negative voltage is applied to the focusing cup, which acts to reduce the size of the electron stream creating the small focal spot. Due to loss of detail at the chest wall, the cahtode side/larger focal spot is eliminated
What are lead aprons made of?
.25 mm lead/equivalent
Describe mammo generators.
High frequency, do not require an autotransformer, line compensation circuit or space charge compensation circuit. Operates on single phase incoming power.
The source to object (SOD) distance for a stationary fluoroscopic tube is to be no closer than _____ from the patient.
38 cm
The source to object distance for a tube on a mobile fluoroscopic unit is to be no closer than _____ to the patient.
30 cm
With fluoroscopy, the ESE or entrance skin exposure from a fluoroscopic tube can be no greater than:
10 R/min
If a fluoroscopic intensification tube has an input screen of 12 inches in diameter and a magnification setting is using only 6 in. diameter of that input screen, the magnification factor for this setting is ___ MF.
2
Non-digital fluoroscopic x-ray tubes typically operate in the range of:
.5-5 mA
True or false. The image intensifier of a fluoroscopic imaging unit is actually a cathode tube.
TRUE
The type of distortion caused by insufficient photon penetration during a fluoro procedure is known as:
quantum mottle
Pin cushion distortion is also known as:
vignetting
To help reduce shape distortion, the input screen of the intensifier is ____in shape.
concave
Total brightness gain is a combination of:
minification gain and flux gain
Changing from standard to magnification mode on an image intensifier:
increases patient dose
The opaque filter that sits beneath the output phosphor is there to:
To prevent light from the output phosphor from traveling back to the photocathode.
How is vignetting created?
Electrostatic repulsion of the electrons traveling from cathode to anode.
The stage of the film manufacturing process in which the halide crystals are allowed to grow is the:
ripening stage
The stage of the manufacturing process in which colored dyes are added to match the wavelengths of light photons is the:
mixing stage
The type of film that is sensitive to all light except light in the red spectrum is:
orthochromatic
The type of film that is sensitive to all light is:
panchromatic
True or false. Duplitized film is double emulsion.
TRUE
The impurity added during the crystal formation stage which creates the sensitivity specks on the crystals is:
gold silver sulfide
What is the equation for producing silver halide crystals?
silver nitrate + potassium bromide = silver bromide + potassium nitrate
When film is pre-exposed to the point that any further exposure will reverse the latent image process, this process is known as:
solarization
What is required in order for a silver-halide crystal to become part of the final image?
It must form gates at the sensitivity specks to allow the reducers to enter and convert silver ions to silver atoms.
True or false. If patient size and technical factors are unchanged, fluoroscopic contrast is controlled by changes in the video signal from the intensifier to the monitor.
TRUE
True or false.Radiographic contrast is usually a result of the film and not the intensification screens.
TRUE
Halation is a distortion found in which type of film?
single emulsion
Crossover effect is a distortion that occurs when:
The light from one intensifying screen affects the emulsion on the opposite side of the film.
True or false. The Gurney-Mott theory states that after exposure to light, a silver bromine crystal will release electrons within the crystal. These electrons then travel to the sensitivity specks where they attract silver ions and convert them to silver atoms. If 3 or more silver atoms are located at a sensitivity speck, a gate is formed that is large enough to allow the reducing agents to enter the crystal and continue converting silver ions to silver atoms, thus creating a dark spot on a radiograph.
TRUE
If, after a few years, your films are turning yellow in color, it is probably because:
The fixer was not removed during the wash cycle
If your films come out of the processor with a milky appearance, it is probably because:
Not all of the unexposed halide crystals were removed during processing.
If your films come out of the dryer moist and tacky and the dryer temperature appears adequate, the reason is probably because:
There is insufficient hardener in the developer or the fixer
Which solution can be affected by even the smallest amount of contamination?
developer
Which solution can be affected by even the smallest amount of temperature change?
Developer
The type of silver recovery unit that should be used in a high-volume hospital or clinic is:
Electrolytic
If your films are coming out of the processor with scratches in the emulsion, the problem can probably be linked to:
Inadequate glutaraldehyde in the developer.
Fixer is a(n) ____________ type of solution.
Acid
When a reducing agent is oxidized, this means that:
it has given up electrons
If, after a few years, silver stains or dark areas appear on your radiographs, the problem can probably be linked to:
The activator in the fixer did not completely stop the developing process.
What does the restrainer in the developer do?
Protects the unexposed halide crystals from being reduced.
The interaction that is responsible for producing most of the light when x-ray photons interact with rare earth phosphors is:
photoelectric
Brightness gain in an image intensifier deteriorates at a rate of about _____ per year.
10
The life of an intensifying screen is about:
5-7 Years
A known technique with an extremity cassette of 100 RS is 70 kVp at 25 mAs. If you replaced this cassette with a 500-speed cassette, your new mAs would be:
5 mAs
A known technique of 55 kVp @ 4 mAs with a 400 RS cassette is used for hand radiography. What would the technique be if the cassette were a 200-speed detail cassette?
8 maS
When using a c-arm, moving the image intensifier away from the patient does what?
Increases magnification
When would density control need to be altered?
when an image is produced that is slightly too dark or light and a decrease or increase in density is desired even though the patient and ionization chambers are properly positioned
The backup time should be set at _____% of the anticipated manual exposure time
150%
US public law requires that generators automatically terminate AEC exposures at :
600 mAs or 60 kW seconds (KVP x mA x time) above 50 KVP, and 2000 mAs or 200 kW below 50 KVP
Breast cancer is the leading cause of death in women between what ages?
15 to 54
If a fluoroscopic intensification tube has an input screen of 9 inches in diameter and a magnification setting is using only 6 in. diameter of that input screen, the magnification factor for this setting is ___ MF.
1.5
True or false. The greater the exposure to radiographic film, the more halide crystals are converted to dark silver atoms during processing.
TRUE
True or false. The greater the exposure to radiographic film, the more halide crystals are converted to dark silver atoms during processing.
TRUE
True or false. If a small amount of developer is spilled into the fixer tank in the processor, the fixer will be rendered useless by the contamination.
False (only the developer)
True or false. In radiography, the only quality control testing that is done daily is processor quality control.
TRUE
The federal law that requires all mammography facilities to comply with the Mammography Quality Standards Act, went into affect in:
1994
True or false. The active ingredient in fixer that halts the developing process is acteic acid
TRUE
In order for a silver-halide crystal to become part of the final image:
It must form gates at the sensitivity specks to allow the reducers to convert silver ions to silver atoms.
The back-up timer for non-grid techniques on a mammography unit must not exceed:
300 mAs
A known technique with an extremity cassette of 100 RS is 70 kVp at 5 mAs. If you replaced this cassette with a 500-speed cassette, your new mAs would be:
1 mAs
If you subtract the OID from the SID, the result is:
SOD
Mammography machines typically use KVP settings of ________ in clinical practice.
25-38
Which of the following equations represents the process for halide crystal production?
Silver nitrate + potassium bromide = silver bromide + potassium nitrate
The archiving steps in film processesing are:
washing and drying
The source to object (SOD) distance for a stationary fluoroscopic tube is to be no closer than _____ from the patient.
38 cm
When annual quality control testing is done on the external beam of any x-ray unit, the maximum difference between the actual kVp and the indicated kVp on the control panel cannot be more than:
#NAME?
Total brightness gain is a combination of:
flux gain and minification gain
Changing from standard to magnification mode on an image intensifier will _________ the patient's exposure.
Increase
Which of the organizations that are involved with monitoring quality control can halt Medicare payments to a hospital if that hospital does not meet quality standards?
JCAHO
A technique of 55 kVp @ 8 mAs using a 100 speed film produces an optimal radiograph of the wrist. If you were to do this same exam using a 400 speed film, your new technique should be 55 kVp @ ___ mAs if all other technical factors were the same.
2
A known technique of 55 kVp @ 4 mAs with a 200 RS detail cassette is used for hand radiography. What would the technique be if the cassette were a 400-speed high speed cassette?
2 mAs
All modern day mammography generators ______ frequency.
High
True or false. Films that are too dark could be because the fixer is not halting the developer process within the crystals.
TRUE
True or false. When checking for the alignment of the light field and the true area of exposure at 180 cm SID, the difference between the light field and area of exposure cannot be more than 3.6 cm on any side of the collimated field.
TRUE
True or false. Some mammography imaging units have their x-ray generators located in the housing with the x-ray tube.
