Unit 3 Final: abdomen

The serious membrane that lines the abdominopelvic walls is called the:

Peritoneum

A properly exposed abdominal image will exhibit the:
1. Psoas muscles
2. Lower border of the liver
3. Transverse process of the lumbar vertebrae

1, 2, and 3

If a patient is unable to stand for an upright AP abdominal image, which position should be used?

Left lateral decubitus

Where is the center of the IR positioned for an AP abdominal image performed with the patient in the supine position

iliac crests

What is the respiration phase for an AP or PA abdominal image obtained with the patient in the upright position?

expiration

One of the primary reasons a left lateral decubitus abdominal image is performed is to demonstrate:

Air-fluid levels

Which of the following organs lie in the pelvic cavity?
1. Kidneys
2. Rectum
3. Urinary bladder

2 and 3

Longest part of the small bowel

Ilium

Widest part of the small bowel

Duodenum

Fluid accumulation in the peritoneal cavity

ascites

Center at the ______ for the supine abdomen

Iliac crests

Peritoneum forms folds called

mesentery and omenta

blockage of bowel lumen

bowel obstruction

Image for kidneys, ureter and bladder

KUB

Muscle that is lateral to both sides of the supine

Psoas

A properly exposed abdominal image will exhibit:

- Psoas muscles
- kidneys
- transverse processes of the lumbar vertebrae

How many kidneys do we have?

2 kidneys

The outer portion of the sac that lines the abdominopelvic cavity is termed:

parietal peritoneum

The inner portion of the sac that covers the abdominal organs is termed:

visceral peritoneum

The folds of peritoneum that support the abdominal organs are called

omenta and mesentery

The space between the two layers of peritoneum is called the:

peritoneal cavity

What is the cavity posterior to the peritoneum?

retroperitoneum

The stomach wall is composed of how many layers?

four

The opening between the stomach and the small intestine is the:

Pyloric sphincter

For which body habitus is the stomach almost horizontal?

Hypersthenic

What is the length of the average adult small intestine?

22 feet

The small intestine is divided into how many distinct portions?

three

The most distal portion of the small intestine is the:

ileum

The Jejunum and ileum are attached to the posterior wall of the abdomen by the:

mesentery

The main functions of the small bowel are ______ of food

digestion and absorption

The vermiform appendix of the colon is attached to the:

cecum

The opening between the small intestine and the large intestine is called the:

ileocecal valve

The contraction waves by which the digestive tube moves its contents toward the rectum are called:

peristalsis

In which abdominal quadrant is the spleen located

left upper quadrant

The mucosa of the small intestine contains a series of fingerlike projections called:

villi

The common bile duct and the pancreatic duct usually unite to form the

hepatopancreatic ampulla

The opening inside the duodenum where pancreatic enzymes and bile enter is called the:

greater duodenal papilla

The large intestine is made up of a series of pouches called the:

haustra

The ascending portion of the colon joins the transverse colon at the:

right colic flexure

For which type of body habitus is the large intestine bunched together and positioned very low in the abdomen

Asthenic

Functions of the kidney include:
1. removing waste products from the blood
2. maintaining fluid and electrolyte balance
3. secreting substances that affect blood pressure

1, 2 and 3

Secreted by the suprarenal glands

Epinephrine

The left kidney is ______ and ______ than the right

Longer; narrower

Which body habitus will the kidneys lie at the highest level

Hypersthenic

Where do the ureters lie in relation to the peritoneum?

behind the peritoneum

Serve as a reservoir to store urine

Urinary bladder

Where do the ureters enter the bladder?

posterior wall

The site where the ureters enter the bladder is termed the ___ junction

ureterovesical

All are part of the male reproductive system except:
A. Ductus deferens
B. Seminal vesicles
C. Infundibulum
D. Testes

C

Twisting of a bowel loop on itself is termed:

Volvulus

Which of the following are prime considerations on producing an optimal image of the abdomen?
1. Apply compression
2. Explain the breathing procedure to the patient
3. Do not start the exposure for 1 to 2 seconds after suspension of respiration

2 and 3

The most commonly performed abdominal examination is referred to as a(n):

KUB

Where is the center of the IR positioned for an AP abdominal image performed with the patient in the upright position?

2 inches above the iliac crests

What is the respiration phase for an AP abdominal image obtained with the patient in the supine position?

expiration

The central - ray angulation for an AP abdominal image is:

0 degrees

Where is the center of the IR positioned for an upright PA abdominal image?

2 inches above the iliac crests

Where is the center of the IR positioned for an AP abdominal image obtained in the left lateral decubitus position?

2 inches above the iliac crests

What is the respiration phase for an AP abdominal image obtained with the patient in the left lateral decubitus position?

expiration

Demonstrating small amounts of intraperitoneal gas in patients with an acute abdomen is often necessary. How long should the patient lie in the left lateral position before the radiograph is made?

10-20 minutes

Which of the following is placed perpendicular to the long axis of the grid for a lateral projection of the abdomen?
A. Transverse plane
B. Horizontal plane
C. Midcoronal plane
D. Midsagittal plane

C

Where is the center of the IR positioned for a lateral projection of the abdomen performed with the patient in the dorsal decubitus position?

2 inches above the iliac crests

Which of the following are clearly shown on a lateral abdomen projection performed with the patient in the dorsal decubitus position?
1. Prevertebral space
2. Air-fluid levels
3. Urinary bladder

1 and 2

All of the following are used to evaluate rotation on a KUB image, except:
A. Lumbar spinous process in the center of the vertebral body
B. Alae of the ilia are symmetric
C. Ischial spines, if visible, are symmetric
D. Superimposed posterior ribs

D

A three-way abdominal series may be ordered to rule out all of the following, except:
A. Infection
B. Tumor mass
C. Bowel obstruction
D. Free air

B

How much will the kidneys drop in the change from the supine to the upright position?

2 inches

Where is the IR centered for all abdominal images taken during examinations of the urinary system?

iliac crests

Where is the IR centered for an AP axial projection of the urinary bladder (cystogram)

2 inches above the upper border of the symphysis pubis

For which two of the following projections of the abdomen is the X-ray beam placed in the horizontal position?
A. PA, upright
B. AP, supine
C. AP, lateral decubitus
D. AP oblique, LAO

A and C