VI Registry questions
DSA signal to noise ratio (SNR) should be?
1000:1
Normal values for BUN and creatinine would fall in which range, respectively?
13; 0.8
Which of the following blood pressure measurements would contraindicate angiography?
150/100
Normal oral temperature is?
37° C
Routine angiographic examination of the cerebral arteries is known as _______ vessel cerebral angiography?
4
The effective half-life of heparin is about?
90 minutes
Who or what allows a last image to be displayed after the exposure has stopped?
Digital Fluoroscopy
A potentially life-threatening condition where blood fill the intima of an artery is?
Dissection of the artery
The ante cubital vein is often ______. 1)Easily found 2)The access site used for short-term IV solutions 3)The access site for contrast media injections
Easily found & The access site for contrast media injections
Angioplasty is always performed prior to stenting to expand the vessel. True or False?
False
Caval Filters may only be placed in the IVC. True or False?
False
DSA allows window and level adjustments to manipulate per-procedural images?
False
Epinephrine should not be given to relieve bronchospasm, laryngospams, or anaphylaxis. The correct drug in this situation should be Benadryl. True or False?
False
Fentayl (Sublimaze) is weaker than morphine and longer acting. True or False?
False
In the presence of Subclavian Steal Syndrome blood is shunted past the brain through the Circle of Willis to the vertebral and subclavian arteries to supply the active muscles in the upper limb involved. Flow is actually reversed in the vertebral artery. There will usually be no differences in blood pressure readings in the left and right upper limbs. True or False?
False
Informed consent and pre-procedure labs within normal limits are not required for interventional procedures. True or False?
False
Subclavian steal syndrome is caused by a blockage of teh subclavian artery, near the carotid artery resulting in back flow of blood. This is compensated for via the Circle of Willis. True or False?
False
The aortic arch is best visualized with a 45° RAO position. True or False?
False
The common carotid arteries bifurcate into the internal and external vertebral. True or False?
False
The injection of medications fall under the scope of the Radiologist, Radiographer, and the nurse. True or False?
False
The primary function of the pressure injector safety feature is to prevent damage to the injector and the selected catheter, True or False?
False
The splenic artery branches from the right side of the celiac axis and supplies the spleen and pancreas. True or False?
False
When a patient is to be sedated for a procedure, the nurse along with monitoring the patient, can and should act as a circulator as well. True or False?
False
Symptoms of a carotid dissection may appear as all of the following except? 1) Unilateral headache, neck pain 2) Loss of superficial temporal artery pulse 3) Hearing and vision loss 4) Aphasia with unilateral facial weakness
Hearing and vision loss
Severe allergic reaction to a contrast agent may result in in shock, which is characterized by? 1)Rapid Breathing 2)High pulse rate 3)Possible loss of consciousness
High pulse rate and Possible loss of conciousness
Vascular stenting is used in conjunction with angioplasty to?
Hold down intimal flaps
It supplies blood to the left half of the transverse colon, splenic flexure, descending colon, and recto sigmoid area?
IMA
What form of consent is essential prior to performing any exam or procedure on a patient?
Informed
FMD (Fibromuscular dysplasia) a disease (found mostly in caucasina females) commonly results in stenosis or occlusion of one or both renal arteries, resulting in renovascular hypertension. Which area(s) can this disorder occur? 1) Internal carotid artery unilaterally 2) Internal carotid arteries bilaterally 3) Vertebral artery unilaterally 4) Vertebral arteries Bilaterally
Internal carotid and vertebral arteries bilaterally
_________ is a term describing a group of symptoms (pain, vomiting, cramping after eating, diarrhea, weight loss) caused by chronic poor blood flow?
Intestinal angina
Which of the following does the celiac artery not supply: the stomach, intestines, liver, spleen, and pancreas?
Intestines
Which of the following statements regarding the cation portion of the contrast medium molecule is True? 1)It is the positive portion 2)It provides the solubility 3)Provides the radiopaque portion
It is the positive portion & It provides solubility
The tibial pulse is felt where?
Just posterior to the medial malleolus
What process adds a small amount of the mask back into the subtracted image but not enough to affect the image?
