Pediatrics Flashcards

1
Q

What type of tape should be used for immobilization of a pediatric pt

A

Hypoallergenic

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2
Q

Which of the following examinations if often performed to determine the extent of cretinism

A

Long bone studies

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3
Q

Premature closure of the cranial sutures is a condition termed

A

Craniostenosis

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4
Q

Which of the following methods or techniques is used to examine the extent of clubfoot

A

Kite method

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5
Q

Where is the CR centered for an erect AP projection of the abdomen on an infant

A

1” above the umbilicus

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6
Q

A viral infection, primary seen in children ages 1-3 years old, that is evidenced by labored breathing and accompanied by fever is termed

A

Croup

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7
Q

A bacterial infection of the epiglottis, most common in children 2-5 years old, which is a serious condition that can rapidly become fatal is termed

A

Epiglottis

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8
Q

An inherited disease in which secretions of heavy mucus cause progressive “clogging” of bronchi and bronchioles is termed

A

Cystic fibrosis

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9
Q

Which condition or disease is best demonstrated with an AP and lateral chest examination

A

Meconium aspiration

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10
Q

Where is the CR directed for an AP projection of the chest with the pt supine

A

Perpendicular to the MSP at the level of the midthorax approximately at the mammillary line

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11
Q

Where is the CR directed for the AP towne skull

A

Centered to glabella, 30° caudad to OML

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12
Q

Where is the CR directed for the AP reverse Caldwell skull

A

Centered to glabella 15° cephalad to OML

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13
Q

Where is the CR directed for the AP skull

A

Centered to the glabella parallel to the OML

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14
Q

Where is the CR directed for an AP supine projection of the abdomen for infants and small children

A

Perpendicular to and directed to the center of the IR about 1” above the umbilicus

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15
Q

Where is the CR directed for an AP supine projection of the abdomen in older children and adolescents

A

Perpendicular to and directed to the center of the IR at the level of the iliac crest

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16
Q

A skeletal survey for suspected child abuse includes which radiographic examination

A

All options: AP and lateral chest, AP and lateral skull, AP abdomen to include pelvis

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17
Q

Which of the following is the most common form of immobilization for the pediatric pt

A

Pigg- o-stat

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18
Q

Which of the following methods is to minimize radiation exposure when imaging pediatric pt

A

Close collimating, low dosage techniques, gonadal shielding

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19
Q

What are the clinical indications for a VCUG

A

Vesicoureteral reflux

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20
Q

Which of the following is a classification of child abuse

A

Neglect, psychological maltreatment, physical abuse

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21
Q

At what age can most children be talked through a radiographic examination without purposeful immobilization

A

3 years

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22
Q

At the first meeting between the technologist and the pt (accompanied by an adult) which of the following generally should not be discussed

A

Describe the total amount of radiation the pt will receive with the specific exam if it has to be repeated because of lack of cooperation

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23
Q

Which of the following is not the name of a known commercially available immobilization device

A

Hold-‘em tiger

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24
Q

The most suitable immobilization device for erect chests and or the abdomen is the

A

Pigg o stat

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25
Q

List 3 factors that reduce the # of repeat exposures with pediatric pt

A

Proper immobilization, short exposure time, accurate technique

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26
Q

Which immobilization device or method should be used for an erect 1 year old chest procedure?

A

Pigg o stat

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27
Q

2 common terms for the classic metaphyseal lesion, which may indicate child abuse, are

A

Corner fx and bucket fx

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28
Q

If the tech suspects child abuse, he or she should

A

Ask the parent when the abuse occurred, report the abuse immediately to the necessary state officials as required by the state, refuse to do the exam or touch the child until physician has examined the pt

Do none of the above

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29
Q

Primary centers

A

Diaphysis

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30
Q

Secondary centers

A

Epiphysis

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31
Q

Space between primary and secondary centers

A

Epiphyseal plate

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32
Q

Occurs before birth

A

Diaphysis

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33
Q

Continues to change from birth to maturity

A

Epiphysis and epiphyseal plate

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34
Q

Which of the following procedures can be performed to diagnose possible genetic fetal abnormalities

A

3D ultrasound

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35
Q

Which of the following procedures can be performed to evaluate children for attention deficient hyperactivity

A

Functional MRI

36
Q

A common condition in children between the ages of 1-3, caused by a viral infection

