1.
Which of the following radiographic examination is employed to demonstrate the bile ducts?
Correct Answer
C. CholangiograpHy
Explanation
Cholangiography is a radiographic examination that is employed to demonstrate the bile ducts. It involves the use of contrast material that is injected into the bile ducts, allowing them to be visualized on X-ray images. This procedure is commonly used to diagnose conditions such as gallstones, tumors, and strictures in the bile ducts. Oral chole, cholecystography, and enteroclysis are not specific examinations for demonstrating the bile ducts, making cholangiography the correct answer.
2.
Which of the following radiographic procedures is best designed for hypertensive patients secondary to renal problem?
Correct Answer
A. Rapid sequence timed I.V.P
Explanation
Rapid sequence timed I.V.P is the best radiographic procedure for hypertensive patients secondary to renal problems because it allows for a quick and efficient visualization of the renal arteries and veins. This procedure involves injecting contrast dye into the patient's veins and taking a series of X-rays at specific time intervals to track the flow of the dye through the kidneys. It is particularly useful for evaluating renal function and identifying any abnormalities or blockages in the renal blood vessels.
3.
A gallstone is medically termed as
Correct Answer
D. Cholelithiasis
Explanation
Cholelithiasis is the correct answer because it is the medical term for gallstones. The other options are not related to gallstones. "Staghorn calculus" refers to a type of kidney stone, "Cystolithiasis" refers to the presence of stones in the bladder, and "Choleducolithiasis" refers to the presence of stones in the common bile duct.
4.
Barieum meal is contraindicated to patient with
Correct Answer
B. Complete Large bowel Obstruction
Explanation
A complete large bowel obstruction occurs when there is a blockage in the colon that prevents the passage of stool. Barium meal, which is a contrast agent used for diagnostic imaging of the gastrointestinal tract, should not be given to patients with a complete large bowel obstruction because it can worsen the blockage and potentially lead to complications. The barium meal can further obstruct the already blocked bowel, causing increased discomfort and potential perforation. Therefore, it is contraindicated in this condition.
5.
Boyden meal means
Correct Answer
C. Fatty diet
Explanation
Boyden meal refers to a fatty diet. This means that the meal contains a high amount of fat. It may not be suitable for individuals who are looking for a light and non-fat meal option.
6.
The following are list of contraindications regarding ERCP, except
Correct Answer
D. Pancreatic disease
Explanation
The correct answer is Pancreatic disease. The other three options, namely Oesophageal obstruction, Acute pancreatitis, and Severe cardiorespiratory disease, are all contraindications for ERCP. ERCP (Endoscopic Retrograde Cholangiopancreatography) is a procedure used to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. However, having a pre-existing pancreatic disease is not considered a contraindication for this procedure.
7.
Which of the following is the radiologic procedure of choice for detection of suspicious renal tumor, abscess or stones?
Correct Answer
C. IV urograpHy
Explanation
IV urography is the radiologic procedure of choice for the detection of suspicious renal tumor, abscess, or stones. This procedure involves injecting a contrast dye into the veins, which then travels to the kidneys and urinary tract. X-rays are taken at specific intervals to track the movement of the dye and identify any abnormalities in the kidneys or urinary system. IV urography provides detailed images of the kidneys and is particularly useful in diagnosing renal tumors, abscesses, and stones. Retrograde pyelography is a procedure used to visualize the urinary tract, but it is not the preferred choice for detecting these specific conditions. Barium enema and IV cholangiography are procedures used to examine the gastrointestinal and biliary systems, respectively, and are not relevant to the detection of renal tumors, abscesses, or stones.
8.
The following are questions asked if the the gallbladder is not seen on the first film, EXCEPT
Correct Answer
D. Did you drink plenty of water?
Explanation
The question asks for the question that is NOT asked if the gallbladder is not seen on the first film. The other three questions are related to the tablets that were taken and any symptoms that developed after taking them. These questions are relevant to the situation and can help in understanding the cause for not seeing the gallbladder. However, asking about drinking plenty of water is not related to the situation and would not provide any information about the gallbladder.
