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1. Be able to label Kidney, Vena Cava, Descending Aorta, liver, spine, small intestine (will make
obvious), spleen, stomach - Answer:
2. What is the function of the Alimentary Tract? How far does it extend? And what organs makes
up the Alimentary tract? - Answer: • Major portion of the GI system
• Serves to digest and absorb food
• Extends from mouth to the anus
• Mouth, pharynx, esophagus, stomach, small bowel, large bowel and rectum
3. Give 3 facts about the esophagus from this lecture (review) - Answer: • Esophagus
• 10-12 inches long
• Extends from the posterior pharynx to the stomach
• Enters stomach at the gastroesophageal junction
4. Give 3 facts about the small bowel from this lecture - Answer: • Duodenum, jejunum and
Ileum
• Arises from the stomach at the duodenal bulb and courses to the ileocecal valve
• Over 21 feet
5. What is the course of the large bowel? **be able to write this list - Answer: • Cecum
• Orifices for the terminal ileum and the appendix,
• Ascending colon and hepatic flexure,
• Transverse colon and splenic flexure,
• Descending colon,
• Sigmoid,
• Rectum
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,• Anus
6. What are 5 possibilities of evaluation when a KUB is ordered? **know this list - Answer: •
Vascular and other types of calcifications
• Soft tissue trauma
• Preliminary radiograph for other procedures
• R/O bowel obs and perfs
• Tube placement
7. What type of contrast is used in a fluoroscopic exam? - Answer: • Fluoroscopic exams require
positive and negative contrast agents for visualization
• Barium unless perf then gastrogaffin
• Air
8. What can aspiration of gastrografin lead to? - Answer: • leads to pulmonary edema,
pneumonitis or death
9. What four reasons an Upper GI is performed - Answer: • Stomach contour
• Position of the stomach/intestines
• Rugae folds
• Peristaltic changes as stomach fills and empties
10. What is demonstrated in fluoro upper GI: - Answer: • PA supine: entire stomach and
duodenal bulb
• RAO: Pyloric canal and duodenal bulb
• Rt lateral: Duodenal bulb, duodenal loop and retrogastric space
• LPO: gastric fundus
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,11. In a small bowel series, why is barium used? - Answer: GI motility and abnormalities
12. At what point during a small bowel exam is it considered complete? - Answer: When it
reaches the ileocecal valve
13. What three reasons is a barium enema performed? - Answer: Demos abnormalities,
intraluminal neoplasms and mucosal lining
14. Define Enterostomy - Answer: • stoma created on the abdominal wall to allow drainage of
bowel contents into a closed pouch hung outside of the body
15. Define Colostomy- and two examples of placement - Answer: • stoma from the colon
• Placed in sigmoid or descending colon due to rectal or colon CA
• Placed in the transverse or ascending colon are for diversion of flow of colonic contents
(temporary)
16. Define Ileostomy- Why is it placed? - Answer: • stoma from the ileum
• Placed for ulcerative colitis
17. Define Jejunostomy/Duodenostomy- Why is it placed? - Answer: • stoma from the jejunum
or duodenum
• Placed for loss of electrolytes while patient requires parenteral nutrition
18. What three reasons would a CT be ordered for the GI system (in general) - Answer: • When
a bowel obstruction is suspected
• Staging GI malignancies
• Dx Inflammatory conditions
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, 19. What three reasons would a CT colon be performed (specifically) - Answer: • Neoplastic
disease
• Diverticulitis
• Appendicitis
20. Is CT used for determining radiation therapy protocols? - Answer: Yes
21. What are the three reasons for Gastric Tubes? - Answer: Aspiration of gastric contents to
help control nausea
Decompression and removal of gastric contents due to bowel dysfunction or surgery
Nutritional support or medication
22. What is a Levin tube? Know how to identify on an xray - Answer: Most common NG tube
Single lumen tube seen on an xray
23. What is a Dobhoff tube used for? Know how to identify on an xray - Answer: Delivers
nutrition directly to the duodenum or jejunum
24. Define Atresia - Answer: Congenital absence or closure of a normal body orifice or tubular
organ
25. What is Esophageal atresia and how is it seen? - Answer: • Congenital anomaly (4th-6th
week of gestation)
• Esophagus fails to develop past a certain point
• Seen with contrast with an NG tube on a CXR as a pouching and inability to pass through to
the stomach
26. What are three facts about ileal atresia? - Answer: a. Congenital
b. Discontinuation of the ileum (most common)
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