Radiographic Chapter 25

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1

Which of the following arteries is not found in the lower limb?

Popliteal
Peroneal
Dorsalis pedis
Deep palmar

Deep palmar

2

The medical term meaning an instrument used to record the electrical activity of the heart is:

angiography
arteriogram
electrocardiograph
venogram

electrocardiograph

3

What is the largest lymph vessel in the body?

Thoracic duct
Inguinal duct
Axillary duct
Intestinal duct

Thoracic duct

4

Which of the branches of the abdominal aorta is considered the most superior?

Superior mesenteric artery
Hepatic artery
Celiac artery
Renal arteries

Celiac artery

5

The abbreviation for the term meaning a surgical technique to bring new blood supply to heart muscles by detouring around blocked arteries is:

CBC
CHF
CABG
CAD

CABG

6

The contrast medium of choice for angiography is:

ionic iodinated.
tri-iodinated.
nonionic water-soluble iodinated.
oil-based iodinated.

nonionic water-soluble iodinated.

7

Which position is most useful in preventing superimposition of the aortic arch and its branches with other structures during thoracic aortography?

Supine
Lateral
LAO
LPO

LAO

8
card image

The artery identified in the figure below labeled 1 is

left coronary
right coronary
circumflex
obtuse marginal

right coronary

9

The medical term meaning rapid breathing is:

tachypnea
thrombocytopenia
thrombocyte
tachycardia

tachypnea

10

In the medical term thromb/osis, the word root means:

gland
electrical activity
lymph
(blood) clot

(blood) clot

11

The S-shaped portion of the internal carotid artery is termed the:

sigmoid portion.
carotid sinus.
carotid bifurcation.
carotid siphon.

carotid siphon.

12

The radiographic recording of blood vessels on movie IR is termed:

angiography
arteriography
cinefluorography
serial radiographic IRing

cinefluorography

13

What is the name of the technique commonly used to introduce a catheter into a vessel?

Direct stick
Over the needle
Myer
Seldinger

Seldinger

14

Which vessel in the brain supplies blood primarily to the anterior portion of the brain?

Basilar artery
External carotid artery
Internal carotid artery
Vertebral arteries

Internal carotid artery

15

Which of the following functions is not performed by the lymphatic system?

Synthesizing certain amino acids
Transferring fats from intestine to the blood
Filtering the lymph
Returning proteins and other substances to the blood

Synthesizing certain amino acids

16

Which vessel is formed when the vertebral arteries join together at the base of the skull?

Basilar artery
Middle cerebral artery
Anterior cerebral artery
Middle meningeal artery

Basilar artery

17

Which imaging modality has largely replaced venograms?

MRI
CT
Color duplex ultrasound
Nuclear medicine

Color duplex ultrasound

18

The word root referring to (blood) vessels that carry blood away from the heart is:

cardi
arteri
angi
thromb

arteri

19

In the medical term phleb/itis, the word root means:

vein
gland
spleen
heart

vein

20

What is the average dosage of contrast media injected during abdominal aortogram?

5 to 10 ml
15 to 20 ml
30 to 40 ml
100 to 120 ml

30 to 40 ml

21
card image

The artery identified in the figure below is the:

left vertebral
right vertebral
right common carotid
left internal carotid

right vertebral

22

The correct spelling of the medical term meaning incision into a vein is:

flebotomy
phlebotomy
phlemotomy
flebetomy

phlebotomy

23

The term that refers to a condition demonstrated by distended or tortuous veins usually found in the lower extremities is:

varicose vein
hemorrhage
aneurysm
embolism

varicose vein

24

An example of a nonvascular interventional procedure is:

nephrostomy.
thrombolysis.
stent placement.
embolization of a vessel.

nephrostomy

25

The term that refers to a malignant disease characterized by excessive increase in abnormal white blood cells formed in the bone marrow is:

leukemia
hemorrhage
aneurysm
embolism

leukemia

26

After receiving chemotherapy treatments for breast cancer, Elayne Jacobs develops fatigue related to __________________, or an abnormal reduction of red (blood) cells.

leukocytopenia
leukemia
erythrocytopenia
hematoma

erythrocytopenia

27

Which of the following is not a function of the cardiovascular system?

