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INTERVENTIONAL RADIOGRAPHY

Total questions: 132

Worksheet time: 1hrs 6mins

Name
Class
Date
1.

A radiographic examiantion of blood vessels after injection of contrast medium.

a)

Arteriography

b)

Angiography

c)

Venography

d)

Angiocardiography

2.

A contrast that ionizes in solution and causes more patient discomfort.

a)

Positive contrast

b)

Non-ionic

c)

Ionic

d)

Negative contrast

3.

A contrats agent that does not ionize in solution and is safer, less painful and better tolerated by patients.

a)

Non-ionic

b)

Ionic

c)

Contrast media

d)

Negative contrast

4.

Which of the following are the component of Aniography?

A. Arteriography

B. Lymphography

C. Venography

D. Angiocardiography

a)

A & D

b)

All of the above

c)

A, B & C

d)

D only

5.

A radiography of vessel after introduction od CM thru a catheter inserted into an artery.

a)

Coronary Arteriography

b)

First Pass Radionuclide Angiocardiography

c)

Selective Arteriography

d)

Catheter Arteriography

6.

A radiography of selected vessel which is opacified by a medium introduced directly into it usually.

a)

Radionuclide Angiocardiography

b)

Catheter Arteriography

c)

Selective Arteriography

d)

Coronary Arteriography

7.

Angiography of the coronary arteries in which the cardiac catheter is inserted into an artery with the help of fluoroscopy.

a)

Coronary Arteriography

b)

Catheter Arteriography

c)

Selective Arteriography

d)

Radionuclide Angiography

8.

A form of angiocardiography in which the CM is a radionuclide.

a)

Radionuclide Angiocardiography

b)

First Pass Radionuclide Angiocardiography

c)

Equilibrium Radionuclide Angiocardiography

9.

It is a rapid sequence of images is taken immediately after the administration of CM to record only the initial transit through the central circulation.

a)

First Pass Radionuclide Angicardiography

b)

Radionuclide Angiocardiography

c)

Catheter Arteriography

d)

Coronary Arteriography

10.

A form of radionuclide angiocardiography in whihc image are taken at specific phases of thecardiac cycle over a series of several hundred cycles with image recording set.

a)

Radionuclide Angiocardiography

b)

First Pass Radionuclide Angiocardiography

c)

Equilibrium Radionuclide Angiocardiography

11.

Which of the following is part of Angiographic Team?

A. Anaesthesiologist

B. Scrub Nurse

C. Radiologist

D. Radiologic Technologist

E. Medical Physicist

a)

A, B & C

b)

A, B, C, D

c)

A, C, D & E

d)

All of the above

12.

It is an imaging device that converts an x-ray distribution to an optical image with a large increase in brightness.

a)

Intensifying screen

b)

X-ray tube

c)

X- generator

d)

Image Intensifier

13.

Material coated on the input surface of an image intensifier tube which emits light in response to being struck by electron.

a)

Phosphor

b)

Input Phosphor

c)

Output Phosphor

d)

TV signal

14.

Material coated on the output surface of an image intensifier which emits light in response to being struck by electron.

a)

Output Phosphor

b)

Input Phosphor

15.

The technique was first developed in 1927 by the Portuguese physician and neurologist name ............................ at the University of Lisbon to provide contrasted x-ray cerebral angiography in order to diagnosed several kinds of nervous disease, such as tumors, artery disease and arteriovenous malformation.

a)

Egas Moniz

b)

Eduardo Pereira

c)

Dr. Sven Ivar Seldinger

16.

A Swedish radiologist that introduces Seldinger technique.

a)

DR, Sven Ivar

b)

Egas moniz

c)

Eduardo Pereira

17.

Seldinger Technique is introduce in year

a)

1953

b)

1986

c)

1853

d)

1952

18.

It is a mask of a blood platelets fibrin clotting factor and cellular element of a dying patients.

a)

Agonal

b)

Hyaline

c)

White

d)

Laminated

19.

