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The greater omentum extends from the transverse colon to the:
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The preferred imaging modality for examining the gallbladder is:
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ABDOMEN REVIEW
Bonus Procedure Worksheets. May add a few extra questions. Images are on Kahoot!
| Question | Answer |
|---|---|
| The greater omentum extends from the transverse colon to the: | Greater curvature of the stomach |
| The preferred imaging modality for examining the gallbladder is: | Sonography / Ultrasound |
| What muscle should be demonstrated on a well-exposed abdomen projection on an average size patient? | Psoas major |
| Why is the right kidney usually lower in the abdomen than the left kidney? | Presence of the liver **Think about the lungs too** |
| Which of the following topographic landmarks corresponds to L2-3 vertebral level? | Inferior costal margin |
| Which of the following abdominal regions would contain the right colic (hepatic) flexure? | Right Lateral Lumbar |
| True OR False: Motion of the patient’s diaphragm can be stopped by providing proper breathing instructions. | TRUE |
| An ileus is the formal term: | Bowel obsturction |
| Which of the following kV ranges is recommended for a KUB on an adult? | 70 to 80 |
| Why is the PA projection of the abdomen less desirable for a KUB than the AP projection? | The kidneys are farther from the image receptor with PA projection. |
| A patient comes to radiology with a clinical history of an umbilical hernia. Which one of the following abdomen projections would best demonstrate it? | Dorsal decubitus |
| MED TERM REVIEW: The prefix pyelo refers to the: | Renal Pelvis |
| True OR False: The use of low kV and high mAs is the ideal combination of exposure factors to reduce patient dose. | FALSE |
| The prominent protuberance found on the anterior aspect of the ilium is the: | Anterior Superior Iliac Spine (ASIS) |
| Which radiographic landmark is most reliable to evaluate the posteroanterior (PA) projection of the abdomen for rotation? | Ala of ilium |
| Which of the following organs is NOT considered an accessory organ for digestion? a. Liver b. Gallbladder c. Spleen d. Pancreas | c. Spleen |
| An x-ray of a supine KUB on a hyposthenic patient reveals that the symphysis pubis is cut off along the bottom of the x-ray. The top of the LT kidney is also cut off along the top of the x-ray. What does the technologist need to do for the repeat exposure | Use TWO 35 × 43 cm (14 × 17 inch) cassettes lengthwise, one centered lower and one centered higher. |
| The technologist must ____ (INCREASE OR DECREASE) manual exposure factors for a patient with severe ascites. | INCREASE |
| The suprarenal glands are part of the _____ system. | Endocrine |
| The xiphoid process is at the vertebral level of: | T9-T10 |
| To ensure that the diaphragm is included on the erect/upright abdomen projection, the top of the image receptor should be at the approximate level of the: | Axilla |
| True OR False: The lateral abdomen position will best demonstrate the prevertebral region. | TRUE |
| Which term describes an abnormal accumulation of fluid in the peritoneal cavity of the abdomen? | Ascites |
| What is another common term for the greater omentum? | Fatty Apron |
| A patient enters the ED with a possible ascites. The patient is ambulatory. Which of the following projections of the abdomen will best demonstrate this condition? | AP Supine |
| Where is the CR centered for the left lateral decubitus projection of the abdomen? | 2 Inches (5 cm) ABOVE iliac crest |
| True OR False: The Pigg-O-Stat is recommended for erect abdomen projections on young pediatric patients. | TRUE |
| The iliac crest corresponds with the ____ vertebral level. | L4-L5 |
| Which aspect of the large intestine is found between the left and right colic flexures? | Transverse Colon |
| A radiograph of an AP KUB reveals that the obturator foramina are cut off from the bottom of the image. The kidneys and symphysis pubis are demonstrated. What centering adjustments should the technologist make to improve this image? | This radiograph is correctly centered. No centering adjustments are necessary. |
| True OR False: The most common type of involuntary motion in the abdomen is peristalsis | TRUE |
| In which region or compartment of the peritoneum is the spleen located? | Intraperitoneum |
| A radiograph of an anteroposterior (AP) abdomen demonstrates elongation (widening) of the left iliac wing and narrowing of the right iliac wing. Which one of the following positioning errors produced this radiographic outcome? | Rotation to the left (left posterior oblique) |
| True OR False: The pancreas is located posterior to the stomach | TRUE |
