Which of the following barium filled anatomic structures is best demonstrated in the Rao position?

1. What is the structure indicated by the number 8 in Figure 2–18?

   Inhaltsverzeichnis Show

   • What position would demonstrate the rectum filled with barium?
   • In which of the following positions are a barium
   • What is the position of the GB in a Hypersthenic patient?
   • Which of the following anatomic structures is best demonstrated in the LPO position in a positive contrast exam?

   A

     Common hepatic duct

   B

     Common bile duct

   C

     Cystic duct

   D

     Pancreatic duct

   •  
   • B
   •  
   • Common bile duct

2. A flat and upright abdomen is requested on an acutely ill patient, to demonstrate the presence of air-fluid levels. Because of the patient's condition, the x-ray table can be tilted upright only 70° (rather than the desired 90°). How should the central ray be directed?

   A

     Perpendicular to the IR

   B

     Parallel to the floor

   C

     20° caudad

   D

     20° cephalad

   •  
   • B
   •  
   • Parallel to the floor

3. What is the position of the gallbladder in an asthenic patient?

   A

     Superior and medial

   B

     Superior and lateral

   C

     Inferior and medial

   D

     Inferior and lateral

   •  
   • C
   •  
   • Inferior and medial

4. All the following statements regarding large bowel radiography are true except

   A

     the large bowel must be completely empty prior to examination.

   B

     retained fecal material can obscure pathology.

   C

     single-contrast studies help to demonstrate intraluminal lesions.

   D

     double-contrast studies help to demonstrate mucosal lesions.

   •  
   • C
   •  
   • single-contrast studies help to demonstrate intraluminal lesions.

5. Fluoroscopic imaging of the ileocecal valve is generally part of a(n)

   A

     esophagram.

   B

     upper GI series.

   C

     small-bowel series.

   D

     ERCP.

   •  
   • C
   •  
   • small-bowel series.

6. The type of ileus characterized by cessation of peristalsis is termed

   A

     mechanical

   B

     paralytic

   C

     asymptomatic

   D

     sterile

   •  
   • B
   •  
   • paralytic

7. During endoscopic retrograde cholangiopancreatography (ERCP) examination, contrast medium is injected into the

   A

     hepatic duct

   B

     cystic duct

   C

     pancreatic duct

   D

     common bile duct

   •  
   • D
   •  
   • common bile duct

8. Which of the following radiographic examinations require(s) the patient to be NPO 8–10 hours prior to examination for proper patient preparation?

   
   
   1. Abdominal survey
   
   
   2. Upper GI series
   
   
   3. BE
   
   

   A

     1 and 2 only

   B

     1 and 3 only

   C

     2 and 3 only

   D

     1, 2, and 3

   •  
   • C
   •  
   • 2 and 3 only

9. Which of the following barium-filled anatomic structures is bestdemonstrated in the LPO position?

   A

     Hepatic flexure

   B

     Splenic flexure

   C

     Sigmoid colon

   D

     Ileocecal valve

   •  
   • A
   •  
   • Hepatic flexure

10. The image shown in Figure 7–4 was made in the following recumbent position

    Courtesy of Stamford Hospital, Department of Radiology.

    A

      RAO

    B

      Lateral

    C

      LPO

    D

      PA

    •  
    • C
    •  
    • LPO

11. Which cholangiographic procedure uses an indwelling drainage tube for contrast medium administration?

    A

      Endoscopic retrograde cholangiographic pancreatography (ERCP)

    B

      Operative cholangiography

    C

      T-tube cholangiography

    D

      Percutaneous transhepatic cholangiography

    •  
    • C
    •  
    • T-tube cholangiography

12. During an upper gastrointestinal (GI) examination, a stomach of average shape demonstrates a barium-filled fundus and double contrast of the pylorus and duodenal bulb. The position used is most likely

    A

      AP erect

    B

      PA

    C

      RAO

    D

      LPO

    •  
    • D
    •  
    • LPO

13. Correct preparation for a patient scheduled for a lower GI series ismost likely to be

    A

      iodinated contrast evening before examination; water only in the morning.