9.
The following ar contrast agents recommended for better visualization of gallbladder via oral method, EXCEPT
Correct Answer
A. Buscopan
Explanation
Buscopan is not recommended as a contrast agent for better visualization of the gallbladder via an oral method. This is because Buscopan is an antispasmodic medication that is used to relieve smooth muscle spasms, particularly in the gastrointestinal tract. It does not have any contrast-enhancing properties and therefore would not be effective for visualizing the gallbladder. On the other hand, Biloptin, Telepaque, and Cholebrin are contrast agents that are commonly used for this purpose.
10.
The following are indications of IV cholangiography, EXCEPT
Correct Answer
D. To evaluate the head of the pancreas.
Explanation
IV cholangiography is a diagnostic imaging procedure that involves injecting a contrast dye into the bloodstream to visualize the bile ducts. It is used to assess the functioning of the gallbladder and bile ducts. The options provided are all potential indications for IV cholangiography except for evaluating the head of the pancreas. IV cholangiography is not typically used to evaluate the pancreas; other imaging modalities such as CT or MRI are more commonly used for this purpose.
11.
The following are IV cholangiographic contrast agents, EXCEPT
Correct Answer
A. Biloptin
Explanation
The question asks for IV cholangiographic contrast agents, which are substances used to enhance the visualization of the bile ducts during imaging procedures. The options provided are Biloptin, Endobil, Biligrafin, and Biliscopin. The correct answer is Biloptin because it is not a known IV cholangiographic contrast agent. Endobil, Biligrafin, and Biliscopin are all examples of IV cholangiographic contrast agents commonly used in medical imaging.
12.
The following are advantages of ERCP, except
Correct Answer
D. Avoid surgical exploration of CBD.
Explanation
ERCP (Endoscopic Retrograde Cholangiopancreatography) is a minimally invasive procedure used to diagnose and treat conditions of the biliary tree and pancreatic bile duct. It allows visualization and biopsy of ampullary lesions, demonstrates the biliary tree and pancreatic bile duct, and has a better therapeutic potential. However, ERCP does not completely eliminate the need for surgical exploration of the common bile duct (CBD) in certain cases, such as when there is a complex or difficult-to-treat condition. Therefore, the correct answer is "Avoid surgical exploration of CBD."
13.
The introduction of a drainage catheter into the collecting system of the kidney is called
Correct Answer
C. Percutaneous nepHrostomy
Explanation
A percutaneous nephrostomy is a procedure in which a drainage catheter is inserted into the collecting system of the kidney. This is done to create a temporary or permanent opening to allow urine to drain from the kidney when the normal urinary pathway is blocked or damaged. It is typically performed under radiological guidance and is used in cases of urinary obstruction, such as kidney stones or tumors. The other options listed are unrelated to the insertion of a drainage catheter into the kidney.
14.
The following are equipments or material used in percutaneous nephrostomy, EXCEPT
Correct Answer
D. Chiba needle
Explanation
The Chiba needle is not used in percutaneous nephrostomy. Percutaneous nephrostomy is a procedure in which a needle is inserted through the skin into the kidney to drain urine. The equipment used in this procedure includes a puncturing needle G18, a 7F pigtail with multiple holes, and guide wires. The Chiba needle, on the other hand, is typically used for other procedures such as liver biopsies or percutaneous transhepatic cholangiography.
15.
The following are complications of percutaneous nephrostomy, EXCEPT
Correct Answer
A. Urticaria
Explanation
Urticaria is not a complication of percutaneous nephrostomy. Urticaria is a skin condition characterized by hives or raised, itchy bumps on the skin. It is typically caused by an allergic reaction to certain foods, medications, or environmental factors. However, percutaneous nephrostomy is a procedure used to drain urine from the kidney when the normal flow is obstructed, and complications can include hemorrhage (bleeding), perforation of the collecting system, and other potential risks.