Land marking
What possible results may Lidocaine mixed with contrast media exhibit? 1)May make the exam less painful 2)May decrease irritability and prevent PVCs 3)Is permissible for arterial examination of upper extermities
May make the exam less painful & May decrease irritability and prevent PVCs
The ability of a contrast to be solvent with blood to thwart embolization?
Miscibility
Which of the following medications would be used to reverse an overdose of morphine or sulimaze?
Narcan
Because contrast media is _________, the BUN and creatinine should be within normal range before an exam is begun?
Nephrotoxic
An AVM is a web of dilated blood vessels that disrupt normal blood flow in the brain by pooling blood within its dense center or _____?
Nidus
Which of the following may be used to relax the walls of arteries during angiography?
Nitroglycerin
Epistaxis embolization is performed to alleviate hemorrhaging from the?
Nose
Your patient's discomfort during the injection of contrast media is mostly contributed to the contrasts?
Osmolality
Various methods of revascularization are available. Which method is the most frequently used?
Percutaneous Translumminal Angioplasty (PTA)
Glucagon is an effective relaxant of smooth muscle structures, and is used primarily in which procedure?
Percutaneous gastrostomy tube placements
The ________ is formed by the union of the superior mesenteric vein and the splenic vein?
Portal vein
What process allows the V/I suite personnel to recall a stored image and manipulate it?
Post procedural subtraction
In an older V/I suite that use CRT monitors, what are the two available scan modes? 1)Progressive 2)Repeating 3)Interlaced 4)Dynamic
Progressive and Dynamic
Both contrast filled vessel and the item being introduced into the vessel are displayed together when _______ is utilized.
Road mapping
What supplies blood to the small intestines, cecum, ascending colon, hepatic flexure, and the right half of the transverse colon?
SMA
The method by which needle entry is made into an artery is known as the _____ technique?
Seldinger
_____ enlarge an entry site and provide a smoother and safer access for multiple exchanges and difficult catheter manipulations?
Sheaths
FMD has a _____ appearance angiographically?
String of beads
A patient's vasovagal reaction is characterized by? 1)Sweating 2)Increased blood pressure 3)Nausea
Sweating and Nausea
Direct stick of the carotid artery may cause a resulting pressure on the carotid sinus. This may result in all of the following except?
Tachycardia
_____ is a giant-cell necrotizing arteritis that principally affects the aorta and its major branches. It often affects the pulmonary arteries, and the proximal portion of the brachiocephalic vessels. Cerebral vessels rarely are affected.
Takayasu's arteritis
What feature uses a pre-contrast mask and a contrast filled image to produce a subtracted image?
Temporal Subtraction
To enhance demonstration of the portal venous system, which of the following drugs may be injected prior to angiography?
Tolazoline
An H&P must be available and include all the body systems listed prior to performing any invasive procedure. True or False?
True
Catheterization is less dangerous than direct punctures. True or False?
True
Educating the patient about their proposed procedure will have little or no effect on the outcome of the exam. True or False?
True
The most common anatomical variant in the aortic arch in call the "Bovine arch" it is where the left common carotid artery shares its origin off the innominate artery. True or False?
True
True or False DSA takes the image received by the intensifier in analog format converts it to digital information that is then processed by the computer for storage and display?
True
The dorsalis pedal pulse is felt where?
At the top of the foot around the 1st and 2nd metatarsals
Using a catheter with only a single end hole and no side holes may result in? 1)A stronger stream of contrast 2)Less catheter recoil 3)Transient narrowing of the vessel just beyond the catheter tip
A stronger stream of contrast & Transient narrowing of the vessel just beyond the catheter tip
Amiodarone and other similar types of medications that control premature atrial or ventricular contractions, supraventircular tachycardia, atrial flutter or fibrillation are what class of medication?
Antiarrhythnmics
What class of drugs does Asprin, Pletal, Plavix, and ReoPro fall under?
Antiplatelets
Angiography of the intracranical and extracranial circulation includes examination and understanding of the arteries of the neck and cerebral vessels?
Aortic Arch
What process converts the video image from the TV chain into a digital format?
ADC
The walls of arteries have three layers, what are they listed from the outside to inside layers?
