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WorksheetsINTERVENTIONAL RADIOGRAPHY
Total questions: 132
Worksheet time: 1hrs 6mins
A radiographic examiantion of blood vessels after injection of contrast medium.
Arteriography
Angiography
Venography
Angiocardiography
A contrast that ionizes in solution and causes more patient discomfort.
Positive contrast
Non-ionic
Ionic
Negative contrast
A contrats agent that does not ionize in solution and is safer, less painful and better tolerated by patients.
Non-ionic
Ionic
Contrast media
Negative contrast
Which of the following are the component of Aniography?
A. Arteriography
B. Lymphography
C. Venography
D. Angiocardiography
A & D
All of the above
A, B & C
D only
A radiography of vessel after introduction od CM thru a catheter inserted into an artery.
Coronary Arteriography
First Pass Radionuclide Angiocardiography
Selective Arteriography
Catheter Arteriography
A radiography of selected vessel which is opacified by a medium introduced directly into it usually.
Radionuclide Angiocardiography
Catheter Arteriography
Selective Arteriography
Coronary Arteriography
Angiography of the coronary arteries in which the cardiac catheter is inserted into an artery with the help of fluoroscopy.
Coronary Arteriography
Catheter Arteriography
Selective Arteriography
Radionuclide Angiography
A form of angiocardiography in which the CM is a radionuclide.
Radionuclide Angiocardiography
First Pass Radionuclide Angiocardiography
Equilibrium Radionuclide Angiocardiography
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.
First Pass Radionuclide Angicardiography
Radionuclide Angiocardiography
Catheter Arteriography
Coronary Arteriography
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.
Radionuclide Angiocardiography
First Pass Radionuclide Angiocardiography
Equilibrium Radionuclide Angiocardiography
Which of the following is part of Angiographic Team?
A. Anaesthesiologist
B. Scrub Nurse
C. Radiologist
D. Radiologic Technologist
E. Medical Physicist
A, B & C
A, B, C, D
A, C, D & E
All of the above
It is an imaging device that converts an x-ray distribution to an optical image with a large increase in brightness.
Intensifying screen
X-ray tube
X- generator
Image Intensifier
Material coated on the input surface of an image intensifier tube which emits light in response to being struck by electron.
Phosphor
Input Phosphor
Output Phosphor
TV signal
Material coated on the output surface of an image intensifier which emits light in response to being struck by electron.
Output Phosphor
Input Phosphor
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.
Egas Moniz
Eduardo Pereira
Dr. Sven Ivar Seldinger
A Swedish radiologist that introduces Seldinger technique.
DR, Sven Ivar
Egas moniz
Eduardo Pereira
Seldinger Technique is introduce in year
1953
1986
1853
1952
It is a mask of a blood platelets fibrin clotting factor and cellular element of a dying patients.
Agonal
Hyaline
White
Laminated
A clot composed of some combination of blood paletelets, firbin clotting factors & white blood cells that containing few erythrocytes or red blood cells.
Agonal
Hyaline
White
Laminated
It appears like transparent mask of hemolyze erythrocytes.
Agonal
Hyaline
White
Laminated
A repitition of a masking process to create/ correct the misregistration mask.
Remasking
Pixel Shifting
Subtraction
Edge Enhancemenr
A simple removal of motion caused by a patient superimposing later film.
Mask subtraction
Hybrid Subtraction
Remasking
Pixel Shifting
A process where digital image is shifted to another mask image to compensate the mis-registration mask caused by patient motion.
remasking
pixel shifting
edge enhancement
subtraction
Is attain by adjusting the edges of vessels.
Digital Fluoroscopy
Mask Subtraction
Edge enhancement
Staking
is a method used in performing angiography in dark room. by the use of ordinary light.
remasking
Dark room technique
Mask subtraction
Hybrid
Is the most common type of digital radiography system that can be used to demonstrate digital images.
Digital Radiography
MRI
CT SCAN
Digital Fluoroscopy
The visualization of certain information in angiogram by the removal of non-essentail structures.
