Deck 13: Diagnostic Procedures

Question 1

The ________is the standard unit of an absorbed dose of ionizing radiation measured by the radiation monitoring device worn at the collar outside the lead shield.

Answer 1

rad

Question 2

A portable X-ray cassette holder is used for ________films.

Answer 2

lateral

Question 3

_________ for intraoperative cholangiograms may be used full strength or in half-and-half solutions.

Answer 3

Contrast media

Question 4

The ________ uses a J-wire and fluoroscopy for guidance and easy access into a vessel.

Question 5

Pulse oximetry for oxygen measurement and ________ for end-tidal CO2 measurement are helpful during surgery for monitoring the respiratory status.

Question 6

Match the description.

-Swan-Ganz catheter

A) Used during surgery to determine the patency of the arterial anastomosis.
B) Electrocardiography, to record the electrical activity of the heart over a 24-hour time period.
C) Provides visual assessment of valvular function during surgery.
D) Used to determine the respiratory status from blood studies.
E) Provides patient data related to heart function.

Question 7

Match the description.

-TEE

A) Used during surgery to determine the patency of the arterial anastomosis.
B) Electrocardiography, to record the electrical activity of the heart over a 24-hour time period.
C) Provides visual assessment of valvular function during surgery.
D) Used to determine the respiratory status from blood studies.
E) Provides patient data related to heart function.

Question 8

Match the description.

-ABG

A) Used during surgery to determine the patency of the arterial anastomosis.
B) Electrocardiography, to record the electrical activity of the heart over a 24-hour time period.
C) Provides visual assessment of valvular function during surgery.
D) Used to determine the respiratory status from blood studies.
E) Provides patient data related to heart function.

Question 9

Match the description.

-Doppler ultrasonography

A) Used during surgery to determine the patency of the arterial anastomosis.
B) Electrocardiography, to record the electrical activity of the heart over a 24-hour time period.
C) Provides visual assessment of valvular function during surgery.
D) Used to determine the respiratory status from blood studies.
E) Provides patient data related to heart function.

Question 10

Match the description.

-Holter monitor

A) Used during surgery to determine the patency of the arterial anastomosis.
B) Electrocardiography, to record the electrical activity of the heart over a 24-hour time period.
C) Provides visual assessment of valvular function during surgery.
D) Used to determine the respiratory status from blood studies.
E) Provides patient data related to heart function.

Question 11

Matching: Diagnostic Imaging

-Mammography

A) C-arm, O-ring for real-time projections.
B) Used to place a very fine, long needle for biopsy of a breast tumor.
C) Useful for highlighting chemical or metabolic activity of brain function showing hot spots or diminished activity.
D) IOC or ERCP for visualization of the biliary tree during procedures.
E) Used in the OR to evaluate the anatomy of a vessel.
F) Isotope scanning used to view pheochromocytoma adrenal tumors specifically.
G) Produces sagittal, transverse, and coronal views; better and faster for detecting fresh cerebral bleeding (CVA).
H) Best at imaging soft tissue and can provide sliced views in any direction; contrast media if used is not iodine based.
I) Usually used in conjunction with cystoscopy to view abnormalities.
J) X-ray films require a cassette drape to be positioned opposite the radiographic tube.

Question 12

Matching: Diagnostic Imaging

-A/P X-ray

A) C-arm, O-ring for real-time projections.
B) Used to place a very fine, long needle for biopsy of a breast tumor.
C) Useful for highlighting chemical or metabolic activity of brain function showing hot spots or diminished activity.
D) IOC or ERCP for visualization of the biliary tree during procedures.
E) Used in the OR to evaluate the anatomy of a vessel.
F) Isotope scanning used to view pheochromocytoma adrenal tumors specifically.
G) Produces sagittal, transverse, and coronal views; better and faster for detecting fresh cerebral bleeding (CVA).
H) Best at imaging soft tissue and can provide sliced views in any direction; contrast media if used is not iodine based.
I) Usually used in conjunction with cystoscopy to view abnormalities.
J) X-ray films require a cassette drape to be positioned opposite the radiographic tube.

