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MRD209 2003 Radiographic Special Procedure 1

MRD209 2003 Radiographic Special Procedure 1, mrd551 Tutorial 2003
Course

Radiographic Instrumentation (MIT 310)

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UNIVERSITI  TEKNOLOGI  MARA

FINAL  EXAMINATION

COURSE

COURSE CODE

DATE

TIME

FACULTY SEMESTER

PROGRAMME/CODE

MEDICAL  IMAGING  III

MRD20 9

10  OCTOBER

21 /2 HOURS  (8 0  a ­  11 0  a)

Medicine & Health  Sciences June  200 3  ­  November  200 3 Diploma  in Medical  Imaging  /  HS11 2

INSTRUCTIONS  TO  CANDIDATES

  1.  This  question paper  consists of two  (2) parts:  PART A  (5 0  Questions) PART B  (2 Questions)

  2.  Answer ALL questions  from  PART A and two questions from  PART B. i)  Answer PART A in the Objective Answer  Sheet, ii)  Answer  PART  B in the Answer  Booklet.  Start  each  answer on a new page.

  3.  Do  not  bring  any  material  into  the  examination  room  unless  permission  is  given  by  the invigilator.

  4.  Please  check to make  sure that this examination  pack consists of: i)  the Question  Paper ii)  an Answer  Booklet ­  provided by the Faculty iii)  an Objective Answer Sheet

DO NOT TURN THIS PAGE UNTIL YOU ARE TOLD TO DO SO This examination paper consists of 18 printed pages

PART A  (5 0  marks)

Answer ALL  questions.

**QUESTION  **

Which of the following are  parts of the bony thorax?

  1.  12  thoracic vertebrae
  2.  Scapulae
  3.  2 4  ribs

A.  1  only B.  1  and 2 only C.  2  and 3 only D.  1, 2  and  

**QUESTION  **

During  a  gastrointestinal  examination,  the  antero­posterior  (AP)  recumbent  projection  of  a stomach of average shape will usually demonstrate  :

  1.  anterior and posterior aspects of the stomach
  2.  barium­filled fundus
  3.  double­contrast body and antral portions

A.  1  only B.  1  and  2 only C.  2  and 3 only D.  1, 2  and  

QUESTION

The ** BEST**  condition to visualize the lower ribs, the exposure should  be made

A.  on normal inspiration. B.  on inspiration second breath. C.  on expiration. D.  during shallow breathing.

**QUESTION  **

Which of the following is the correct examination scheduling sequence?

A.  Upper gastro­intestinal (Gl), barium enema, intravenous  urography (IVU).

B.  Barium enema,  upper gastro­intestinal (Gl), intravenous  urography (IVU).

C.  Intravenous urography (IVU), barium enema,  upper gastro­intestinal ( Gl).

D.  Intravenous  urography (IVU), upper gastrp­intestinal (Gl), barium enema.

**QUESTION  **

A  patient  is  usually  required  to  drink  barium  sulphate  suspension  in  order  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.

**QUESTION  **

Which of the following is the correct sequence of events when performing a double contrast upper gastro­intestinal (Gl) series?

A.  Patient  is  given  a  gas­producing  substance,  then  a  small  amount  of  high­density

barium, and then placed in a recumbent  position.

B.  Patient  is  placed  in  a  recumbent  position  ,  given  a  small  amount  of  high­density

barium, and then a gas­producing substance.

C.  Patient is given a gas­producing substance, placed in a recumbent position, and then

given a small amount of high­density barium.

D.  Patient  is  given  a  small  amount  of  high­density  barium,  placed  in  a  recumbent

position , and then given a gas­producing substance.

**QUESTION  **

Prior  to  bringing  the  patient  into  the  radiographic  room  for  a  gastro­intestinal  (Gl)  barium series examination, the  radiographer should

  1.  assemble the accessories  needed for the examination.
  2.  be certain the  X­ray room is clean and orderly.
  3.  check to see if the  patient had a previous gastro­intestinal (Gl)  examination.

A.  1  only B.  1  and 2 only C.  1  and 3 only D.  1, 2  and  

**QUESTION  **

Which of the following examinations require(s) restriction of the  patient's diet?

  1.  Gastro­intestinal (Gl) series.
  2.  Abdominal survey.
  3.  Urography.

A.  1  only. B.  1  and 2 only. C.  1  and  3 only. D.  1, 2  and 3.

**QUESTION  **

The following statements  regarding large bowel radiography are true ** EXCEPT**

A.  the  large bowel must be completely empty prior to examination. B.  retained faecal  material can stimulate pathology. C.  single­contrast studies  help demonstrate  polyps. D.  double­contrast  studies  help demonstrate intra­luminal lesions.

**QUESTION  **

Double­contrast  barium examinations of the stomach or large bowel are performed to  have a better visualization of

A.  position of the organ. B.  size and shape of the organ. C.  diverticula. D.  gastric or bowel  mucosa.

**QUESTION  **

During  intravenous  urography  (IVU),  the  prone  position  is  generally  recommended  to demonstrate

1.  filling of obstructed ureters.