TRUE
If your films come out of the processor with a milky appearance, it is probably because:
The clearing agent in the fixer did not remove all of the unexposed crystals
When a alkaline substance has been oxidized, this means that:
It has given up electrons and become neutralized
True or false. When using a c-arm in the operating room, moving the image intensifier closer to the body part will magnify that body part.
FALSE
True or false. Decreasing the SOD (therefore increasing the OID) will increase penumbra.
TRUE
Which are the reducing agents in the developer?
phenidone and hydroquinone
Crossover effect is a distortion that occurs when:
The light from one intensifying screen affects the emulsion on the opposite side of the film.
True or false. Radiography on infants should be done with extremity cassettes since infants are so small.
FALSE
Quantum mottle in radiography increases as film screen speed _________.
Increases
The part of the intensifying tube that converts x-rays into light photons is the:
input phosphor
A technique of 70 kVp and 48 mAs done with a 400 RS film/screen combo would produce about the same density as 70 kVp and ___ mAs on a 100 RS film/screen combo if all other factors were the same.
192 mAs
The Federal government enacted the Mammography Quality Standards Act that requires all Mammography sites to adhere to these standards. Which of the following hospitals are exempt from this law?
VA hospitals
When film is pre-exposed to the point that any further exposure will reverse the latent image process, this process is known as:
solarized
The back-up timer on a mammography unit with the grid in place must not exceed:
600 mAs
Which of the following acts mandates that any serious injury or death due to medical device be reported?
SMDA
The distance indicator on an x-ray tube must be accurate within _____ of the actual measured distance.
#NAME?
True or false. Direct exposure radiographic film has a thinner emulsion than conventional screen sensitive radiographic film.
FALSE
A mammography machine with an SID of 64 cm, imaging a breast with a source to object distance of 40 cm, will have a magnification factor of:
1.6
In Mammography, penumbra is increased because of the increase in OID. One method of reducing the penumbra is:
use a small focal spot
True or false. Flux gain can be defined as the increase in light created by taking a large image and shrinking it in order to increase brightness.
FALSE
True or false. The developer temperature can be off as much as 5 degrees C before showing any affects on film density.
FALSE
True or false. The light produced by an intensifying screen during the exposure to radiation is mostly a result of the photoelectric effect.
TRUE
In mammography, the term “bias focusing” refers to:
A single filament being used to produce two different focal spot sizes.
What is mammo film like?
It is single emulsion with an emulsion that is composed of very small halide crystals.
True or false. If the rollers are slowed in a film processor and the film is in the processor for an extended time, this will cause the films to come out light at the end of the developing process.
FALSE
Magnification on a mammography machine is achieved by:
decreasing the SOD
If patients are complaining about the amount of time that they have to wait before getting their exam, this is a problem that concerns:
quality assurance
Testing an AEC system for reproduceability involves making exposures with a subject phantom and measuring the results with a:
densitometer
Kilovoltage accuracy must be within ____of the labeled setting.
#NAME?
True or false. It is allowable for the actual primary beam to be larger than the cassette in the Bucky tray when the PBL is activated as long as it doesn't overlap more than 2% of the SID used for that exposure.
FALSE
The three readings monitored by doing sensitometry testing on an automatic processor are:
base fog, contrast, and speed
A pinhole camera is used to test:
focal spot size
True or false. If a 2 mm focal spot actually measures 2.5 mm, this is an acceptable variation in size.
TRUE
Tube angle indicators must be accurate within _____:
#NAME?
True or false. If a distance indicator on the collimator of a tube reads 180 CM and the actual distance is 165 cm, this unit needs to removed from service and recalibrated.
FALSE
Exposure reproduceability measurements are done by measuring sequential exposures made with the same mAs and measured with a dosimeter. The differences between these exposures cannot exceed ____.
#NAME?
Timer variance allowance is _____.
#NAME?
The only test that requires the physicist to open the generator to get an accurate measurement, is for the ____.
mA
The testing done to evaluate the added filtration of the beam is the ____:
half value layer
If you are using all three AEC detectors and the back-up mAs is more than adequte for that body part, the exposure will terminate:
When the average of the three detectors reaches the termination trigger point.
The amount of AEC detectors found in an input screen of an image intensifier is:
1
With digital imaging, increasing the density control when using the AEC system, will increase the exposure value index but the image will have the same visible density.
TRUE
If a patient is grossly obese, it is necessary to increase the density control setting to insure proper penetration of the body part.
FALSE
With conventional film/screen radiography, if you use the center detector of a wall bucky for doing a PA chest exam, the resultant image will probably be ________.
Overexposed
True or false. Scatter from the patient will have no affect upon when the AEC detector terminates the exposure.
FALSE
Above 50 kVp, the back-up timer should terminate the exposure if:
600 mAs has been used and the detectors have not terminated the exposure.
Since mammography units use less than 50 kVp, the back-up timer will allow an exposure of up to 2000 mAs before terminating if the detector has not terminated the exposure.
FALSE
If you are using the AEC system with the density control set at +3 and your exposure terminates before you get an adequately exposed image. Since your back-up mAs was more than adequate, the problem is most likely:
A thin or more radiolucent area of the body part is positioned over the receptor.
A fluoroscopic image can be digitized by a ________ and sent to a monitor for viewing.
Plumbicon camera
The modality that requires the greatest amount of resolution in a digital image is:
mammography
4.2 terabytes is equal to how many GB?
4200
True or false. Image noise found of the viewing monitor in a fluoroscopic room is probably coming from the scatter radiation created by the patient.
FALSE
True or false. Window level is associated with density.
TRUE
Convolution can be defined as:
Modifying a pixel to suppress or enhance a visual characteristic.
The digital standard adopted by the radiologic community for communication is:
DICOM
A pixel with a 16 bit gray scale is capable of displaying up to _____ shades of gray.
65,536
A camera/monitor system with a high signal to noise ratio indicates:
very little noise
Window width (contrast) is changed on an image through:
multiplication and division of pixel value
The color of light emitted by a CR imaging plate as it is being scanned be the helium neon laser is:
blue
The type of digital system that converts x-ray energy to light and the light is then converted to an electronic signal is refered to as:
indirect conversion
True or false. Digital images are better than conventional radiographic screen/film images because film is much more sensitive to scatter radiation.
FALSE
The phosphor most commonly used for CR imaging plates is:
Barium fluorohalide bromides
Describe the production and processing of a latent image using CR.
The phosphor layer reacts to the x-ray photons by emitting light and creating 'holes' in the phoshor crystals. These holes are filled when trapped electrons are released by the helium neon laser. The release of these electrons then produces a blue light.
With the Kodak CR system, an exposure index value of 2500 reflects:
Overexposure to the patient
With the Kodak CR system, an exposure index value of 2500 reflects.
5 lines per mm
What is not an advantage of DR over CR?
mobility
With the Fuji CR system, an S number of 200 indicates that the imaging plate has received about ______ of exposure.
1 mR
True or false. With the Kodak CR system, the exposure index is inversely proportional to the actual exposure to the imaging plate.
FALSE
True or false. Once a CR plate has been scanned by in the reader, it cannot be scanned again to obtain the same image since the latent image has been released and processed.
TRUE
True or false. It is recommended that you always use a grid with CR cassettes when the kVp settings are 80 or greater.
TRUE
True or false. The type of monitor that provides the best resolution for viewing digital images is a CRT monitor.
FALSE
1000 GB is equal to how many TB?
1
Placing a temporary mask over a pixel to change its value is known as:
convolution
The conversion of data from numbers to a visual image is done using:
inverse Fourier transformation
Window width is associted with:
contrast
If grid frequency and CR scan frequency are similiar and oriented, a distortion may appear on the image. This distortion is known as ________.
Moire effect
The operational amplifier in a AEC system is necessary to:
Average the electronic signal when more than one detector is used during an exposure.
When using the AEC system, if your image appears too light and the entire back-up mAs/time was not used during the exposure, the problem is usually assoctiated with:
incorrect positioning over the AEC chamber
When using the AEC system for a smaller body part such as a shoulder or hip, which configuration of AEC detectors should be employed?
center detector only
True or false. The measurment of the base fog on film is not a part of the quailty control monitoring when doing a processor sensitometry test.
FALSE
True or false. Failure to pass a JCAHO inspection because of improper equipment monitoring records can result in the shutdown of your department until minimum standards are met.
FALSE
The labeled kVp setting on any x-ray unit must be within ____ of the actual measured kVp.
#NAME?