Question 13

Matching: Diagnostic Imaging

-MRI

A) C-arm, O-ring for real-time projections.
B) Used to place a very fine, long needle for biopsy of a breast tumor.
C) Useful for highlighting chemical or metabolic activity of brain function showing hot spots or diminished activity.
D) IOC or ERCP for visualization of the biliary tree during procedures.
E) Used in the OR to evaluate the anatomy of a vessel.
F) Isotope scanning used to view pheochromocytoma adrenal tumors specifically.
G) Produces sagittal, transverse, and coronal views; better and faster for detecting fresh cerebral bleeding (CVA).
H) Best at imaging soft tissue and can provide sliced views in any direction; contrast media if used is not iodine based.
I) Usually used in conjunction with cystoscopy to view abnormalities.
J) X-ray films require a cassette drape to be positioned opposite the radiographic tube.

Question 14

Matching: Diagnostic Imaging

-Computerized tomography

A) C-arm, O-ring for real-time projections.
B) Used to place a very fine, long needle for biopsy of a breast tumor.
C) Useful for highlighting chemical or metabolic activity of brain function showing hot spots or diminished activity.
D) IOC or ERCP for visualization of the biliary tree during procedures.
E) Used in the OR to evaluate the anatomy of a vessel.
F) Isotope scanning used to view pheochromocytoma adrenal tumors specifically.
G) Produces sagittal, transverse, and coronal views; better and faster for detecting fresh cerebral bleeding (CVA).
H) Best at imaging soft tissue and can provide sliced views in any direction; contrast media if used is not iodine based.
I) Usually used in conjunction with cystoscopy to view abnormalities.
J) X-ray films require a cassette drape to be positioned opposite the radiographic tube.

Question 15

Matching: Diagnostic Imaging

-Portable fluoroscopy

A) C-arm, O-ring for real-time projections.
B) Used to place a very fine, long needle for biopsy of a breast tumor.
C) Useful for highlighting chemical or metabolic activity of brain function showing hot spots or diminished activity.
D) IOC or ERCP for visualization of the biliary tree during procedures.
E) Used in the OR to evaluate the anatomy of a vessel.
F) Isotope scanning used to view pheochromocytoma adrenal tumors specifically.
G) Produces sagittal, transverse, and coronal views; better and faster for detecting fresh cerebral bleeding (CVA).
H) Best at imaging soft tissue and can provide sliced views in any direction; contrast media if used is not iodine based.
I) Usually used in conjunction with cystoscopy to view abnormalities.
J) X-ray films require a cassette drape to be positioned opposite the radiographic tube.

Question 16

Matching: Diagnostic Imaging

-Angiography

A) C-arm, O-ring for real-time projections.
B) Used to place a very fine, long needle for biopsy of a breast tumor.
C) Useful for highlighting chemical or metabolic activity of brain function showing hot spots or diminished activity.
D) IOC or ERCP for visualization of the biliary tree during procedures.
E) Used in the OR to evaluate the anatomy of a vessel.
F) Isotope scanning used to view pheochromocytoma adrenal tumors specifically.
G) Produces sagittal, transverse, and coronal views; better and faster for detecting fresh cerebral bleeding (CVA).
H) Best at imaging soft tissue and can provide sliced views in any direction; contrast media if used is not iodine based.
I) Usually used in conjunction with cystoscopy to view abnormalities.
J) X-ray films require a cassette drape to be positioned opposite the radiographic tube.

Question 17

Matching: Diagnostic Imaging

-PET (positron emission tomography) scanning

A) C-arm, O-ring for real-time projections.
B) Used to place a very fine, long needle for biopsy of a breast tumor.
C) Useful for highlighting chemical or metabolic activity of brain function showing hot spots or diminished activity.
D) IOC or ERCP for visualization of the biliary tree during procedures.
E) Used in the OR to evaluate the anatomy of a vessel.
F) Isotope scanning used to view pheochromocytoma adrenal tumors specifically.
G) Produces sagittal, transverse, and coronal views; better and faster for detecting fresh cerebral bleeding (CVA).
H) Best at imaging soft tissue and can provide sliced views in any direction; contrast media if used is not iodine based.
I) Usually used in conjunction with cystoscopy to view abnormalities.
J) X-ray films require a cassette drape to be positioned opposite the radiographic tube.

