Imaging and Neurological PT Flashcards

(41 cards)

1
Q

What are the 5 D’s and 3 N’s?

A

D’s
1. Dizziness
2. Diplopia
3. Dysphagia
4. Dysarthria
5. Drop Attacks

And
6. HA- worst ever could be impending CVA
7. Ataxia

3 N’s
8. Nausea/vomiting
9. Nystagmus
10. Numbness/paresthesia’s (face/extremities)

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2
Q

White matter is made up of _______ and is unmyelinated/ or myelinated?

A

axons
myelinated

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3
Q

Which common neurological condition affects white matter in the brain?

A

MS (Multiple Sclerosis)

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4
Q

Grey matter is made up of _____ bodies/ _______ and is unmyelinated or myelinated?

A

cell; dendrites
unmyelinated

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5
Q

Fluids: CSF, blood, and edema show up on a _____ and _____

A

MRI/CT

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6
Q

If too little or too much fluid is flowing through the brain this could cause what condition?

A

hydrocephalus (intercranial pressure)

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7
Q

CT stands for what?

A

Computed Tomography

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8
Q

A CT is computerized image reconstruction of multiple _____ of _______ and cannot be detected on an Xray

A

slices; tissue

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9
Q

CT Pro’s?
1.
2.
3.
4.
5.

A

fast
can pick up some soft tissue structures
can be done w/ medial implants
good for cortical bone anatomy
multiplanar views

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10
Q

CT Con’s?
1.
2.
3.

A

expensive
HIGH radiation exposure
accuracy of soft tissue demonstration depends on unit

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11
Q

You should order a CT in _______ situations such as trauma or stroke alert!

A

emergent

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12
Q

Contraindiactions to MRI:
1.
2.

A

pacemaker
medial implant

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13
Q

How to read a CT:

________ plane slices: pt is supine, so ANT. surface is at the top of each image slice

Looking upward at the anatomic structures from below so your _____ is the patient’s _____

________ plane slices: viewed from left to right

A

Transverse

right; left

Sagittal

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14
Q

When reading a CT start with a ______ image first to orient which cross section you are in

A

Scout

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15
Q

What is A and B’s position on the brain?

A

A. ANT
B. POST

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16
Q

Understanding the areas of damage on the imaging will help you anticipate what the patient’s ______ may be

A

symptoms

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17
Q

What does MRI stand for?

A

Magnetic Resonance Imaging

18
Q

A diagnosis of MS could be found on a CT or MRI better?

19
Q

An _____ is a method of exposing tissues to magnetic field and radiofrequency waves to detect properties of tissues and thereby produce images

20
Q

MRI Pro’s?
1.
2.
3.
4.
5.

A

GREAT for soft tissue
NO radiation exposure
multiplanar views
tissue characteristics are highly visible
GREAT accuracy

21
Q

MRI Con’s?
1.
2.
3.
4.
5.
6.

A

Slow
NO medial implants
NO pacemaker
Expensive
Claustrophobia
Less signal in cortical bone

22
Q

MRI prioritized?

  1. To confirm _____ of CT
  2. ____-______ situations
  3. Minimizing _____ ______
  4. Clearer image of _____ _____ necessary
A

diagnosis

non-mergent

radiation risk

soft tissues

23
Q

Swelling/Effusion will show up how on:

CT: ?
T1- W MRI: ?
T2- W MRI?

A

CT: gray/dark/hypodense
T1: low signal density (DARK)
T2: high signal intesnity (BRIGHT)

24
Q

Fat will show up how on:

CT: ?
T1- W MRI: ?
T2- W MRI ?

A

CT: dark/gray/black
T1: high signal intesnity (BRIGHT)
T2: intermediate signal intensity (GRAY)

25
With a T1 MRI, the fluid is _______ With a T2 MRI, the fluid is _______
dark white
26
Is this a T1 or T2 image?
T1
27
Is this a T1 or T2 image?
T2
28
If you have a patient with S&S of a neurologic condition but the CT is negative, you should send them for an ______
MRI
29
If you find positive UMN signs in a non-emergent situation they may need an _______
MRI
30
CTA stands for what?
Computed tomography angiogram
31
A CTA helps to see ____ _______ to the brain
blood flow
32
With a CTA, it is a CT with _______ of dye for the purpose of viewing ______ supply
injection blood
33
CTA Pro's 1. 2. 3.
great view of blood supply fast great for finding AVM's and aneurysms
34
CTA Con's 1. 2. 3.
allergic to dye radiation exposure damage to kidney from dye
35
With a CTA you should look for _____ in blood flow
gaps
36
What is happening here on this CT scan?
gap in the R ICA and this person has probably already had a stroke
37
What does this CT scan indicate?
L sided tumor
38
What does this CT scan show?
Blood or dead tissue caused by ischemia
39
What does this CT image indicate?
Ischemia- blood is taking up space in the ventricles
40
Which is T1 and which is T2?
Left- T2: possible vertebral fx and spinal cord swelling Right- T1: PLL disruption
41
What do you see on the CT scan?
Enlarged ventricles filling up with CSF