A clot composed of some combination of blood paletelets, firbin clotting factors & white blood cells that containing few erythrocytes or red blood cells.

a)

Agonal

b)

Hyaline

c)

White

d)

Laminated

20.

It appears like transparent mask of hemolyze erythrocytes.

a)

Agonal

b)

Hyaline

c)

White

d)

Laminated

21.

A repitition of a masking process to create/ correct the misregistration mask.

a)

Remasking

b)

Pixel Shifting

c)

Subtraction

d)

Edge Enhancemenr

22.

A simple removal of motion caused by a patient superimposing later film.

a)

Mask subtraction

b)

Hybrid Subtraction

c)

Remasking

d)

Pixel Shifting

23.

A process where digital image is shifted to another mask image to compensate the mis-registration mask caused by patient motion.

a)

remasking

b)

pixel shifting

c)

edge enhancement

d)

subtraction

24.

Is attain by adjusting the edges of vessels.

a)

Digital Fluoroscopy

b)

Mask Subtraction

c)

Edge enhancement

d)

Staking

25.

is a method used in performing angiography in dark room. by the use of ordinary light.

a)

remasking

b)

Dark room technique

c)

Mask subtraction

d)

Hybrid

26.

Is the most common type of digital radiography system that can be used to demonstrate digital images.

a)

Digital Radiography

b)

MRI

c)

CT SCAN

d)

Digital Fluoroscopy

27.

The visualization of certain information in angiogram by the removal of non-essentail structures.

a)

Mask subtraction

b)

Digital subtraction angiography

c)

Subtraction

d)

Angiography

28.

The selection of one of the contrast field angiogram film and superimposing it over the mask is called:

a)

Pixel Shifting

b)

Stacking

c)

Registration

d)

Landmark

29.

An image device which converts an x-ray distribution to an optical image to the large increasing brightness.

a)

image intensifier

b)

Photomultiplier

c)

X-ray collimator

d)

Beam size

30.

The following are the basic components of Angiography except:

a)

Lymphography

b)

Venography

c)

Angiocardiography

d)

Radiography

31.

The main function during angiographic examination is to assist the team with a sterilization and catheterization procedures:

a)

Radiologic Technologist

b)

SCRUB NURSE

c)

ANAESTHESIOLOGIST

d)

RADIATION ONCOLOGIST

32.

It is the main important part of the study that the radiologist wanted to visualize.

a)

Anatomy

b)

Organs

c)

Structures

d)

Landmarking

33.

An agent that causes anti blood clot.

a)

Epinephrin

b)

Stimulants

c)

Anticoagulants

d)

Analgesics

34.

What do you call an foreign object, an air or gas , a bit of a tissue or tumor or apeice of thrombus that circulates in the bloodtream and run into the vessels.

a)

Artifact

b)

Blood clotting

c)

Stationary

d)

Embolus

35.

The following are the kinds of thrombi except:

a)

FAT

b)

HYALINE

c)

LAMINATED

d)

AGONAL

36.

The most arterial access in angiography

a)

Radial

b)

Brachial

c)

Femoral

d)

Axillary

37.

What do you call a combination of mask subtraction and dual energy subtraction?

a)

HYBRID

b)

TIME INTERVAL DIFFERENCE

c)

MASK MODE

d)

DUAL ENERGY

38.

It uses mircowave technology to accelerate electrons and produce x-rays.

a)

BRACHYTHERAPHY

b)

EXTERNAL BEAM THERAPHY

c)

LINEAR ACCELERATOR

d)

FLUOROSCOPY

39.

This type of catheter has circular tip with multiple sides holes to reduce whiplash and control contrast.

a)

STRAIGHT

b)

PIGTAL

c)

SIDE WINDER

d)

COBRA

40.

This type of catheter has curved to facilitate selection of vessels.

a)

STRAIGHT

b)

PIGTAIL

c)

SIDEWINDER

d)

COBRA

41.