Producing red blood cells
Transporting oxygen, nutrients, and hormones
Removing waste products
Maintaining body temperature

Producing red blood cells

28

The abbreviation CBC was written on the new patient’s orders. The laboratory technologist performed a venipuncture on the patient to complete a(n):

emergency procedure consisting of artificial ventilation and external cardiac massage
puncture of a vein to remove blood
surgical technique to bring a new blood supply to the heart muscle
basic blood screening that rapidly provides information about the blood

basic blood screening that rapidly provides information about the blood

29
card image

The artery in the figure labeled 1 below is the ____ artery.

celiac
inferior mesenteric
renal
hepatic

hepatic

30

Which of the following vessels is not a major branch of the aortic arch?

Right common carotid artery
Left common carotid artery
Brachiocephalic artery
Left subclavian artery

Right common carotid artery

31

The central organ of the blood-vascular system is the:

brain
lung
heart
aorta

heart

32

The prefix that completes the medical term meaning rapid heart rate, ______/cardi/a, is:

ac-
graph-
brady-
tachy-

tachy-

33

Which of the following imaging modalities is recommended for biopsy of small and deep lesions within the abdomen?

Color duplex ultrasound
MRI
DSA
CT

CT

34

The computerized technique by which bone structures are subtracted from an image of bone and opacified vessels, leaving an unobscured image of the vessels is termed:

digital subtraction angiography
magnetic resonance imaging
percutaneous transluminal angioplasty
computed radiography (CR)

digital subtraction angiography

35

The medical term meaning disease of the heart is:

cardiac
cardiomegaly
cardiopathy
bradycardia

cardiopathy

36

The word part meaning electrical activity is:

aden
electr
lymph
thromb

electr

37

The cardiologist ordered ____________________, or radiographic imaging of a blood vessel, for her patient prior to cardiac catheterization.:

venogram
arteriogram
angioplasty
angiography

angiography

38

To prevent CAD, or __________________, healthy heart guidelines include routine physical exercise, a diet low in saturated fats, and regular check-ups with a health care professional.

myocardial infarction
coronary artery disease
congestive heart failure
coronary artery bypass graft

coronary artery disease

39

The term that describes blood pressure that is above normal (greater than 140/90 mm Hg) is:

hypotension
hypertension
aneurysm
pulse

hypertension

40

Which of the following provides blood to the majority of the small intestine and portions of the large intestine?

Celiac axis
Superior mesenteric artery
Inferior mesenteric artery
Common iliac arteries

Superior mesenteric artery

41

In the medical term arteri/o/sclerosis, the suffix means a(n):

enlargement
abnormal reduction in number
hardening
instrument to record

hardening

42
card image

The artery identified in the figure below labeled 2 is the ____ artery.

left coronary
right coronary
circumflex
obtuse marginal

left coronary

43

Which vein drains and receives blood from the intercostal, bronchial, esophageal, and phrenic veins?

Pulmonary vein
Inferior vena cava
Azygos vein
Superior vena cava

Azygos vein

44

In the medical term cardi/ac, the suffix means:

enlargement
hardening
instrument to record
pertaining to

pertaining to

45

Which vessel carries blood from the lungs to the left atrium of the heart?

Pulmonary vein
Pulmonary artery
Coronary vein
Azygos vein

Pulmonary vein

46

The nurse started an IV line to administer prescribed fluids and antibiotics in the vein. The meaning of the abbreviation IV is:

intravenous
venogram
hemostasis
hematoma

intravenous

47

Select the most likely angiographic procedure performed for each pathologic indication. (You may use each choice more than once.)

Coronary artery disease/angina
Evaluation of the aorta for pseudocoarctation
Stenosis/occlusion of the celiac or mesenteric arteries
Arteriovenous malformations
Atherosclerotic disease of lower limbs
Assessment of Hodgkin’s lymphoma
Peripheral swelling
Abdominal aortic aneurysm
Atypical chest pain
Cranial aneurysm