Mask subtraction
Digital subtraction angiography
Subtraction
Angiography
The selection of one of the contrast field angiogram film and superimposing it over the mask is called:
Pixel Shifting
Stacking
Registration
Landmark
An image device which converts an x-ray distribution to an optical image to the large increasing brightness.
image intensifier
Photomultiplier
X-ray collimator
Beam size
The following are the basic components of Angiography except:
Lymphography
Venography
Angiocardiography
Radiography
The main function during angiographic examination is to assist the team with a sterilization and catheterization procedures:
Radiologic Technologist
SCRUB NURSE
ANAESTHESIOLOGIST
RADIATION ONCOLOGIST
It is the main important part of the study that the radiologist wanted to visualize.
Anatomy
Organs
Structures
Landmarking
An agent that causes anti blood clot.
Epinephrin
Stimulants
Anticoagulants
Analgesics
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.
Artifact
Blood clotting
Stationary
Embolus
The following are the kinds of thrombi except:
FAT
HYALINE
LAMINATED
AGONAL
The most arterial access in angiography
Radial
Brachial
Femoral
Axillary
What do you call a combination of mask subtraction and dual energy subtraction?
HYBRID
TIME INTERVAL DIFFERENCE
MASK MODE
DUAL ENERGY
It uses mircowave technology to accelerate electrons and produce x-rays.
BRACHYTHERAPHY
EXTERNAL BEAM THERAPHY
LINEAR ACCELERATOR
FLUOROSCOPY
This type of catheter has circular tip with multiple sides holes to reduce whiplash and control contrast.
STRAIGHT
PIGTAL
SIDE WINDER
COBRA
This type of catheter has curved to facilitate selection of vessels.
STRAIGHT
PIGTAIL
SIDEWINDER
COBRA
This type of catheter has end hole only
STRAIGHT
PIGTAIL
SIDEWINDER
COBRA
Whta size of small focal spot will produce the best detail?
0.3mm
0.4 mm
0.6mm
1.5 mm
These are the features of film changer except:
A. Compression Table
B. Supply magazine
C. Transport Mechanism
D. Stacking
E. Receiving cassette
D
B
A
None of the above
This is a light tight box that can be filled with film in the darkroom and then attached to the film changer.
SUPPLY MAGAZINE
TRANSPORT MECHANISM
STAKING
COMPRESSION TABLE
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.
COMPRESSION TABLE
TRANSPORT MECHANISM
PIXEL SHIFTING
RECEIVING CASSETTE
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.
MASK MODE
TIME INTERVAL DIFFERENCE
HYBRID
DUAL ENERGU
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)
MASK MODE
TIME INTERVAL DIFFERENCE
HYBRID
DUAL ENERGY
Similar technique used in carbon dioxide angiography. where fragmented boluses of gas are added to produce a complete picture of the opacified structure.
MAKS PIXEL SHIFTING
REMASK
IMAGE SUMMATION
STACKING
In which a reference DSA image is overlaid on the real time fluoroscopy image.
ROAD MAP TECHNIQUE
FLUOROSCOPY FADE TECHNIQUE
DYNAMIC 3D ROAD MAP TECHNIQUE
New development allows projection of 3D reconstructed vessel on live 2D fluoroscopic image.
ROAD MAP TECHNIQUE
FLUOROSCOPIC FADE TECHNIQUE
DYNAMIC 3D ROAD MAPPING
In this table moves into three stations with x-ray tubes and detector remaining fixed.
STEPPING TABLE TECHNIQUE
STEPPING GANTRY METHOD
In this method the tube detector or image intensifier moves keeping the table fixed.
STEPPING TABLE TECHNIQUE
STEPPING GANTRY METHOD
The main parts of the catheters are the following. select one.
Hub, body, tip
hub, primary curve , tip
hub , tertiary curve , tip
hub, secondary curve, tip
Guiding catheters help position and stabilize standard catheters.
TRUE
FALSE
Coating a guide wire with heparin. (select one)
Increases flexibility
Increases friction
Lowers the coefficient of friction
Reduces possibility of blood clotting.
Guiding catheters decreases the risk of ostial trauma and vascular complication
TRUE
FALSE
A solid guidewire has the disadvantage of (select one)
Increasing vessel abrasion
Increasing blood clotting
Lack versatility
Catheter tip flaring
Thin walled catheter improves monitoring , blood sampling and flushing abilities and decrease thrombogenecity.