This type of catheter has end hole only

a)

STRAIGHT

b)

PIGTAIL

c)

SIDEWINDER

d)

COBRA

42.

Whta size of small focal spot will produce the best detail?

a)

0.3mm

b)

0.4 mm

c)

0.6mm

d)

1.5 mm

43.

These are the features of film changer except:

A. Compression Table

B. Supply magazine

C. Transport Mechanism

D. Stacking

E. Receiving cassette

a)

D

b)

B

c)

A

d)

None of the above

44.

This is a light tight box that can be filled with film in the darkroom and then attached to the film changer.

a)

SUPPLY MAGAZINE

b)

TRANSPORT MECHANISM

c)

STAKING

d)

COMPRESSION TABLE

45.

This consist of a series of compression rollers devices that moves the film from the supply magazine to a pair of intensifying screen and then to the receiving cassette.

a)

COMPRESSION TABLE

b)

TRANSPORT MECHANISM

c)

PIXEL SHIFTING

d)

RECEIVING CASSETTE

46.

Another mode of temporal subtraction where a consecutive previous g=frame is subtracted from current frame. This technique is useful for cardiac imaging where there is a rapid motion.

a)

MASK MODE

b)

TIME INTERVAL DIFFERENCE

c)

HYBRID

d)

DUAL ENERGU

47.

Another technique in which the region of interest is exposed to higher kv (120 to 130V) and lower kV (70kV) at very short interval (about 50 ms)

a)

MASK MODE

b)

TIME INTERVAL DIFFERENCE

c)

HYBRID

d)

DUAL ENERGY

48.

Similar technique used in carbon dioxide angiography. where fragmented boluses of gas are added to produce a complete picture of the opacified structure.

a)

MAKS PIXEL SHIFTING

b)

REMASK

c)

IMAGE SUMMATION

d)

STACKING

49.

In which a reference DSA image is overlaid on the real time fluoroscopy image.

a)

ROAD MAP TECHNIQUE

b)

FLUOROSCOPY FADE TECHNIQUE

c)

DYNAMIC 3D ROAD MAP TECHNIQUE

50.

New development allows projection of 3D reconstructed vessel on live 2D fluoroscopic image.

a)

ROAD MAP TECHNIQUE

b)

FLUOROSCOPIC FADE TECHNIQUE

c)

DYNAMIC 3D ROAD MAPPING

51.

In this table moves into three stations with x-ray tubes and detector remaining fixed.

a)

STEPPING TABLE TECHNIQUE

b)

STEPPING GANTRY METHOD

52.

In this method the tube detector or image intensifier moves keeping the table fixed.

a)

STEPPING TABLE TECHNIQUE

b)

STEPPING GANTRY METHOD

53.

The main parts of the catheters are the following. select one.

a)

Hub, body, tip

b)

hub, primary curve , tip

c)

hub , tertiary curve , tip

d)

hub, secondary curve, tip

54.

Guiding catheters help position and stabilize standard catheters.

a)

TRUE

b)

FALSE

55.

Coating a guide wire with heparin. (select one)

a)

Increases flexibility

b)

Increases friction

c)

Lowers the coefficient of friction

d)

Reduces possibility of blood clotting.

56.

Guiding catheters decreases the risk of ostial trauma and vascular complication

a)

TRUE

b)

FALSE

57.

A solid guidewire has the disadvantage of (select one)

a)

Increasing vessel abrasion

b)

Increasing blood clotting

c)

Lack versatility

d)

Catheter tip flaring

58.

Thin walled catheter improves monitoring , blood sampling and flushing abilities and decrease thrombogenecity.

a)

TRUE

b)

FALSE

59.

What part of a guide wire is introduce into the blood vessel damage?

a)

Handle

b)

Core

c)

Rigid end

d)

Flexible tip

60.

The following are function of guiding catheter except.

a)

back-up support for balloon advancement.

b)

balloon/ stent catheter deliver and guidance.

c)

non of the above

d)

Pressure monitoring and contrast injection.

61.

