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Rad Spring Final > 145 Trauma, Surgery, Mobile > Flashcards

145 Trauma, Surgery, Mobile Flashcards

1
Q

A battery powered, battery operated mobile x-ray unit can climb a maximum incline of

A

7°

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2
Q

Which type of mobile radiography x-ray unit is self propelled

A

Battery operated

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3
Q

Which type of mobile x-ray unit is lighter weight

A

Standard power source

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4
Q

T/F C-arms are most generally stationary fluoroscopy units used in surgery

A

False

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5
Q

T/F the C-arm fluoroscopy unit can be rotated a maximum of 180°

A

True

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6
Q

T/F the AP projection with the x-ray tube, placed directly above the anatomy during a C arm procedure is recommended to minimize 0ID

A

False

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7
Q

T/F digital C arm units can store images on video tape or computer, hard disk memory

A

True

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8
Q

What is the term for the process of holding one image on the C arm monitor while also providing continuous fluoroscopy

A

Roadmapping

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9
Q

Fracture through the pedicles of C2

A

Hangman

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10
Q

Fracture of proximal half of ulna with dislocation of radial head

A

Monteggia

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11
Q

Fracture resulting from a disease process

A

Pathologic

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12
Q

Fracture resulting in an isolated bone fragment

A

Chip

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13
Q

Subluxation of the radial head on a child

A

Nursemaid, elbow

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14
Q

Fracture a long base of first metacarpal

A

Bennett

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15
Q

Fracture of distal phalanx with finger extended

A

Baseball

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16
Q

Also called a march fracture

A

Stress or fatigue

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17
Q

Also called a chauffeur fracture

A

Hutchinson

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18
Q

T/F any trauma study, requires at least two projections as close as possible to 90° opposite from each other

A

True

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19
Q

T/F on an initial study of a long bone both joints should be included for each projection

A

True

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20
Q

T/F collimation on trauma cases can lead to cut off of key anatomy and pathology. Therefore, it should be limited to the size of the IR.

A

False

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21
Q

The technologist must be at least_____ from the x-ray tube during a mobile radiographic procedures

A

6 feet

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22
Q

T/F wearing a protective lead apron is optional if the technologist is at least 8 feet from both the x-ray tube, and the patient during a mobile radiographic procedure

A

False

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23
Q

T/F the exposure dose is greater on the image intensifier side, then on the x-ray tube side with the C arm in the horizontal configuration

A

False

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24
Q

T/F a 30° tilt of the C arm from the vertical perspective, increases the dose by a factor of three to the head and neck region

A

False

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25
Q

What final step should the technologist take before returning a trauma patient to the emergency room following a radiographic procedure?

A

Ensure side rails are up on the patient cart

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26
Q

T/F The number of angiography’s of the aortic arch for the trauma patient has declined because of the increased use of CT angiography

A

True

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27
Q

What is the correct term for the displacement of a bone from a joint?

A

Dislocation or luxation

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28
Q

What is the correct term for a partial displacement?

A

Subluxation

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29
Q

Which of the following fracture terms are describes a situation in which the ends of fragments are aligned, but are pulled apart and are not in contact with each other

A

Lack of apposition

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30
Q

Which of the following fracture terms describes an angulation of a distal fracture end away from the midline

A

Valgus deformity

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31
Q

A technologist using a C arm fluoroscope receives 125mR/hour exposure, standing 2 feet from the patient. what is the exposure rate if the technologist moves to a distance of 6 feet?

A

<10mR/hour

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32
Q

A technologist receives 30mR/hour during a C-arm fluoroscopic procedure what is the total exposure? Does if the procedure takes eight minutes of fluoroscopy time

A

4mR

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33
Q

Radiologist often use the Salter-Harris system to classify_____ Fractures

A

Epiphyseal

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34
Q

A patient with a possible plural effusion in the right lung enters the emergency room. The patient is unable to stand or sit erect. What position would best demonstrate this condition

A

Right lateral decubitus

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35
Q

Where is the CR centered for an AP semi erect projection of the chest

A

3 to 4 inches below jugular notch

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36
Q

A patient with a crushing injury to the thorax enters the emergency room. The patient is on a backboard, and cannot be moved. Which projections can be performed to determine whether the sternum is fractured.

