Myelography

Description: Myelography Quiz
Number of Questions: 14
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Tags: medical imaging myelography spine csf
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What is the primary purpose of myelography?

  1. To visualize the spinal cord and nerve roots

  2. To diagnose brain tumors

  3. To detect kidney stones

  4. To evaluate blood flow in the heart


Correct Option: A
Explanation:

Myelography is a diagnostic imaging procedure that uses a contrast agent to visualize the spinal cord and nerve roots. It is commonly used to diagnose conditions such as herniated discs, spinal stenosis, and tumors.

Which contrast agent is typically used in myelography?

  1. Iodine-based contrast agent

  2. Gadolinium-based contrast agent

  3. Barium sulfate

  4. Air


Correct Option: A
Explanation:

Iodine-based contrast agents are commonly used in myelography because they provide good visualization of the spinal cord and nerve roots. Gadolinium-based contrast agents are also sometimes used, but they are more likely to cause side effects.

How is the contrast agent administered in myelography?

  1. Orally

  2. Intravenously

  3. Through a spinal tap

  4. Through a skin injection


Correct Option: C
Explanation:

In myelography, the contrast agent is typically administered through a spinal tap. A needle is inserted into the spinal canal, and the contrast agent is injected into the cerebrospinal fluid (CSF).

What is the role of the cerebrospinal fluid (CSF) in myelography?

  1. It helps to distribute the contrast agent throughout the spinal canal

  2. It provides a natural contrast between the spinal cord and nerve roots

  3. It helps to reduce the risk of side effects from the contrast agent

  4. It helps to improve the quality of the images


Correct Option: A
Explanation:

The CSF helps to distribute the contrast agent throughout the spinal canal, ensuring that all areas of the spinal cord and nerve roots are visualized.

What type of imaging modality is used in myelography?

  1. X-ray

  2. Magnetic resonance imaging (MRI)

  3. Computed tomography (CT)

  4. Ultrasound


Correct Option: A
Explanation:

Myelography is typically performed using X-ray imaging. X-rays are able to visualize the contrast agent as it flows through the spinal canal and around the spinal cord and nerve roots.

What are some of the potential complications of myelography?

  1. Headache

  2. Nausea and vomiting

  3. Back pain

  4. Infection


Correct Option:
Explanation:

Myelography is generally a safe procedure, but it can be associated with some potential complications. These complications may include headache, nausea and vomiting, back pain, and infection.

Who is typically not a good candidate for myelography?

  1. Pregnant women

  2. Patients with a history of iodine allergy

  3. Patients with severe kidney disease

  4. Patients with a bleeding disorder


Correct Option:
Explanation:

Myelography is typically not recommended for pregnant women, patients with a history of iodine allergy, patients with severe kidney disease, and patients with a bleeding disorder.

What is the difference between myelography and magnetic resonance imaging (MRI) in the evaluation of spinal disorders?

  1. Myelography is more invasive than MRI

  2. MRI provides better visualization of the spinal cord and nerve roots

  3. Myelography is less expensive than MRI

  4. Myelography is more widely available than MRI


Correct Option: B
Explanation:

MRI is generally considered to be the preferred imaging modality for the evaluation of spinal disorders because it provides better visualization of the spinal cord and nerve roots compared to myelography.

What is the role of computed tomography (CT) in myelography?

  1. It is used to guide the placement of the spinal needle

  2. It is used to obtain cross-sectional images of the spine

  3. It is used to evaluate the flow of the contrast agent

  4. It is used to detect abnormalities in the bone structure


Correct Option: B
Explanation:

CT is sometimes used in myelography to obtain cross-sectional images of the spine. These images can be helpful in evaluating the anatomy of the spine and detecting abnormalities in the bone structure.

What is the typical duration of a myelography procedure?

  1. 30 minutes to 1 hour

  2. 1 to 2 hours

  3. 2 to 3 hours

  4. 3 to 4 hours


Correct Option: B
Explanation:

The typical duration of a myelography procedure is 1 to 2 hours. This includes the time needed for the preparation, the injection of the contrast agent, and the imaging process.

How long does it typically take for the contrast agent to clear from the body after myelography?

  1. A few hours

  2. 1 to 2 days

  3. 3 to 4 days

  4. 5 to 7 days


Correct Option: B
Explanation:

The contrast agent used in myelography typically clears from the body within 1 to 2 days. During this time, patients may experience some discoloration of their urine.

What are some of the alternative imaging modalities that can be used to evaluate spinal disorders instead of myelography?

  1. Magnetic resonance imaging (MRI)

  2. Computed tomography (CT)

  3. Ultrasound

  4. Nuclear medicine studies


Correct Option:
Explanation:

Magnetic resonance imaging (MRI), computed tomography (CT), ultrasound, and nuclear medicine studies are all alternative imaging modalities that can be used to evaluate spinal disorders instead of myelography.

What is the role of the radiologist in myelography?

  1. To interpret the images and provide a diagnosis

  2. To administer the contrast agent

  3. To insert the spinal needle

  4. To monitor the patient during the procedure


Correct Option: A
Explanation:

The radiologist is responsible for interpreting the images obtained during myelography and providing a diagnosis. The radiologist will look for abnormalities in the spinal cord, nerve roots, and surrounding structures.

What is the role of the patient in myelography?

  1. To provide informed consent for the procedure

  2. To follow the instructions of the healthcare team

  3. To remain still during the imaging process

  4. All of the above


Correct Option: D
Explanation:

The patient plays an important role in myelography by providing informed consent for the procedure, following the instructions of the healthcare team, and remaining still during the imaging process.

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