True or false. If there is a 30 mm difference between the collimated lightfield and the actual area of exposure when the tube is 100 cm from the image receptor, this is considered an acceptable variance.
FALSE
Distance indicators on a stationary x-ray unit should be accurate within ____ of the actual measured distance.
#NAME?
The organization that specifies the allowable variances for focal spot sizes is:
Nationaal Electrical Manufacturers Association (NEMA)
When a focal spot grows to an unacceptable size, which action must be taken?
Tube must be replaced
The developer has a _________ charge.
Negative
The fixer has a ___________ charge.
Positive
Dupont introduced _________ in the 60's.
Polyester
What is the clearing agent used in the fixer?
Ammonium thiosulfate
____________ refers to the precise wavelength of light emitted and matches the sensitivity of the film.
Spectral emission
What is the consequence of incorrect film-screen matching?
Decreases latent image formation thus increasing patient dose
What is the formula for changing film speeds?
mAs1/mAs2= RS2/RS1
The SID used in mammo is:
60-76 cm (24-30 in)
The sensitivity speck has a ______ charge.
Neutral
What evaluations must be done daily?
"Dark room fog test (also known as a safe light test)and
What are the three types of focal spot test tools?
"line pair resolution tools
NEMA (national electrical manufacturers association) specifies focal spot requirements. What are they?
"Smaller than .8 mm may be 50% larger than stated nominal size
A __% SID error is allowed between the primary beam image and light field size.
2
On a Kodak CR system the exposure value of _________ reflects good exposure.
1800-2200
To determine how many shades of gray a 16 bit gray scale has, how would you calculate?
2 to the 16th power
What is the gray scale for diagnostic imaging?
16 bit
What is a voxel?
each pixel corresponding to a three dimensional volume
An 8 bit word is a ____.
Byte
A matrix is composed of _______.
Pixels
_____ consists of the operating systems and is rarely changed.
ROM
_______ consists of temporary storage for programming and operating and is changeable.
RAM
In radiography the matrix size is :
2500 x 2500
What type of frequency does a high contrast image have?
High frequency
What type of frequency does a low contrast image have?
Low frequency
The human eye can see ___ shades of gray.
32
Each pixel (Voxel) has a gray scale that can be up to ____ bits.
32
1 MB equals how many bytes?
1 million
What is the half value layer?
Defined as the amount of material required to reduce the xray intensity to half its original value.
__________ is sometimes called Thompson or classical scattering.
Coherent
___________ occurs when a low energy photon impacts with an entire atom without ionizing the atom. The incident photon then changes direction.
Coherent Scattering
True or false. Coherent scatter is not a part of diagnostic imaging.
True. This is because the kVp would have to be less than 10.
What type of scatter occurs with xray scanners at airports?
Coherent
Identify the type of interaction. The incident photon loses some or all of its energy when it impacts with an inner K shell electron and removes it from orbit.
Photoelectric effect
When the photoelectric effect occurs the incident photon removes an inner K shell electron from its orbit, the filling of this vacancy produces:
A characteristic xray
True or false. Photoelectric interaction rarely produces scatter that exits the patient.
TRUE
True or false. Characteristic interactions occur within the patient.
False, the tube
True or false. Photoelectric interactions occur within the patient.
TRUE
Below 75 kVp, _________ is the most predominant interaction.
Photoelectric
Identify the interaction. When an incident photon collides with an outer shell electron, the original photon continues in a different direction minus the energy that it took to remove the electron from its orbit.
Compton's
What type of interaction is responsible for the fogging of film due to scatter?
Compton's
If the incident photon is at least 1.02 MeV, than a high energy xray is transformed into a positive and negative electron pair when it passes near the atoms nucleus. What is this called?
Pair production
If the incident xray is greater than 10 MeV, the nucleus of the atom splits up into fragments. What is this called?
Photonuclear disintegration
Incident electrons travel from zero to _______ in 2 cm.
Half the speed of light
________ only occurs when the incident electron interacts with the force field of the nucleus of an atom. The electron must have enough energy to pass through the orbital shells of the target atom.
Brehmsstruhlung
True or false. The closer the electron is to the nuclei, the more energy is lost, and a high Brehmsstruhlung photon is produced.
TRUE
The energy levels of Brehmmstruhlung radiation range from:
zero up to the level of kVp set
Characteristic interactions occur in what kVp range?
Above 70 kVp only
What is the atomic number of Tungsten?
74
What is keV?
used to measure intensity of beam and is the binding energy of electrons
Characteristic interactions cause atoms to change temporarily into:
positive ions as they lose an electron
Between 80-100 kVp, about 80-90% of the beam is:
Brehmmstruhlung
The average primary beam has a peak energy of about ____% of the kVp setting.
30-40
True or false. All vascular imaging studies that involve an injection of contrast to visualize the intended structures should start with a scout film of that region.
TRUE
In an tungsten atom, how many electrons occupy the P shell?
2
What is the atomic number for tungsten?
74
Using the formula: 2(N squared), How many electrons occupy the N shell?
32
What is the maximum number of electrons orbiting in the outermost shell?
8 or less
True or false. 500 millimeters is equal to 1/2 meter.
TRUE
What is the force or electrical pressure that produces electron movement in a circuit?
Voltage
Resistance is equal to:
Voltage divided by amperage
If a circuit has a resistance of 5 ohms and a current of 42 amps, how many volts are in this circuit?
210
What is the unit of resistance?
ohm
If a motor operates optimally at 1500 watts, how many amps will be necessary to operate it at this level if the circuit is 110 volts?
13.6 amps
True or false. Step-up and step-down transformers operate on the principle of self-induction.
False (mutual induction)
The process of converting an AC current into a DC current is known as:
Rectification
True or false. A magnetic material with high retentivity will have a low permeability.
TRUE
True or false. A dipole is a group of atoms with their magnetic fields randomly arranged until they are influenced by an outside source.
FALSE
A step-down transformer will have _____ coils on the primary side than on the secondary side.
More
Nearly all x-ray equipment operates on an incoming line of _____ volts.
210-220
In a single-phase, full wave rectified machine, the x-ray production starts and stops ___ times during ¼ of a second.
30
U.S. Public law 90-602 states that for an exposure done at 48 kVp, the generator must terminate the exposure at _______.
2000
The focusing cup in an x-ray tube is made of ______.
Nickel
A series of 8 exposures is made on a single-phase, half-wave rectified x-ray machine (Rectification constant of 1). The technique used for all 8 exposures is 78 kVp @ 150 mAs. What is the total of heat units produced?
93,600 HU
The type of x-ray tube that has a third electrode attached to the focusing cup which allows the charge to the cup to be switched from negative to positive is known as:
Grid bias tube
The alloy used in filaments is actually a blend of tungsten and _______.
Thorium
True or false. A tungsten filament will not exhibit significant thermionic emission below 2000 degrees centigrade.
TRUE
The distance that the projectile electrons must travel between the cathode and the anode in an x-ray tube is approximately:
1/2 inch
The type of tube that has the ability to increase the negative charge to the focusing cup in order to reduce the size of the actual focal spot is known as:
Bias focusing
The American Physicist that developed the modern x-ray tube for General Electric was:
William Coolidge
In order to cover a 14 x 17 cassette at 40", the minimum target angle must be no less than:
12 degrees
True or false. Focal spot blooming is caused by the repulsion of the projectile electrons and does not have a resounding affect upon image detail.
TRUE
Because of the anode heel effect, a radiograph will have more density at the _____ end of the tube.
Cathode
True or false. The Angstrom is a unit of measurement used to measure the wavelength of electromagnetic radiation.
TRUE
A series of 18 exposures were done sequentially on a high frequency machine (1.45). The first 10 were done using a technique of 80 kVp @ 46 mAs. The last 8 exposures were done using 95 kVp @ 46 mAs. What was the total amount of heat units produced with this series?
104,052 HU
High speed anodes (+8,000 rpm) have to be slowed after an exposure because:
The harmonics produced between 5,000 and 7,000 rpm can shatter the glass tube.
With any electromagnetic radiation, as wavelength increases, what has to decrease?
frequency
True or false. The type of single-phase x-ray waveform that is the result of converting the opposing half of the incoming electron flow so that none of the current is 'wasted' is known as full-wave rectification.
TRUE
True or false. The term used to describe the physical area of the target that is impacted by the projectile electrons is the 'actual focal spot'.
TRUE
The type of x-ray generator that starts the exposure at the highest possible mA station is known as:
Falling load generator
What are the 3 methods of charging a conductor?
induction, contact, and friction
True or false. A wye is necessary for producing a high frequency waveform.
