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In which of the following examinations should 70 kV not be exceeded?

1. Upper GI (UGI) 2. Barium enema (BE) 3. Intravenous urogram (IVU) 4. Chest Answer: Intravenous urogram (IVU)

User Vityanya
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Final answer:

The correct kilovoltage (kV) setting for an Intravenous Urogram (IVU) should not exceed 70 kV to minimize ionizing radiation exposure while still producing clear diagnostic images. Other procedures may require different kV settings based on the area being imaged and the type of study being performed.

Step-by-step explanation:

The subject in question pertains to the optimal kilovoltage (kV) settings for different types of medical diagnostic imaging procedures. When conducting an Intravenous Urogram (IVU), which is an X-ray examination of the kidneys, ureters, and bladder, it is recommended that the voltage not exceed 70 kV. Lower kV values are used because they are sufficient to penetrate the urinary tract and produce adequate imaging results, minimizing the patient's exposure to ionizing radiation. In contrast, other procedures such as upper gastrointestinal (UGI) studies, barium enemas (BE), and chest X-rays may require higher kV settings based on the density of the area being imaged and the diagnostic needs.

Medical imaging that involves barium sulfate, such as in diagnosis of conditions like acid reflux disease, Crohn's disease, and ulcers, often involves adapting the kV settings for the optimal contrast and detail in the resulting images.

It is important to keep in mind that X-rays, CT scans, PET scans, and isotopic studies utilize ionizing radiation, which has inherent risks. Procedures should be optimized to use the lowest kV settings that will still produce clinically adequate images, thus abiding by the principle of As Low As Reasonably Achievable (ALARA) for patient safety.

User Adam Balsam
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