TRUE
FALSE
What part of a guide wire is introduce into the blood vessel damage?
Handle
Core
Rigid end
Flexible tip
The following are function of guiding catheter except.
back-up support for balloon advancement.
balloon/ stent catheter deliver and guidance.
non of the above
Pressure monitoring and contrast injection.
Employing correct catheter and guide wire results in (select one)
Blockage of blood flow
bac flow of blood
blood clotting on guide wire
a free flow of blood
It is commonly used to measure the outer diameter of cylindrical medical instruments like catheters and needles.
F
ALL OF THE ABOVE
Fr
French catheter scale
The tip lenght a catheter increased length offers more stability in target vessel at the cost of maneuverability in the parent vessel.
TRUE
FALSE
THE FOLLOWING ARE THE CHARACTERISTIC OF A CATEHTER EXCEPT:
STRENGHT
TORQUE CONTROL
TRAUMATIC TIP
FLEXIBILITY
Thin-walled catheter accentuates pressure waveform-systolic overshoot and diastolic dips.
TRUE
FALSE
Torque of a guide wire or catheter refers to.
Type of configuration
Twisting or turning
Diameter
Flexibility
catheters vary based on their intended use.
true
false
It is a highly effective way of controlling bleeding from an injury, especially in the abdomen or pelvis, in an emergency situation.
Embolization
Aortic stent-graft
Stent Placement
Chemoembolization
It is used mostly to treat primary liver cancers and metastases of the liver.
Embolization
Aortic Stent
Chemoembolization
Stent placement
The following are advantages of interventional radiology, EXCEPT:
Select one:
Less recovery times
No large incisions
Less blood loos
Less accurate
Permanent embolic agents such as polyvinyl occlude vessels permanently.
True
False
Doubtful
A stent graft bridges the aneurysm inside and eliminates the blood flow in the aneurysmal sac.
Doubtful
True
False
What procedure employ the principle that the tumor receives almost all of its blood supply from the hepatic artery?
Embolization
Aortic stent graft
Chemoembolization
Stent placement
An interventional radiologist uses imaging equipment to guide small instruments such as catheters or wires through the blood vessels or other pathways.
True
False
Doubtful
Interventional radiology procedures are usually minimally invasive targeted treatments.
False
True
Doubtful
Interventional radiology procedures are an advance in medicine that often replace open surgical procedures.
False
True
The minimally invasive procedures involves less blood loss and thus play an important role in bloodless medicine.
False
True
Doubtful
It is said to be a less expensive less blood loss, effective and safe alternative for patients with great risk of surgery.
Chemoembolization
Stent placement
Embolization
Aortic stent graft
Reduction of the aneurysmal sac and decrease of the pressure on the aortic wall is effective prevention of rupture.
False
Doubtful
True
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?
Embolization
Stent placement
Aortic stent graft
Chemoembolization
It is an endovascular repair of an abdominal aorta aneurysm with a fabric-wrapped flexible mesh tube.
Embolization
Chemoembolization
Stent placement
Aortic stent graft
Temporary embolic agent blocks vessels for enough time for the body to heal the problem causing bleeding.
Doubtful
True
False
Which of the following statements does not associated with DSA imaging?
Can manipulate the image after completion of the procedure
Non-elimination of the superimposition of the structures.
They can measure densities of anatomical structues.
Imaging minute differences in density of the anatomical structures.
A Diapositive mask is the same as a reversal film.
Maybe
True
False
Doubtful
The chance of developing a permanent stroke as the result of a spinal angiogram is approximately 50%
Maybe
False
True
Doubtful
After the angiogram, the incision site can be closed either by manual compression or by using a special closure device.
Maybe
True
False
Doubtful
It is a complete elimination of common structure for easy visualization of the focus.
Mask subtraction
Remasking
Second-order subtraction
First order subtraction
With interventional radiology procedures using x-ray, the level of risk is high because some use very little radiation, while complex procedures use more.
Doubtful
True
Maybe
False
It is a combination of mask subtraction and dual-energy subtraction
Hybrid
Re-registration
Time interval difference
Integration
The following bare basic functions of digital subtraction angiography, EXCEPT:
Ability to add the tissue and bone structure within the image.