  1.  the  renal pelvis.
  2.  the superior calyces.

A.  1  only. B.  1  and 2 only. C.  1  and 3 only. D.  1, 2  and 3.

**QUESTION  **

Which  of  the  following  structures  is  (are)  most  likely  to  be  demonstrated  in  a  right  lateral decubitus  position of a double­contrast barium enema  (BE)?

  1.  Lateral wall of the  descending colon.
  2.  Medial wall of the  ascending  colon.
  3.  Lateral wall of the  ascending colon.

A.  1  only. B.  3  only. C.  1  and 2 only. D.  1, 2  and 3.

**QUESTION  **

Which  of  the  following  positions  will  move  the  gallbladder ** MOST**  effectively  away  from  the vertebrae  in the asthenic  patient?

A.  Left anterior oblique (LAO). B.  Right anterior oblique (RAO). C.  Left  posterior oblique  (LPO). D.  Erect.

QUESTIONS

To  make the  patient  as comfortable as possible  during a single­contrast  barium enema, the

radiographer should

1.  instruct  the  patient  to  relax  the  abdominal  muscles  to  prevent  intra­abdominal

pressure.

  1.  instruct the patient to concentrate on breathing deeply to  reduce colonic spasm.
  2.  prepare a warm barium suspension.

A.  2  only. B.  1  and 2 only. C.  2  and 3 only. D.  1, 2  and 3.

**QUESTION  **

Which of the following diagnoses is useful for operative cholangiography examination?

  1.  Biliary tract calculi.
  2.  Patency of the  biliary ducts.
  3.  Function of the sphincter of Oddi.

A.  1  only. B.  2  only. C.  2  and 3 only. D.  1, 2  and 3.

**QUESTION  **

Which  of  the  following  techniques  would  provide  a  postero­anterior  (PA)  projection  of  the

gastroduodenal surfaces of the barium­filled,  high and transverse stomach?

A.  Place the patient  in a 35° to 40°  right anterior oblique (RAO) position. B.  Place the patient  in a lateral position. C.  Angle the central ray 35° to 45° cephalad. D.  Angle the central  ray 35° to 45°  caudad.

QUESTION

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.

**QUESTION  **

Which of the following patient  positions will  BEST  demonstrate the sternoclavicular joints?

A.  Supine. B.  Prone. C.  Posterior oblique. D.  Lordotic.

**QUESTION  **

Fluoroscopic imaging of the ileocaecal valve  is generally  part of a(n)

A.  Esophagram. B.  upper gastro­intestinal (Gl) series. C.  small bowel series. D.  Endoscopic  retrograde cholangiopancreatography (ERCP).

**QUESTION  **

The  antero­posterior  (AP)  Trendelenburg  position  is  often  used  during  an  upper  gastro­

intestinal (Gl) examination to demonstrate

A.  the duodenal loop.

B.  filling of the duodenal bulb.

C.  hiatus hernia.

D.  hypertrophic pyloric stenosis.

**QUESTION  **

The  manubrial  notch,  a  bony  landmark  used  in  radiography  of  the  sternoclavicular joints  is located at the same  level as the

A.  vertebra prominence. B.  first thoracic vertebra. C.  third thoracic vertebra. D.  ninth thoracic vertebra.

**QUESTION  **

Prior to the start of an intravenous urography (IVU), which of the following procedures should be carried out?

  1.  Ask the  patient to empty the bladder.
  2.  Review the patient's allergy  history.
  3.  Check the patient's creatinine level.

A.  1  only. B.  2  only. C.  1  and 2 only. D.  1, 2  and 3.

**QUESTION  **

Which  of  the  following  radiographic  procedures  require  contrast  media  be  injected  into  the renal pelvis via a catheter  placed within the ureter?

A.  Nephrotomography. B.  Retrograde urography. C.  Cystourethrography. D.  Intravenous urography

**QUESTION  **

Which  cholangiographic  procedures  uses  an  indwelling  drainage  tube  for  contrast  medium administration?

A.  Endoscopic  retrograde cholangiopancreatography. B.  Operative cholangiography. C.  T­tube cholangiography. D.  Percutaneous transnepatic cholangiography.

**QUESTION  **

During  a  double­contrast  barium  enema,  which  of  the  following  positions  would  show  the BEST  double­contrast visualization of the colic flexures?

A.  Left anterior oblique and right posterior oblique. B.  Lateral.

C.  Left  lateral decubitus.

D.  Antero­posterior or postero­anterior erect.

**QUESTION  **

Which of the following  is a major cause of  bowel obstruction in children?

A.  Appendicitis. B.  Intussusceptions. C.  Regional enteritis. D.  Ulcerative colitis.

**QUESTION  **

Which of the following examinations  require(s)  ureteral catheterisation?

  1.  Retrograde pyelogram.
  2.  Cystourethrogram.
  3.  Cystocopy.

A.  1  only B.  1  and 2 only C.  2  and  3 only D.  1, 2  and  

**QUESTION  **

The following  may be determined  by oral cholecystography ** EXCEPT**

A.  liver function. B.  concentrating ability of the gallbladder to concentrate  bile. C.  emptying  power of the gallbladder. D.  pancreatic function.