Employing correct catheter and guide wire results in (select one)

a)

Blockage of blood flow

b)

bac flow of blood

c)

blood clotting on guide wire

d)

a free flow of blood

62.

It is commonly used to measure the outer diameter of cylindrical medical instruments like catheters and needles.

a)

F

b)

ALL OF THE ABOVE

c)

Fr

d)

French catheter scale

63.

The tip lenght a catheter increased length offers more stability in target vessel at the cost of maneuverability in the parent vessel.

a)

TRUE

b)

FALSE

64.

THE FOLLOWING ARE THE CHARACTERISTIC OF A CATEHTER EXCEPT:

a)

STRENGHT

b)

TORQUE CONTROL

c)

TRAUMATIC TIP

d)

FLEXIBILITY

65.

Thin-walled catheter accentuates pressure waveform-systolic overshoot and diastolic dips.

a)

TRUE

b)

FALSE

66.

Torque of a guide wire or catheter refers to.

a)

Type of configuration

b)

Twisting or turning

c)

Diameter

d)

Flexibility

67.

catheters vary based on their intended use.

a)

true

b)

false

68.

It is a highly effective way of controlling bleeding from an injury, especially in the abdomen or pelvis, in an emergency situation.

a)

Embolization

b)

Aortic stent-graft

c)

Stent Placement

d)

Chemoembolization

69.

It is used mostly to treat primary liver cancers and metastases of the liver.

a)

Embolization

b)

Aortic Stent

c)

Chemoembolization

d)

Stent placement

70.

The following are advantages of interventional radiology, EXCEPT:


Select one:

a)

Less recovery times

b)

No large incisions

c)

Less blood loos

d)

Less accurate

71.

Permanent embolic agents such as polyvinyl occlude vessels permanently.

a)

True

b)

False

c)

Doubtful

72.

A stent graft bridges the aneurysm inside and eliminates the blood flow in the aneurysmal sac.

a)

Doubtful

b)

True

c)

False

73.

What procedure employ the principle that the tumor receives almost all of its blood supply from the hepatic artery?

a)

Embolization

b)

Aortic stent graft

c)

Chemoembolization

d)

Stent placement

74.

An interventional radiologist uses imaging equipment to guide small instruments such as catheters or wires through the blood vessels or other pathways.

a)

True

b)

False

c)

Doubtful

75.

Interventional radiology procedures are usually minimally invasive targeted treatments.

a)

False

b)

True

c)

Doubtful

76.

Interventional radiology procedures are an advance in medicine that often replace open surgical procedures.

a)

False

b)

True

77.

The minimally invasive procedures involves less blood loss and thus play an important role in bloodless medicine.

a)

False

b)

True

c)

Doubtful

78.

It is said to be a less expensive less blood loss, effective and safe alternative for patients with great risk of surgery.

a)

Chemoembolization

b)

Stent placement

c)

Embolization

d)

Aortic stent graft

79.

Reduction of the aneurysmal sac and decrease of the pressure on the aortic wall is effective prevention of rupture.

a)

False

b)

Doubtful

c)

True

80.

What procedure employ the principle that the liver receives about 85% of its blood supply through the portal vein and only 15% through the hepatic artery?

a)

Embolization

b)

Stent placement

c)

Aortic stent graft

d)

Chemoembolization

81.

It is an endovascular repair of an abdominal aorta aneurysm with a fabric-wrapped flexible mesh tube.

a)

Embolization

b)

Chemoembolization

c)

Stent placement

d)

Aortic stent graft

82.

Temporary embolic agent blocks vessels for enough time for the body to heal the problem causing bleeding.

a)

Doubtful

b)

True

c)

False

83.

Which of the following statements does not associated with DSA imaging?

a)

Can manipulate the image after completion of the procedure

b)

Non-elimination of the superimposition of the structures.

c)

They can measure densities of anatomical structues.

d)

Imaging minute differences in density of the anatomical structures.

84.