    B

      NPO after midnight.

    C

      cathartics and cleansing enemas.

    D

      NPO after midnight, cleansing enemas, and empty bladder before scout image.

    •  
    • C
    •  
    • cathartics and cleansing enemas.

14. The structure indicated as number 4 in Figure 2–9 is the

    Courtesy of Stamford Hospital, Department of Radiology.

    A

      terminal ileum

    B

      appendix

    C

      cecum

    D

      sigmoid

    •  
    • C
    •  
    • cecum

15. Which of the following structures will usually contain air, in the PA recumbent position on a sthenic patient, during a double-contrast upper GI (UGI) examination?

    A

      Duodenal bulb

    B

      Descending duodenum

    C

      Pyloric vestibule

    D

      Gastric fundus

    •  
    • D
    •  
    • Gastric fundus

16. Which projection(s) of the abdomen would be used to demonstrate pneumoperitoneum?

    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    

    1.	Right lateral decubitus
    2.	Left lateral decubitus
    3.	Upright

    A

      2 only

    B

      1 and 3 only

    C

      2 and 3 only

    D

      1, 2, and 3

    •  
    • C
    •  
    • 2 and 3 only

17. The stomach of an asthenic patient is most likely to be located

    A

      high, transverse, and lateral.

    B

      low, transverse, and lateral.

    C

      high, vertical, and toward the midline.

    D

      low, vertical, and toward the midline.

    •  
    • D
    •  
    • low, vertical, and toward the midline.

18. Free air in the abdominal cavity is best demonstrated in which of the following positions?

    A

      AP projection, left lateral decubitus position

    B

      AP projection, right lateral decubitus position

    C

      PA recumbent position

    D

      AP recumbent position

    •  
    • A
    •  
    • AP projection, left lateral decubitus position

19. The pyloric canal and duodenal bulb are best demonstrated during an upper GI series in which of the following positions?

    A

      RAO

    B

      Left lateral

    C

      Recumbent PA

    D

      Recumbent AP

    •  
    • A
    •  
    • RAO

20. What instructions might a patient be given following an upper GI examination?

    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    

    1.	Drink plenty of fluids.
    2.	Take a mild laxative.
    3.	Increase dietary fiber.

    A

      1 only

    B

      1 and 2 only

    C

      2 and 3 only

    D

      1, 2, and 3

    •  
    • D
    •  
    • 1, 2, and 3

21. Which of the following is the preferred scheduling sequence?

    A

      Lower GI series, abdomen ultrasound, upper GI series

    B

      Abdomen ultrasound, lower GI series, upper GI series

    C

      Abdomen ultrasound, upper GI series, lower GI series

    D

      Upper GI series, lower GI series, abdomen ultrasound

    •  
    • B
    •  
    • Abdomen ultrasound, lower GI series, upper GI series

22. What is the position of the stomach in a hypersthenic patient?

    A

      High and vertical

    B

      High and horizontal

    C

      Low and vertical

    D

      Low and horizontal

    •  
    • B
    •  
    • High and horizontal

23. With the patient recumbent on the x-ray table with the head lower than the feet, the patient is said to be in the

    A

      Trendelenburg position

    B

      Fowler position

    C

      decubitus position

    D

      Sims position

    •  
    • A
    •  
    • Trendelenburg position

24. In the _____ position,the patient's head is positioned higher than the feet.

    Fowler

25. Operative cholangiography may be performed to

    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    

    1.	visualize biliary stones or a neoplasm.
    2.	determine function of the hepatopancreatic ampulla.
    3.	examine the patency of the biliary tract.

    A

      1 and 2 only

    B

      1 and 3 only

    C

      2 and 3 only

    D

      1, 2, and 3

    •  
    • D
    •  
    • 1, 2, and 3

26. A patient is usually required to drink barium sulfate suspension to demonstrate which of the following structures?

    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    

    1.	Esophagus
    2.	Pylorus
    3.	Ilium

    A

      1 only

    B

      1 and 2 only

    C

      2 and 3 only

    D

      1, 2, and 3

    •  
    • B
    •  
    • 1 and 2 only

27. Following the ingestion of a fatty meal, what hormone is secreted by the duodenal mucosa to stimulate contraction of the gallbladder?

