Question 1

Match each description with the correct interventional procedure term.(Use each choice only once.)
-A procedure for vertebral pain due to instability and compression fractures caused by osteoporosis and/or other reasons

Accepted Answer

Percutaneous vertebroplasty is a procedure used for vertebral pain due to instability and compression fractures caused by osteoporosis and/or other reasons. It involves the injection of bone cement into fractured vertebrae to stabilize them.

Answer: I 
 Kyphoplasty is also a procedure used for vertebral pain due to instability and compression fractures caused by osteoporosis and/or other reasons. It involves the use of a balloon to create space in the compressed vertebrae and then injecting bone cement to stabilize them.

Question 2

Match each description with the correct interventional procedure term.(Use each choice only once.)
-A procedure to treat variceal bleeding caused by portal hypertension

Accepted Answer

The procedure to treat variceal bleeding caused by portal hypertension is Transjugular intrahepatic portosystemic shunt (TIPS).

Answer: C
 Embolization is a procedure used to block or close off blood vessels, often used to treat bleeding tumors or abnormal blood vessels.

Answer: G
 Stent placement involves the placement of a tube-like medical device to keep a blood vessel or duct open, often used in the treatment of blocked arteries or bile ducts.

Note: The rest of the choices do not match the given description.

Question 3

Match each description with the correct interventional procedure term.(Use each choice only once.)
-A procedure wherein a clot or thrombus is disintegrated (lysed)

Accepted Answer

Thrombolysis is the interventional procedure wherein a clot or thrombus is disintegrated (lysed).

Answer: A
 Percutaneous transluminal angioplasty (PTA) is a procedure where a balloon-tipped catheter is threaded into a narrowed artery to widen it, allowing for better blood flow.

Answer: C
 Embolization is a procedure where a substance is injected into a blood vessel to block or reduce blood flow to a certain area, usually to treat bleeding or abnormal vessel growth.

Answer: E
 Percutaneous vertebroplasty is a minimally invasive procedure where bone cement is injected into a fractured vertebra to stabilize it and relieve pain.

Answer: F
 Percutaneous biliary drainage (PBD) is a procedure where a thin tube is inserted through the skin and into the bile duct to help drain bile from the liver.

Answer: G
 Stent placement is a procedure where a small mesh tube is inserted into a narrowed or weakened blood vessel to help keep it open and improve blood flow.

Answer: H
 Inferior vena cava filter is a small device that is inserted into the vein to catch blood clots before they can travel to the lungs or heart, usually used in patients who are at high risk of developing blood clots.

Answer: I
 Kyphoplasty is a minimally invasive procedure where bone cement is injected into a vertebral compression fracture to stabilize it and reduce pain.

Question 4

Select the most likely angiographic procedure performed for each pathologic indication.(You may use each choice more than once.)
-Atypical chest pain

Accepted Answer

Angiocardiography is typically performed to evaluate the coronary arteries and heart function, which is relevant for investigating atypical chest pain.

Question 5

Match each description with the correct interventional procedure term.(Use each choice only once.)
-A procedure performed to restore and stabilize a compression fracture by placing a balloon device with the body of the vertebra

Accepted Answer

Kyphoplasty is the procedure described, which involves the use of a balloon device to restore the height and shape of a vertebral body compressed due to fracture, followed by stabilization with bone cement.

Question 6

Match each description with the correct interventional procedure term.(Use each choice only once.)
-A procedure for patients at high risk for developing pulmonary emboli

Accepted Answer

The procedure described is for patients at high risk for developing pulmonary emboli, which can be prevented by placing an inferior vena cava (IVC) filter to catch any clots before they can travel to the lungs.

Answer: D
 Thrombolysis is a procedure used to dissolve blood clots, which could be appropriate for a patient with an existing pulmonary embolus.

Answer: E
 Percutaneous vertebroplasty is a procedure used to treat spinal fractures, and would not be applicable in this case.

The other procedures may be used for various other conditions, but are not specific to the described scenario.

Question 7

Match each description with the correct interventional procedure term.(Use each choice only once.)
-Placement of a cagelike metal device in the lumen of a vessel

Accepted Answer

Stent placement involves the placement of a cagelike metal device in the lumen of a vessel to help keep it open.

Answer: E 
 Percutaneous vertebroplasty involves the injection of bone cement into a fractured vertebra to stabilize it.

Answer: I 
 Kyphoplasty involves the placement of an inflatable balloon into a fractured vertebra to restore its height and shape, followed by injection of bone cement.

Note: The other procedures listed do not involve the placement of a cagelike metal device in the lumen of a vessel, as described in the given description.

Question 8

Match each description with the correct interventional procedure term.(Use each choice only once.)
-Cease blood flow to a site of pathology

Accepted Answer

Embolization refers to the placement of embolic agents (such as coils, particles, or glue) to obstruct blood flow in vessels or tissues, thus ceasing blood flow to a site of pathology.

Answer: D
 Thrombolysis involves the use of drugs or mechanical devices to dissolve or break down blood clots that are obstructing blood flow within vessels.

Answer: G
 Stent placement involves the insertion of a small, expandable metal mesh tube into a narrowed or blocked blood vessel to restore blood flow.

