Ch. 16 Merrill's Abdomen

5 Written Questions

1. performed instead of Upright Abd. when PT. can't stand
   -Recumbent left lateral on a radiolucent pad with anterior /posterior side in contact with grid/film
   -Arms above level of diaphragm
   -Knees flexed slightly
   -Central ray should be four fingerwidths (2") above the top of the crest. -Move the tube so that it is horizontal and perpendicular to center of the image
   receptor.
2. spleen
3. 48"
4. the gallbladder
   1"long, 3-4" long
5. diaphragm to bony pelvis

5 Matching Questions

1. What is the one most obvious repeatable positioning error?
2. Digestive system consists of:
3. Abd. proper breathing instructions
4. KUB criteria
5. PA Abd. Upright positioning

1. a exposure at END of expiration
   avoids compression of organ
2. b view offers lower gonadal dose
   anterior side touching wall bucky
   collimator light over spine
   CR 2"/4 fingerwidths above crests
   top of cassette 1" above axilla (armpit)
   full expiration
   include diaphragm
3. c -top of the pubic symphysis?
   -diaphragm in view?
   -not quite sure
4. d alimentary track and accessory organs i.e. teeth, salivary glands, liver and pancreas
5. e Top of pubic symphysis at bottom of film
   upper abd. also included
   centered vertebral column
   ribs,pelvis, hips and iliac wings = both sides
   Psoas muscles, lower border of liver and kidneys
   inferior ribs
   transverse process of the lumbar vertebra
   R/L markers, not on anatomy

5 Multiple Choice Questions

1. KUB (AP Abdomen Supine)
   AP Abdomen upright
   PA Abdomen Upright
   LL Decubitus Abd.
   Dorsal Decubitus Abd.
   1. 2 way Abd. in order
   2. Abd. preparation could include:
   3. 2 layers of peritoneum
   4. Studies of the Abdomen include:
2. liver
   1. largest gland and solid organ in the body:
   2. Studies of the Abdomen include:
   3. Left Lateral Decubitus criteria
   4. Digestive system consists of:
3. PA Chest
   AP upright abdomen
   KUB (AP supine abdomen)
   1. 3 way Abd. includes in order
   2. AP Abd. Upright criteria
   3. 2 way Abd. in order
   4. AP Abd. Upright positioning
4. lower right corner
   1. 2 way Abd. in order
   2. Dorsal Decubitus Abd. criteria
   3. largest gland and solid organ in the body:
   4. ID flash should be in which corner of the film
5. kidneys and pancreas lie here
   1. Left Lateral Decubitus criteria
   2. 2 layers of peritoneum
   3. what so great about the retroperitoneum?
   4. Left Lateral Decubitus Abd. positioning

5 True/False Questions

1. KUB (AP Abdomen Supine) set-up → AP upright abdomen
   KUB (AP supine abdomen)

   True        False

2. abdominopelvic cavity consist of: → diaphragm to bony pelvis

   True        False

3. Dorsal Decubitus Abd. criteria → -Diaphragm w/out motion
   -Abd. contents visible w/ soft tissue gray tones
   -PT elevated so entire abd. is demonstrated
   -mark side up

   True        False

4. cannot be seen during plain radiographic studies → caudate lobe (center)
   quadrate lobe (bottom center)

   True        False

5. pancreatic juices travel through: → rectum
   sigmoid
   urinary cavity
   reproductive organs

   True        False