Angiocardiography

Thoracic angiography

Thoracic angiography

Abdominal angiography

Cerebral angiography

Peripheral angiography

Lymphography

Abdominal angiography

Angiocardiography

Cerebral angiography

48

The medical term for swelling caused by the accumulation of clotted blood in the tissues is:

phlebotomy
venogram
hemostasis
hematoma

hematoma

49

The medical term meaning causing a (blood) clot is:

thrombogenic
thrombocytopenia
thrombophlebitis
thrombosis

thrombogenic

50

The word root referring to the muscular cone-shaped organ the size of a fist and the pumping action that circulates blood throughout the body is:

cardi
arteri
angi
thromb

cardi

51

The medical term meaning a sudden blocking of an artery by foreign material is:

embolism
hemorrhage
myocardial infarction
cardiac catheterization

embolism

52

The muscular wall of the heart is called the:

myocardium
epicardium
endocardium
pericardium

myocardium

53
card image

The artery in the figure labeled 2 below is the ____ artery.

superior messenteric
inferior mesenteric
splenic
renal

superior messenteric

54

The lymph vessels are usually visualized within 1 hour after injection of contrast medium and the lymph nodes ____ later.

30 minutes
1 hour
12 hours
24 hours

24 hours

55

Which of the following vessels is not part of the circle of Willis?

Middle cerebral artery
Internal carotid artery
Posterior communicating artery
Anterior cerebral artery

Middle cerebral artery

56

A condition in which a ballooning of a weakened portion of an arterial wall is observed on the arteriogram is called a(n):

aneurysm
varicose vein
hemorrhage
leukemia

aneurysm

57

Which of the following comprises the circulatory system?
1.) Central nervous system
2.) Lymphatic system
3.) Blood-vascular system

1 and 2
1 and 3
2 and 3
1, 2, and 3

2 and 3

58

What is the most common arterial site of catheterization for selective angiography?

Brachial
Femoral
Axillary
Carotid

Femoral

59

The most common reason or clinical indication for a percutaneous biliary drainage is:

infusion therapy.
palliative procedure for unresectable malignant disease.
biliary stone removal.
repair duct that is leaking bile.

palliative procedure for unresectable malignant disease.

60

The medical term meaning (blood) clotting cell is:

tachypnea
thrombocytopenia
thrombocyte
erythrocytopenia

thrombocyte

61

The lymphatic system drains into the:

aorta
duodenum
kidneys
junction of the left subclavian and internal jugular veins

junction of the left subclavian and internal jugular veins

62

The prefix that completes the medical term meaning slow heart rate, _______/cardi/a, is:

ac-
graph-
brady-
tachy-

brady-

63

The word part _____/oma that completes the medical term meaning tumor of lymph tissue is:

ven
thromb
lymph
phleb

lymph

64

Which of the following is not a contraindication for angiography?

Impaired renal function
Taking anticoagulant medication
Unstable cardiopulmonary status
None of the above; all are contraindications

None of the above; all are contraindications

65

The word part meaning instrument used to record is:

-ac
-graph
brady-
tachy-

-graph

66

The therapeutic radiologic procedure designed to dilate or reopen stenotic or occluded areas within a vessel is termed:

"gamma knife" therapy
percutaneous transluminal angioplasty
interventional radiology
transcatheter embolization

percutaneous transluminal angioplasty

67

Which two vessels deliver blood to the heart muscle?

Right and left pulmonary arteries
Right and left pulmonary veins
Right and left coronary arteries
Right and left cardiac arteries

Right and left coronary arteries

68

Where do the openings for the coronary arteries originate?

Ascending aorta
Aortic arch
Aortic bulb
Left ventricle of the heart

Aortic bulb

69

The term anemia is defined as a:

malignant disease characterized by an excessive increase in abnormal white blood cells

disease in which a reduction in the amount of hemoglobin in red blood cells occurs

puncture of a vein to remove blood

rapid loss of blood, as in bleeding

disease in which a reduction in the amount of hemoglobin in red blood cells occurs

70

Where is the contrast media most often injected during a lymphangiogram?

Arm
Neck
Hands or feet
Abdomen

Hands or feet

71

The medical term meaning enlargement of the spleen is:

splenomegaly
hematoma
lymphoma
splenectomy

splenomegaly

72

Uterine artery embolization is commonly performed to:

treat ovarian cancer.
treat infertility issues.
control life-threatening postpartum bleeding.
treat a rectouterine fistulae.

control life-threatening postpartum bleeding.

73

Which vein is commonly used to draw blood from the arm?