    A

      Insulin

    B

      Cholecystokinin

    C

      Adrenocorticotropic hormone

    D

      Gastrin

    •  
    • B
    •  
    • Cholecystokinin

28. Double-contrast examinations of the stomach or large bowel are performed to better visualize the

    A

      position of the organ

    B

      size and shape of the organ

    C

      diverticula

    D

      gastric or bowel mucosa

    •  
    • D
    •  
    • gastric or bowel mucosa

29. Which of the following structures will be filled with barium in the AP recumbent position of a sthenic patient during an upper GI examination?

    A

      Duodenal bulb

    B

      Descending duodenum

    C

      Pyloric vestibule

    D

      Gastric fundus

    •  
    • D
    •  
    • Gastric fundus

30. Endoscopic retrograde cholangiopancreatography (ERCP) usually involves

    
    
    1. cannulation of the hepatopancreatic ampulla
    
    
    2. introduction of contrast medium into the common bile duct
    
    
    3. introduction of barium directly into the duodenum
    
    

    A

      1 only

    B

      1 and 2 only

    C

      1 and 3 only

    D

      1, 2, and 3

    •  
    • B
    •  
    • 1 and 2 only

31. All the following positions are likely to be employed for both single- and double-contrast examinations of the large bowel except

    A

      lateral rectum.

    B

      AP axial rectosigmoid.

    C

      right and left lateral decubitus abdomen.

    D

      RAO and LAO abdomen.

    •  
    • C
    •  
    • right and left lateral decubitus abdomen.

32. he body habitus characterized by a long and narrow thoracic cavity and low midline stomach and gallbladder is the

    A

      asthenic

    B

      hyposthenic

    C

      sthenic

    D

      hypersthenic

    •  
    • A
    •  
    • asthenic

33. For the average patient, the CR for a lateral projection of a barium-filled stomach should enter

    A

      midway between the midcoronal line and the anterior abdominal surface

    B

      midway between the vertebral column and the lateral border of the abdomen

    C

      at the midcoronal line at the level of the iliac crest

    D

      perpendicular to the level of L2

    •  
    • A
    •  
    • midway between the midcoronal line and the anterior abdominal surface

34. Which of the following structures is (are) located in the right upper quadrant (RUQ)?

    
    
    1. Hepatic flexure
    
    
    2. Gallbladder
    
    
    3. Ileocecal valve
    
    

    A

      1 only

    B

      1 and 2 only

    C

      2 and 3 only

    D

      1, 2, and 3

    •  
    • B
    •  
    • 1 and 2 only

35. Which of the following techniques would provide a posteroanterior (PA) projection of the gastroduodenal surfaces of a barium-filled high and transverse stomach?

    A

      Place the patient in a 35- to 40-degree right anterior oblique (RAO) position.

    B

      Place the patient in a lateral position.

    C

      Angle the CR 35 to 45 degrees cephalad.

    D

      Angle the CR 35 to 45 degrees caudad.

    •  
    • C
    •  
    • Angle the CR 35 to 45 degrees cephalad.

36. Which of the following radiologic examinations requires preparation consisting of a low-residue diet, cathartics, and enemas?

    A

      Upper GI series

    B

      Small bowel series

    C

      Barium enema (BE)

    D

      Intravenous (IV) cystogram

    •  
    • C
    •  
    • Barium enema (BE)

37. To radiograph an infant for suspected free air within the abdominal cavity, which of the following projections of the abdomen will demonstrate the condition with the least patient exposure?

    A

      PA erect with grid

    B

      Left lateral decubitus with grid

    C

      Left lateral decubitus without grid

    D

      Recumbent AP without grid

    •  
    • C
    •  
    • Left lateral decubitus without grid

What position would demonstrate the rectum filled with barium?

In which of the following positions are a barium

What is the position of the GB in a Hypersthenic patient?

Which of the following anatomic structures is best demonstrated in the LPO position in a positive contrast exam?