Question 18

Matching: Diagnostic Imaging

-Cholangiography

A) C-arm, O-ring for real-time projections.
B) Used to place a very fine, long needle for biopsy of a breast tumor.
C) Useful for highlighting chemical or metabolic activity of brain function showing hot spots or diminished activity.
D) IOC or ERCP for visualization of the biliary tree during procedures.
E) Used in the OR to evaluate the anatomy of a vessel.
F) Isotope scanning used to view pheochromocytoma adrenal tumors specifically.
G) Produces sagittal, transverse, and coronal views; better and faster for detecting fresh cerebral bleeding (CVA).
H) Best at imaging soft tissue and can provide sliced views in any direction; contrast media if used is not iodine based.
I) Usually used in conjunction with cystoscopy to view abnormalities.
J) X-ray films require a cassette drape to be positioned opposite the radiographic tube.

Question 19

Matching: Diagnostic Imaging

-MIBG scan

A) C-arm, O-ring for real-time projections.
B) Used to place a very fine, long needle for biopsy of a breast tumor.
C) Useful for highlighting chemical or metabolic activity of brain function showing hot spots or diminished activity.
D) IOC or ERCP for visualization of the biliary tree during procedures.
E) Used in the OR to evaluate the anatomy of a vessel.
F) Isotope scanning used to view pheochromocytoma adrenal tumors specifically.
G) Produces sagittal, transverse, and coronal views; better and faster for detecting fresh cerebral bleeding (CVA).
H) Best at imaging soft tissue and can provide sliced views in any direction; contrast media if used is not iodine based.
I) Usually used in conjunction with cystoscopy to view abnormalities.
J) X-ray films require a cassette drape to be positioned opposite the radiographic tube.

Question 20

Matching: Diagnostic Imaging

-Retrograde urography or RPG (retrograde pyelogram)

A) C-arm, O-ring for real-time projections.
B) Used to place a very fine, long needle for biopsy of a breast tumor.
C) Useful for highlighting chemical or metabolic activity of brain function showing hot spots or diminished activity.
D) IOC or ERCP for visualization of the biliary tree during procedures.
E) Used in the OR to evaluate the anatomy of a vessel.
F) Isotope scanning used to view pheochromocytoma adrenal tumors specifically.
G) Produces sagittal, transverse, and coronal views; better and faster for detecting fresh cerebral bleeding (CVA).
H) Best at imaging soft tissue and can provide sliced views in any direction; contrast media if used is not iodine based.
I) Usually used in conjunction with cystoscopy to view abnormalities.
J) X-ray films require a cassette drape to be positioned opposite the radiographic tube.

Question 21

The diagnosis of deep vein thrombosis can be made by phleborheography, which is a plethysmographic technique.

Question 22

The normal value for WBCs is 2,000-6,000.

Question 23

Normal CSF may have red blood cells present.

Question 24

A Gram-positive organism stains red when analyzed in the lab.

Question 25

The normal pH of arterial blood is 7.38-7.44.

Question 26

A report of 12 percent would be within the normal range for the hematocrit.

Question 27

Coagulation studies to determine effectiveness of the clotting process would include the PT and PTT.

Question 28

The thoracentesis is the removal of a segment of lung tissue for biopsy.

Question 29

The normal pulse oximetry value is 95-97 percent.

Question 30

The purpose of the stat Gram stain in the OR is to initiate antibiotic therapy as soon as possible.

Question 31

Describe the scrub responsibilities for the IOC during a cholecystectomy. What does IOC stand for?

Question 32

Describe two important points to remember when obtaining a culture.