FALSE
The only part of the x-ray tube that is external to the glass envelope is the:
Stator
The speed in which the incident electrons attain before reaching the anode target is approximately:
Half the speed of light
Beta particles are identical to ______ except for their orgin.
Electrons
As the kinetic energy of the incident electrons increases, so does:
The efficiency in which photons are produced.
The type of radiation that is produced by an incident electron interacting with the nuclei of a target atom is:
Brehmsstruhlung
Will an orbiting electron moving from the P shell into the L shell produce a photon in diagnostic range?
No (only an electron that moves into the K shell)
At a setting of 68 kVp with a tungsten anode, the percentage of your beam is composed of characteristic x-rays is:
None
The binding energy of a O shell electron in a tungsten atom is:
.08 keV
The most common type of personnel monitoring device used in Radiology is the:
OSL
If during a procedure, a patient's skin started turning red from a prolonged exposure, this would be considered a _______ effect.
Somatic
An alpha particle is composed of :
Two protons and two neutrons
The type of field survey instrument that is only good at detecting particulate radiations and does not provide measurement of exposure is the:
Geiger-Mueller survey instrument
If an x-ray tube uses a molybdenum anode, the K-shell Characteristic peak is about:
18 keV
The type of personnel monitoring device that can measure exposures as low as 1 mrem and can detect whether an exposure was dynamic or static is:
The OSL
The type of scatter radiation that is responsible for impairing image contrast and detail is:
Compton's
The atomic number for lead is:
82
True or false. As grid frequency decreases, its ability to remove scatter increases.
TRUE
If a grid has lead lines that are 2 mm in height and there is .25 mm interspace between each line, the ratio of this grid is:
8:01
If you used 48 mAs to produce a good-quality film using a grid with a 6:1 ratio, how much mAs would be needed to produce a similar quality film with a 10:1 grid if all other factors remain the same?
80 mAs
If you used 60 mAs to produce a good-quality film using a grid with a 10:1 ratio, how much mAs would be needed to produce a similar quality film without the grid if all other factors remain the same?
12 mAs
The two most common grid errors are:
Off center and off level grid cut off
The brand of cassette that can be turned upside down in order to reduce scatter radiation from reaching the film is:
Kodak X-Omatic
What is the atomic number for aluminum?
13
How is subject detail controlled?
The distance between the patient and the IR
True or false. Air has a greater effective atomic number but is less dense than fat or muscle.
TRUE
When a photoelectric interaction happens in soft tissue, the secondary photon is very weak because:
The atomic number of the soft tissue is low
Upside down grid error is possible with:
Linear focused grids
The type of interaction that results in the complete absorption of the primary photon, the production of a seconday photon, and is a major factor in diagnostic imaging is known as:
Photoelectric effect
What is the atomic number for berylium?
4
A good technique done at 60" is 85 kVp at 16 mAs. If you were to decrease your distance to 40" and not change the kVp, your new mAs should be:
7 mAs
If the leakage radiation measured at 1 meter from the tube housing is 100 mR/hr, what is it if it's measured at 2 meters from the housing?
25 mR/hr
With a Tungsten anode, characteristic interactions are not produced below:
70 kVp
The x-ray interaction that is responsible for creating the radiographic image through differential absorption is:
Photoelectric
True or false. A beryllium window on an x-ray tube is necessary to increase the inherent filtration when compared to a glass window.
False (decrease filtration)
True or false. Secondary radiation created through the Photoelectric effect will have higher energies as the atomic number of the irradiated material increases.
TRUE
True or false. As the lead content of a grid increases, the ability of the grid to remove scatter and improve contrast decreases.
FALSE
During a Compton's interaction, the photon will continue on in another direction with ______ (more or less) energy.
Less because of the interaction
True or false. When altering techniques for increases or decreases in density, the primary controller of x-ray intensity is kVp and the 15% rule should be employed before changing the mAs.
FALSE
Most of the inherent filtration created by the the collimator box is from:
The silver on the mirror that reflects the light field.
True or false. Reciprocity law failure is not very significant in diagnostic radiology.
True, because it only occurs in very low and very high levels of radiation (outside of diagnostic range)
Most of the exposure to film when using a film/screen combination is a result from the production of:
Light
True or false. Coherent scatter is significant in diagnostic imaging.
FALSE
The Characteristic cascade is an event that is associated with which type of interaction?
Photoelectric
As kVp increases the total number of photons that are transmitted without interactions _______.
Increases
When just comparing body tissues, soft tissues interactions are about 50/50 Compton's and Photoelectric at about:
26 keV
The type of interaction that produces two photons of 0.51 Megavolts is:
Pair production
In the diagnostic imaging range, most of the photons that strike the patient are:
Attenuated
The kind of interaction that excites the nucleus and causes a nuclear fragment to be released is known as:
Photodisintigration
Hydrogen, carbon, and oxygen all have K-shell binding energies of:
Less than 1 keV
What is empyema?
Pus in the thoracic cavity
What is an edema?
Swelling or inflammation caused by injury
When a disease is known to to cause your bones to increase the production of bone tissue, this disease is known as:
Osteoblastic
Oversecretion of parathyroid hormone will cause:
Decreased bone density
Fluid accumulation in the peritoneal cavity is known as:
Ascites
An overgrowth of the hands, feet, face and/or jaw caused by homone secretion is known as:
Acromegaly
_______ is a malignant tumor of the metaphysis.
Fibrosarcoma
Multiple myeloma is an ______ disease.
Osteolytic
What is a pneumonectomy?
Surgical removal of a lung
A complication of congestive heart failure is:
Pulmonary edema
Paget's disease results in:
Increased bone thickness
True or false. When the mycobacteria that causses Tuberculosis reaches the lungs via the bloddstream, it is known as miliary.
TRUE
What causes the liver to enlarge and can cause ascites?
Cirrhosis
What is the minimum change in kVp that will create a noticeable difference on the image?
5%
Upside down grid error can only occur with which kind of grid?
Linear focused grids because the lines are angled to the divergent rays
What type of grids will have a short focal range?
Low frequency
What determines the frequency of a grid?
How many lead lines per inch
True or false. With any fluoroscopic unit, moving the body part away from the tube and towards the image intensifier will decrease magnification.
TRUE
What are the processes when altering the pixel values and returning them to their original value on a CT image?
convolution and deconvolution
The man that gets credit for inventing CT is:
Hounsfield
First generation CT scanners used ______ type detectors.
Crystal
What is it called in CT when the sectional data can be combined to produce slices in different directions or create 3-D images?
Reformation
The type of CT slice that is an AP projection of the body is:
Coronal
The type of CT slice that shows a lateral projection of the body is called:
Sagittal
In a cardiovascular imaging suite, when doing a sequence of several rapid exposures combined with fluoro, it is a good idea to consult the _________ in order to insure that yoru study will not cause heat damage to the tube.
Percent duty cycle chart
In order to check if a single exposure could damage a tube you should check the:
Tube rating chart
After finishing a sequence of rapid exposures in a cardiovascular imaging room, you should check the _________ before starting a second sequence to insure that your tube does not overheat.
Tube housing cooling and anode cooling charts
Conventional radiography generators generally operate at _______ mA and ________ kVp than vascular imaging generators.
Lower mA, higher kV
In order to better visualize a vein injected with a contrast agent, it is best to use ________ kV and _________ exposure time.
Low kV, short exposure time
True or false. It is necessary to pre-warm contrast agents before placing them in pressure injectors.
TRUE
When doing biplane imaging, the intensifier that requires a crosshatched grid to filter the increased scatter is the intensifier receiving the _________ projection.
AP
What is the rotation of the axis of rotation of a spinning nucleus?
Precession
In a static magnetic field, all protons of a given isotope will rotate with exactly the same frequency. This frequency is known as:
Larmor frequency
Protons that are ____________ have excessive energy, which they emit as electromagnetic radiation in the RF range.
Anti-parallel
Why do hydrogen atoms react well to a magnetic field?
They have a single proton nucleus.
The ratio between a magnetic moment and the moment of inertia in a nucleus placed in a magnetic field is called it's:
Gyromagnetic ratio
Since the human body would not send off RF radiation in a stationary magnetic field, it is necessary to:
Pulse the stationary field with the use of gradient coils.
For the best MRI imaging of small areas like the TMJ, it is best to use what type of coils?