16.
The following are indications of micturation cystourethrography, EXCEPT
Correct Answer
D. Ptosis
Explanation
Micturition cystourethrography is a diagnostic procedure used to assess the bladder and urethra. It involves the injection of a contrast dye into the bladder and taking X-ray images while the patient urinates. The procedure is primarily used to evaluate conditions such as vesicoureteric reflux (backflow of urine from the bladder to the kidneys), stress incontinence (involuntary leakage of urine during physical activity or exertion), and abnormalities of the urinary bladder. Ptosis, which refers to drooping or sagging of an organ or body part, is not a relevant indication for micturition cystourethrography.
17.
Which of the following conditions is NOT an indication for an ascending urethrography in male?
Correct Answer
D. HydronepHrosis
Explanation
Hydronephrosis is not an indication for an ascending urethrography in males. Ascending urethrography is a diagnostic procedure used to visualize the urethra and detect abnormalities such as urethral tears, strictures, and periurethral or prostatic abscesses. Hydronephrosis, on the other hand, refers to the swelling of the kidneys due to a blockage in the urinary tract, typically not involving the urethra. Therefore, it is not necessary to perform an ascending urethrography for the evaluation of hydronephrosis.
18.
Which of the following conditions is the most common cause for a non-functioning gallbladder?
Correct Answer
C. Chronic Cholecystitis with stone
Explanation
Chronic cholecystitis with stone is the most common cause for a non-functioning gallbladder. Chronic cholecystitis refers to the inflammation of the gallbladder, which can be caused by the presence of gallstones. Gallstones can block the bile ducts, preventing the gallbladder from functioning properly. This condition is more prevalent compared to hepatitis, anxiety, and chronic pancreatitis, which are not typically associated with a non-functioning gallbladder.
19.
The structure that controlled the flow of the bile within the duodenum is
Correct Answer
B. SpHincter of oddi
Explanation
The correct answer is Sphincter of oddi. The sphincter of oddi is a muscular valve that controls the flow of bile and pancreatic juice from the common bile duct and pancreatic duct into the duodenum. It regulates the release of these digestive fluids into the small intestine, allowing for proper digestion and absorption of nutrients.
20.
Which of the following structure is NOT delineated in a T-tube cholangiography?
Correct Answer
A. Gallbladder
Explanation
A T-tube cholangiography is a radiographic procedure used to visualize the biliary system after a cholecystectomy. It involves the insertion of a T-tube into the common bile duct (CBD) and injecting contrast dye to visualize the biliary structures. The gallbladder is removed during a cholecystectomy, so it is not delineated in a T-tube cholangiography. The procedure primarily focuses on visualizing the right and left hepatic ducts, as well as the CBD, to assess for any abnormalities or complications post-surgery. The duodenum is not a biliary structure and is not typically visualized during this procedure.
21.
Which of the following organs is located in the hypogasrtic region?
Correct Answer
C. Urinary bladder
Explanation
The urinary bladder is located in the hypogastric region. The hypogastric region is the lower central region of the abdomen, below the umbilical region. The urinary bladder is a hollow organ that stores urine before it is eliminated from the body. It is situated in the pelvic cavity, specifically in the lower part of the abdomen, making it the correct answer for this question.
22.
Which of the following structures is/are delineated on a properly exposed scout film of the abdomen?
-
Psoas muscle
-
Kidney
-
Inferior margin of the liver
Correct Answer
D. 1, 2 and 3
Explanation
On a properly exposed scout film of the abdomen, the psoas muscle, kidney, and inferior margin of the liver can be delineated. This means that these structures can be clearly seen and identified on the film. Therefore, the correct answer is 1, 2, and 3.
23.
Which of the following urographic procedures is/are considered a non-functional direct study?