Cephalic
Basilic
Median cubital
Brachial

Median cubital

74

To avoid puncturing other organs during percutaneous gastrostomy, the stomach is filled with ____ during the procedure.

water-soluble contrast media
nitrogen
air
barium sulfate

air

75

The medical term meaning a condition in which the heart is unable to pump enough blood through the body to supply tissue and organs is:

cardiac catheterization
congestive heart failure
coronary artery bypass graft
coronary artery disease

congestive heart failure

76

Which heart valve is located between the left atrium and the left ventricle?

Pulmonary valve
Mitral valve
Aortic valve
Tricuspid valve

Mitral valve

77

Which of the following vessel(s) do/does not supply blood to the brain?

Right common carotid artery
Left common carotid artery
Vertebral arteries
Subclavian arteries

Subclavian arteries

78

The medical term meaning abnormal reduction of red (blood) cells is:

tachypnea
thrombocytopenia
thrombocyte
erythrocytopenia

erythrocytopenia

79

On the right side of the body, the subclavian artery is a branch of the:

brachiocephalic artery.
right common carotid artery.
right vertebral artery.
aortic arch.

brachiocephalic artery.

80

The word root referring to the lymphatic organ located in the upper left abdominal cavity that filters blood and acts as a blood reservoir is:

lymph
splen
angi
ven

splen

81
card image

The artery in the figure labeled 4 below is the ____ artery.

superior mesenteric
inferior mesenteric
renal
iliac

inferior mesenteric

82

Match each description with the correct interventional procedure term. (Use each choice only once.)

Cease blood flow to a site of pathology
A procedure wherein a clot or thrombus is disintegrated (lysed)
Placement of cagelike metal device in the lumen of a vessel
A procedure for patients at high risk for developing pulmonary emboli
A procedure for stone removal, biopsy, dilation of obstructed bile duct, internal and external drainage
Dilation of a stenosed vessel
A procedure to treat variceal bleeding caused by portal hypertension
A procedure for vertebral pain due to instability and compression fractures caused by osteoporosis and/or other reasons
A procedure performed to restore and stabilize a compression fracture by placing a balloon device with the body of the vertebra

Embolization

Thrombolysis

Stent placement

Inferior vena cava filter

Percutaneous biliary drainage (PBD)

Percutaneous transluminal angioplasty (PTA)

Transjugular intrahepatic portosystemic shunt (TIPS)

Percutaneous vertebroplasty

Kyphoplasty

83

The medical term meaning inflammation of a vein accompanied by clots is:

leukocytopenia
lymphadenitis
thrombogenic
thrombophlebitis

thrombophlebitis

84

Which veins drain blood from the cranial and orbital cavities?

Internal jugular veins
Vertebral veins
Brachiocephalic veins
External jugular veins

Internal jugular veins

85

Which of the following drugs would be given during infusion therapy to control internal bleeding?

Papaverine
Sodium nitroprusside
Pitressin
Paclitaxel

Pitressin

86

The medical term meaning inflammation of the lymph glands is:

leukocytopenia
lymphadenitis
thrombogenic
thrombophlebitis

lymphadenitis

87

The abbreviation for the term meaning a condition that reduces the flow of blood through the coronary arteries to the myocardium is:

CPR
CHF
CABG
CAD

CAD

88

Which imaging modality has largely replaced lymphography?

MRI
CT
Ultrasound
Nuclear medicine

CT

89

The most widely used method of catheterization for selective angiography is known as the ____ method.

Amplatz
Stecher
Seldinger
Schüller

Seldinger

90

The medical term meaning disease of the lymph glands is:

leukemia
thrombocytopenia
lymphadenopathy
lymphoma

lymphadenopathy

91

Which is the longest vein in the body?

Great saphenous vein
Inferior vena cava
Femoral vein
Popliteal vein

Great saphenous vein

92

Which of the following conditions contraindicates the use of a femoral approach during cerebral angiography?