Surface
Irregularities in a magnetic field created by outside ferromagnetic materials are compensated by:
Shim coils
What is the Hounsfield unit for water?
Zero
What is the Hounsfield for bone?
1000
What is the Hounsfield for air?
-1000
What are the two cryogens used in a superconductive magnet?
Helium and nitrogen
In MRI, the type of coils used for the X, Y, and Z axis are :
Gradient coils
Helical scanners were made possible by:
Slip ring technology
True or false. Added filtration is not a neccessary component to a typical CT scanner.
FALSE
The relationship between voltage, current and resistance is called:
Ohm's law
V=
I x R, ohms x amps, Resistance x Current
an ohm is a unit of :
Resistance
an amp is a unit of:
Current
If the voltage is increased, then the amperage is decreased at the same ratio to maintain the same wattage. This is the :
Transformer law
____________ is the force or electrical pressure that produces the electron movement.
Voltage
The unit of power is the _______.
Watt
Watts =
Amps squared x resistance and volts squared/resistance
Transformers operate by means of __________ induction.
Mutual
Transformers can only work with _____ current.
AC
What type of transformer has a fixed number of coils with output taps? It is used to control the voltage to a step up or step down transformer.
An autotransformer
Autotransformers use ______ induction.
Self
___________ induction occurs when two coils are placed in proximity and a changing current is applied to the primary coil.
Mutual
___________ induction is a single coil of wire supplied with a changing current. The process by which the current is reversed (AC) induces a change in the current at another portion of the coils.
Self
____ motors require a commutator ring to operate.
DC
____ motors require slip rings to operate.If
AC
Induction motors operate on ____ current.
AC
If ___________ are oriented in the same direction, they will exhibit a uniformly strong magnetic field. This is a magnet.
Dipoles
___________ radiation only occurs when the incident electron interacts with an inner shell electron.
Brehmsstruhlung
The energy of Brehmmstruhlung radiation can range from:
Zero to the max kVp level
____________ interactions only occur above 70 kVp.
Characteristic
___________ interactions only occur when the incident electron interacts with an inner shell electron.
Characteristic
How may millimeters are in a meter?
1000
How many centimeters are in a meter?
100
How many meters are in a kilometer?
1000
__________ is the complete or partial loss of x-ray energy within the patient.
Attenuation
What are the four factors that impact attenuation:
xray energy, tissue thickness, tissue density, atomic #
Which generation CT scanner was the first with a fan shaped beam?
2nd
Which generation CT scanner had 30 detectors?
3rd
Which generation CT scanner was created due to a contract awarded by the U.S. Institute of Health?
4th
Which generation CT scanner was created for cardiac units?
5th
Which generation CT scanner was helical/spiral?
6th
Which generation of CT scanner was MSCT?
7th
______________ is the distance between scan sections.
Section interval
CT operates at _____ kVp and _____ mAs.
120 kVp and up to 1000 mAs
What is the relationship between Gauss and Tesla?
1 Tesla = 10,000 Gauss
In Nuc Med, as SID increases detail ____________.
Decreases
________ coils are placed within the coils of the stationary magnet to compensate for irregularities.
Shim
________________ are RF coils. They may serve as both the transmitter and receiver of signal.
Body and surface
_____________ coils can be operated to emit pulse sequence for spatial localization of anatomical section.
Gradient
The process of layering cryogens is ____________.
Ramping
Superconductive magnets use liquid cryogens. ___________ is used in the inner deward and _________ in the outer.
Helium, nitrogen
What is the formula for computing heat units?
HU = kVp x mAs x Rectification constant x # of exposures
What is the rectification constant for single phase?
1
What is the rectification constant for 3 phase 6 pulse?
1.35
What is the rectification constant for 3 phase 12 pulse?
1.4
During what interaction does the incident photon loses some or all of its energy when it impacts with an inner k shell electron and removes it from orbit. The filling of this vacancy produces a characteristic x-ray of low energy.
Photoelectric effect
Characteristic interactions occur at the:
Tube
Photoelectric effect occurs at the:
Patient
Name the interaction. When an incident photon collides with an outer shell electron, the original photon continues in a different direction minus the energy that it took to remove the electron from its orbit.
Compton's
What is the atomic # for molybdenum?
42
What is the atomic # for lead?
82
What is the atomic # for tungsten?
74
True or false. As kVp increases, the efficiency of photon production also increases.
TRUE
The type of radiation that is produced by an incident electron interacting with the nuclei of a target atom is:
Brehmmstruhlung
True or false. Attenuation is absorption or scatter.
TRUE
The type of x-ray interaction that never varies in energy levels but depends on the atomic # of the anode is:
Characteristic
When viewing an x-ray spectrum for any exposure, most of the x-rays will have a peak energy level of:
about 1/3 of the kVp setting on the control panel
What happens to the peak overall average energy of the beam when filtration is added to the beam?
Increases because the weaker x-rays are removed
What happens to image detail when SID is increased?
Detail increases
Moving the image intensifier towards the body part (increasing the SOD) will have what type of effect on magnification and detail?
Magnification decreases and image detail increases
What effect does using an air gap technique have on image detail?
Decreases
_________ is the lack of detail caused by focal spot size.
Penumbra
True or false. Magnification is a distortion of an image in at least two different directions.
TRUE
What factor impacts beam quality?
kVp
What is the reason we don't use small focal spots on all exams is?
It increases exposure time on larger patients
The term used to indicate the conversion of AC current into DC current before the current is applied to an x-ray tube is:
Rectification
_________ is the force or electrical pressure that produces electron movement and current flow.
Voltage
The unit of electriccal power is the ______.
Watt
True or false. An autotransformer can operate on both AC or DC current.
False, only AC
What type of motor is used to drive the anode in an x-ray tube?
Alternating current induction motor
True or false. Rectification of alternating current to pulsating direct current is done using diodes or semiconductors.
TRUE
The type of rectifier used a long time ago that was similar to an x-ray tube except that it operated at lower energy levels was called a _________.
Valve tube
How many diodes are used with a half wave rectified circuit?
1
A device that utilizes several coils of wire with current passing through them in order to create a magnetic field that can be turned on and off in order to repel or attract a magnet is known as:
solenoid
A potential problem with biplane vascular imaging is the increased scatter radiation directed towards the other receptor. This problem can be eliminated by:
Alternating the exposures so that the two assemblies are not exposing at the same time.
Vascular imaging generators generally operate at ___________than conventional radiography generators.
Higher mA and lower kVp stations
True or false. When doing sequential filming in the cardiovascular suite, to protect the tube from overheating, you should consult a tube rating chart.
FALSE
What is the formula for computing heat units?
kVp x mAs x Rectification constant x # of exposures
The pulsing of the beam in a grid controlled tube is done using:
A third electrode located inside the tube that briefly turns the focusing cup positive.
In order for a c-arm assembly to move completely around one end of the table in a cardiovascular suite, the table is:
Cantilevered
What is a warming device?
A warming device is attached to a pressure injector in order to keep the pre-warmed contrast warm while its being injected.
Visualization of a contrast filled vessel is better with _______ kV settings.
Lower
The normal temperature for the human body is 98.6 F or ___ C.
37 degrees centigrade
What is biplane imaging?
Using two c-arm imagers at the same time but at 90 degrees from one another.
The Hounsfield unit coefficient for bone is:
1000
How does the coronal plane lie on the body?
PA or AP, cutting the body into posterior and anterior segments
How does the sagittal plane line on the body?
Perpendicular to the body, cutting the body into left and right segments
The type of detector used in most modern-day CT scanners is:
Solid state
The type of artifacts that are created when two adjacent objects have more than 60% difference in attenuation coefficients is also known as:
Interface or star artifacts
The matrix size used with modern-day scanners is:
512 x 512
With CT images, image noise is a result of statistical fluctuations in the information recorded by:
The detectors
Section interval can be defined as:
The distance between scan sections
The first generation of scanner that was capable of imaging the whole body was the:
Second generation
The type of scanner that uses slip-ring technology and records data as the patient is being moved through the gantry is also known as:
Helix or MSCT
Motion artifact is a result of:
Long exposure time
With modern-day CT scanners, the x-ray beam is collimated at:
Tube housing and detectors
Most all CT scanning is done at ___ kVp.
120 kVp
In a static homogenous magnetic field, all protons in a nucleus of a given type element will rotate with exactly the same frequency. This frequency is known as:
The Larmor frequency
Describe MRI.
The human body is placed in a magnetic field causing certain nuclei to align with the magnetic field. A pulsing of a secondary magnetic field causes the nuclei to precess and emit RF radiation.