Answer: H
 Inferior vena cava filter refers to the placement of a small, cage-like device within the inferior vena cava (a large vein that carries blood from the lower body to the heart) to prevent blood clots from traveling to the lungs and causing a pulmonary embolism.

Answer: I
 Kyphoplasty is a minimally invasive procedure used to treat painful vertebral compression fractures by injecting bone cement into the fractured vertebra to stabilize and support the spine.

Question 9

Select the most likely angiographic procedure performed for each pathologic indication.(You may use each choice more than once.)
-Abdominal aortic aneurysm

Accepted Answer

Abdominal angiography is the most appropriate procedure for visualizing an abdominal aortic aneurysm, as it directly images the arteries in the abdomen where the aneurysm is located.

Question 10

Match each description with the correct interventional procedure term.(Use each choice only once.)
-A procedure for stone removal, biopsy, dilation of obstructed bile duct, internal and external drainage

Accepted Answer

Percutaneous biliary drainage (PBD) is the procedure that involves stone removal, biopsy, dilation of obstructed bile ducts, and internal and external drainage.

Question 11

Select the most likely angiographic procedure performed for each pathologic indication.(You may use each choice more than once.)
-Cranial aneurysm

Accepted Answer

Cerebral angiography is the most appropriate angiographic procedure for a cranial aneurysm, as it allows for visualization of the blood vessels in the brain and can identify the location and size of the aneurysm.

Answer: D
 Rotational angiography may be used for a cranial aneurysm if a three-dimensional image is needed for better visualization and treatment planning.

Answer: E
 Peripheral angiography is not typically performed for a cranial aneurysm, as it focuses on blood vessels in the arms, legs, and other parts of the body outside of the head.

(Note: Abdominal angiography, angiocardiography, thoracic angiography, and pulmonary angiography are also not appropriate for a cranial aneurysm.)

Question 12

Match each description with the correct interventional procedure term.(Use each choice only once.)
-Dilation of a stenosed vessel

Accepted Answer

Dilation of a stenosed vessel refers to an angioplasty procedure, which is typically performed using a percutaneous transluminal approach. The procedure involves the use of a balloon catheter to widen a narrowed or blocked artery, allowing for improved blood flow.

Answer: B
 A transjugular intrahepatic portosystemic shunt (TIPS) is a specialized interventional radiology procedure used to treat portal hypertension, a condition caused by increased blood pressure in the portal vein that carries blood from the digestive organs to the liver. During the procedure, a shunt is placed between the liver and a nearby vein, which helps to reduce the pressure in the portal vein and improve blood flow.

Answer: C
 Embolization is a minimally invasive procedure used to treat a variety of conditions, including uterine fibroids, liver cancer, and vascular malformations. During the procedure, a doctor inserts a small catheter into the affected area and uses small particles or coils to block blood flow to the affected area and shrink the lesion.

Answer: G
 Stent placement is a common interventional procedure used to treat a variety of conditions, including blocked arteries, narrowed bile ducts, and urinary tract obstructions. The procedure involves the insertion of a small, mesh-like tube into the affected area, which helps to keep blood vessels or other structures open and restore normal function.

Answer: H
 An inferior vena cava filter is a small, cone-shaped device that is inserted into the inferior vena cava, the large vein that carries blood from the lower body to the heart. The filter is designed to capture blood clots that may form in the legs or pelvis, preventing them from traveling to the lungs and causing a potentially life-threatening pulmonary embolism.

Answer: I
 Kyphoplasty is a minimally invasive procedure used to treat vertebral compression fractures, a common complication of osteoporosis. During the procedure, a balloon is inserted into the affected vertebra and inflated, helping to create a space that is filled with bone cement, which stabilizes the fracture and reduces pain.

Quiz 17: Angiography and Interventional Procedures

Match each description with the correct interventional procedure term.(Use each choice only once.) -A procedure for vertebral pain due to instability and compression fractures caused by osteoporosis and/or other reasons

Match each description with the correct interventional procedure term.(Use each choice only once.) -A procedure to treat variceal bleeding caused by portal hypertension

Match each description with the correct interventional procedure term.(Use each choice only once.) -A procedure wherein a clot or thrombus is disintegrated (lysed)

Select the most likely angiographic procedure performed for each pathologic indication.(You may use each choice more than once.) -Atypical chest pain

Match each description with the correct interventional procedure term.(Use each choice only once.) -A procedure performed to restore and stabilize a compression fracture by placing a balloon device with the body of the vertebra

Match each description with the correct interventional procedure term.(Use each choice only once.) -A procedure for patients at high risk for developing pulmonary emboli

Match each description with the correct interventional procedure term.(Use each choice only once.) -Placement of a cagelike metal device in the lumen of a vessel

Match each description with the correct interventional procedure term.(Use each choice only once.) -Cease blood flow to a site of pathology

Select the most likely angiographic procedure performed for each pathologic indication.(You may use each choice more than once.) -Abdominal aortic aneurysm

Match each description with the correct interventional procedure term.(Use each choice only once.) -A procedure for stone removal, biopsy, dilation of obstructed bile duct, internal and external drainage

Select the most likely angiographic procedure performed for each pathologic indication.(You may use each choice more than once.) -Cranial aneurysm

Match each description with the correct interventional procedure term.(Use each choice only once.) -Dilation of a stenosed vessel