Arterial aneurysm
Obese patient
Lack of pulsation in the femoral artery
Arteriovenous malformations

Lack of pulsation in the femoral artery

93

The correct spelling of the medical term meaning excision of the spleen is:

spleenectomy
splenectomy
phlebotomy
arteriorrhexis

splenectomy

94

The medical term referring to a diagnostic procedure performed by passing a catheter into the heart through a blood vessel to examine the condition of the heart and surrounding blood vessels is:

aneurysm
complete blood count
myocardial infarction
cardiac catheterization

cardiac catheterization

95
card image

The artery identified in the figure below is the:

brachiocephalic
left subclavian
right subclavian
right common carotid

brachiocephalic

96

What effect does the drug paclitaxel (Taxol) have within an artery?

Inhibits regrowth of vascular tissue
Vasoconstrictor
Vasodilator
Reduces clot formation

Inhibits regrowth of vascular tissue

97

Why is an introducer sheath used in many angiographic procedures?

To position guidewires
To reduce vessel trauma
For use only with angioplasty
For stent placement

To reduce vessel trauma

98

Which specific artery provides blood to the pelvic organs, including the bladder, rectum, reproductive organs, and pelvic muscles?

Superior mesenteric artery
Inferior mesenteric artery
Internal iliac artery
External iliac artery

Internal iliac artery

99

Injection flow rate in angiography is not affected by:

viscosity of contrast media.
length and diameter of catheter.
injection pressure.
body temperature.

body temperature.

100

What is the purpose of a heating device on an electromechanical injector?

To sterilize the contrast media
To expand the diameter of the catheter
To remove any possible air bubbles by heating the contrast media
To reduce the viscosity of the contrast media by keeping it near body temperature

To reduce the viscosity of the contrast media by keeping it near body temperature

101

The right common carotid artery branches into the external and internal carotid arteries at the level of:

C1-2.
C3-4.
C6-7.
T2-3.

C3-4.

102

After being diagnosed with leukemia, Gracie Jong was referred to a specialist who studies and treats diseases of the blood. This specialist is called a:

cardiologist
cardiology
hematologist
hematology

hematologist

103

The medical term meaning radiographic image of the arteries is:

angiography
arteriogram
electrocardiograph
venogram

arteriogram

104

The word root referring to blood vessels that carry blood back to the heart is:

lymph
spleen
angi
ven

ven

105

Which of the following vessels is not a typical puncture site for catheterization during angiography?

Brachial artery
External iliac artery
Femoral artery
Axillary artery

External iliac artery

106

Before his first appointment, the physician wrote an order for Mr. Rubros to have an EKG to record the electrical activity of the heart. This imaging technique is called a(n):

electrocardiography
angiography
venogram
electrocardiogram

electrocardiogram

107

The word root meaning gland is:

aden
splen
lymph
thromb

aden

108

The portal vein carries blood from the abdominal digestive track to the:

inferior vena cava.
spleen.
kidneys.
liver.

liver

109

What is the injection site for a lower limb venogram?

Popliteal vein
External iliac vein
Common iliac vein
Superficial vein in the foot

Superficial vein in the foot

110

Which venous channel is located within the inner aspect of the longitudinal fissure of the brain?

Sigmoid sinus
Straight sinus
Transverse sinus
Superior sagittal sinus

Superior sagittal sinus

111

The medical term meaning puncture of a vein to remove blood is:

venogram
venipuncture
intravenous
phlebitis

venipuncture

112

Gently holding the wrist and palpating the radial artery, the emergency medical technologist assessed the patient’s ___________, or number of times per minute the heartbeat is felt on an arterial wall.

hemorrhage
blood pressure
pulse
complete blood count

pulse

113

For the patient with chronic CHF, an enlargement of the heart visualized on chest radiographic images is common. The condition is called:

cardiomegaly
tachypnea
cardiopathy
angioplasty

cardiomegaly

114

The word root referring to tubelike structures that carry blood throughout the body, including arteries, veins, and capillaries is:

cardi
arteri
angi
thromb

angi

115

Which veins drain blood from the scalp and facial region?

Internal jugular veins
Vertebral veins
Brachiocephalic veins
External jugular veins

External jugular veins

116

The abbreviation referring to the death of a portion of the myocardium caused by lack of oxygen resulting from an interrupted blood supply is:

MI
CABG
CHF
ECG

MI

117

Alexandre Berme experienced a(n) __________________, or sudden blocking of an artery caused by foreign material, after a clot, which was made up of blood and fatty material, lodged at another point in his circulation.

aneurysm
phlebitis
embolism
hematoma

embolism

118

Which vessel is the preferred site for arterial puncture for most angiography?