Adventita, Media, Intima
A patient's drug absorption rate may be affected by? 1)Age 2)Food in the stomach 3)Body weight
Age, Food in the stomach, Body weight
During an interventional procedure your patient begins to show symptoms of dyspnea, chest pain, tachycardia, hypotension, agitation, disorientation, and cyanosis. What did the patient possibly acquire?
Air Embolism
When performing a bedside or any invasive procedure, you must verify all of the following? 1)Signed consent 2)Appropriate Lab results 3) Written doctors order
All of the Above
When planning to perform any invasive procedures on a patient, labs obtained should inculde which of the following? 1) PT INR 2)CBC 3) Platelets
All of the Above
Images to be archived and stored may be sent to: 1) Digital disks 2) Recorders 3) PACS 4) Printed to hard copy media
All of the above
What forms of patient identification must be made and verified before any procedure is performed on a patient? 1)Patient's medical record number 2)D.O.B. 3)Patient's Name 4)Written Doctors order correlates with your exam requistion.
All of the above
Which of the following are criteria for performing a Vascular Interventional bedside procedure? 1)Body Habitus exceeds the safe guidelines for your interventional labs equipment. 2) Peripheral access for emergency medication and fluid administration is poor or nonexistent, and the patient's condition is not conducive to transport to the interventional lab. 3) Chest tube insertion or emergency bedside dialysis is needed on an emergent basis. 4)All of the Above
All of the above
While the catheter is being threaded over the guidewire, it is the Radiographer's responsibility to? 1)Keep the wire held taut (clothes lining) 2)Keep enough slack to be able to advance the wire if needed 3)Be sure the end of the guidewire remains within the sterile field
All of the above
A vasovagal response is characterized by what symptoms? 1)Fainting or Blackout 2)Warm and sweaty 3)Nausea and pale skin coloration
All the Above
________ is a serious allergic reaction, whose signs and symptoms may be urticaria, faintness or unconsciousness, swelling, asthmatic symptoms, or death. You should administer ________ via IV as soon as possible?
Anaphylaxis, adrenaline
Patients who present with a decreased red blood cell count, hemoglobin, and hematocrit level may be diagnosed with?
Anemia
Dilation of an artery is termed?
Aneurysm
The right and left vertebral arteries merge at the posterior base of the brain to form the?
Basilar artery
The angular portion of the needle tip is the .....
Bevel
The most common problem associated with catheterization is?
Bleeding at the puncture site
When normal routing of arterial blood in the brain is blocked, what structure maintains blood flow to the affected area?
Circle of Willis
Which of the following are symptoms of a diabetic patient who has taken insulin but has not eaten? 1)Clammy, cool skin 2)Nervousness and irritability 3)Fruity-smelling breath
Clammy, cool skin and Fruity-smelling breath
The left and right hepatic ducts join to become the ________?
Common hepatic duct
Direct puncture of the _____ artery should only be considered when the patient has no femoral, dorsalis pedis, or posterior tibial pulses, cannot lie flat or has other symptoms precluding femoral punctures?
Carotid
PTA can be applied to almost any vessel but is most commonly performed on all the following arteries except the ______ arteries?
Cerebral
the four portions of the internal carotid artery are ______?
Cervical, Petrous, Cavernous, and Cerebral
Which of the following types of emboli would specifically be associated with trauma of a long bone?
Fat
Of the 3 most common injector formats, which is the one used mainly in the U.S.? 1)Fixed Flow Rate 2)Air Compression Injector 3)Pressure dependent injector
Fixed Flow Rate
To reverse overmedication of Versed, Valium, or Ativan, which is the proper counter agent?
Flumazenil (Romazicon)
DSA uses ___________ to average together several frames to reduce electronic and quantum noise?
Frame integration
To open a clotted vessel, catheter, or other device which has been clotted for a relatively short duration Thrombolytic drugs may be given. Which of the following is NOT an example of a Thrombolytic drug?
Glassorvase
Demerol (Meperidine) is used in the angiography suite usually to help with shaking that can be caused when giving what medication?
Urikinase
It is the job of the _________ to check that all emergency equipment is present and functioning in their procedure room?
V/I Radiographer
Which of the following medications could be used to optimize visualization during a splenic arteriogram?
Vasopressin
Of the following medications, which one offers a relaxing amnesic effect on the patient?
Versed
______ is the degree of stickiness or thickness of the Contrast agent?
Viscosity