| The most inferior positioning landmark on the abdomen/pelvis is the: | Ischial Tuberosity |
| Which aspect of the small intestine is considered the shortest? | Duodenum |
| In which of the four major quadrants of the abdomen would the cecum be found? | Right Lower Quadrant |
| A dorsal decubitus abdomen is ordered on a patient. The patient is placed on his back on a cart. The CR will enter the left side of the patient with the patient’s right side against the image receptor. What type of marker should be used? | RIGHT and decubitus markers |
| In which of the four major quadrants of the abdomen would the gallbladder be found? | Right upper quadrant |
| Which of the following imaging modalities often requires the use of intravenous, iodinated contrast media for studies of the abdomen? | CT |
| A patient comes to radiology with a clinical history of pneumoperitoneum. The patient is able to stand and lie recumbent. Which one of the following projections will best demonstrate the severity of this condition? | AP erect abdomen |
| A patient enters the ED with a possible perforated duodenal ulcer. The patient is ambulatory. Which of the following projections will best demonstrate intraperitoneal air in the abdomen? | ERECT PA CHEST |
| Which of the following solid organs is the largest found in the abdomen? | Liver |
| What is the best method to prevent any potential motion during abdominal radiography? | Short Exposure Time |
| Which of the following structures is part of the lymphatic system? | Spleen |
| To ensure that the inferior margin of the abdomen is included on a KUB radiograph, the technologist should palpate the: | Greater Trochanter or Symphysis Pubis |
| At what level should the central ray (CR) be placed for a left lateral decubitus projection of the abdomen? | 2 inches (5 cm) above iliac crest |
| Why is the left lateral decubitus preferred over the right lateral decubitus abdomen for an acute abdomen series? | Any intraperitoneal air will be visualized along the lower liver margin. |
| What CR centering should be used for a dorsal decubitus projection of the abdomen to include the diaphragm? | 2 inches (5 cm) above iliac crest |
| A patient is in the intensive care unit after abdominal surgery. The surgeon is concerned about a possible perforated bowel. The patient cannot stand or sit. Which of the following positions will best demonstrate any possible intra-abdominal free air? | LEFT Lateral Decubitus |
| The technologist must ____ (INCREASE or DECREASE) manual exposure factors for the patient with a large ileus. | DECREASE |
| Which of the following clinical indications would suggest the need for a dorsal decubitus abdomen position? a. Aneurysms b. Umbilical hernias c. Calcification of the aorta d. All of the above | d. All of the above |
| What is the name of the double-walled tissue that lines the abdominopelvic cavity? | Peritoneum |
| A patient comes to radiology with a clinical history of a possible abdominal aortic aneurysm. Which of the following abdominal projections would best demonstrate this condition? | Dorsal decubitus |
| True OR False: The term gastro refers to the intestine. | FALSE |
| Which structure of the abdomen helps stabilize and support the small intestine? | Mesentery |
| What type of respiration should be employed during the exposure for the anteroposterior (AP) kidneys, ureter, and bladder (KUB) abdomen projection? | Expiration |
| In which region or compartment of the abdomen is the pancreas located? | RETROperitoneal |
| What factor must be observed for an AP erect abdomen projection? | Patient needs to be upright a minimum of 5 minutes before imaging |
| Which of the following conditions can produce a dynamic bowel obstruction? a. Fibrous adhesions b. Crohn's disease c. Intussusception d. All of the above | ALL OF THE ABOVE |
| Where must the CR be centered for an AP supine projection of the abdomen as part of the acute abdominal series? | At level of iliac crest |
| A patient comes to radiology with possible bleeding within the abdomen. The patient is unable to stand or sit for any projections. What projection would be most effective in demonstrating fluid within the abdomen for this patient? | LEFT Lateral Decubitus |
| A 3-year-old patient comes to radiology for an abdominal study. Even with careful instructions and immobilization, the patient is having difficulty holding still. What should be done to minimize motion on the radiograph? | Use a shorter exposure time. |
| Which of the following conditions is NOT considered a clinical indication for an acute abdominal series? a. Kidney Stone b. Obstruction c. Infection d. Intra-abdominal mass | a. Kidney Stone |
Created by:
dominic.zappitelli
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