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WorksheetsIR QUIZ
Total questions: 155
Worksheet time: 52mins
Minimally-invasive procedures using medical imaging guidance, such as x-ray fluoroscopy, computed tomography, magnetic resonance imaging, or ultrasound.
Interventional radiology
PET SCAN
SPECT
Digital Subtraction Angiography
is a medical specialization that involves performing a range of imaging procedures to obtain images of the inside of the body.
Interventional Radiology
PET SCAN
SPECT
Digital Subtraction Angiography
In _____, angiography was first successively used for the human body
1923
1953
1963
1970
In ______, a Swedish doctor introduced Seldinger Technique
1953
1964
1923
1963
In _____, Charles Dotter first proposed the idea of interventional radiology
1963
1950
1923
1953
• In_____, Charles Dotter opened a new era of percutaneous angioplasty through accidental operation, marking the formation of interventional radiology. On this basis, the techniques of balloon catheter dilation and metal stent implantation was developed.
1964
1954
1953
1963
Endovascular stent was proposed in ______
1969
1989
1973
1977
In _______, the percutaneous angioplasty has been a breakthrough with the emergence of soft double-lumen balloon catheter
1974
1973
1953
1970
Percutaneous coronary angioplasty in _______
1977
1973
1987
1980
Since the _____, balloon angioplasty relegated to secondary status with the emergence of metal stent.
1990s
1980s
1970s
1993
Transcatheter arterial embolization had been one of the most important basic techniques for interventional radiology since ______
1960
1975
1965
1970
__________ assists physicians in interventional procedures and provides diagnostic aid by conducting organ or body scans on patients.
Interventional Radiological Technlogist
Interventional Radiologist
Radiologic Technologies
none
________Administers and records isotope dosage in accordance with established departmental protocol.
Interventional Radiological Technologist
Radiologic Technologist
Interventional Radiologist
none
_______ is a fluoroscopy technique used in interventional radiology to clearly visualize blood vessels in a bony or dense soft tissue environment.
DSA
PET SCAN
IR
SPECT
Subtraction angiography was first described in _____
1970
1930
1935
1962
Subtraction angiography was first described in English sources in ______ as a manual technique
1963
1962
1935
1950
In traditional angiography, images are acquired by exposing an area of interest with time-controlled x-rays while injecting a contrast medium into the blood vessels.
TRUE
FALSE
The images are useful for determining anatomical position and variations, but unhelpful for visualizing blood vessels accurately
FALSE
TRUE
The _______ is simply an image of the same area before the contrast is administered.
mask image
contrast image
none
post-contrast image
The radiological equipment used to capture this is usually an X-ray image intensifier, which then keeps producing images of the same area at a set rate (________ frames per second).
1 to 7.5
1 to 6.5
1 to 5.5
none
Smaller structures require less contrast to fill the vessel than others.
TRUE
FALSE
Intravenous digital subtraction angiography (IV-DSA) is a form of angiography which was first developed in the late______.
1990s
1980s
1970s
1950s
___________ is a computer technique that compares an X-ray image of a region of the body before and after radiopaque iodine based dye has been injected intravenously into the body.
IV-DSA
DSA
IR
SPECT
Some limited studies have indicated that IV-DSA is not suitable for patients with diabetes or kidney failure because the dye load is significantly higher than that used in arteriography
TRUE
FALSE
However, IV-DSA has been used successfully to study the vessels of the brain and heart and has helped detect, EXCEPT?
carotid artery obstruction
cerebral blood flow
lesions in the carotid arteries
none
• IV-DSA has also been useful in assessing patients prior to, EXCEPT?
surgery
after coronary artery bypass surgery
some transplant operations
none
________ is primarily used to image blood vessels.
IV-DSA
DSA
SPECT
PET SCAN
DSA is useful in the diagnosis and treatment of, EXCEPT?
venous occlusions
carotid artery stenosis
pulmonary embolisms
diabetes
Images are produced using contrast medium by subtracting a "pre-contrast image" or mask from subsequent images, once the contrast medium has been introduced into a structure
DSA
PET
SPECT
NONE
Digital subtraction angiography is used to produce images of the blood vessels without interfering shadows from overlapping tissues.