A

15 to 20°, medial lateral angle and horizontal beam lateral

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37
Q

A patient with possible ascites enters the emergency room. The patient is unable to stand or sit erect. Which of the following positions would best demonstrate this condition

A

Left lateral decub

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38
Q

What is the minimum number of projections required for a post reduction study of the wrist?

A

2

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39
Q

How is the CR aligned for a trauma lateral projection of the elbow?

A

Parallel to the interpiccondylar plane

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40
Q

Which lateral projection would best demonstrate the mid – to– distal humerus, without rotating the limb

A

Horizontal beam, lateromedial

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41
Q

How much rotation of the body, from a supine position, is generally required for a lateral medial, scapular projection with a trauma patient who can be turned partially on her side

A

25 to 30°

42
Q

To ensure that the CR is aligned properly for an AP, trauma projection of the foot, the CR is angled

A

10° posteriorly from perpendicular to plantar surface of foot

43
Q

A patient with a possible fracture of the ankle enters the emergency room. The patient cannot rotate the lower limb. What can be done to provide the orthopedic surgeon with a mortise projection of the ankle

A

X angle CR projection of the ankle, with CR 15-20° lateromedial from long axis of the foot

44
Q

Following a post reduction of a fractured tibia/fibula, a post reduction study is ordered. A fiberglass cast was placed on the fractured leg. The original technique was 70 kVP @4MAS. Would the technologist be required to change their factors from the original technique.

A

^ 3-4 kVp

45
Q

Which of the following projections demonstrates the C1 – C2 vertebrae if the patient cannot open his mouth

A

35 to 40° cephalic, AP axial projection

46
Q

A patient with a possible fracture of the cervical spine pedicles enters the emergency room. Which of the following projections will best demonstrate this region of the spine without moving the patient.

A

Perform AP axial trauma, oblique projections

47
Q

What is the name of the device on the x-ray tube mount that permits compound angles of the x-ray tube

A

Trunnion

48
Q

Which of the following facial bone projections will best demonstrate air fluid levels in the maxillary sinuses for a patient unable to stand, or sit erect

A

Trauma, horizontal beam lateral

49
Q

On a horizontal beam, lateral trauma skull projection, should the IR be placed portrait or landscape to the patient

A

Horizontal

50
Q

Where should the CR be centered for this lateral skull projection?

A

2 inches superior to EAM

51
Q

A patient with a possible compression fracture of the lumbar spine enters the emergency room. Which specific projection of the lumbar spine series would best demonstrate this fracture.

A

Lateral

52
Q

A patient with a possible Barton fracture comes to the radiology department. Which of the following positioning routines would best demonstrate this

A

AP or PA and lateral wrist

53
Q

A patient enters the emergency room with a possible radial head dislocation. The arm is immobilized with the elbow flexed at 90°. Which of the following projections best demonstrates the radial head free of super imposition of the ulna without having to extend the elbow.

A

Trauma, axiolateral projection

54
Q

For successful surgical, radiographic, exposures, clear communication must be established among the surgeon, technologist, and

A

Anesthesiologist

55
Q

CST is the acronym for

A

Certified surgical technologist

56
Q

Suctioning, tying, and clamping blood vessels, as well as assisting in cutting and suturing tissues, are the general duties of the

A

Surgical assistant

57
Q

The absence of infectious organisms is the definition for

A

Asepsis

58
Q

What portion of the OR table is considered sterile

A

Only the level of the table top

59
Q

T/F scrubs, worn in radiology may be also worn in surgery

A

False

60
Q

T/F scrub covers, must be removed before entering the surgical suite

A

True

61
Q

T/F the technologist can wear non-sterile gloves, when handling the IR and surgical cover following a procedure

A

True

62
Q

Imaging equipment permanently stored in surgery must be cleaned at least

A

Weekly

63
Q

Which of the following techniques best reduces the dose to the surgical team during a C arm procedure?