A Diapositive mask is the same as a reversal film.

a)

Maybe

b)

True

c)

False

d)

Doubtful

85.

The chance of developing a permanent stroke as the result of a spinal angiogram is approximately 50%

a)

Maybe

b)

False

c)

True

d)

Doubtful

86.

After the angiogram, the incision site can be closed either by manual compression or by using a special closure device.

a)

Maybe

b)

True

c)

False

d)

Doubtful

87.

It is a complete elimination of common structure for easy visualization of the focus.

a)

Mask subtraction

b)

Remasking

c)

Second-order subtraction

d)

First order subtraction

88.

With interventional radiology procedures using x-ray, the level of risk is high because some use very little radiation, while complex procedures use more.

a)

Doubtful

b)

True

c)

Maybe

d)

False

89.

It is a combination of mask subtraction and dual-energy subtraction

a)

Hybrid

b)

Re-registration

c)

Time interval difference

d)

Integration

90.

The following bare basic functions of digital subtraction angiography, EXCEPT:

a)

Ability to add the tissue and bone structure within the image.

b)

Ability to perform fast image processing

c)

Ability to eliminate unwanted images on the screen

d)

Ability to manipulate the image density and contrast

91.

Scout film or preliminary film is not necessary for the creation of a diapositive mask.

a)

False

b)

Doubtful

c)

Maybe

d)

True

92.

The contrast dye causes the blood vessels to appear opaque on the x-ray image.

a)

True

b)

False

c)

Maybe

d)

Doubtful

93.

Time interval difference has a rate of 30 frames per second.

a)

Doubtful

b)

False

c)

Maybe

d)

True

94.

In order to obtain an x-ray image of a blood vessel, intraarterial access is necessary so that the contrast dye can be injected into the body's circulatory system.

a)

False

b)

True

c)

Doubtful

d)

Maybe

95.

Delayed bleeding at the site of catheter insertion is very common but it is the major reason that you are observed for 4 to 6 hours after your test is completed.

a)

Doubtful

b)

False

c)

Maybe

d)

True

96.

In an abdominal angiogram, a continuous x-ray beam is passed through the body part being examined, and transmitted to a TV-like monitor so that the body part and its motion can be seen in detail.

a)

False

b)

True

97.

There is a very high risk that blood will form a clot around the tip of the catheter, blocking the artery and causing a stroke.

a)

True

b)

False

98.

It is the method that does not require the acquisition of images before and after the arrival of contrast media.

a)

Second-order subtraction

b)

Mask subtraction

c)

First-order subtraction

d)

Dual-energy subtraction

99.

Which among the following factors is not included in digital subtraction?

a)

Same patient position

b)

Same exposure factor

c)

Same patient preparation

d)

Same radiographic distance

100.

If you have diabetes or kidney disease, the kidney could be injured when contrast material is eliminated through the urine.

a)

True

b)

False

101.

In a thoracic angiogram, a catheter is placed into your leg and is guided through the blood vessels of the body to reach the blood vessels of the spine.

a)

True

b)

False

102.

The area where the catheter will be inserted will be numbed which caused the entire procedure very painful.

a)

True

b)

False

103.

One of the reasons why abdominal angiograms are performed is to detect abnormalities of the blood vessels within the abdomen or of the abdominal organs.

a)

Doubtful

b)

False

c)

True

104.

It is the method used in performing angiography in the darkroom with the use of ordinary light.

a)

First-order subtraction

b)

Remasking

c)

Mask Subtraction

d)

Second-order subtraction

105.

The x-ray images in abdominal angiogram show the arterial-venous and capillary blood vessel structures and blood flow in the spinal column

a)

Doubtful

b)

False

c)

True

106.

Very rarely, The catheter can injure the vessel wall.

a)

TRUE

b)

FALSE

107.

An x-ray dye is injected to highlight the vessels simultaneously when films are taken from several angles.

a)

True

b)

False

108.

It is an order of subtraction which requires the initial radiograph and radiograph with contrast.

a)

Second order

b)

Third order

c)

Fourth order

d)

First order

109.

