Chapter 28 Textbook Quiz

Patient instructions for the guaiac slide test include

(All of the above.)*** Store slides at room temperature. Begin the diet modifications three days before collecting the first stool specimen. Protect slides from heat and sunlight. Collect a sample from two different parts of each stool specimen.

Mr. B. M. Abnormal is scheduled to have a fecal occult blood test in three days. Select the foods he should avoid while preparing for his test

**Cheese and onion pizza Eggs Ice cream Pork Chops Cheese **Steak Oatmeal Shredded wheat cereal **Liver and onions **Hamburgers

Radiologist

A provider who specializes in the diagnosis and treatment of disease using radiation and other imaging techniques.

contrast medium

A substance used to make a particular structure visible on a radiograph

colonoscope

An endoscope that is specially designed for passage through the anus to permit visualization of the rectum and the entire length of the colon.

enema

An injection of fluid into the rectum to aid in the elimination of feces from the colon

endoscope

An instrument that consists of a tube and an optical system that is used for direct visual inspection of organs or cavities.

Fluoroscope

An instrument used to view internal organs and structures directly in real time

What is the appearance of stool exhibiting melena?

Black and tarlike

An IVP is used to assist in the diagnosis of all of the following except

Blockage of the urinary tract Growths of the urinary system ***Urinary tract infections Kidney stones

occult blood

Blood in such a small amount that it is not detectable by the unaided eye

All of the following conditions can cause an elevated PSA level except

CT scan Transrectal ultrasound Biopsy of the prostate gland ***(Double-contrast barium enema or Testicular cancer) radiographic examination

Radiopaque

Describing a structure that obstructs the passage of x-rays

fluoroscopy

Examination of a patient with a fluoroscope

All of the following are advantages of the fecal immunochemical test (FIT) as compared with the guaiac slide test except:

FIT is more sensitive to lower GI bleeding ***FIT is less expensive FIT has fewer false-positive test results FIT does not require dietary or medication restrictions

A prostate-specific antigen (PSA) level of 20 is within normal range.

False

Bone is an example of a radiolucent structure.

False

The breasts are compressed during mammography to prevent radiation burns.

False

The patient should be instructed not to move during a radiographic examination to prevent confusing shadows on the film.

False

The permanent record of the picture produced on x-ray film is a sonogram.

False

Before performing an IVP, the patient must be asked if he or she is allergic to

Iodine

Mr. B. M. Abnormal is scheduled to have a fecal occult blood test in three days. Select the medications from his med list that the provider may instruct the patient to avoid while preparing for this test

Metformin 500 mg PO bid ***650 mg aspirin PO daily PRN joint pain ***Multivitam with added iron 1 capsule PO daily Fiber supplement capsules 2 PO at HS ***Ibuprofen 200 mg PO daily

ox/i

Oxygen

Any trace of blue appearing on or at the edge of the guaiac slide test is interpreted as

Positive

The function of the prostate gland is to

Secrete fluid that transports sperm

A normal prostate gland feels

Soft

Melena

The darkening of the stool caused by the presence of blood in an amount of 50 mL or more

Radiograph

The permanent image produced by x-rays and recorded on a radiosensitive device such as a radiographic film or a digital device

Sonogram

The record obtained with ultrasonography

biopsy

The surgical removal and examination of tissue from the living body

radiography

The taking of permanent records of internal body organs and structures by passing x-rays through the body to act on radiosensitive device

Insufflate

To blow a powder, vapor, or gas (such as air) into a body cavity.

A patient must remove all metal before undergoing MRI.

True

A radioactive material is introduced into the body before a nuclear medicine imaging procedure is performed.

True

An IVP is a radiograph of the kidneys, ureters, and bladder.

True

Colorectal cancer is a common form of cancer in individuals older than 50 years.

True

Computed tomography produces a series of cross-sectional images.

True

Consuming red meat may cause a false-positive result on a fecal occult guaiac slide test.

True

If a Hemoccult test result is positive, the physician may order a colonoscopy.

True

Mammography can be used to detect breast calcifications.

True

Most prostate cancers are slow growing.

True

Nonvisible blood in the stool is termed occult blood.

True

Patient preparation for a sigmoidoscopy includes partial bowel preparation.

True

The Hemoccult test should be stored at room temperature after applying a stool specimen to it.

True

The most common sign of testicular cancer is a small, hard, painless lump on the testicle.

True

There are often no symptoms in the early stages of prostate cancer.

True

Ultrasonography allows for continuous viewing of a structure.

True

All of the following medications must be discontinued before and during guaiac slide testing except

Vitamin C ***Antihistamines Iron supplements Aspirin

Peroxidase

a substance that is able to transfer oxygen from hydrogen peroxide to oxidize guaiac, causing the guaiac to turn blue

Sigmoidoscope

an endoscope that is specially designed for passage through the anus to permit visualization of the rectum and sigmoid colon

echocardiogram

an ultrasound examination of the heart

ultra

beyond, excess

colon/o

colon

Radiolucent

describing a structure that permits the passage of x-rays

-ase

enzyme

fluor/o

fluorescence

cardi/o

heart

-scope

instrument for visual examination

-graph

instrument used to record

bi/o

life

-ologist

one who studies and practices (specialist)

-opaque

opaque

-oxia

oxygen

-graphy

process of recording

-scopy

process of visual examination

radi/o

radiation

-gram

record

sigmoid/o

sigmoid (colon)

ech/o

sound

son/o

sound

-ology

study of

ultrasonography

the use of high-frequency sound waves to produce an image of an organ or tissue

colonoscopy

the visualization of the rectum and the entire colon using a colonoscope

-opsy

to view

-lucent

transparent

sigmoidoscopy

visual examination of the rectum and sigmoid colon with a sigmoidoscope

endo-

within