TRUE
FALSE
_________are taken in succession while contrast material is being injected. These images show the opacified vessels superimposed on the anatomy and are stored on the computer.
contrast image
mask image
none
local anesthesia is administered at the intended puncture site (usually lidocaine hydrochloide _______ w/v)
1% or 2%
1% or 5%
2% or 5%
none
in certain procedures (e.g. a child undergoing cerebral angiography), local anesthesia is performed
TRUE
FALSE
a standard access kit includes a straight 18 gauge needle and .035" guide-wires
TRUE
FALSE
in many cases, a micro-introducer access kit (.018" guidewire threaded through a 21 gauge initial access needle) is used for access
TRUE
FALSE
Seldinger Technique is a medical procedure to obtain safe access to blood vessels and other hollow organs
TRUE
FALSE
Patient should be immobilized for 4-8 hours and keep on supine position.
FALSE
TRUE
__________ a blood clot in the circulatory system. It attaches to the site at which it formed and remains there, hindering blood flow.
local tissue damage
Pseudoaneurysm
thrombus formation
thromboembolism
________ a bubble that becomes trapped in a blood vessel and blocks it.
arteriovenous fistula
NONE
vessel dissection
air embolism
Local tissue damage is physical harm that is caused to an object.
TRUE
FALSE
_________ occurs when a blood vessel wall is injured and the leaking blood collects in the surrounding tissue.
Pseudoaneurysm
contrast mediated nephrotoxicity
thromboembolism
NONE
________ an abnormal connection between an artery and a vein in which blood flows directly from an artery into a vein, bypassing some capillaries
thromboembolism
arteriovenous fistula
none
thrombus formation
__________ obstruction of a blood vessel by a blood clot that has become dislodged from another site in the circulation
thromboembolism
air embolism
arteriovenous fistula
vessel dissection
A dissection is a tear within the wall of a blood vessel, which allows blood to separate the wall layers.
TRUE
FALSE
___________rapid deterioration in the kidney function due to toxic effect of medications and chemicals.
vessel dissection
contrast mediated nephrotoxicity
Pseudoaneurysm
NONE
Misintegration effect is prominent at high-contrast interfaces, such as bone-soft tissue, metal staples and coils, and bowel air
FALSE
TRUE
Using a micro-introducer facilitates less traumatic entry and can be retrieved without massive bleeding should there be a need for re-puncturing.
TRUE
FALSE
The Seldinger technique is used to gain access to a blood vessel ultrasound is often used for visualizing the vessel in real-time for puncturing.
TRUE
FALSE
Seldinger wire technique, is a medical procedure to obtain safe access to blood and other solid organs.
FALSE
TRUE
Thrombus formation is a local complication.
TRUE
FALSE
Contrast mediated nephrotoxicity is a rapid deterioration in the liver function due to toxic effect of medications and chemicals.
FALSE
TRUE
Thrombus formation a blood clot in the respiratory system, It attaches to the site at which it formed and remains there, hindering blood flow
FALSE
TRUE
The following are advantages of IR, EXCEPT?
lower cost
greater comfort
reduced risk
none
Interventional radiologist use imaging techniques in IR, EXCEPT?
CT
UTZ
MRI
NONE
Some limited studies have indicated that IV-DSA is not suitable for patients with ?
Organ transplantation
diabetes
carotid artery lesion
carotid artery obstructiob
IV-DSA has been used successfully to study the the following, EXCEPT.
Kidney failure
Vessels of heart
carotid artery obstruction
Vessels of brain
The person who first proposed the idea of interventional radiology.
none
Dotter
Seldinger
Hounsfield
Complications in IR, EXCEPT?
Embolic stroke
cardiac arrhythmias
renal failure
none
__________is a procedure to detect abnormalities in your blood vessels
Angiogram
Ateriogram
DSA
none
If the angiogram reveals a narrowed vessel, a balloon angioplasty or stent placement may be performed at the same time.
