Bontrager; Radiographic Positioning Chapter 17

Which two vessels deliver blood to the heart muscle?

Right and left coronary arteries

Which of the following vessels is NOT a major branch of the aortic arch?
a. Brachiocephalic
b. Left subclavian
c. Left common carotid
d. Right common carotid

d. Right common carotid

Each common carotid artery bifurcates into the internal and external arteries at the level of the:

C4 vertebra

Which of the following arteries arises from the brachiocephalic artery rather than the aortic arch?
a. Right vertebral
b. Left vertebral
c. Right common carotid
d. Left common carotid

c. Right common carotid

The basilar artery rests upon the clivus of the ________ bone.

Sphenoid

Which vessels carry oxygenated blood from the lungs back to the heart?

Pulmonary veins

T/F The right subclavian artery arises directly from the aortic arch

False, from brachiocephalic artery

Where do the openings for the coronary arteries originate?

Aortic root

What is another term for the aortic bulb?

Aortic root

How many segments make up the thoracic aorta?

Four

A condition in which the aortic arch is located in the right side of the thorax is a variation termed:

Inverse aorta

Which of the following vessels carries blood from the intestine to the liver for filtration?
a. Portal vein
b. Hepatic vein
c. Superior mesenteric vein
d. Inferior vena cava

a. Portal vein

T/F The cephalic vein is the most commonly used for venipuncture

False, median cubital vein

Which vein is most commonly used to draw blood from the arm?

Median cubital

T/F The great (long) saphenous vein is the longest vein in the body

True

T/F The thoracic duct is the largest lymph vessel in the body

True

Which one of the following is NOT performed by the lymphatic system?
a. Produce lymphocytes
b. Synthesize simple carbohydrates and certain amino acids
c. Filter the lymph
d. Return proteins and other substances to the blood

b. Synthesize simple carbohydrates and certain amino acids

Solid food should be withheld for approximately _____ hours before an angiographic procedure

8 hours

Which of the following vessels is most often punctured for the Seldinger technique?
a. Abdominal aorta
b. Femoral vein
c. Femoral artery
d. Axillary artery

c. Femoral artery

Which of the following vessels is NOT a typical puncture site for catheterization during angiography?
a. Brachial artery
b. External iliac artery
c. Femoral artery
d. Axillary artery

b. External iliac artery

What is the minimum amount of time a patient should remain on bed rest following an angiographic procedure?

4 hours

T/F Digital subtraction demonstrates only the bony anatomy during an angiographic study

False, it demonstrates only the vessels of interest that contain contrast media

Which of the following is NOT a clinical indicator for cerebral angiography?
a. Vascular lesions
b. Aneurysm
c. Coarctation
d. Arteriovenous malformation

c. Coarctation

The most common vascular approach during pulmonary arteriography is the:

Femoral vein

Pulmonary arteriography is most often performed to diagnose:

Pulmonary emboli

Which of the following would NOT be a common pathologic indicator for abdominal angiography?
a. Aneurysm
b. Stenosis or occlusions of aorta
c. Trauma
d. Bowel obstruction

d. Bowel obstruction

A peripherally inserted central catheter (PICC line) can remain in the patient up to:

6 months

The tip of the central line is placed near the:

Right atrium

T/F A clinical indication for a transcatheter embolization includes stopping active bleeding at a specific site

True

Intravascular administration of drugs

Infusion therapy

Device to extract urethral stones

Basket or loop

Procedure to dissolve bood clots

Thrombolysis

Technique to restrict uncontrolled hemorrhage snare catheter

Embolization

Technique to decompress obstructed bile duct gastrostomy

Percutaneous into biliary drainage

Direct puncture and catheterization of the renal pelvis

Nephrostomy

Placement of an extended feeding tube into the stomach

Percutaneous

T/F Radiofrequency ablation (RFA) is ideal for treating tumors in the liver and lung

True

Which of the following is NOT a function of the cardiovascular system?
a. Producing red blood cells
b. Transporting oxygen, nutrients, and hormones
c. Removing waste products
d. Maintaining body temperature

a. Producing red blood cells

Which vessel carries blood from the lungs to the left atrium of the heart?
a. Pulmonary vein
b. Pulmonary artery
c. Coronary vein
d. Azygos vein

a. Pulmonary vein

The contrast medium of choice for angiography is:
a. ionic iodinated.
b. tri-iodinated.
c. nonionic water-soluble iodinated.
d. oil-based iodinated.

c. nonionic water-soluble iodinated.

Which of the following is NOT a contraindication for angiography?
a. Impaired renal function
b. Taking anticoagulant medication
c. Unstable cardiopulmonary status
d. None of the above; all are contraindications.

d. None of the above; all are contraindications.

What is the name of the technique commonly used to introduce a catheter into a vessel?
a. Direct stick
b. Over the needle
c. Myer
d. Seldinger

d. Seldinger

An example of a nonvascular interventional procedure is:
a. nephrostomy.
b. thrombolysis.
c. stent placement.
d. embolization of a vessel.

a. nephrostomy.

How is neoplastic tissue destroyed during radiofrequency ablation?
a. Freezing the tissue
b. Heating the tissue
c. Applying magnetic energy to the tissue
d. Cutting off blood supply to the tissue

b. Heating the tissue

What other contrast media can be given during angiography if the patient is highly allergic to iodinated contrast media?
a. Air
b. Nitrogen
c. CO2
d. Helium

c. CO2

What is the main purpose of a Swan Ganz catheter?
a. to inject contrast
b. to administer medications
c. to monitor pressure
d. to remove fluid from pleural cavity

c. to monitor pressure (It is used to monitor the pressure of both the cardiovascular and pulmonary arteries.)

Nasoenteric tubes are used for which of the following?
a. to feed patient
b. to remove fluid or gas after surgery
c. to administer medications
d. to drain air or fluid from pleural space

b. to remove fluid or gas after surgery

If a patient is unable to chew or cannot tolerate solid foods, which of the following is used to feed the patient?
a. nasoenteric tube
b. Swan Ganze catheter
c. nasogastric tube
d. central line

c. nasogastric tube

What is the main purpose of a chest tube?
a. to retain fluid or air in the pleural space
b. to supply a central line for IV injections
c. to remove air or fluid from pleural space
d. to feed patient

c. to remove air or fluid from pleural space

When performing a surgical cholangiogram, which of the following routes of administration should be utilized?
a. direct injection
b. intravenous injection
c. intramuscular injection
d. subcutaneous injection

a. direct injection