RADI 108 - Biliary/Circulatory System

The liver produces a large amount of bile per day, about how much does it produce?

1 quart

what are the 3 parts of the gallbladder

fundus, body, neck

What two ducts join to form the common bile duct?

common hepatic and cystic duct

what are the 4 lobes of the liver

right, left, quadrate, caudate

What is the most common site for impaction of gallstones?

hepatopancreatic ampulla

True or false: Laparoscopic cholecystectomys are being replaced nationwide with the operative cholangiogram.

false

True or false: An ERCP involves the direct puncture of the biliary ducts with a needle passing through the liver.

false

What portion of the duodenum does the biliary duct enter?

descending

If you have a hypersthenic patient, how many degrees should you rotate your LAO to show the GB away from the spine?

15-20

What is a possible risk (s) of a Percutaneous Transhepatic Cholangiogram?

liver hemorrhage and bile escaping into peritoneal cavity

How many ccs of bile can the gallbladder store?

30-40

what are the 3 primary functions of the gallbladder

store bile, concentrate bile, contract

What is the name of the ligament that separates the right lobe of the liver from the quadrate lobe of the liver?

there is no ligament that separates the rt from the quadrate

True or false: "A fatty meal" could be given to make the gallbladder contract.

true

Approximately what level does the aorta bifurcate into the common iliac arteries?

L4

what are the 3 major branches of the coronary sinus?

small, middle, great

True or false: The carotid arteries provide anterior circulation to the brain and the vertebrals provide posterior circulation to the brain.

true

what are the 3 major functions of the cardiovascular system?

removal of waste products, maintenance of body temp, transportation of oxygen for normal body function

what does the brachiocephalic artery divide into (on a normal pt)

rt subclavian and rt common carotid artery

True or false: When listening for a pt's blood pressure, the diastolic phase is when the atria and ventricles contract.

false

what continues on as the dorsalis pedis in the lower limb

anterior tibial

True or false: The internal iliac arteries supply blood to the lower limbs

false

Blood is returned from below the diaphragm to the right atrium by what major vessel?

inferior vena cava

What is the name of the largest lymph vessel in the body?

thoracic duct

which dura mater sinus continues as the internal jugular

sigmoid sinus

What is the name of the longest vein in the body?

great saphenous

When discussing the heart, which muscle wall is 3 times as thick as the other side?

left

Where is the mitral valve located?

between the left atrium and left ventricle

The superior mesenteric artery supplies blood to where

pancreas, small and large intestine

True or false: Lymph fluid only moves in one direction - towards the tissues.

false

The portal system drains blood from where?

digestive system, spleen, small intestine

The _______ carry deoxygenated blood to the lungs and the _________ carry the oxygenated blood back to the heart from the lungs.

pulmonary arteries, pulmonary veins

Of the variations of the aorta, how is the arch positioned in the body if the person has an inverse aorta?

to the right

True or false: Plasma repairs tears in blood vessel walls and promotes blood clotting

false

What is the correct sequence of vessels starting from the aortic arch down the left arm?

subclavian, axillary, brachial, ulnar, radial, etc

The sinuses of the dura mater are situated where

between the two layers of the dura mater

How many segments are there of the thoracic aorta?

4

The venous system of the upper and lower limbs can be divided into two main sets. What are these sets?

superficial and deep

True or false: If you were to look at a patient in a lateral view, the vertebral artery would appear more anterior than the common carotid

false

what are the 5 branches of the circle of willis?

branches of internal carotids, anterior cerebral, posterior cerebral, anterior and posterior communicating

Which contrast has a higher osmolality, ionic or nonionic?

ionic

Which of the following is within the normal range for creatinine levels?

1.2

What is a common drug used for premedicating a pt prior to an injection?

benadryl

What is the most common injection site?

median cubital

If a patient swallowed a barium sulfate and water mixture along with some air (gas pills) and was lying in an RAO position, where would the air and barium be located?

air would be in the fundus, barium would be in the body and pylorus

The abdominal segment of the esophagus is termed

cardiac antrum

what are the 4 parts of the duodenum

superior, descending, horizontal, ascending

Approximately how high should the BE bag be hung over the table?

no more than 24"

If your pt is laying on his/her stomach, where would the barium (BE study) be located primarily?

transverse colon

Which exam is referred to as a small bowel enema?

intubation method

What percentage of the plasma consists of water?

92%

What does the coronary sinus system do?

returns deoxygenated blood to the heart

Which of the following veins is the major tributary for returning blood from the chest to the vena cava?

azygos

Which of the following is a superficial vein of the upper limb?

basilic

the right lymph duct drains ...