One tesla = ______ Gauss
10,000
The most common type of admisistration of Gadolinium as a contrast agent in MRI studies is:
Intravenous
True or false. The EPA lists RF radiation as a carcinogen.
FALSE
The type of magnet that is inhibited by its extreme weight is called a:
Permanent magnet
Radiation strength can be computed using the inverse square law. This law also applies to the strength of a magnetic field produced with an MRI magnet.
FALSE
The type of coils used to control the pulsing of the magnetic field are called:
Gradient coils
When the cryogens in a superconductive magnet reach boiling point temperatures and safety valves release the gases, this process is known as:
Quenching
The numbers used in CT for defining air, water, and bone are called Hounsfield Units (HU). What does MRI use for defining it’s data received?
It doesn't use any specific numbers
The type of coils that are used to adjust the magnetic field because of surrounding ferromagnetic materials in the walls of the MRI suite are called:
Shim coils
The limiting factor for the strength of a resistive magnet is:
cooling the excessive heat that is produced
The limiting factor for the strength of a resistive magnet is:
Cooling the excessive heat that is produced.
The nuclei of the _______ atom are highly susceptible to magnetism and are the major element in water.
Hydrogen
The ratio of the magnetic moment to the moment of inertia of a spinning nuclei in a magnetic field is called the:
Gyromagnetic ratio
Precession of the nuclei can be defined as:
A wobble in the axis of a spinning nuclei
Radiopharmacuticals are:
Unstable isotopes
True or false. Short lived isotopes like Fluorine 18, Nitrogen 13, and carbon 11 are used in SPECT scanning.
False. Long living isotopes are used in SPECT.
A Stress Thallium test is used in ______ imaging.
Cardiovascular
The collimator on a gamma camera is found where?
Between the scintillation crystal and the patient.
True or false. In Nuclear Medicine scanning, as SID increases, image detail also increases.
FALSE
The type of Nuclear Medicine imaging that can be reformated into 3D images is :
PET
Isotopes like Technetium 99, Xenon 133, and Iodine 133 have a _____decay time and are used in SPECT scanning.
Long
In which cases would radioactive wires be placed within the patient?
Tumor reduction
What is the role of the photomultiplier tube in Nuc Med imaging?
The PM tubes convert light from the scintillation crystal to an electronic signal.
True or false. The HIDA scan is used to test gall bladder function.
TRUE
Why was vascular imaging able to go digital long before conventional radiography?
The output phosphor is onliy 1 inch in diameter
Why is a scout image required for vascular imaging?
It is used as a template for subtraction images
What charts are consulted when using cineangiographic tubes?
Percent duty factor and percent duty cycle charts
How is scatter reduced in vascular (biplane) imaging?
"Using a crosshatched grid on vertical or AP receptor
What charts are consulted in angiography?
anode cooling and tube housing cooling charts
Describe a pressure mechanism used in contrast medium injection devices.
Jackscrew that controls speed and quantity of injection
Automatic contrast injectors have syringe capacity of:
40 and 260 cc with pressures from 100 - 1200 psi
What is a warming device?
Thermal sleeve attached to the injector to maintain contrast temperature near 37 degrees C
What is cardiac gating?
Can be used during a heart cath during left ventriculogram to synchronize the injection with r wave impulse of the patient's cardiac cycle.
What is a cineangiographic tube like?
Has a third electrode to pulse the beam (grid controlled tube)
What is the rectification number for a single phase unit?
1
What is the rectification number for a three phase six pulse unit?
1.35
What is the rectification number for a three phase 12 pulse and high frequency unit?
1.4
Vascular imaging uses an mA range of :
800 - 1200+
Vascular imaging uses a kVp range of:
70-80
Where are the collimators located on a CT scanner?
One at the tube exit and another at the detector entrance
CT images are reconstructed using a mathematical algorithm. How is this done?
Fourier transformation or a combination of convolution and back projection
Who has been credited with the invention of CT?
Godfrey Hounsfield
Who was Godfrey Hounsfield?
He was a research engineer with EMI, the same company that published the Beatles records. He invented CT in 1970-71
What is the Hounsfield unit for water?
Zero
What is the Hounsfield unit for bone?
1000
What is the Hounsfield unit for air?
-1000
What was the first generation of CT scanners like?
"Only did head scans
What was the second generation of CT scanners like?
"Used a single projection fan shaped beam
What were third generation CT scanners like?
"Used a wider fan shaped beam and a curved array of 250-750 detectors
What were fourth generation CT scanners like?
"Developed as a result of a contract awarded by the US Institutes of health
What were fifth generation CT scanners like?
"Dedicated to cardiac imaging
What generation CT scanners are being used currenty?
Sixth and seventh
What are sixth generation CT scanners like?
"Helical/Spiral
What are seventh generation CT scanners like?
"MSCT
What is CT reconstruction?
Permits reformatting data from transverse images to create coronal images
What is CT targeting?
Targets tumors for biopsies and locating
__________ efficiency is how well the detectors receive photons from the patient.
Capture
__________ efficiency is how well the detectors convert incoming x-ray photons.
Absorption
________ efficiency is how well the detector changes photon information into a digital signal.
Conversion
Early CT detectors consisted of :
scintillation crystals
What was the efficiency rate of gas filled CT detectors?
60-90 percent
________ is how often the CT detectors need to be re-calibrated.
Stability
__________ is the speed in which the CT detectors react and recover
Response time
_____________ is the ratio of largest CT signal to the smallest signal.
Dynamic range
Modern day CT detectors are:
Solid state
What is a solid state CT detector?
combine a calcium tungstate, yttrium, or gadolinium ceramic scintillator with a photo detector
Modern day CT tubes operate at ____ kVp and up to ____ mA.
120 kV and up to 1000 mA
More than __% differencce in attenuation coefficients will create a star artifact on a CT scan.
60%
_________ is the distance between scan sections.
Section interval
_________ is the width (voxel) of the tissue being scanned.
Section thickness
What is the Larmor frequency?
In a static homogenous field, all protons of a given nucleus will rotate with the same frequency
_____________ is the difference between magnetic moments and inertia moments of specific isotopes.
Gyromagnetic ratio
What type of contrast is used for MRI studies?
Gadolinium
What does it mean when precession occurs in MRI?
When a spinning nucleus is subjected to a magnetic field, the nucleus aligns and the spinning will cause a "wobble" in the axis of the spin, the wobble is precession
What are biological hazards of MRI?
"Pacemaker shutting off
In MRI, liquid cryogens are layered. What is this layering called?
Ramping
What cryogens are used in MRi and how are they layered?
Inner dewar contains liquid helium and the outer dewar with liquid nitrogen
Where does the energy come from that causes the emitting of electromagnetic radiation in the radiofrequency range in MR?
Protons that are antiparallel as they have excessive energy
What are surface coils?
External radiofrequency coils that serve as both the transmitter and receiver. They are positioned close as possible to the body part being imaged
What type of magnets give off excessive heat, are inexpensive and consume a large amount of electrical power?
Resistive
What type of magnets are exteremely heavy, temperature sensitive, and can produce field strengths up to .3 Tesla?
Permanent
What type of magnets can produce field strengths up to 4 Tesla or more, create little resistance at extremely low temperatures and are used for MRI?
Superconductive
How many bodies does the sacrum have?
Five
How many sets of pelvic (anterior) sacral foramina does the sacrum have?
Four
What are the foramen of the sacrum for?
Transmission of nerves and blood vessels.
The large masses of bone lateral to the 1st segment of the sacrum are called _______.
The alae or wings
The two superior articular processes of the sacrum and the inferior articular process of L5 form the _________.
Zygapophyseal joint
________ is the anterior ridge of the 1st sacral segment.
Sacral promontory
________ is the continuation of the verebral canal and containts the sacral nerves.
Sacral Canal
The _________ is formed by the fused spinous processes of the sacral vertebrae.
Median Sacral Crest
The sacrum artivulates with the ilium of the pelvis at the __________.
The Auricular surface
What are the small tubercles representing the inferior articular processes projecting inferiorly from each side of the 5th sacral segment?
Sacral horns
Each SI joint opens obliquely and posteriorly at what angle?
30 degrees
How many segments does the coccyx have?
3-5 coccygeal segments
What is the distal portion of the coccyx called?
Apex
What is the most proximal portion of the coccyx called?
Base
What is the breathing technique for imaging the sacrum and coccyx?