A

Use intermittent fluoroscopy

64
Q

What is the primary benefit of the “pulse mode” on a digital C-arm unit

A

Reduce patient dose

65
Q

Any image taken during an operative cholangiogram shows that the bililary ducts are superimposed over the spine. The surgeon wants the
ducts projected away from the spine. Which of the following positions may illuminate this problem during the repeat exposure.

A

Shallow RPO

66
Q

T/F Laparoscopic cholecystectomy is not suited for every patient and condition

A

True

67
Q

Retrograde urography is a _________exam of the urinary system

A

Nonfunctional

68
Q

A retrograde pyelogram is a specific radiographic examination of the________ system

A

Pelvicalyceal

69
Q

ORIF is the abbreviation for

A

Open reduction internal fixation

70
Q

Which of the following devices helps maintain the sterile environment in a surgery during a C-arm guided hip pinning

A

Shower curtain

71
Q

Which of the following orthopedic devices is used to stabilize a mid femoral shaft fracture?

A

Intramedullary rod

72
Q

Which of the following devices is an example of an external fixator?

A

Lizarov device

73
Q

Which of the following procedures does not require the use of mobile fluoroscopy

A

All of the above require fluoroscopic guidance. Hip pinning, intramedullary, rod, insertion, open reduction of tibia.

74
Q

Which of the following devices can be used for spinal fusion surgery rather than the use of a pedicle screw

A

Interbody fusion cage

75
Q

Which spinal procedure may require the use of Harrington or luque rods

A

Scoliosis corrective surgery

76
Q

And unthreaded or threaded metallic wire, used to reduce fractures of the wrist/carpals, is called

A

Kirschner wires

77
Q

A special OR table used for hip pinnings , and other orthopedic procedures to provide traction to the involved limb is termed

A

Fix or orthopedic table

78
Q

DHS is an abbreviation for

A

Dynamic hip screw

79
Q

Forced wrenching or twisting of a joint, resulting in partial rupture, or tearing of supporting ligaments

A

Sprain

80
Q

A break in the bone

A

Fracture

81
Q

A “bruise”- type injury without a fx or break in the skin

A

Contusion

82
Q

Relationship of long axis, a fractured fragments

A

Apposition

83
Q

Bone does not break through skin

A

Simple fx (closed fx)

84
Q

Bone protrudes through skin

A

Compound fx (open fx)

85
Q

Fx does not transverse through entire bone

A

Incomplete fx

86
Q

T/F it is the tech’s responsibility to ensure that all personnel are shielded for exposures taken in a trauma room

A

True

87
Q

A fx wherein the fragments overlap and the shafts make contact but not at the fx ends defines

A

Bayonet apposition

88
Q

T/F If the technologist can include only one joint of a long bone, he, or she should always include the joint farthest from the side of injury

A

False

89
Q

A faint fx line in the bone cortex that is seen on one side of bone with a slight bulging or winkle-like detect on the opposite side, is a

A

Greenstick fx

90
Q

An intra-articular fx of the posterior lip of the distal radius is termed

A

Barton fx

91
Q

Which of the following fx will be best demonstrated with a forearm series

A

Monteggia

92
Q

Which of the following fx will be best demonstrated with a lower leg series

A

Pott’s

93
Q

How is the CR aligned for a mobile AP chest projection taken on a patient lying partially erect in bed

A

Align CR perpendicular to long axis of sternum

94
Q

Which of the following projections will best diagnose a hemothorax in the right lung for the patient unable to stand

A

R lateral decubitus

95
Q

Which of the following positioning routines is required for a post reduction study of the ankle with a cast

A

AP and lateral

96
Q

How much rotation of the body is required for a lateral scapular Y, AP oblique projection taken on a trauma pt

A

25-30°

97
Q

What type of CR angle is required for the “reverse Caldwell” projection of the cranium

A

15° cephalad to OML

98
Q

The absence of infectious organisms is the definition for____

A

Asepsis

99
Q

The large, sterile, clear plastic she used during hip pinning procedures to maintain a sterile field over the surgical site is termed a

A

Shower curtain

100
Q

T/F The “boost” feature found on many C-arm systems slightly increases exposure to the patient in the technologist

A

True

Rad Spring Final (9 decks)

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