It is a combination of mask subtraction and dual energy subtraction

a)

Time interval difference

b)

Re-registration

c)

Hybrid

d)

Integration

110.

In order to obtain an x-ray image of a blood vessel an intra arterial access is necessary so that the contrast dye can be injected into the body's circulatory system.

a)

True

b)

False

111.

To make a second order subtraction print, the first order mask, second order mask and ____ are placed over the subtraction print.

a)

Intermediate film

b)

Contrast film

c)

Base film

d)

Initial radiograph

112.

After the angiogram the incision site can be closed either by manual compression or by using a special closure device.

a)

False

b)

Doubtful

c)

True

113.

It is the most often common arterial access in angiography, can be palpated by locating the pulse between the inguinal ligament which passes between the pulse in the ASIS.

a)

FEMORAL

b)

AXILLARY

c)

RADIAL

d)

BRACHIAL

114.

What procedure employ the principle that the tumor receives almost all of its blood supply from the hepatic artery?

a)

Stent placement

b)

Embolization

c)

Aortic Stent Graft

d)

Chemoembolization

115.

Stent graft bridges the aneurysm inside and eliminates the blood flow in aneurysmal sac.

a)

True

b)

False

116.

It appear like transparent mass of hemolyzed erythrocytes

a)

Laminated

b)

Hyaline

c)

Agonal

d)

White thrombus

117.

In thoracic angiogram a catheter is placed into your leg and is guided through the blood vessel of the body to reach the blood vessel of the spine.

a)

True

b)

False

118.

In DSA what subtraction method is used when a different mask is made at fixed intervals of time?

a)

Time interval difference

b)

Energy

c)

hybrid

d)

Mask

119.

With interventional radiology procedures using x-ray , the level of risk is high because some use very little radiation, while complex procedures use more.

a)

True

b)

False

120.

Delayed bleeding at the site of catheter insertion is very common but is the major reason that you are observed for 4 to 6 hours after your test is completed.

a)

False

b)

True

121.

It is used to treat primary liver cancers and metastases of the liver.

a)

Embolization

b)

Chemoembolization

c)

Stent placement

d)

Aortic stent graft

122.

Temporary embolic agent blocks vessels for enough time for the body to heal the problem, causing the bleeding.

a)

False

b)

True

123.

Very rarely, the catheter can injure the vessel wall.

a)

True

b)

False

124.

The x-ray images in abdominal angiogram show the arterial , venous and capillary blood vessels structures and blood flow in the spinal column.

a)

False

b)

True

125.

One of the reasons why abdominal angiogram is performed is to detect abnormalities of the blood vessels within the abdomen or of the abdominal organs.

a)

TRUE

b)

FALSE

126.

It is characterized by the reversal of images in the first order subtraction angiography.

a)

Angiographic film

b)

Contrast film

c)

Mask

d)

Initial radiograph

127.

It is a material used for percutaneous puncture of the femoral , axillary or brachial arteries or veins,

a)

Guide wire

b)

Catheter

c)

Syringe

d)

Needle

128.

It serves as the brain of digital subtraction angiography.

a)

Image intensifier

b)

Image processor

c)

Analog to digital converter

d)

Computer

129.

It is a blood clot composed of blood platelets, fibrin , clotting factors and cellular elements arranged in layers , apparently formed at different times.

a)

LAMINATED

b)

WHITE

c)

AGONAL

d)

HYALINE

130.

Interventional radiology procedures are usually minimally invasive, targeted treatments.

a)

True

b)

False

131.

It is a material consist of two stainless steel inner wire and outer coil spring which used in catheterization

a)

Needle

b)

Catheter

c)

Syringe

d)

Guidewire

132.

It is a radiography of selective vessels which is opacified by a medium introduced directly into it, usually by a catheter.

a)

Selective arteriography

b)

Coronary arteriography

c)

Catheter arteriography

d)

Radionuclide Angiocardiography