Suspend respiration on expiration
What size cassette is used for imaging the sacrum and coccyx?
10x12 portrait
What is the CR placement for an AP Axial sacrum?
Angle 15 degrees cephalad, midway between the level fo the ASIS and the pubis (approx. 2" distal to the ASIS)
What is the CR placement for an AP Axial coccyx?
Angled 10 degrees caudad, 2: superior to the pubis and at MSP
What is the CR placement for the lateral sacrum/coccyx?
Perpendicular to IR and 3-4" posterior to the ASIS
What is the CR placement for the lateral coccyx?
Perpendicular to IR and 3-4" posterior and 2" distal to the ASIS
What are the holes in the sacrum called?
Pelvic (anterior) sacral foramina
What are the gonadal doses for a lateral sacrum/coccyx?
"Male= 2
Rotation is indicated on a lateral sacrum/coccyx when ________.
The greater sciatic notches and femoral heads are not superimposed.
What projection of the lumbar spine best demonstrates intervertebral joints?
AP projection
The lateral projection of the lumbar spine best demonstrates what anatomy?
Intervertebral joints and intervertebral foramina
The lateral projection of the lumbar spine best demonstrates what pathology?
Fractures and Spondylosis
What anatomy is best demonstrated on the 45 degree oblique lumbar spine?
Zygapophyseal joints
The superior articular process of one vertebra and the inferior articular process of another vertebra form the _______.
Intervertebral foramen
On the LPO position of the lumbar spine, which zygapophyseal joint is demonstrated?
Left
On the LAO position of the lumbar spine, which zygapophyseal joint is demonstrated?
Right
The soft inner portion of the intervertebral disk is called the _________.
Nucleus pulposus
How many vertebra are in the lumbar spine?
Five
How many vertebra are in the cervical spine?
Seven
The oblique cervical spine best demonstrates the _________.
Intervertebral foramina
Cervical vertebra number 1 is also called the __________.
Atlas
Cervical vertebra number 2 is also called the __________.
Axis
The RAO position for the cervical spine best demonstrates the _________.
Downside intervertebral foramina
The LPO position for the cervical spine bet demonstrates the ________.
Upside intervertebral foramina.
The gonion (or angle of the mandible) corresponds to which cervical vertebrae?
C3
The SID should be 60-72" for anterior/posterior oblique and lateral positions of the C-Spine, true or false.
TRUE
The SID should be a minimum of 40" for the AP and open mouth positions of the C-Spine, true/false.
TRUE
The lateral cervical spine position best demonstrates the _____________.
Zygapophyseal joints
Viewing "O's" on a radiograph of a c-spine means that the patient was in _________ position.
Oblique
The AP projection of the thoracic spine best demonstrates the ___________.
Intervertebral joints
The lateral projection of the thoracic spine best demonstrates the ___________.
Intervertebral disk spaces and intervertebral foramina.
70-75 degree oblique of the thoracic spine best demonstrates ____________.
Zygapophyseal joints
The superior articular process of one vertebrae and the inferior articular process of the vertebrae above it form the _________.
Zygapophyseal joints
The superior vertebral notch of one vertebrae and the inferior notch of the vertebrae above it form the _________.
Intervertebral foramen
The LPO position of the thoracic spine best demonstrates ___________.
Right zygapophyseal joints
The RAO position of the thoracic spine best demonstrates _____________.
Right zygapophyseal joints
For the oblique thoracic spine position, anterior obliques are recommended because ____________.
Less breast dose
The __________ is a small, blunt conical eminence that projects medially and posteriorly from the junction of the neck and shaft of the femur.
The greater trochanter
What bony landmark is used for positioning the femoral head and neck?
Anterior Superior Iliac Spine
What is the name of the joint found between the superior rami of the pubic bone?
Symphysis pubis
Where is the CR placed for a unilateral frog leg?
Mid-femoral neck
Where is the CR placed for an AP projection of the pelvis?
midway between the ASIS and the symphysis pubis
What is the recommended amount of abduction, of the femurs, for an AP bilateral frog-leg projection?
40-45 degrees
How much obliquity of the body should be used for the posterior oblique positions for the SI joints?
25-30 degrees
the LPO position for SI joints will demonstrate the right joint, true/false?
TRUE
Why must the lower limbs be rotated 15-20 degrees internally for the AP hip position?
To place the femoral neck parallel to the IR
The term "pelvic girdle" refrers to the total pelvis including the sacrum and coccyx, true/false?
FALSE
Which bones fuse to form the acetabulum?
Ischium, pubis, and ilium
What two bony landmarks are palpated using the traditional hip localization method?
Symphysis pubis and ASIS
Using the traditional hip localization method, the femoral head can be located _________.
1 1/2" below the midpoint of the imaginary line between the two bony landmarks.
True or false. The male pelvis is more heart shaped?
TRUE
True or false. The female pelvis is wide and more shallow?
TRUE
True or false. The male pelvis has an obtuse angle of the pubic arch.
FALSE
True or false. the Female pelvis has a round and large pelvic inlet?
TRUE
True or false. The male pelvis has an acute angle of the pubic arch?
TRUE
The symphysis pubis is at the level of _____.
Base of the coccyx
The ASIS is at the level of _____.
S1-S2
The xiphoid tip is at the level of ________.
T9-T10
The lower costal margin is at the level of _______.
L2-L3
The iliac crest is at the level of ________.
L4-L5
The ear of the scottie dog is the __________.
Superior articular process
The neck of the scottie dog is the ________.
Pars interarticularis
The eye of the scottie dog is the ____________.
Pedicle
The nose of the scottie dog is the ___________.
Transverse process
The leg of the scottie dog is the ___________.
Inferior articular process
The leg of one scottie dog and the ear of another scottie dog make up the ____________.
Zygapophyseal joint
The zygapophyseal joints of the L-Spine are classified as _______ joints.
Synovial
The zygapophyseal joints of the L-Spine have _______ mobility type.
Diarthrodial
The zygapophyseal joints of the L-Spine have what type of movement?
Plane (gliding)
The intervertebral joints of the L-Spine are of what classification?
Cartilaginous (symphysis)
The intervertebral joints of the L-Spine have what type of mobility?
Ampiarthrodial (slightly moveable)
Why is the chin extended on a lateral C-Spine?
To prevent superimposition of the mandible over the spine
True or false. An RPO position of the C-Spine requires a 45 degree obliquity of the body with 15-20 degree caudad angle?
False. A cephalic angle is used for posterior obliques.
Which part of the intervertebral disk is composed of semigelatinous material?
Nucleus Pulposus
Kyphosis is defined as _________.
Abnormal thoracic curvature with increased convexity.
Which position best demostrates zygapophyseal joints of the c-spine?
Oblique C-spine
If an AP open mouth projection demonstrates the base of the skull and upper incisors are superimposed but they are obscuring the upper portion of the dens, what projection(s) would help demonstrate the dens?
The Fuch or Judd method
What breathing technique is used for imaging the C-Spine?
Suspend breathing on expiration
What can be done to enhance visibility of the vertebral bodies during a lateral T-Spine?
Use a breathing technique to blur the ribs
The bony structures connected directly to the vertebral body are the ______.
Pedicles
What angle do the zygapophyseal joints lie at in relation to the midsagittal plance for the thoracic spine?
70-75 degrees
Using the anode heel effect which portion of the body would you place at the anode side for a T-Spine?
Place the upper side of the T-Spine under the anode.
How much obliquity of the body is required for an LAO projection of the T-Spine (from the plane of the table)?
70 degrees
What level is the jugular notch located?
T2-T3
At what level is the vertebra prominen?
C7
What level is the sternal angle?
T4-T5
What level is the mastoid tip located?
C1
What level is the thyroid cartilage located?
C5
What is the first compensatory curve of the spine?
C-Spine
What is the first primary curve of the spine?
T-Spine
What is the second compensatory curve?
L-Spine
What is the second primary curve?
S-Spine
True or false. The anterior oblique t-spine demonstrates the upside zygapophyseal joints?
FALSE
How much CR angle is needed for the AP axial C-Spine?
15-20 degrees cephalad
Where is the articular pillar located on a cervical vertebra?
Between the superior and inferior articular processes.
What is the method name for swimmer's?
Twining method
At what angle do the zygapophyseal joints lie in relation to the MSP for the cervical vertebra?
90 degrees
What method will project the dens within the shadow of the foramen magnum?
Fuch Method
Which thoracic vertebrae possess no facets for costotransverse joints?
