Radiographic Chapter 25
Which of the following arteries is not found in the lower limb?
Popliteal
Peroneal
Dorsalis pedis
Deep palmar
Deep palmar
The medical term meaning an instrument used to record the electrical activity of the heart is:
angiography
arteriogram
electrocardiograph
venogram
electrocardiograph
What is the largest lymph vessel in the body?
Thoracic duct
Inguinal duct
Axillary duct
Intestinal duct
Thoracic duct
Which of the branches of the abdominal aorta is considered the most superior?
Superior mesenteric artery
Hepatic artery
Celiac
artery
Renal arteries
Celiac artery
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
The contrast medium of choice for angiography is:
ionic iodinated.
tri-iodinated.
nonionic water-soluble
iodinated.
oil-based iodinated.
nonionic water-soluble iodinated.
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
The artery identified in the figure below labeled 1 is
left coronary
right coronary
circumflex
obtuse marginal
right coronary
The medical term meaning rapid breathing is:
tachypnea
thrombocytopenia
thrombocyte
tachycardia
tachypnea
In the medical term thromb/osis, the word root means:
gland
electrical activity
lymph
(blood) clot
(blood) clot
The S-shaped portion of the internal carotid artery is termed the:
sigmoid portion.
carotid sinus.
carotid
bifurcation.
carotid siphon.
carotid siphon.
The radiographic recording of blood vessels on movie IR is termed:
angiography
arteriography
cinefluorography
serial
radiographic IRing
cinefluorography
What is the name of the technique commonly used to introduce a catheter into a vessel?
Direct stick
Over the needle
Myer
Seldinger
Seldinger
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
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
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
Which imaging modality has largely replaced venograms?
MRI
CT
Color duplex ultrasound
Nuclear medicine
Color duplex ultrasound
The word root referring to (blood) vessels that carry blood away from the heart is:
cardi
arteri
angi
thromb
arteri
In the medical term phleb/itis, the word root means:
vein
gland
spleen
heart
vein
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
The artery identified in the figure below is the:
left
vertebral
right vertebral
right common carotid
left
internal carotid
right vertebral
The correct spelling of the medical term meaning incision into a vein is:
flebotomy
phlebotomy
phlemotomy
flebetomy
phlebotomy
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
An example of a nonvascular interventional procedure is:
nephrostomy.
thrombolysis.
stent placement.
embolization of a vessel.
nephrostomy
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
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
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
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
The artery in the figure labeled 1 below is the ____ artery.
celiac
inferior mesenteric
renal
hepatic
hepatic
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
The central organ of the blood-vascular system is the:
brain
lung
heart
aorta
heart
The prefix that completes the medical term meaning rapid heart rate, ______/cardi/a, is:
ac-
graph-
brady-
tachy-
tachy-
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
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
The medical term meaning disease of the heart is:
cardiac
cardiomegaly
cardiopathy
bradycardia
cardiopathy
The word part meaning electrical activity is:
aden
electr
lymph
thromb
electr
The cardiologist ordered ____________________, or radiographic imaging of a blood vessel, for her patient prior to cardiac catheterization.:
venogram
arteriogram
angioplasty
angiography
angiography
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
The term that describes blood pressure that is above normal (greater than 140/90 mm Hg) is:
hypotension
hypertension
aneurysm
pulse
hypertension
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
In the medical term arteri/o/sclerosis, the suffix means a(n):
enlargement
abnormal reduction in number
hardening
instrument to record
hardening
The artery identified in the figure below labeled 2 is the ____
artery.
left coronary
right coronary
circumflex
obtuse marginal
left coronary
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
In the medical term cardi/ac, the suffix means:
enlargement
hardening
instrument to record
pertaining to
pertaining to
Which vessel carries blood from the lungs to the left atrium of the heart?
Pulmonary vein
Pulmonary artery
Coronary vein
Azygos vein
Pulmonary vein
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
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
The medical term for swelling caused by the accumulation of clotted blood in the tissues is:
phlebotomy
venogram
hemostasis
hematoma
hematoma
The medical term meaning causing a (blood) clot is:
thrombogenic
thrombocytopenia
thrombophlebitis
thrombosis
thrombogenic
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
The medical term meaning a sudden blocking of an artery by foreign material is:
embolism
hemorrhage
myocardial infarction
cardiac catheterization
embolism
The muscular wall of the heart is called the:
myocardium
epicardium
endocardium
pericardium
myocardium
The artery in the figure labeled 2 below is the ____ artery.
superior messenteric
inferior mesenteric
splenic
renal
superior messenteric
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
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
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
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
What is the most common arterial site of catheterization for selective angiography?
Brachial
Femoral
Axillary
Carotid
Femoral
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.