TRUE
FALSE
Once the angiogram is completed you may be on bedrest for 4-6 hours or until you have recovered from sedation
TRUE
FALSE
________ sometimes called a cerebral aneurysm, is a weak spot in a brain artery.
Brain aneurysm
ruptures aneurysm
saccular aneurysm
fusiform aneurysm
is a life threatening condition that can cause serious brain injuries or stroke.
brain aneurysm
ruptured aneurysm
fusiform aneurysm
saccular aneurysm
-_________ form a pocket on the outside of an artery. They are the most common type of cerebral aneurysm. Some people refer to them as berry aneurysms due to their appearance.
saccular aneurysm
fusiform aneurysm
mycotic aneurysm
none
_________ occur when the blood vessel expands on all sides. This type of aneurysm is more common after an injury to a blood vessel.
fusiform aneurysm
brain aneurysm
mycotic aneurysm
none
_________ are those that form a sac around an artery. They happen when an infection from another area of the body gets into the bloodstream and spreads to the brain.
mycotic aneurysm
fusiform aneurysm
saccular aneurysm
none
___________ are less than 11 millimeters (mm) across — about the size of a large pencil eraser
large aneurysms
giant aneurysm
small aneurysm
none
_________ are 11–25 mm in diameter — roughly the size of a dime.
large aneurysms
small aneurysms
giant aneurysms
none
_____ are 25 mm or larger — more than the diameter of a quarter.
small
large
giant
none
Larger aneurysms are more likely than smaller ones to cause symptoms before they rupture, but most aneurysms do not cause any symptoms during this stage.
TRUE
FALSE
Brain aneurysms are more in females than in males and more likely to affect adults between 30 and 60 years old
TRUE
FALSE
The following are genetic conditions that weaken blood vessels, EXCEPT?
polycystic kidney disease
uncontrolled high blood pressure
arteriovenous malformations (AVM)
irregular heartbeat
During an endovascular procedure, a surgeon inserts a catheter through the groin, then navigates to the aneurysm
TRUE
FALSE
_________ a type of stroke that occurs as a result of bleeding in the brain
hemorrhagic
vasospasm
hydrocephalus
NONE
________ causes arteries to narrow, limiting blood flow to the brain and potentially causing serious brain damage or a stroke
vasospasm
stroke
hydrocephalus
none
hydrocephalus, which happens when cerebrospinal fluid accumulates in the brain, causing dangerous pressure that may damage this organ
TRUE
FALSE
Possible complications of a ruptured brain aneurysm, EXCEPT?
Hydrocephalus
Heart attack
Re-bleeding
Seizures
These are genetic conditions that weaken blood vessels, EXCEPT?
Polycystic kidney disease
Cardiac arrest
Connective tissue disorder
AVM
The following are symptoms of unruptured aneurysm, EXCEPT?
vision changes
Numbness
weakness
a dilated pupil in both one eye
Risk factors for brain aneurysms, EXCEPT?
controlled high blood pressure
head injuries
Brain tumors
using illicit drugs intravenously
Risks associated with cardiac catheterization and angiograms includes the following, EXCEPT?
Infection
regular heart beat
acute kidney failure
Blood clots
Tips that may help during recovery include the following, EXCEPT?
drinking plenty of water
avoiding taking baths, using hot tubs
strenuous physical activity for the few first days
keeping the wound clean and dry
Symptoms of an infection includes the following, EXCEPT?
redness
heat
swelling
discharge
when angle of axis of branch vessel from aortic axis is low.
angled catheter
curved catheter
recurved catheter
none
(e.g., cobra-2, celiac) when angle of axis of branch vessel is between 60 and 120 degrees.
recurved catheter
curved catheter
angled catheter
none
(e.g., SOS, Simmons) when angle of axis of branch vessel from aorta is great.
recurved catheter
curved catheter
angled catheter
none
The following are advantages of IR, EXCEPT?
can be performed on outpatient basis
Drainage of fluid collections
none
Abscesses, kidneys or bile ducts/gallbladder
Things can be done in IR, EXCEPT?
Embolization of arteries
Treatment of infertilty
Treatment of kidney tumors
Insertion of feeding tubes
_______________ X-ray examination of the arteries and veins to diagnose blockages and other blood vessel problems.
Baloon angioplasty
Biliary drainage and stenting
Angiography
Needle biopsy
____________ opens blocked or narrowed blood vessels by inserting a very small balloon into the vessel and inflating it.
Baloon angioplasty
Angiography
Chemoemobilazation
none
___________ uses a stent to - open up blocke ducts and allow bile to drain from the liver.
Gastrostomy tube
Needle biopsy
Thrombolysis
Biliary drainage and stenting
______________ insertion of tube beneath the skin and into the blood vessels so that patients can receive medication or nutrients directly into the blood stream or to draw blood.
