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mandys ct review
ct
69
Health Care
Graduate
02/29/2012

Additional Health Care Flashcards

 


 

Cards

Term
The SMA supplies blood to which abdominal organs?
Definition

pancreatic head

jejunum

ileum

Term

HU of +10

 

Definition
ovarian cysts
Term
the opening thru which the descending aorta passes thru the diaphragm
Definition
aortic hiatus
Term

virtual colon prep

old and new

Definition

old- polyethylene glycol based

new- oral hydration and cathartic

Term
superior  vena cava divides into what arteries
Definition
lt and rt brachiocephalic
Term
anatomy included in mediastinum
Definition
trachea, main stem bronchi, aorta, vena cava, thymus, esophagus, lymph nodes, heart
Term
thymus
Definition

upper anterior mediastinum

matures the T-lymphocytes

grows until puberty then shrinks at age 40

Term
trachea begins at which vert level
Definition
T5
Term
first branch off the ascending aorta
Definition
coronary arteries
Term
superior surface of the aorta gives rise to what 3 arteries?
Definition

right brachiocephalic

left common carotid

left subclavian

Term
_____ _____ carries venous blood to the lungs from the rt ventricle
Definition
pulmonary arteries
Term
___ ___ carry oxygenated blood from the lungs to the left atrium
Definition
pulmonary veins
Term
azygos vein drains the
Definition
rt posterior intercostal veins, the hemiazygos and accessory hemiazygos veins, and esophageal and mediastinal veins
Term
longer rotation time= ___ mAs possible and __ patient motion
Definition
^ mAs and ^ motion= loss of image quality
Term
shorter rotation time= ___ patient motion
Definition
Term
pleural effusion
Definition
fluid accumulation between layers of lung
Term
parietal and visceral layers. which is outer layer
Definition
parietal
Term
each lung has how many lobes
Definition

left- 2

right- 3

Term
reasons to do High resolution chest
Definition

diffuse pulmonary disease

suspected bronchiectasis, pulmonary fibrosis, sarcoidosis and pneumonitis

asbestosis

air trapping

extent of emphysema

Term
division of bronchus
Definition
main bronchus-- bronchioles-- terminal bronchioles-- alveoli--acinus
Term
lung hila contains the following structures
Definition

bronchus intermediate

pulmonary artery

sup. and inf. pulmonary veins

bronchial arteries and veins

hilar lymph nodes

nerves

Term
signs on high res that may indicate the presence of chronic infiltrative lung disease
Definition
presence of thickened interlobular septa, irregular linear attenuation, cystic airspaces, small nodules, ground-glass attenuation, and parenchymal consolidation
Term
asbestos exposure can cause
Definition
pleural effusion or calcification or lung CA
Term
air trapping
Definition
retention of excess gas during expiration. caused by emphysema, asthma, infiltrative lung disease
Term
PE threshold recommended
Definition
130 HU
Term
dissection occurs when
Definition
blood tears thru the inner lining (intima) of the aorta and travels btwn layers of the aortic wall
Term
risk factors for dissection
Definition

athersclerosis

HTN

traumatic injury

Term
aneurysm definition
Definition
weakening and abnormal widening of vessel wall
Term
risk factors for aneurysm
Definition

athersclerosis

HTN

trauma

Marfan's sydrome

Term
valve btwn rt atrium and rt ventricle
Definition
tricuspid
Term
valve that pushes blood from lt atrium to lt ventricle
Definition
aortic
Term
blood flow thru heart
Definition
SVC and IVC to rt atrium>> rt ventricle>> pulmonary artery>> lungs>> pulm veins>> lt atrium>> lt ventricle>> aorta
Term
__ __ __ arises from the rt anterior aortic sinus and provides most of the blood to RT side of heart
Definition
rt coronary artery
Term
left main coronary artery arises from the left anterior aortic sinus and supplies blood to
Definition
the anterior, apical, and lateral alls of the left ventricle
Term
____ follows the left part of coronary sulcus and provides blood to the posterior and inferior walls of the lt ventricle
Definition
circumflex
Term
2 techniques used in cardiac imaging to reduce motion artifacts
Definition

prospective triggering technique

 

retrospective gating

Term
prospective triggering technique
Definition
a trigger signal is derived from the pt's EKG that estimates the RR interval based on the current RR
Term
pros and cons of prospective triggering technique
Definition

+ min rad exp, shorter scan times

- lack of volume acquisition and need for large slices to reduce scan times= poor spatial resolution

Term
retrospective gating
Definition

ECG signal and start of data acquisition are recorded with the data image with continuous acquisition.

images are reviewed off-line and recon'ed retrospecitvely.

Term
pro of retrospective gating
Definition
^ spatial resolution and 3D recon
Term
2 forms of coronary artery eval by CT
Definition

calcium scoring

CTAs

Term
how does calcium scoring work
Definition

scanner localizes and quantifies the presence and amnt of calcium in coronary arteries.

computer measures area of cal and total all areas

Term
name of the score used in calcium scoring
Definition

Agatston

 

^ Agatston score= ^ risk of CAD

Term
virtual colonoscopies have a high senstivity __% for detecting pt's with colon polyps >10mm.
Definition
90
Term
why scan a pt prone for a stone study?
Definition
for suspected renal calc lodged in distal ureter or passed into bladder
Term
what attaches the stomach to the liver and pancreas?
Definition
lesser omentum
Term
portion of the peritoneal cavity located anterior to all of the bowel loops
Definition
greater omentum
Term
duodenaljejunal flexure contains what ligament
Definition
ligament of Treitz
Term
CT colon visualizes what of the colon and a con of it
Definition
mucosal surface of the colon.. cant be bx'ed during the procedure and pt receives radiation
Term
some functions of the liver
Definition

bile production

vitamin secretion

hemoglobin processing

enzyme manufacturing

toxin filtering

metabolism of drugs

Term
___ lobe forms the floor for porta hepatis
Definition
caudate
Term
___ lobe is a portion of the left lobe
Definition
quadrate
Term
separates ant and post liver
Definition
ligamentum venosum
Term
hepatic artery is a branch of the celiac trunk and supplies __% of the blood to the liver
Definition
15
Term
remaining __% of the liver's blood supply comes from the portal vein, which is comprised of the SMV and splenic vein
Definition
85
Term
___ ___ transports all materials absorbed thru the GI tract- nutrient or toxin
Definition
portal vein
Term
porta hepatis houses which structures
Definition

proper hepatic artery

main portal vein

common hepatic duct

Term
primary liver tumors are supplied by
Definition
hepatic artery
Term
tri-phase is used for
Definition

masses seen on u/s

r/o hepatocellular carcinoma in pts with cirrohosis

mets

trauma

eval liver donors

Term
hypovascular tumors enhance during ___ ___ phase
Definition
portal venous
Term
functions of pancreas
Definition
produce insulin and secrete digestive enzymes that are produced and emptied into the pancreatic duct
Term
what produces insulin
Definition
Islet cells/ Islet of Langerhans
Term
2 functions of bile
Definition
aiding in fat digestion
aiding in removal of toxins from the liver
Term
white pulp
Definition
tissue of spleen
masses of lymphoid tissue
Term
red pulp
Definition
tissue of spleen
creates new RBS and destroys old ones
Term
splenic artery serves what organs
Definition
spleen stomach and pancreas
Term
parenchyma
Definition
surrounds renal sinus
consists of outer cortex and a central medulla
Term
contains glomeruli
Definition
cortex
Term
consists of tubules where the filtration takes place
Definition
medulla
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