-
Retrograde pyelography
-
Excretory urography
-
Infusion pyelography
Correct Answer
A. 1 only
Explanation
Retrograde pyelography is considered a non-functional direct study because it involves the injection of contrast dye directly into the ureters, allowing for visualization of the urinary tract. This procedure does not involve the functional assessment of the kidneys, making it a non-functional study. Excretory urography, on the other hand, is a functional study that involves the injection of contrast dye into a vein, which is then filtered by the kidneys and excreted into the urinary tract. Infusion pyelography is also a functional study that involves the infusion of contrast dye into a vein, allowing for the visualization of the urinary tract and assessment of kidney function. Therefore, the correct answer is 1 only, as retrograde pyelography is the only procedure considered a non-functional direct study.
24.
Which of the following radiographic procedures is/are use to demonstrate an obstruction in the common bile duct prior to surgery?
-
PTC
-
T-tube cholangiography
-
IV cholangiography
Correct Answer
B. 1 and 3
Explanation
PTC (percutaneous transhepatic cholangiography) and IV (intravenous) cholangiography are radiographic procedures that can be used to demonstrate an obstruction in the common bile duct prior to surgery. PTC involves the insertion of a needle through the skin into the liver to inject contrast dye directly into the bile ducts, allowing for visualization of any obstructions. IV cholangiography involves the injection of contrast dye into a vein, which is then filtered by the liver and excreted into the bile ducts, allowing for visualization of any obstructions. T-tube cholangiography, on the other hand, is not typically used to demonstrate an obstruction in the common bile duct.
25.
Cholecystoangiography is performed to demonstrate the
Correct Answer
B. Gallbladder and bile ducts
Explanation
Cholecystoangiography is a diagnostic procedure used to visualize the gallbladder and bile ducts. It involves injecting a contrast dye into the gallbladder and then taking X-ray images to assess the anatomy and function of these structures. This procedure is commonly performed to evaluate conditions such as gallstones, inflammation of the gallbladder, or blockages in the bile ducts. By visualizing the gallbladder and bile ducts, cholecystoangiography can help in diagnosing and planning appropriate treatment for these conditions.
26.
Which of the following duct would NOT be delineated in an IV cholangiography?
Correct Answer
A. Glumerular
Explanation
The glumerular duct would not be delineated in an IV cholangiography because the glumerular duct is not part of the biliary system. IV cholangiography is a procedure used to visualize the biliary system, which includes the cystic duct, CBD (common bile duct), and common hepatic duct. The glumerular duct is a term used in relation to the kidney, not the biliary system.
27.
The cystic duct of the gallbladder empties into which of the following?
Correct Answer
B. Common bile duct
Explanation
The cystic duct of the gallbladder empties into the common bile duct. The common bile duct is responsible for carrying bile from the liver and gallbladder to the duodenum, where it aids in the digestion and absorption of fats. The cystic duct connects the gallbladder to the common bile duct, allowing bile to flow into the common bile duct and eventually into the small intestine.
28.
Which of the following is NOT seen on an IVP radiography 5 minutes after injection?
Correct Answer
C. Urinary bladder
Explanation
The urinary bladder is not seen on an IVP radiography 5 minutes after injection. An intravenous pyelogram (IVP) is a radiographic procedure used to visualize the urinary system. It involves injecting a contrast dye into the bloodstream, which helps highlight the urinary tract structures. The dye travels through the bloodstream and is excreted by the kidneys into the urine. Within 5 minutes after injection, the contrast dye would have passed through the kidneys, renal pelvis, calyces, and renal pyramid, but it would not have reached the urinary bladder yet. Therefore, the urinary bladder would not be visible on the IVP radiography at this time.
29.
The usual dose of contrast agent for adult having an IVP x-ray examinations approximately
Correct Answer
D. 30-100 ml
Explanation
The usual dose of contrast agent for an adult undergoing an IVP x-ray examination is typically between 30-100 ml. This amount is sufficient to provide the necessary contrast for clear imaging of the urinary tract and surrounding structures. Higher doses may be required for specific cases or individuals with certain conditions, while lower doses may be used for patients who are more sensitive to the contrast agent.
30.
Which of the following procedures would most likely follow an excretory urogram?
