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MRT 249
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List the advantages of computed tomography over conventional radiography
CT guided optopsy and fluid drainage
3 dimensional reconstruction
whihc paranasal sinus is the most superior
shpenoid sinus
Between which bones is the coronal suture located
between the frontal andn parietal bones
Which paranasal sinus is the most inferior
mazillary sinus
which two bones form the zygomatic arch
temporal and zygomatic bones
What structrue creates the anterior boundary of the temporomandibular joint
articular eminence
Which structure forms the lateral border of the third ventricles
thalamus
Where is the falx cerbri found
in the interhemispheric fissure
What does the tentorium cerebelli divide
cerebellum and
occipital lobes of the cerebrum
Which vessel is directly anterior to the pons
basilar artery
What two vessels does the posterior communicating artery join
posterior cerebral and
internal carotid artery
State the flow of venous blood from the superior sagittal sinus to the internal jugular vein
superior sagittal sinus
to confluence of sinuses
to transverse sinus
to sigmoid sinus
to internal jugular notch
Which arteries are found just lateral to the sella turcica
internal carotid ateries
Which skeletal structure is the confluence of sinuses associated with
occipital bone
internal occipital protruberance
Which vessels are found in the frontal lobe of the brian close to the interhemispheric fissure
anterior cerebral and anterior communicationg arteries
Which venous sinus is found in the interhemispheric fissure
superior sagittal sinus
Where are the choroid plexuses found
in all four ventricles
Which ventricle is found anterior to the cerebullum and posterior to the pons
fourth
What structure does the cerebral aqueduct pass through
Midbrian
Which cranial line is used for positioning the head for a CT scan
OML
What is the gantry angle to the line for postitioning for the head
15 to 20 caudad
What is meant by a 1cm x 1cm scan
scan thickness of 1cm with a slice interval of 1cm
What is thenormal thickness of the slice for a routine head scan
10mm
What is the normal thickness of the slice for a posterior fossa
5mm
What is the normal thickness of the slice for the acquired images to produce a 3 D of the head
1mm helical
What is the normal thickness of the slice for sinuses
1mm helical
Sinus scans are taken in what imaging planes
axial and coronal
Why are different window widths and levels used for imaging of the head
differentiate between bone and brain matter
What is the purpose of injection intravenous contrast media for CT scans of the head
differentiate between tumours of the head and vascular structures
What skeletal structure in the cranium is the most inferior
mastoid tip of the temporal
The posterior cranial fossae contains the
2 and 4
The cerbral aqueduct joins the
third and fourth ventricles
At the level of the third ventricle which structure is the most lateral
external capsule
Which two vessels form the superior vena cava
right andn left brachiocephalic veins
Which structures is the most inferior in the skull
pons
on a axial slice at the level of T 12 which structure is posterior to the stomach
Spleen
Which lobe of the liver is just anterior to the inferior vena cava
Caudate
Which structure attaches the liver to the anterior wall of the abdomen
Falciform ligament
Which struture surrounds the head of the pancreas
Duodenum
The stomach is seen at the level of T-----to L----
T11
L2
Which structures will be seen in the portahepatis
Hepatic duct
Artery and vein
Portal vein ( nerves and lymphatics)
Close to structure is the tail of the pancreas located
Spleen
Which structure is found between the liver and the right crus of the diaphragm
Right adrenal
or Suprarenal gland
At which level would you see the hilum of the kidney
L2
The kidney will extend from T --- to L---
T12
L4
The relationship of the aorta to the vertebrae
Abdominal aorta is to the left and anterior to the lumbar vertebra
Which is the first major branch of the abdominal aorta
Celiac artery
The superior mesenteric artery and vein are found directly poterior to which structrue at the level of L3
Body of the pancreas
At which level does the aorta divide into the common iliac arteries
L4
Relationship of the inferior vena cava to thel liver and lumbar vertebrae
IVC is the right and anterior to the lumbar vertebrae
The left renal vein passes posterior to the -------artery and anterior to the ---------- on its course from the left kidney
Superior mesenteric artery
Aorta
At what level do the common iliac join to form the inferior vena cava
L5
Which muscle forms the anterior muscle wall of the abdomen
Rectus abdominus
Which muscle is found lateral to the lumbar vertebral bodies
Psoas
What is the slice thickness and interval distance for the kidney
1cm x 1cm
What is the slice thickness and interval distance for adrenal glands
3mm x 5mm
What is the slice thickness andn interval distance for general abdominal survay
10mm x 15mm or 20 mm
What are the WW and WL for viewing or filming the abdomen
WW 400
WL 35
The purpose of the scout view
To plot the scan program
State the two types of images that can be produced for the scout view
AP
Lateral
list the methods in which contrast can be introduced into the patient
Orally
rectally
Intravenously
Explain osmolarity
It is the number of particles in solution per kg of water.it is largely responsible for the adverse effects of contrast .
For a patient that has an allergy to iodinated contrast what type of oral contrast can be used
Dilute barium sulfate solution
What type of contrast has the least reactions and would be suitable for a patient presenting with renal insufficiency
Nonionic isomolar contrast
Eg. Iodixanol( visipaque)
Describe the two types of contrast used for enhancing the gastrointestinal tract
barium sulphate or
oral iodinated contrast media
Why is contrast media injected for abdominal scans
To show up vascular structures collecting system of the urinary tract
What are the early symptoms of anaphylaxis
Sense of warmth
tingling
itching of palms and soles
dysphagia
constriction of the throat
afeeling of doom
an expiratory wheeze
progression into laryngeal and bronchial edema
What are some common reactions to the injection of contrast media and any treatment required
feeling of warmth
flushing
metalic taste
nausea
womiting
coughing
If the patient experiences erythema or urticaria after the injection of contrast media what should the technologist do
Inform radiologist
can give patient benadryl( diphenhydramine)
How long after the injection of contrast media may the patient still experience a reaction
Most reactions occur with in 5 minutes
Can occur within 30 minutes
or 24 hours
Prior to the injection of iodinated contrast media which laboratory test results should be reviewed relating to kidney function
Blood urea nitrogen (BUN) and creatine levels
What post procedural care is recommended after the injection of iodinated contrast media
The patient should be monitored for 20-30 minutes after and should increase fluid intake for 24-36 hours after the procedure
What is a positive response to asthmatic attacks on a patient history questoinnaire and indication of
The patient may be 3X more likely than others to respond to the contrast with an anaphylactoid reaction
why must a patient with diabetes list medications containing metformin hydrochloride
Patient can suffer acute renal failure
Author
marlasherman
ID
140850
Card Set
MRT 249
Description
CT
Updated
2012-03-13T18:37:24Z
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