Femoral artery
Brachial artery
Subclavian artery
External iliac artery

Femoral artery

119

After an episode of chest pain, Samuel Rubros was referred to a _______________, or specialist who studies and treats diseases of the heart.

cardiologist
cardiology
hematologist
hematology

cardiologist

120

The medical term hemorrhage is defined as a:

ballooning of a weakened portion of an arterial wall
rapid loss of blood, as in bleeding
device used for measuring blood pressure
distended or tortuous vein

rapid loss of blood, as in bleeding

121

Using an instrument that is designed to hear internal body sounds, the nursing student listens to her patient’s heartbeat. This instrument is called a:

sphygmomanometer
blood pressure
pulse
stethoscope

stethoscope

122

Guidewires come in a variety of shapes and sizes, and selection is based on:
1.) Injector pressure
2.) Access needle size
3.) Catheter

1 and 2
1 and 3
2 and 3
1, 2, and 3

2 and 3

123

The medical term meaning suturing of a (blood) vessel is:

angioplasty
angiorrhaphy
venography
phlebotomy

angiorrhaphy

124

Myocardial infarction is a life-threatening emergency. First responders on the scene of a person experiencing a heart attack should immediately begin CPR. The meaning of this abbreviation is:

cardiac catheterization
complete blood count
cardiopulmonary resuscitation
cardiopulmonary rescue

cardiopulmonary resuscitation

125

The nursing assistant checks the vital signs of patients upon their arrival to the clinic. Using a sphygmomanometer, she records the pressure exerted by the blood against the blood vessel walls. This pressure is called:

hypotension
hypertension
blood pressure
pulse

blood pressure

126

The term that describes blood pressure that is below normal (less than 90/60 mm Hg) is:

hypotension
hypertension
aneurysm
pulse

hypotension

127
card image

The artery in the figure labeled 3 below is the ____ artery.

celiac
inferior mesenteric
renal
hepatic

renal

128

The abbreviation for the term meaning a condition in which the heart is unable to pump enough blood through the body to supply tissues and organs is:

CPR
CHF
CABG
CAD

CHF

129

Blood is supplied to the myocardium by the:

atria
right ventricle
left ventricle
coronary arteries

coronary arteries

130

Which term describes a variation of the aorta in which the descending aorta is arched to the right?

Hyperarched aorta
Inverse aorta
Pseudocoarctation
Situs inversus

Inverse aorta

131

Which two vessels unite to form the portal vein?

Hepatic and superior mesenteric veins
Superior mesenteric and splenic veins
Splenic and renal veins
Hepatic and splenic veins

Superior mesenteric and splenic veins

132

LIST THE PATH OF BLOOD THROUGH THE HEART

The path of blood begins from the systemic organ system as deoxygenated blood. Systemic blood enters the heart by the path of the

which empties into the chamber called . Blood passes through the valve and into the chamber.

From there, it passes through a valve called, followed by entering into a main trunk called the . This begins the pulmonary circulation by passage of blood into the ________vessels carry blood to the lungs where they become oxygenated.

The blood exits the lungs by passageway of the

vessels and returns back into the this chamber of the heart .

Blood then passes through this valve

into the chamber of the heart.

From this chamber the blood is passed into the valve called the

to the chamber that is called which in turns carries the blood to all of the organ systems of the body.

Superior vena cava

Right Atium

Tricuspid Valve

Right Ventricle

Pulmonary semi-lunar valve

Pulmonary Trunk

Pulmonary Arteries

Pulmonary Veins

Right Atrium

Bicuspid

Right Atrium

Aortic Valve

Aorta

133

Which of the following pumps deoxygenated blood into the pulmonary artery?

Right ventricle
Left ventricle
Inferior vena cava
Superior vena cava

Right ventricle

134

The medical term meaning stopping (the flow of) blood is:

intravenous
venogram
hemostasis
hematoma

hemostasis

135

Which element of blood promotes blood clotting?

Plasma
Leukocytes
Platelets
Erythrocytes

Platelets

136

Eventually, the internal jugular vein connects with the ____ to form the brachiocephalic vein.

external jugular vein
subclavian vein
superior vena cava
vertebral vein

subclavian vein


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