Correct Answer
B. Retrograde pyelograpHy
Explanation
An excretory urogram is a diagnostic procedure that involves injecting a contrast dye into the bloodstream to visualize the urinary system, including the kidneys, ureters, and bladder. Retrograde pyelography is a procedure that is used to further evaluate the urinary system by injecting contrast dye directly into the ureters and kidneys. Since both procedures involve the use of contrast dye to visualize the urinary system, it is likely that retrograde pyelography would follow an excretory urogram. Cholangiography is a procedure used to visualize the bile ducts, amniography is used to visualize the amniotic sac during pregnancy, and proctology is the study and treatment of diseases related to the rectum and anus, so they are not directly related to an excretory urogram.
31.
Gallstones are usually composed of
-
cholesterol
-
bile pigment
-
calcium salt
Correct Answer
D. 1, 2 and 3
Explanation
Gallstones are usually composed of cholesterol, bile pigment, and calcium salt. This means that gallstones can consist of any combination of these substances. Cholesterol is a common component of gallstones, as it can crystallize and form solid masses in the gallbladder. Bile pigment, such as bilirubin, can also contribute to the formation of gallstones. Additionally, calcium salts can be present in gallstones, further contributing to their composition. Therefore, the correct answer is 1, 2, and 3, indicating that gallstones can be composed of cholesterol, bile pigment, and calcium salt.
32.
The functional unit of kidney is called
Correct Answer
C. NepHrons
Explanation
The functional unit of the kidney is called nephrons. Nephrons are responsible for filtering waste products from the blood, regulating water and electrolyte balance, and producing urine. They consist of a glomerulus, which filters blood, and a tubule, which reabsorbs water and essential nutrients while excreting waste products. Nephrons play a vital role in maintaining the body's internal environment and regulating blood pressure.
33.
Between which level of vertebrae are the kidneys normally found?
Correct Answer
C. T12 and L3
Explanation
The kidneys are normally found between the T12 and L3 vertebrae. The T12 vertebra is the last thoracic vertebra, while the L3 vertebra is the third lumbar vertebra. These levels correspond to the upper and lower boundaries of the kidneys' position in the body.
34.
The following are functions of the liver, EXCEPT
Correct Answer
D. Absorb protein
Explanation
The liver is responsible for many important functions in the body, including storing glycogen, producing glycogen, and desaturating fatty acids. However, the liver does not absorb protein. Protein absorption primarily occurs in the small intestine, where it is broken down into amino acids and then absorbed into the bloodstream. The liver plays a role in processing and metabolizing amino acids, but it does not directly absorb protein.
35.
Which of the following structures is a reservoir for the bile?
Correct Answer
C. Gall bladder
Explanation
The gall bladder is a small organ located below the liver that stores and concentrates bile, a substance produced by the liver that helps in the digestion and absorption of fats. Bile is released from the gall bladder into the small intestine when needed to aid in the breakdown of fats. Therefore, the gall bladder is the correct answer as it serves as a reservoir for the bile.
36.
A triangular area the mouth of the urinary bladder is called
Correct Answer
B. Trigone
Explanation
The triangular area at the mouth of the urinary bladder is called the trigone. It is formed by two ureteral orifices and the internal urethral orifice. The trigone is important for its smooth muscle lining, which helps prevent urine reflux from the bladder back into the ureters. It also serves as a sensory area, providing feedback to the brain when the bladder is full. The other options, pelvis, prostate, and pyramid, do not accurately describe the triangular area at the mouth of the urinary bladder.
37.
Which of the following contrast agent is/are employed to visualized the gall bladder in oral chole?
-
telepaque
-
biloptin
-
telebrix
Correct Answer
B. 1 and 2
Explanation
Telepaque and Biloptin are both contrast agents that can be used to visualize the gall bladder in oral chole. Telebrix is not mentioned as an option, so it is not included in the answer. Therefore, the correct answer is 1 and 2.
38.