T11-T12
Why must the lower limb be rotated 15 to 20 degrees internally for AP hip projections?
To place the femoral neck parallel to the IR
True or False. The term "pelvic girdle" refers to the total pelvis including the sacrum and coccyx.
FALSE
Which bones fuse together to form the acetabulum?
Ischium, pubis, and ilium
Which bone of the pelvic girdle forms the anterior inferior aspect?
Pubis
The lesser sciatic notch is an aspect of the _________.
Ischium
The sacroiliac joints are classified as ____________ joints with _________ mobility.
Synovial; amphiarthrodial
The two bony landmarks that are palpated using the traditional hip localization method are what?
The ASIS and the symphysis pubis
Using the hip localization method where is the femoral head located?
1 1/2" below the midpoint of the imaginary line between the ASIS and the symphysis pubis
Gonadal shielding of the male patient for AP pelvis requires that the shield not extend above the level of the ____________.
Inferior margin of the pubis
A common condition of the femur that develops in elderly patients, leading to frequent fractures of the hip is ___________.
Osteoporosis
True or false. Gonadal shielding should be used on all patients for AP hip projections?
True, if placed correctly
Where is the CR placed for an AP Pelvis
Midway between the ASIS and the symphysis pubis
What is the amount of abduction of the femurs recommended for an AP bilateral frog-leg projection?
40 - 45 degrees
Which position will demonstrate the superior and posterior rim of the acetabulum?
Posterior oblique (Judet Method)
How much obliquity of the body should be used for posterior oblique positions for the SI joints?
25-30 degrees
Which position will best demonstrate the right SI joint?
LPO
Will the lesser trochanter be visible on an axiolateral (inferosuperior) lateral hip?
Yes but only a small part
True or false. The IR must be parallel to the femoral neck for the axiolateral (inferosuperior) projection of the hip.
TRUE
What is the proper name for the frog-leg projection?
Modified cleaves
What CR angle is required for the AP Axial inlet projection?
40 degrees caudad
A radiograph of an AP pelvis reveals the right iliac wing is foreshortened as compared with the left side. What is the error?
Left rotation
A radiograph of an AP pelvis reveals that the left obturator foramen is more open or elongated as compared to the right. What is the error?
Right rotation
A radiograph of an LPO projection for SI joints reveals that the ilium is superimposed over the involved joint. What is the error?
Excessive rotation or obliquity
True or false. If a patient has excessive external rotation of one foot, a fractured hip may be indicated.
TRUE
A patient has a possible separation of the symphysis pubis due to trauma. The AP pelvis is inconclusive for determining the extent of the injury. What other projection can be taken?
AP axial (Taylor) outlet projection
What modality is most sensitive in diagnosing early signs of metstatic carcinoma of the pelvis?
Nuclear Medicine
The most common fracture in geriatric patients because of high incidence of osteoporosis or avascular necrosis is ____________.
Proximal hip fracture
Another name for osteoarthritis is _______.
Degenerative joint disease
Which ionization chamber(s) should be activated when using AEC for an AP pelvis?
Upper right and left chambers
What pathologic indications may result in the early fusion of the SI joints?
Ankylosing spondylitis
The lateral aspect of the distal tibia forms a flattened triangular shaped notch. This is called the _______ and is for articulation with the fibula.
Fibular notch
The _______ is a rough textured prominence on the mid-anterior surface of the tibia.
Tibial tuberosity
The medial malleolus is part of the distal ________.
Tibia
The lateral malleolus is part of the distal ____________.
Fibula
The adductor tubercle is on the _________ aspect of the ________ condyle.
Lateroposterior; medial
When positioning for the AP Medial oblique knee, the entire leg should be rotated ___ degrees.
45 degrees internally
What is the correct CR placement for the AP knee?
1/2" distal to the apex of the patella
What is the correct CR angulation and placement for a lateral knee?
5-7 degrees cephalad to a point 1" distal to the medial epicondyle
When viewing a lateral knee radiograph, you see that the knee is slightly rotated. The adductor tuberlce is seen posterior and in profile, what will correct this error?
Rotate the leg more laterally
When viewing a knee radiograph you see that there is a symmetric appearance of the femoral head and tibial condyles and the joint space. The approximate medial half of the fibular head is seen superimposed by the tibia. The intercondylar eminence is seen in the center of the intercondylar fossa. This description describes proper positioning of the ___________.
AP Knee
When viewing a radiograph you see the tibia and fibula demonstrated with no rotation and the tibial tuberosity is in profile. A portion of the proximal head of the fibula is seen superimposed by the tibia. The outlines of the distal fibula are seen through the posterior half of the tibia. The posterior borders of the femoral condyles are superimposed. This description describes proper positioning of the _____.
Lateral lower leg
When viewing a radiograph you see the distal femur, proximal tibia and fibula with the patella superimposing the medial efmoral condyle. The lateral condyles of the femur and tibia are well demonstrated. The medial and lateral knee joints appear unequal. the tibiofibular joint is open. The head and neck of the fibular are well visualized and free of superimposition. Approximately half of the patella is seen superimposed by the femur. This description best describes proper positioning of the ______.
AP Medial Oblique Knee
When viewing a radiograph you see the distal femur, proximal tibia and fibula and patella in lateral profile. The patellofemoral joint is open. The posterior borders of the femoral condyles are directly superimposed. The knee joint is in the center of the collimated field. This description best describes proper positioning of the _______.
Lateral knee
Is the Camp Coventry method for the tangential projection of the patella?
No
Correct CR angle and centering of the tangential (axial or sunrise/skyline) projection of the patella is evidenced by _________.
Open patellofemoral joint
What is the CR angle for the plantodorsal axial projection of the calcaneous?
40 degrees cephalic
What is the CR placement for a lateral calcaneus?
1" inferior to the medial malleolus
What is the correct rotation for an oblique ankle?
Medial 45 degrees
What is the CR placement for a lateral ankle?
Medial malleolus
What three bones form the ankle joint?
Fibula, tibia, talus
What is the correct degree of rotation for a mortise ankle position?
Internally 15-20 degrees
What is the correct degree of rotation for an AP oblique ankle?
Internally 45 degrees
What is the correct CR placement for an AP ankle?
Midway between the malleoli
What is the name of the distal tibial joint surface that forms the roof of the mortise?
Tibial plafond
What is the name of the line that is formed between the medial and lateral malleoli?
Intermalleolar
How many tarsals are in the foot?
7
What is the alternate name for the calcaneous?
Os Calcis
What is the alternate name for the talus?
Astragalus
What is the CR placement for the lateral great toe
Interphalageal joint
What is the proper degree of rotation for a routine medial oblique foot?
30-45 degrees medially
what is the CR placement for a lateral foot?
Medial cuneiform
Which tendon attaches directly to the tibial tuberosity?
Patellar
True or false. The adductor tubercle is located on the posterior aspect of the medial femoral condyle?
TRUE
This distal tib/fib joint is classified as __________.
Fibrous
To ensure that both joints are included on an AP projectioin of the tibia and fibula, the IR should be ________.
Positioned diagonally
What CR angle is required for an AP projection of the knee on a patient with an ASIS-to-tabletop measurement of 18 cm?
3-5" caudad
Which projection of the knee will best demonstrate the styloid process of the fibula?
AP oblique with medial rotation
True or false. The adductor tubercle is present on the lateral condyle and can be used to determine possible rotation of a lateral knee?
FALSE
The posterior visibility of the adductor tubercle on a lateral knee indicates:
Under-rotation of knee toward IR
A radiograph of an AP knee reveals rotation with almost total superimposition of the fibular head and proximal tibia. What must the technologist do to correct this positioning error on the repeat?
Rotate the knee medially
A knee study is needed with special interest in the region of the proximal tibiofibular joint and the lateral condyle of the tibia. Which projections should the technologist obtain?
AP, Lateral, and medial oblique knee
What projections best demonstrate signs of Osgood-Shlatter disease?
AP and lateral knee
True or false. A 3-5" caudad CR angle should be used for an AP knee projection for patients with thick thighs?
FALSE
True or false. The correct CR placement for an AP projection of the knee is mid-patella.
FALSE
True or false. The intercondylar eminence is part of the distal femur.
FALSE
Which is more distal, the medial or lateral malleolus?
Lateral
How many tarsal bones are there?
7
What is the posterior surface of the foot called?
Plantar
Where would the interphalangeal joint of the foot be found?
Between the phalanges of the first digit
What bone contains the sustentaculum tali?
Calcaneus