The medical term meaning (blood) clotting cell is:
tachypnea
thrombocytopenia
thrombocyte
erythrocytopenia
thrombocyte
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
The prefix that completes the medical term meaning slow heart rate, _______/cardi/a, is:
ac-
graph-
brady-
tachy-
brady-
The word part _____/oma that completes the medical term meaning tumor of lymph tissue is:
ven
thromb
lymph
phleb
lymph
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
The word part meaning instrument used to record is:
-ac
-graph
brady-
tachy-
-graph
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
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
Where do the openings for the coronary arteries originate?
Ascending aorta
Aortic arch
Aortic bulb
Left
ventricle of the heart
Aortic bulb
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
Where is the contrast media most often injected during a lymphangiogram?
Arm
Neck
Hands or feet
Abdomen
Hands or feet
The medical term meaning enlargement of the spleen is:
splenomegaly
hematoma
lymphoma
splenectomy
splenomegaly
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.
Which vein is commonly used to draw blood from the arm?
Cephalic
Basilic
Median cubital
Brachial
Median cubital
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
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
Which heart valve is located between the left atrium and the left ventricle?
Pulmonary valve
Mitral valve
Aortic valve
Tricuspid valve
Mitral valve
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
The medical term meaning abnormal reduction of red (blood) cells is:
tachypnea
thrombocytopenia
thrombocyte
erythrocytopenia
erythrocytopenia
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.
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
The artery in the figure labeled 4 below is the ____ artery.
superior mesenteric
inferior mesenteric
renal
iliac
inferior mesenteric
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
The medical term meaning inflammation of a vein accompanied by clots is:
leukocytopenia
lymphadenitis
thrombogenic
thrombophlebitis
thrombophlebitis
Which veins drain blood from the cranial and orbital cavities?
Internal jugular veins
Vertebral veins
Brachiocephalic
veins
External jugular veins
Internal jugular veins
Which of the following drugs would be given during infusion therapy to control internal bleeding?
Papaverine
Sodium nitroprusside
Pitressin
Paclitaxel
Pitressin
The medical term meaning inflammation of the lymph glands is:
leukocytopenia
lymphadenitis
thrombogenic
thrombophlebitis
lymphadenitis
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
Which imaging modality has largely replaced lymphography?
MRI
CT
Ultrasound
Nuclear medicine
CT
The most widely used method of catheterization for selective angiography is known as the ____ method.
Amplatz
Stecher
Seldinger
Schüller
Seldinger
The medical term meaning disease of the lymph glands is:
leukemia
thrombocytopenia
lymphadenopathy
lymphoma
lymphadenopathy
Which is the longest vein in the body?
Great saphenous vein
Inferior vena cava
Femoral
vein
Popliteal vein
Great saphenous vein
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
The correct spelling of the medical term meaning excision of the spleen is:
spleenectomy
splenectomy
phlebotomy
arteriorrhexis
splenectomy
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
The artery identified in the figure below is the:
brachiocephalic
left subclavian
right subclavian
right common carotid
brachiocephalic
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
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
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
Injection flow rate in angiography is not affected by:
viscosity of contrast media.
length and diameter of
catheter.
injection pressure.
body temperature.
body temperature.
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
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.
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
The medical term meaning radiographic image of the arteries is:
angiography
arteriogram
electrocardiograph
venogram
arteriogram
The word root referring to blood vessels that carry blood back to the heart is:
lymph
spleen
angi
ven
ven
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
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
The word root meaning gland is:
aden
splen
lymph
thromb
aden
The portal vein carries blood from the abdominal digestive track to the:
inferior vena cava.
spleen.
kidneys.
liver.
liver
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
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
The medical term meaning puncture of a vein to remove blood is:
venogram
venipuncture
intravenous
phlebitis
venipuncture
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
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
The word root referring to tubelike structures that carry blood throughout the body, including arteries, veins, and capillaries is:
cardi
arteri
angi
thromb
angi
Which veins drain blood from the scalp and facial region?
Internal jugular veins
Vertebral veins
Brachiocephalic
veins
External jugular veins
External jugular veins
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
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
Which vessel is the preferred site for arterial puncture for most angiography?
Femoral artery
Brachial artery
Subclavian artery
External iliac artery
Femoral artery
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
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
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
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
The medical term meaning suturing of a (blood) vessel is:
angioplasty
angiorrhaphy
venography
phlebotomy
angiorrhaphy
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
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
The term that describes blood pressure that is below normal (less than 90/60 mm Hg) is:
hypotension
hypertension
aneurysm
pulse
hypotension
The artery in the figure labeled 3 below is the ____ artery.
celiac
inferior mesenteric
renal
hepatic
renal
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
Blood is supplied to the myocardium by the:
atria
right ventricle
left ventricle
coronary arteries
coronary arteries
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
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
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
Which of the following pumps deoxygenated blood into the pulmonary artery?
Right ventricle
Left ventricle
Inferior vena cava
Superior vena cava
Right ventricle
The medical term meaning stopping (the flow of) blood is:
intravenous
venogram
hemostasis
hematoma
hemostasis
Which element of blood promotes blood clotting?
Plasma
Leukocytes
Platelets
Erythrocytes
Platelets
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