**QUESTION  **

Which  of  the  following  barium­filled  anatomic  structures  is  BEST  demonstrated  in  the  left

anterior oblique position?

A.  Hepatic flexure. B.  Splenic flexure. C.  Sigmoid colon.

D.  lleocaecal valve.

**QUESTION  **

Demonstration of  the  ribs below the diaphragm requires the  patient to

1.  suspend respiration at the end of full exhalation.

2.  suspend respiration at the end of deep inhalation.

3.  lie  in a recumbent  position.

A.  1  only. B.  2  only. C.  1  and 3 only. D.  2  and 3 only.

**QUESTION  **

During tomography examination, it is important for the radiographer to

  1.  properly apply immobilization.
  2.  provide adequate radiation protection whenever possible.

3.  obtain and check a scout film.

A.  1  and 2 only.

B.  1  and 3 only.

C.  2  and 3 only. D.  1, 2  and 3.

PART B  (5 0  marks)

Answer ** ALL**  questions.

QUESTION

a)  Describe a  right  posterior  oblique  projection  (RPO) to  demonstrate  the  upper  ribs

using the following headings:

i)  Patient and  part position relative to film.

(5 marks) ii)  Direction and centring of the X­ray  beam. (2 marks) iii)  Exposure factors and related details.

(2 marks)

b)  With  reference  to  an  antero­posterior  nephrotomography  during  an  intravenous urography examination, state:

i) ** TWO**  clinical indications. (1 mark) ii)  Type of movement.

(1 mark)

iii)  Exposure sequence after  injection.

(1 mark)

c)  With  reference  to  the  intravenous  urography  radiographic  examination  state  with

reasons,  the  routine  sequence  of  radiographs  taken  after  the  injection  of  contrast

medium.

(6 marks)

d)  How would the above sequence be adapted in the following circumstances:

A patient with Hydronephrosis.

A patient with Hypertension. (4 marks)

e)  With reference to a Barium Swallow radiographic examination:

i)  State ** TWO**  clinical indications.

(1 mark)

ii)  Name the ** BEST**  projection to demonstrate the esophagus tract.  Give reasons

for your answer.

(2 marks)

**QUESTION  **

A  50  year  old  man  is  referred  to  the  Medical  Imaging  Department  for  a  double­contrast Barium Enema radiographic examination.

a)  State ** ONE**

Clinical indication. Contra indication. (1 mark)

b)  State the type and quantity of  positive contrast agent used. (2 marks)

c)  Describe the right lateral decubitus overcouch projection using the following headings

i)  Patient and  part  position relative to film.

(5 marks) ii)  Direction and centring of the X­ray beam. (2 marks)

d)  State the parts of colon which are ** BEST**  demonstrated in the above position. (2 marks)

e)  With reference to a double­contrast Barium Meal radiographic examination,

i)  State ** TWO**  clinical indications. (1  mark)

ii)  Name ** FOUR**  views  of  the  duodenal  loop  (cap) which  will  be  taken  as  spot films during the examination. (2 marks)

iii)  Name ** TWO**  drugs which may  be given intravenously to the patient prior to the examination; and state the  purpose of these drugs. (3 marks)

f)  With  reference  to  the  Biliary  systemb  state  TWO  clinical  indications  for  an  Oral Cholecystography radiographic examination. (1 mark)

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MRD209 2003 Radiographic Special Procedure 1

Course: Radiographic Instrumentation (MIT 310)

4 Documents
Students shared 4 documents in this course

University: Universiti Teknologi MARA

Was this document helpful?
CONFIDENTIAL
MD/OCT
2003/MRD209
UNIVERSITI
TEKNOLOGI
MARA
FINAL
EXAMINATION
COURSE
COURSE
CODE
DATE
TIME
FACULTY
SEMESTER
PROGRAMME/CODE
MEDICAL
IMAGING
III
MRD209
10
OCTOBER
2003
21/2
HOURS
(8.30
a.m
-
11.00
a.m)
Medicine & Health Sciences
June 2003
-
November 2003
Diploma
in
Medical Imaging
/
HS112
INSTRUCTIONS
TO
CANDIDATES
1.
This question paper
consists
of two (2)
parts: PART
A (50
Questions)
PART
B (2
Questions)
2.
Answer
ALL
questions from PART
A and two
questions from PART
B.
i)
Answer PART
A in the
Objective Answer
Sheet,
ii)
Answer PART
B in the
Answer Booklet. Start each
answer
on a new
page.
3.
Do not
bring
any
material into
the
examination room unless permission
is
given
by the
invigilator.
4.
Please check to make sure that this examination pack consists of:
i)
the
Question Paper
ii)
an
Answer Booklet
-
provided
by the
Faculty
iii)
an
Objective Answer Sheet
DO NOT
TURN
THIS
PAGE
UNTIL
YOU ARE
TOLD
TO DO SO
This
examination paper consists
of 18
printed pages
CONFIDENTIAL

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