Hiatal Hernia Radiography Quiz
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Questions and Answers

What radiographic sign is associated with a sliding hiatal hernia?

  • Ringlike construction at the distal esophagus
  • Barium in fundus, air in pylorus
  • Schatzki's ring (correct)
  • Caterpillar appearance

    • Which x-ray position is best for visualizing an ulcer in the duodenal bulb without superimposition?

  • RAO projection
  • UGI- LPO (correct)
  • Right lateral view
  • AP stomach view

    • What is the most common location for a peptic ulcer to be found?

  • Esophagus
  • Duodenal bulb (correct)
  • Pylorus
  • Fundus

    • What does HPS stand for and how does it appear under ultrasound?

    <p>Hypertrophic pyloric stenosis, caterpillar appearance</p> Signup and view all the answers

    What is the recommended method for repairing a hiatal hernia?

    <p>Laparoscopic hiatus repair: wrapping the fundus around the lower esophagus and suturing to keep in place and avoid acid reflux</p> Signup and view all the answers

    Where is stomach cancer most commonly found?

    <p>Antrum and pylorus</p> Signup and view all the answers

    What radiographic sign is associated with rolling hiatal hernia?

    <p>Portion of the stomach rolls up alongside esophagus</p> Signup and view all the answers

    What causes acquired hypertrophic pyloric stenosis (HPS)?

    <p>Extrinsic pressure and healing ulcer tissue formation</p> Signup and view all the answers

    What demonstrates an obstruction that requires surgery or endoscopy?

    <p>Single or double points of obstruction</p> Signup and view all the answers

    What does PUD stand for?

    <p>Peptic Ulcer Disease</p> Signup and view all the answers

    Which radiographic appearance is characteristic of Crohn’s disease?

    <p>Cobblestone</p> Signup and view all the answers

    What condition primarily impacts the rectosigmoid region of the colon?

    <p>Ulcerative colitis</p> Signup and view all the answers

    What is the study of biliary ducts called?

    <p>Choleography</p> Signup and view all the answers

    What involves the mucosa and submucosa and multiple bowel wall layers?

    <p>Crohn’s disease</p> Signup and view all the answers

    What occurs commonly near the ileocecal valve, and gradually leads to obstruction?

    <p>Intussusception</p> Signup and view all the answers

    What cancer is found in the rectosigmoid region most commonly?

    <p>Colon cancer</p> Signup and view all the answers

    Where is a T-tube inserted?

    <p>Common bile duct</p> Signup and view all the answers

    What does a T-tube do?

    <p>Carries bile from gallbladder to small intestine</p> Signup and view all the answers

    What is induced during laparoscopic surgery for improved visibility and access to abdominal organs?

    <p>Pneumoperitoneum</p> Signup and view all the answers

    What involves the terminal ileum (end portion of small intestine)?

    <p>Crohn's disease</p> Signup and view all the answers

    Excess bilirubin in the body is known as:

    <p>Jaundice</p> Signup and view all the answers

    What radiographic sign is associated with a sliding hiatal hernia?

    <p>Ringlike construction at the distal esophagus</p> Signup and view all the answers

    What is the recommended method for repairing a hiatal hernia?

    <p>Laparoscopic hiatus repair</p> Signup and view all the answers

    Where is stomach cancer most commonly found?

    <p>Antrum and pylorus</p> Signup and view all the answers

    What does HPS stand for and how does it appear under ultrasound?

    <p>Hypertrophy and hyperplasia of smooth muscle, caterpillar appearance</p> Signup and view all the answers

    What is the study of gallbladder called?

    <p>Cholecystography</p> Signup and view all the answers

    What is the non-invasive procedure that is used to examine the colon?

    <p>Virtual colonoscopy</p> Signup and view all the answers

    What involves the terminal ileum (end portion of small intestine)?

    <p>Crohn's disease</p> Signup and view all the answers

    What cancer is found in the rectosigmoid region most commonly?

    <p>Colon cancer</p> Signup and view all the answers

    What does a T-tube do?

    <p>It carries bile from the liver and gallbladder to the small intestine.</p> Signup and view all the answers

    What radiographic sign is associated with rolling hiatal hernia?

    <p>Bird's beak sign</p> Signup and view all the answers

    Study Notes

    Hiatal Hernia

    • A sliding hiatal hernia is associated with the "gastric bubble" radiographic sign.
    • The recommended method for repairing a hiatal hernia is laparoscopic surgery.

    Peptic Ulcer

    • The most common location for a peptic ulcer to be found is the duodenal bulb.
    • A ulcer in the duodenal bulb without superimposition can be visualized on an RAO (right anterior oblique) x-ray position.
    • PUD stands for Peptic Ulcer Disease.

    Hypertrophic Pyloric Stenosis (HPS)

    • HPS stands for Hypertrophic Pyloric Stenosis.
    • Under ultrasound, HPS appears as a thickened pyloric muscle.
    • Acquired HPS is caused by peptic ulcer disease.

    Intestinal Obstruction

    • A "string of beads" sign demonstrates an obstruction that requires surgery or endoscopy.

    Crohn's Disease

    • The characteristic radiographic appearance of Crohn's disease is a "cobblestone" pattern.

    Colonic Disease

    • The condition that primarily impacts the rectosigmoid region of the colon is diverticulitis.
    • Cancer is found in the rectosigmoid region most commonly.

    Biliary System

    • The study of biliary ducts is called cholangiography.
    • The study of gallbladder is called cholecystography.
    • A T-tube is inserted into the bile duct and helps to drain bile.

    Surgical Procedures

    • During laparoscopic surgery, pneumoperitoneum is induced for improved visibility and access to abdominal organs.
    • Crohn's disease often involves the terminal ileum (end portion of small intestine).

    Miscellaneous

    • Excess bilirubin in the body is known as jaundice.
    • A non-invasive procedure that is used to examine the colon is virtual colonoscopy.

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    Description

    Test your knowledge of hiatal hernia radiography with this quiz. Identify different types of hiatal hernias and their radiographic signs.

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