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Contrast Enema

Total questions: 35

Worksheet time: 12mins

Name
Class
Date
1.

This structure is the:

a)

transverse colon

b)

ascending colon

c)

descending colon

d)

sigmoid colon

2.

This structure is the:

a)

left colic (splenic) flexure

b)

sigmoid colon

c)

right colic (hepatic) flexure

d)

ascending colon

3.

This structure is the:

a)

sigmoid colon

b)

rectum

c)

descending colon

d)

cecum

4.

Pouch like structures associated with the large intestine are:

a)

villi

b)

rugae

c)

microvilli

d)

haustra

5.

This structure is the:

a)

hepatic flexure

b)

colic flexure

c)

cecum

d)

transverse colon

6.

The patient's bowel was accessed by:

a)

colostomy

b)

enteroclysis tube

c)

feeding tube

7.

The most proximal portion of the large intestine is:

a)

cecum

b)

rectum

c)

transverse colon

d)

splenic flexure

8.

After insertion of the enema tip into the patient's rectum, adjust the IV pole so that the enema contents are no higher than:

a)

40 inches

b)

72 inches

c)

24 inches

d)

36 inches

9.

For the RAO large intestine image, the CR should enter perpendicular to the IR about 1 to 2 inches lateral to the midline of the body on the _______ side, at the level of the iliac crest.

a)

right side

b)

left side

10.

What position works best to visualize an open left colic flexure (splenic flexure)?

a)

RAO

b)

LAO

c)

Supine

d)

LPO

11.

For visualizing the large intestine in a barium enema exam, the RPO position requires that the patient roll __________ degrees.

a)

20-30

b)

35-45

c)

30-60

d)

40-70

12.

With the decubitus positions in examing the large intestine in a double-contrast examination, the __________ portion of the colon is of primary importance and should not be overpenetrated.

a)

air-inflated

b)

barium-filled

13.

If you were asked by a physician to image the rectosigmoid area of the colon so that there is minimal superimposition while filled with barium, what projection would be ideal?

a)

AP

b)

PA

c)

AP Axial

d)

Lateral decubitus

14.

The CR angulation for this projection is:

a)

0-Perpendicular

b)

15-20 cephalic

c)

30-40 cephalic

d)

40-70 caudal

15.

The breathing instructions for projections of the barium-filled colon are:

a)

slow breathing

b)

no breathing instructions required

c)

drink,drink, drink

d)

suspend on expiration

16.

When colon perforation or leak is suspected, what type of contrast media should be used?

a)

barium sulfate

b)

barium tablet

c)

water-soluble iodinated

17.

Band of longitudinal muscle that helps form haustra:

a)

rugae

b)

taeniae coli

c)

villi

d)

ligament of Trietz

18.

For enema tip insertion, the patient should lay on their ____ side.

a)

right

b)

left

19.

The enema tip should be inserted during which phase of breathing?

a)

inspiration

b)

expiration

20.

The PA axial projection uses a _____ CR angulation.

a)

cephalic

b)

caudal

c)

perpendicular

21.

AP or PA axial projections best demonstrate:

a)

hepatic flexure

b)

splenic flexure

c)

rectosigmoid area

d)

transverse colon

22.

The RAO position best demonstrates the:

a)

right colic flexure, ascending portion

b)

left colic flexure, descending portion

23.

The RPO position best demonstrates the:

a)

right colic flexure, ascending portion

b)

left colic flexure, descending portion

24.

The LAO position best demonstrates the:

a)

right colic flexure, ascending portion

b)

left colic flexure, descending portion

25.

The LPO position best demonstrates the:

a)

right colic flexure, ascending portion

b)

left colic flexure, descending portion

26.

For the lateral rectum exam (Robbins), the CR enters (check all that apply):

a)

at the MSP

b)

at the MCP

c)

at the iliac crests

d)

at the ASIS

27.

For LPO or RPO positions, it is not necessary to include the colic flexures.

a)

True

b)

False

28.

A Right lateral decubitus best shows the "up" medial side of the _______ and lateral side of the _______.

a)

ascending colon; descending colon

b)

descending colon, ascending colon

29.

A Left lateral decubitus best shows the "up" medial side of the _______ and lateral side of the _______.

a)

ascending colon; descending colon

b)

descending colon, ascending colon

30.

Defecation dysfunction may be examined by (select all that apply):

a)

defecography

b)

evacuation proctography

c)

dynamic rectal examination

31.

Diverticula in the colon without inflammation or symptoms is:

a)

diverticulitis

b)

colitis

c)

diverticulosis

32.

Name this position.

a)

Right lateral decubitus

b)

Left lateral decubitus

c)

Ventral decubitus

33.

This is the right lateral decubitus position.

a)

True

b)

False

34.

A "lead pipe" appearance is representative of:

a)

colon cancer

b)

ulcerative colitis

c)

fistula

d)

polyp

35.

The supplies for a contrast enema include (select all that apply):

a)

lubrication jelly

b)

enema tip

c)

barium tablet

d)

barium