Central venous access
Chemoemobilazaiton
Emobilization
Fallopian tube catheterization
a catheter used to open blocked fallopian tubes without surgery; a treatment for infertility.
Central venous access
Hemodialysis access maintenance
Fallopian tube catheterization
none
- feeding tube inserted into the stomach for patients who are unable to take sufficient food by mouth.
Gastrostomy tube
Stent
NGT
Transjugular intrahepatic portosystemic shunt(TIPS)
use of angioplasty or thrombolysis to open blocked grafts for hemodialysis.
Hemodialysis access maintenance
Central venous access
Uterine artery embolization
Varicocele embolization
Needle biopsy is a diagnostic test for breast, lung and other cancers; an alternative to surgical biopsy.
TRUE
FALSE
use of radiofrequency energy to cook and kill cancerous tumors.
Central venous access
Biliary drainage and stenting
Emobilization
none
__________ delivery or cancer fighting agnets directly to the site of the tumor.
Chemoemobilazaiton
Emobilization
Vertebroplasty
none
delivery of clotting agents (coils, plastic particles, gelfoam, etc) directly to an area that is bleeding or to clock blood flow to a problem area like aneurysm or fibroid tumor in uterus.
Thrombolysis
Hemodialysis access maintenance
Emobilization
none
dissolves blood clots by injecting clot-busting drugs at the site of the clot.
Thrombolysis
Thrombicentisis
thrombositosis
thromboclosis
a life-saving procedure to improve blood flow and prevents hemorrhage in patients with sever liver dysfunction.
Uterine artery embolization
TIPS
Varicocele embolization
Vertebroplasty
- a procedure to stop life-threatning postpartum bleeding, potentionally preventing hysterectomy.
Varicocele embolization
Uterine artery embolization
TIPS
Vertebroplasty
treatment for enlarged blood vessels in the scrotum which can be a source of pain and cosmetic distress.
Varicocele embolization
Vertebroplasty
TIPS
NONE
treats painful fractures and other lesions of the spinal column to provide rapid relief of symptoms and protect from further damage or fracture.
NONE
TIPS
Varicocele embolization
Uterine artery embolization
________ is the placement of a small, flexible rubber tube (catheter) through your skin into your kidney to drain your urine. It is inserted through your back or flank.
percutaneous nephrostomy
Lymphangiography
angiography
none
____________ is the passing of a special medical instrument through your skin into your kidney. This is done to remove kidney stones.
percutaneous nephrostomy
Arteriography
Percutaneous nephrostolithotomy
Angiogram
The following are risks of nephrostomy and nephrostolithotomy, EXCEPT?
Pieces of stone left in your body
Bleeding around your kidney
Problems with kidney function, or kidney(s) that stop working
NONE
Before nephrostomy and nephrostolithotomy you may be asked not to drink or eat anything for at least 6 hours before the procedure.
TRUE
FALSE
Once in place, this needle does not cause any pain. You will also have a monitoring device attached to your chest and finger, and will probably receive oxygen through small tubes in your nose.
TRUE
FALSE
You need to have a needle put into a vein in your arm, so that the radiologist can give you a sedative or painkillers.
TRUE
FALSE
Nephrostomy may be over in 20 minutes, or very occasionally it may take longer than 90 minutes
TRUE
FALSE
The following are possible complications after nephrostomy, EXCEPT?
leak of urine from the kidney
slight bleeding from the kidney
infection in the kidney
Tumor in the kidney
A procedure were a contrast dye is injected into lymph vessels in your feet or hands.
lymphangiography
lymphangiogram
nephrostomy
none
__________ is a special x-ray of the lymph nodes and lymph vessels.
lymphangiogram
lymphangiography
lymph nodes
nephrostomy
Lymph nodes play an important role in the immune system. They help store while blood cells in that fight infection. They also trap cancer cells.
FALSE
TRUE
Lymph nodes are located throughout your body.
TRUE
FALSE
fluid containing white blood cells in and out of the lymph nodes called __________
lymph vessels
lympd nodes
lymph
none
Lymph nodes and lymph vessels normally show on an x-ray
TRUE
FALSE
The following are purposes of lymphangiography, EXCEPT?