Which of the following is the location for a retention catheter to be taped onto male patient?
Correct Answer
A. To the penis
Explanation
A retention catheter is a medical device used to drain urine from the bladder. In the case of a male patient, the correct location for taping the retention catheter is to the penis. This ensures that the catheter stays securely in place and allows for proper drainage of urine. Taping the catheter to any other location, such as the sacrum, lower abdomen, or side of the leg, would not be appropriate or effective in securing the catheter.
39.
Which of the following refers to the accumulation of fluid chiefly within the kidney, renal pelvis and calyces?
Correct Answer
C. HydronepHrosis
Explanation
Hydronephrosis refers to the accumulation of fluid mainly within the kidney, renal pelvis, and calyces. It is a condition that occurs when urine cannot flow properly from the kidney to the bladder, causing the kidney to become swollen and enlarged. This can be caused by various factors such as kidney stones, tumors, or blockages in the urinary tract. If left untreated, hydronephrosis can lead to kidney damage and other complications.
40.
The term icterus is related term for
Correct Answer
D. Jaundice
Explanation
Icterus is a medical term used to describe the condition of jaundice. Jaundice is characterized by the yellowing of the skin and eyes due to an excess of bilirubin in the blood. Bilirubin is a yellow pigment produced during the breakdown of red blood cells. When the liver is unable to process bilirubin effectively, it builds up in the body, resulting in jaundice. Therefore, icterus and jaundice are synonymous terms used to describe the same medical condition.
41.
A VCUG study is considered to be
Correct Answer
A. Functional
Explanation
A VCUG study is considered to be functional because it serves a specific purpose in diagnosing and evaluating urinary tract problems. VCUG stands for Voiding Cystourethrogram, which is a radiographic procedure used to examine the bladder and urethra while the patient is urinating. It helps to identify any abnormalities or dysfunctions in the urinary system, such as vesicoureteral reflux or bladder outlet obstruction. Therefore, the VCUG study is functional as it provides valuable information for medical professionals to make accurate diagnoses and determine appropriate treatment plans.
42.
When better visualization or filling of the upper urinary system is desired ______ can be used.
Correct Answer
D. Compression
Explanation
Compression can be used when better visualization or filling of the upper urinary system is desired. This technique involves applying pressure to the area, which can help to enhance the visualization of the urinary system. By compressing the area, it can help to reduce any potential obstructions or blockages that may be hindering the visualization. This can provide clearer images and a better understanding of the upper urinary system.
43.
A post-operative exam of the biliary system via a special catheter is called
Correct Answer
D. T-tube cholangiograpHy
Explanation
T-tube cholangiography is the correct answer because it refers to a post-operative examination of the biliary system using a special catheter called a T-tube. This procedure involves injecting a contrast dye through the T-tube to visualize the biliary system and detect any abnormalities or complications after surgery. Enteroclysis is a different procedure used to examine the small intestine, PTC stands for percutaneous transhepatic cholangiography which is a different imaging technique for the biliary system, and myography is the study of muscle contractions and movements, which is unrelated to the biliary system examination.
44.
Reduced peristalsis during the examination
Correct Answer
A. Buscopan
Explanation
Buscopan is the correct answer because it is a medication that is commonly used to reduce peristalsis during medical examinations. Peristalsis is the movement of muscles in the digestive tract that helps to propel food through the system. By reducing peristalsis, Buscopan can help to relax the muscles in the digestive tract, making it easier for medical professionals to perform examinations or procedures. This can be particularly useful in situations where a patient may be experiencing discomfort or where it is necessary to have a clear view of the area being examined.
45.
How should a patient for operative cholangiography be positioned?
Correct Answer
B. 15 to 20 degree RPO
Explanation
A patient for operative cholangiography should be positioned in a 15 to 20 degree right posterior oblique (RPO) position. This position allows for optimal visualization of the bile ducts during the procedure. The RPO position helps to move the liver away from the spine, providing a clear view of the bile ducts and reducing the risk of injury during the procedure.