Ability to perform fast image processing
Ability to eliminate unwanted images on the screen
Ability to manipulate the image density and contrast
Scout film or preliminary film is not necessary for the creation of a diapositive mask.
False
Doubtful
Maybe
True
The contrast dye causes the blood vessels to appear opaque on the x-ray image.
True
False
Maybe
Doubtful
Time interval difference has a rate of 30 frames per second.
Doubtful
False
Maybe
True
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.
False
True
Doubtful
Maybe
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.
Doubtful
False
Maybe
True
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.
False
True
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.
True
False
It is the method that does not require the acquisition of images before and after the arrival of contrast media.
Second-order subtraction
Mask subtraction
First-order subtraction
Dual-energy subtraction
Which among the following factors is not included in digital subtraction?
Same patient position
Same exposure factor
Same patient preparation
Same radiographic distance
If you have diabetes or kidney disease, the kidney could be injured when contrast material is eliminated through the urine.
True
False
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.
True
False
The area where the catheter will be inserted will be numbed which caused the entire procedure very painful.
True
False
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.
Doubtful
False
True
It is the method used in performing angiography in the darkroom with the use of ordinary light.
First-order subtraction
Remasking
Mask Subtraction
Second-order subtraction
The x-ray images in abdominal angiogram show the arterial-venous and capillary blood vessel structures and blood flow in the spinal column
Doubtful
False
True
Very rarely, The catheter can injure the vessel wall.
TRUE
FALSE
An x-ray dye is injected to highlight the vessels simultaneously when films are taken from several angles.
True
False
It is an order of subtraction which requires the initial radiograph and radiograph with contrast.
Second order
Third order
Fourth order
First order
It is a combination of mask subtraction and dual energy subtraction
Time interval difference
Re-registration
Hybrid
Integration
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.
True
False
To make a second order subtraction print, the first order mask, second order mask and ____ are placed over the subtraction print.
Intermediate film
Contrast film
Base film
Initial radiograph
After the angiogram the incision site can be closed either by manual compression or by using a special closure device.
False
Doubtful
True
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.
FEMORAL
AXILLARY
RADIAL
BRACHIAL
What procedure employ the principle that the tumor receives almost all of its blood supply from the hepatic artery?
Stent placement
Embolization
Aortic Stent Graft
Chemoembolization
Stent graft bridges the aneurysm inside and eliminates the blood flow in aneurysmal sac.
True
False
It appear like transparent mass of hemolyzed erythrocytes
Laminated
Hyaline
Agonal
White thrombus
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.
True
False
In DSA what subtraction method is used when a different mask is made at fixed intervals of time?
Time interval difference
Energy
hybrid
Mask
With interventional radiology procedures using x-ray , the level of risk is high because some use very little radiation, while complex procedures use more.
True
False
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.
False
True
It is used to treat primary liver cancers and metastases of the liver.
Embolization
Chemoembolization
Stent placement
Aortic stent graft
Temporary embolic agent blocks vessels for enough time for the body to heal the problem, causing the bleeding.
False
True
Very rarely, the catheter can injure the vessel wall.
True
False
The x-ray images in abdominal angiogram show the arterial , venous and capillary blood vessels structures and blood flow in the spinal column.
False
True
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.
TRUE
FALSE
It is characterized by the reversal of images in the first order subtraction angiography.
Angiographic film
Contrast film
Mask
Initial radiograph
It is a material used for percutaneous puncture of the femoral , axillary or brachial arteries or veins,
Guide wire
Catheter
Syringe
Needle
It serves as the brain of digital subtraction angiography.
Image intensifier
Image processor
Analog to digital converter
Computer
It is a blood clot composed of blood platelets, fibrin , clotting factors and cellular elements arranged in layers , apparently formed at different times.
LAMINATED
WHITE
AGONAL
HYALINE
Interventional radiology procedures are usually minimally invasive, targeted treatments.
True
False
It is a material consist of two stainless steel inner wire and outer coil spring which used in catheterization
Needle
Catheter
Syringe
Guidewire
It is a radiography of selective vessels which is opacified by a medium introduced directly into it, usually by a catheter.
Selective arteriography
Coronary arteriography
Catheter arteriography
Radionuclide Angiocardiography
