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Anatomy and Positioning of the Alimentary Canal
Study Guide 2
50
Other
Graduate
04/24/2011

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Term
In which body habitus type is the stomach almost horizontal and high in the abdomen?
Definition
Hypersthenic
Term
Which curvature is located on the right(medial) border of the stomach?
Definition
Lesser
Term
Which area is the most superior part of the stomach?
Definition
Fundus
Term
Which area is the most inferior part of the stomach?
Definition
Pylorus
Term
The distal esophagus empties its contents into which of the following?
Definition
Cardiac Antrum
Term
Which opening is located between the stomach and small intestine?
Definition
Pyloric orifice
Term
Which opening is at the distal end of the small intestine?
Definition
Ileocecal orifice
Term
Which structure is the proximal part of the small intestine?
Definition
Duodenum
Term
Which structure is the distal part of the small intestine?
Definition
Ileum
Term
In which abdominal region does the large intestine originate?
Definition
Right Iliac
Term
Which structure is the proximal part of the large intestine?
Definition
Cecum
Term
Which part of the large intestine is located between the ascending and descending parts of the colon?
Definition
Transverse colon
Term
Which structure is located between the ascending colon and the transverse colon?
Definition
Right Colic Flexure
Term
Where in the large intestine is the left colic flexure located?
Definition
Between the transverse colon and the descending colon
Term
Which structure is the pouchlike part of the large intestine situated below the junction of the ileum and the colon?
Definition
Cecum
Term
Where is the large intestine is the sigmoid located?
Definition
Between the descending colon and the rectum
Term
Approximately how long does it usually take a barium meal to reach the ileocecal valve?
Definition
2 to 3 hours
Term
Approximately how long does it usually take a barium meal to reach the rectum?
Definition
24 hours
Term
Which two imaging modalities are most commonly used to examine the alimentary canal after the introduction of a barium product?
Definition
Fluoroscopy and radiography
Term
Which type of contrast medium is most commonly used for examining upper GI tract?
Definition
A barium sulfate suspension
Term
To best demonstrate the swallowing function, in which position should the patient be placed to begin the fluoroscopic phase of single-contrast examinations of the esophagus?
Definition
Upright
Term
Which two recumbent oblique positions can be used to best demonstrate an unobstructed image of a barium-filled esophagus between the vertebrae and the heart?
Definition
RAO and LPO
Term
Which of the following is a major advantage of the double-contrast UGI examination over the single-contrast UGI examination?
Definition
Small lesions on the mucosal lining are better demonstrated
Term
Which description refers to the biphasic GI examination?
Definition
A combination single-contrast and double-contrast study of the upper GI tract
Term
Which body habitus produces the greatest visceral movement when a patient is moved from the prone position to the upright position?
Definition
Asthenic
Term
For the PA projection as part of the UGI examination, why should the lower lung fields be included on a 35x43cm image receptor?
Definition
To demonstrate a possible hiatal hernia
Term
For the double-contrast UGI examination, which projection produces the best image of a gas-filled duodenal bulb and pyloric canal?
Definition
Left AP oblique projection(LPO position) with the patient recumbent
Term
For the single-contrast UGI examination with the patient recumbent, which projection produces the best image of a barium-filled pyloric canal and duodenal bulb in patients whose habitus approximates the sthenic type?
Definition
Right PA oblique projection(RAO position)
Term
For the UGI examination with the patient recumbent, which projection best stimulates gastric peristalsis to better demonstrate the pyloric canal and duodenal bulb?
Definition
Right PA oblique projection(RAO position)
Term
Which breathing procedure should the patient perform when UGI radiographs are exposed?
Definition
Suspended expiration
Term
For the double-contrast UGI examination with the patient recumbent, which projection produces the best image of a gas-filled fundus?
Definition
Right PA oblique projection (RAO position)
Term
FOr the UGI examination with the patient recumbent, which projection best demonstrates the right retrogastric space?
Definition
Right Lateral projection
Term
For the AP projection with the patient supine(as part of the UGI examination), which procedure should be performed to best demonstrate a diaphragmatic herniation(hiatal hernia)?
Definition
Tilt the table and patient into a full Trendelenburg position
Term
To which level of the patient should the CR be directed for the right PA oblique projection (RAO position) as part of the UGI examination?
Definition
L1-L2
Term
Which examination of the alimentary canal requires that a series of radiographs be taken at specific time intervals after the ingestion of the contrast medium?
Definition
Small bowel series
Term
For a small bowel series of a patient with hypomotility of the small intestine, which procedure should be performed to accelerate peristalsis?
Definition
Instruct the patient to drink a glass of ice water
Term
Which structure, when visualized on a radiograph as part of a small bowel series, usually indicates the completion of the exam?
Definition
Cecum
Term
What is the proper sequence for filling the large intestine with barium when performing a BE?
Definition
Rectum, sigmoid, descending colon, transverse colon, and ascending colon
Term
Which procedure should be used during a BE to relax the large intestine and enable the patient to better retain the barium sulfate suspension?
Definition
Administer cold (41 degree F) barium sulfate suspension
Term
Before the enema tip is inserted during a BE, why should a small amount of barium sulfate mixture be allowed to runa waste basin?
Definition
To remove air from the tube
Term
Which procedure should be accomplished when inserting the enema tip for a BE?
Definition
Ensure that the tip is inserted no more than 3 1/2 to 4"(8.9 to 10cm)
Term
For the PA projection during a BE, what is the advantage of placing the x-ray table and patient in a slight Trendelenburg position?
Definition
To help separate overlapping loops of distal bowel
Term
Which structures of the large intestine are of primary interest with AP axial or PA axial projections during a BE?
Definition
sigmoid and rectum
Term
How many degrees and in which direction should the central ray be directed for the PA axial projection during a BE?
Definition
30 to 40 degrees caudal
Term
Which structure of the large instestine is of primary interest for the right PA oblique projection(RAO position) during BE examinations?
Definition
Right Colic Flexure
Term
Which two oblique projections can be performed to best demonstrate the left colic flexure during a BE?
Definition
Left PA oblique projection(LAO position) and the right AP oblique projection (RPO position)
Term
Which structure of the large intestine is best demonstrated if the patient is rotated 45 degrees from a supine position to move the right side of the abdomen away from the x-ray table during a BE?
Definition
Right Colic Flexure
Term
For the right lateral decubitus position as part of a barium enema, which procedure should be done to ensure that the ascending colon is demonstrated in the image?
Definition
Elevate the patient on a radiolucent support
Term
Which BE projection requires that a 24x30cm IR be placed lengthwise and centered to the level of the anterior-superior iliac spine(ASIS)?
Definition
Lateral Projection
Term
Which BE projection does not require colic flexures to be included on the image?
Definition
Lateral Projection
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