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Introduction to Diagnostic Skills: Only highlighted terms
Clinical Skills and Therapeutics, Module 3
60
Medical
Graduate
06/15/2009

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Term
What did Wilhelm Roentgen discover on October* (actually it was November) 8, 1985 in the University of Wurzbug, Germany, and how did he discover it?
Definition
Discovered x-rays accidentally while experimenting w/electricity. Won the nobel prize in 1901
Term
What is energy capable of penetrating matter and *removing orbital electrons* from atoms along its path?
Definition
ionizing radiation
Term
What are 2 natural/background sources of ionizing radiation?
Definition
cosmic radiation (sun) and radioactive substances in the earth
Term
What are 3 man-made/artificial sources of radiation?
Definition
medical & dental rays. radionuclides (nuclear medicine imaging). consumer products.
Term
The following pts are at risk of what: early radiologists and technologists. radium watch-dial painters. uranium miners. atomic bomb survivers (wwII japan). chernobyl survivors.
Definition
potential long-term effects of ionizing radiation
Term
What are the somatic effects?
Definition
Long-term (late) effects, develop in individual exposed to ionizing radiation
Term
What are genetic effects?
Definition
Long-term (late) effects of ionizing radiation manifested in subsequent generations due to genetic mutations
Term
What are the 2 most common somatic effects of ionizing radiation?
Definition
cataract formation. carcinogenesis.
Term
What are the 3 most common genetic effects of ionizing radiation?
Definition
mitotic death or delay. chromosome breakage. recessive mutations.
Term
x-ray images are produced as the beam penetrates the anatomy and emerges toward what?
Definition
an image receptor (IR)
Term
What type of objects are low density, absorb little to no x-ray energy and appear dark in an x-ray?
Definition
radiolucent objects
Term
What type of objects have higher density, absorb more x-ray energy, and appear lighter on an x-ray?
Definition
radiopaque objects
Term
Place the following materials in order from darkest to lightest appearance in an x-ray: water/pus/blood. metal. fat (soft tissue). air (gas). bone.
Definition
air: black. fat (soft tissue): dark gray. water/pus/blood: gradients of gray. bone: very light gray. metal: white.
Term
What term refers to contrast inherent in body tissues by virtue of density?
Definition
subject contrast
Term
What is used to *temporarily contrast* (increase subject contrast?
Definition
contrast media
Term
A routine chest radiograph usually includes which views?
Definition
pa and lateral
Term
Does the CR (central ray) enter and exit anteriorly or posteriorly in AP vs PA views?
Definition
the CR enters posterior, exits anterior in PA views. In AP views, the CR enters anterior and exits posterior.
Term
How is the pt positioned in a lateral view?
Definition
with the body 90 degrees to the IR
Term
What is a position between an AP/PA and a lateral view on an x-ray?
Definition
oblique
Term
How many views are necessary to evaluate jts on an x-ray?
Definition
minimum of 3 projections
Term
Legally, a radiograph must have the pt name, date of examination, and anatomical marker "R" or "L" labeled how?
Definition
image identification: info must be *permanently* exposed onto the image
Term
What are the regulations for labeling the following information on x-rays: pt position, portable/mobile procedure, and arrows identifying site of impact?
Definition
additional information: *helpful* but not required
Term
What type of imaging technology involves the following: digital media used to capture and present images. higher resolution images. lower radiation doses than conventional films. convenient and faster. enhancement features via computer software.
Definition
digital radiographic technology
Term
How is the pt positioned for ap/pa projections on an x-ray?
Definition
us std. view as if the pt is facing the viewer
Term
How is the pt positioned for a lateral view on an x-ray?
Definition
most common is to place the image as if being viewed from the vantage pt of the x-ray tube
Term
How are upper and lower limbs positioned on an x-ray?
Definition
viewed as projected by the beam onto the ir
Term
How are digits placed with x-rays?
Definition
placed with the digits up (hand and foot)
Term
How are other limbs positioned on x-ray?
Definition
viewed in anatomical position
Term
What diagnostic imaging tool is a medical imaging modality utilizing *tomography* or sectioning?
Definition
CT
Term
How does the amt of ionizing radiation compare to that of conventional chest radiography?
Definition
chest ct has over 500x ionizing radiation dose as a conventional chest radiography
Term
What is necessary to acquire an MR Image?
Definition
proton (H+), magnetic field, radiofrequency
Term
What is a fourier transformation?
Definition
MRI- computer system: analog to digital converter-digitizes the signal so it may be further processed. image processor- array processor which calculates fourier transformation
Term
What are contraindications and hazards for which MRI pts must be screened?
Definition
metal clips, pacemakers, implants, devices, claustrophobia, difficulty lying supine
Term
What represents restoration of the *longitudinal* magnetization along the axis of the main magnetic field?
Definition
T1 images: mri
Term
What represents decay time of the magnetization in the *transverse* plane?
Definition
t2 images: mri
Term
Will fluid, edema, and inflammation be bright on t1 or t2?
Definition
t2
Term
Will fat be bright on t1 or t2?
Definition
t1 & t2
Term
is blood bright on t1 or t2?
Definition
t1
Term
are tendons and ligaments black on t1 or t2?
Definition
black on all sequences
Term
is cartilage bright on t1 or t2?
Definition
t2
Term
how are mm visualized on mri?
Definition
mm is intermediate in signal
Term
On what imaging test can the thoracic aorta be visualized?
Definition
MRA
Term
What is the purpose of an MRA of the pelvis?
Definition
to identify a thrombus
Term
The renal veins to below the iliac veins are to be included in what field of view?
Definition
pelvic mra
Term
What technique will be initiated in the first pelvic measurement?
Definition
pelvis mra
Term
How will delayed venous filling be viewed in a pelvis mra?
Definition
several measurements will be acquired to see delayed venous filling
Term
Ultrasonography principles are based on what?
Definition
echogenic signature related to substance's density
Term
how is diagnostic imaging: nuclear medicine administered?
Definition
intravenous and gaseous or aerosol administration
Term
What involves a selective uptake of these compounds by various organs through various mechanisms, and involves active transport, phagocytosis, Ag-Ab rxn, etc?
Definition
nuclear medicine
Term
What is bone densitometry?
Definition
a special imaging modality that uses various methods in assessing *one mineral density*
Term
Why is bone densitometry usually performed?
Definition
to determine the presence or risk of *osteoporosis*
Term
What is essential in ensuring reliability of bmd results?
Definition
it is essential to have sufficient soft tissue included to ensure reliablitiy of results
Term
In bmd, measurements are compared with expected values for populations of what similar attributes?
Definition
age, gender, size
Term
dxa (DEXA) bone density studies are considered the gold standard for what?
Definition
dx osteoporosis and following changes in bone density over time
Term
what does dexa stand for?
Definition
dual energy x-ray absorptiometry
Term
What does a T score between 0 and -1 indicate?
Definition
normal bone
Term
What does a t score between -1 and -2 indicate?
Definition
osteopenia
Term
what does a t score less than -2.5 indicate?
Definition
osteoporosis
Term
t and z scores are based on statistical units of standard deviation from average bmd score of what population?
Definition
*young*, normal, sex-matched individuals with peak bone mass
Term
z-scores supply a number of standard deviations below an average person of what age group?
Definition
the *same* age group
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