A

Croup

37
Q

Tumor that usually occurs in children younger than 5

A

Wilms tumor

38
Q

Group of diseases affecting the epiphyseal growth plates

A

Osteochondrosis

39
Q

Fx involving the epiphyseal plate

A

Salter-Harris fx

40
Q

Premature closure of the skull sutures

A

Craniostenosis

41
Q

Second most common form of cancer in children younger than 5 years of age

A

Neuroblastoma

42
Q

Bacterial infection of the upper airway that may be fatal if untreated

A

Epiglottis

43
Q

Congenital defect in which an opening into an organ is missing

A

Atresia

44
Q

Inherited disease leading to clogging of bronchi

A

Cystic fibrosis

45
Q

Bacterial infection of the kidney

A

Pyelonephritis

46
Q

Also known as congenital megacolon

A

Hirschsprung disease

47
Q

Also known as rickets

A

Osteomalacia

48
Q

Inherited condition that produces very fragile bones

A

Osteogenesis imperfecta

49
Q

Idiopathic juvenile osteoporosis, osteomalacia, osteogenesis imperfecta

A

Decrease exposure factor

50
Q

Which of the following imaging modalities is effective in detecting signs of autism

A

Functional MRI

51
Q

Which of the following techniques helps to remove the scapulae from lung fields during chest radiography

A

Extend arms upward

52
Q

What is the kvp range for a pediatric study of the upper limb

A

50-60kvp

53
Q

T/F a hand routine for a 7 year old child would be the same as for an adult pt

A

True

54
Q

T/F for a bone survey of a young child, both limbs are commonly radiographed for comparison

A

True

55
Q

Which radiographic technique or method is performed to study congenital clubfoot radiographically

A

Kite method

56
Q

Where is gonadal shielding placed for a bilateral hip study on a female pediatric pt

A

Between umbilicus and just above the pubis

57
Q

Intussusception

A

Abdomen

58
Q

NEC

A

Abdomen

59
Q

Atelectasis

A

Chest

60
Q

Premature closure of fontanelles

A

Skull

61
Q

CHD

A

Pelvic/hips

62
Q

Cystic fibrosis

A

Chest

63
Q

Meconium ileus

A

Abdomen

64
Q

Legg calve perthes disease

A

Pelvic / hip

65
Q

Asthma

A

Chest

66
Q

Bronchiectasis

A

Chest

67
Q

Hyaline membrane disease

A

Chest

68
Q

How much is the CR angled to the OML for an AP axial towne projection of the skull

A

30°

69
Q

Where is the CR centered for a lateral projection of the pediatric skull

A

Midway between the glabella and inion

70
Q

The NPO fasting period for a 6 month old infant before an upper GI is

A

4 hours

71
Q

Other than preventing artifacts in the bowel what is the other reason that solid food is withheld for 4 hrs before a pediatric IVU

A

Diminish the risk for aspiration from vomiting

72
Q

Which of the following conditions contraindicates the use of laxatives before a contrast media procedure

A

Appendicitis

73
Q

Where is the CR centered for a KUB on and 8 year old and 3 month old

A

8yr- level of iliac crest
3 month- 1” above umbilicus

74
Q

Where is the CR centered for a PA and lateral pediatric chest projection

A

Mammillary line

75
Q

What is the recommended amount of barium administered to an infant who is having an upper GI

A

6-12 oz

76
Q

How is barium instilled into the large bowel for a barium enema study on an infant

A

60 mL syringe & 10F flexible silicone catheter

77
Q

What is the bowel prep for a pediatric VCUG

A

No prep

78
Q

When is urinary reflux most likely to occur during a VCUG

A

When bladder is full and when voiding

79
Q

For a young pediatric small bowel study, the barium normally reaches the ileocecal region in

A

1 hour

80
Q

A VCUG on a child is most commonly performed to evaluate for ________and is generally scheduled to be completed _______an IVU or ultrasound study of the kidneys

A

Vesicoureteral reflux
Before

81
Q

T/F gonadal shielding should only be used in supine positions because of difficulty in keeping the shield in place

A

False

82
Q

T/F There should be no attempt to straighten out the abnormal alignment of the foot during a clubfoot study

A

True

83
Q

Which radiographic procedure is commonly performed for epiglottitis

A

AP and lateral upper airway

84
Q

Which of the following radiographic routines and/ or procedures best demonstrates osgood-schlatter disease

A

AP and lateral knee

85
Q

A 2 yr old child comes to the radiology department for a routine chest exam. While removing the child’s shirt you notice a human bite mark on the upper arm. What should you do next

A

Inform the supervisor or physician

86
Q

Which of the following conditions can be diagnosed prenatally with sonography

A

Spina bifida