Prenatal Positioning

Question 1

Radiologic investigation of the nonpregnant uterus, accessory organs, and vagina are denoted by the terms hysterosalpingography, pelvic pneumography, and vaginography.

Answer 1

PRENATAL RADIOGRAPHY

Question 2

The procedure is performed to determine the size, shape, and position of the uterus and uterine tubes;

Answer 2

Hysterosalpingography

Question 3

to investigate the patency of the uterine tubes in patients who have been unable to conceive.

Answer 3

Hysterosalpingography

Question 4

to delineate lesions such as polyps, submucous tumor masses, or fistulous tracts;

Answer 4

Hysterosalpingography

Question 5

involves the introduction of a radiopaque contrast medium through a uterine cannula.

Answer 5

Hysterosalpingography

Question 6

which requires the introduction of a gaseous contrast medium directly into the peritoneal cavity

Answer 6

*Pelvic pneumography

Question 7

rarely performed because of the development of ultrasonic techniques for evaluating the pelvic cavity.

Answer 7

Pelvic pneumography

Question 8

*is performed to investigate congenital abnormalities, vaginal fistulae, and other pathologic conditions involving the vagina.

Answer 8

Vaginography

Question 9

*media are used in examinations of the female genital passages.

Answer 9

Various opaque media

Question 10

The water-soluble contrast media employed for intravenous urography are widely used for

Answer 10

hysterosalpingography and vaginography.

Question 11

performed by a physician with spot radiographs made while the patient is in the supine position on a fluoroscopic table

Answer 11

Hysterosalpingography

Question 12

Contrast examination of uterine cavity was 1st performed by

Answer 12

Rindifleisch (1910)

Question 13

It must not be performed during the week before or after menstruation, when the endometrium is either engorged or denuded.

Answer 13

HysteroSalpingography

Question 14

It is best carried out mid-cycle, when the possibility of irradiating an unrecognized pregnancy is minimal
• between the 4th and 10th day in a patient with regular 28 days cycle.

Answer 14

Hystero-Salpingography

Question 15

Examination of the non-gravid/pregnant patient of the uterus and uterine tubes, following injection of CM.

Answer 15

Hystero-Salpingography

Question 16

•Employed in the investigation of infertility

Answer 16

Hystero-Salpingography

Question 17

•Hystero Salpingography Preparation?

Answer 17

•Should abstain from intercourse between booking the appointment and time of the examination unless she uses methods of contraception.
•NPO and micturate immediately before the examination

Question 18

Hystero Salpingography position

Answer 18

AP
Lithotomy

Question 19

Hystero salpingography technique

Answer 19

Light cold speculum is used, the anterior lip of the cervix is gripped by vulsellum forceps.

Question 20

Hystero Salpingography device use to easy access to see inside of the body

Answer 20

Speculum

Question 21

Pelvimetry

Answer 21

measure relative sizes of the maternal pelvis

Question 22

Cephalometry

Answer 22

measures fetal head

Question 23

The obstetrician needs to know the shape of the sacrum and the exact measurements of the true conjugate and pelvic outlet.

Answer 23

Pelvimetry and Cephalometry

Question 24

is the distance between the upper inner border of the symphysis pubis and the sacral promontory.

Answer 24

True conjugate

Question 25

distance between the lower inner border of the symphysis pubis and the tip of the sacrum.

Answer 25

Pelvic outlet-

Question 26

Device consists of a metal ruler perforated at centimeter intervals and mounted on a small stand in such a way that it is always parallel with the plane of the film.

Answer 26

Colcher Sussman Method

Question 27

The ruler can be rotated in complete circle and can be adjusted for height.

Answer 27

Colcher Sussman Method

Question 28

Colcher Sussman Method position

Answer 28

AP ( supine)

Question 29

Is the localization of the placental site and is usually undertaken in an attempt to demonstrate placenta previa. • Ultrasound is the choice for this examination • Must be used in in selected cases only

Answer 29

Placentography

Question 30

External bleeding without pain in pelvis

Answer 30

Placenta previa

Question 31

The uterine-wall, placenta, and amniotic fluid are of the same radiographic density but the placental site is distinguishable. • Most reliable near full term

Answer 31

Soft Tissue Placentography

Question 32

The physician inserts only the tip of the catheter into the vaginal orifice or by inflated balloon. • The barium mixture or iodinated contrast is introduced with the syringe.

Answer 32

Vaginography

Question 33

Vaginography position

Answer 33

Preliminary film AP • Both Obliques • Lateral • CR vertical at the level of the upper of the pubic symphysis.

Question 34

Patient is placed in Lithotomy position on the table. • Foleys catheter is inserted into the vaginal and its 30 mI balloon is distended with air which fit into lower part of vagina.

Answer 34

Vaginography

Question 35

Performed by introducing a CM into the vaginal canal,20-30 ml of thin barium sulphate or water soluble, for the investigation of fistulous communications with the intestine.

Answer 35

Vaginography

Question 36

After the examination patient is instructed to expel the CM and the canal is then cleaned by vaginal irrigation.

Answer 36

Vaginography

Question 37

Is used in the investigation of congenital malformations and such pathologic conditions such as: 1) vesicovaginal; 2) enterovaginal fistulas and 3) diverticula

Answer 37

Vaginography

Question 38

Vaginography Technique

Answer 38

Patient should empty her bladder immediately prior to the investigation.

Question 39

•The measurement of the maternal pelvis are usually investigated in the 3rd trimester.

Answer 39

Pelvic Outlet Superoinferior Projection-Chassard Lapine Method

Question 40

To disclose any displacement of the fetus. • Normally the head of the fetus is in the midsagital and midcoronal planes of the pelvic inlet when the fetus is in cephalic presentation and the mother is standing.

Answer 40

Ball Method AP Position

Question 41

No special apparatus or accessories in exposing the films. • Consists of two projections AP and Lateral

Answer 41

Ball Method

Question 42

In ball method why Patient in the erect position.

Answer 42

• To utilize the effect of gravity upon the fetus.

Question 43

Lateral position in Colcher Sussman Method cr

Answer 43

CR perpendicular most prominent point of the greater trochanter.

Question 44

Lateral position in Colcher Sussman Method position of the ruler

Answer 44

Turn the ruler lengthwise, and adjust its height to coincide with the MSP • Ruler within the upper part of the gluteal fold and against the midsacrum.

Question 45

•CR horizontally directed to superior margin of the symphysis pubis

Answer 45

Ball method