To diagnose and determine the stage of lymphomas
identify metastatic cancer
To evaluate the effectiveness of chemotherapy or radiation therapy for lymphomas,
To evaluate suspected cases of lymphedema
NONE
lymphedema is an accumulation of lymph fluids resulting in swelling of the arms and face
TRUE
FALSE
the dye remains in the lymph nodes for up to ________
1 year
2 years
2 months
3 months
Contrast dye is infused into the vessels at a slow rate; it usually takes________minutes for the infusion to be completed
40-50
20-30
60-90
60-80
The infusion is stopped when the dye reaches about chest level.
TRUE
FALSE
In lymphangiography, The entire procedure usually takes about________.
2 hrs
1 hr
3hrs
90 mns.
During lymphangiography, you receive a higher dose than during standard x-ray procedures.
TRUE
FALSE
The following are possible complications on lymphangiography, EXCEPT?
infection and fever
none
inflammation of lymph vessel
lipoid pneumonia
some are allergic reaction to the iodine-based contrast dye, EXCEPT?
nausea/sneezing
vomiting/hives
anaphylactic shock
none
- Do not immerse your feet in water until the sutures have been removed- about 7 to 10 days after the procedure.
TRUE
FALSE
Lymphangiography is a special treatment of the lymph nodes and vessels
TRUE
FALSE
In lymphangiography the contrast dye is injected into the vessels of your hands and feet
TRUE
FALSE
Lymph nodes produced red blood cells to fight against infection
TRUE
FALSE
The purpose of performing lymphangiography is to evaluate the effectiveness of chemotherapy
TRUE
FALSE
Percutaneous nephrostolithotomy is the passing of small instrument through your skin into your kidney
TRUE
FALSE
Nephrolithotomy is done to removed kidney stone
TRUE
FALSE
Nephrostomy may last over 20 minutes
TRUE
FALSE
Nephrostomy means placing a tube into the kidney
TRUE
FALSE
In lymphangiography a sedative is given before the test
TRUE
FALSE
________ is a procedure that produces an image of your arteries.
Angiogram
Arteriogram
lymphangiogram
none
Common types of arteriogram, EXCEPT?
aortic angiography (aorta)
cerebral angiography (brain)
coronary angiography (heart
fluorescein angiography
none
You may need to stop taking medications that affect blood clotting, such as aspirin or blood-thinning medications before the procedure of arteriogram
TRUE
FALSE
An arteriogram can help doctors detect several conditions and abnormalities, EXCEPT?
aneurysm
blockage and hemorrhage
inflammation and narrowing of blood vessels
tumor and thrombosis
none
General risks of an arteriogram include: EXCEPT
pain
bleeding and infection
swelling
blood clots and damage to vessels
coronary arteriography might lead to low blood pressure, a stroke, or a heart attack
TRUE
FALSE
Cerebral Angiogram is an image that can help your doctor find blockages or other abnormalities in the blood vessels of your head and face.
TRUE
FALSE
An angiogram can also be used to help treat some of the conditions involving the blood vessels of the neck and brain
TRUE
FALSE
Cerebral angiography can help diagnose: EXCEPT?
aneurysm,
arteriosclerosis
arteriovenous malformation
vasculitis, or inflammation of the blood vessels
brain tumors,
blood clots
Brain hemorrhage
Cerebral angiography may also help your doctor figure out the cause of certain symptoms, EXCEPT?
stroke,
severe headaches
loss of memory,
slurred speech
dizziness,
blurred or double vision
weakness or numbness,
loss of balance
NONE
An aortic arteriogram observes the blood flow through the aorta, which is the main artery of the liver.
TRUE
FALSE
Coronary angiography involves the heart
TRUE
FALSE
Blood thinning medication is contraindicated for arteriogram
TRUE
FALSE
The required fasting time depends on the type of arteriogram being done
TRUE
FALSE
During a cerebral angiogram, for example, your head will be held in place in order to produce a clear image during the procedure
TRUE
FALSE
Depending on the location of the insertion site and the type of arteriogram, you may need to lie on your back or keep a specific body part still for up to several minutes after the procedure
TRUE
FALSE
Ccerebral angiography is a diagnostic test that uses an x-ray
TRUE
FALSE
Everyone who may have arterial blockages needs to have cerebral angiography
TRUE
FALSE
