Ch 16 Peds

Question 1

Jeopardy:
Which two types of fractures are most commonly seen in victims of child abuse?

Answer 1

Bucket & Corner fx

Question 2

Jeopardy:
What is necrotizing enterocolitis (NEC)?

Answer 2

condition causes the intestinal tissue to die

Question 3

Jeopardy:
What is the life-threatening condition that occurs when the intestines fold into itself?

Answer 3

intussusception

Question 4

Jeopardy:
What position of the abdomen is recommended for demonstrating the prevertebral region of the abdomen?

Answer 4

Dorsal Decubitus

Question 5

Jeopardy:
what is atresia?

Answer 5

a medical condition where a body part that tubular in shape and either closed or doesn’t have a normal opening

Question 6

Jeopardy:
What must you never do when using tape on a pediatric patient?

Answer 6

stick the adhesive side to the patient
(could have an undiagnosed allergy to ashesives)

Question 6

Jeopardy:
what set of images would best demonstrate Croup?

Answer 6

Ap + Lateral soft tissue neck

Question 7

Jeopardy:
what is a weighted device used to assist in positioning?

Answer 7

sandbag

Question 7

Jeopardy:
What is the primary technical factor to eliminate motion for pediatric patients?

Answer 7

shorten exposure time

Question 7

Jeopardy:
What is pyloric stenosis?

Answer 7

rare condition affects the pylorus and muscular opening between the stomach and the small intestine in babies

Question 8

Jeopardy:
For a patient with osteogenesis imperfecta how would you properly adjust your technique?
What is this?

Answer 8

decrease technique
a condition where bones easily break

Question 9

Jeopardy:
What genetic disorder that causes bones to break easily?

Answer 9

osteogenesis imperfecta

Question 9

Jeopardy:
What is the name of the flat radiolucent device with straps that assists with supine imaging?

Answer 9

Tam-em board

Question 10

Jeopardy:
what is a common birth defect that causes one or both feet to turn inward and downward?

Answer 10

talipes equinovarus

Question 10

Jeopardy:
What is the CR for a ped abdomen?

Answer 10

1” superior to umbilicus

Question 11

Jeopardy:
What is the mummifying technique?

Answer 11

technique that helps to immobilize the child’s arms
(by wrapping patient up in a towel)

Question 11

Jeopardy:
what is the rare birth defect that occurs when the nerves in the lower part of the intestine don’t develop properly?

Answer 11

Hirschsprung’s disease

Question 12

Jeopardy:
which modality would help to diagnose congenital hip dislocations in newborns?

Answer 12

sonography (US)

Question 13

Jeopardy:
what is the technical term for newborn?

Answer 13

neonate

Question 13

Jeopardy:
what is the device used to image a child in upright/erect position?
What exams are these for?

Answer 13

pigg-o-stat
erect abdomen + chest

Question 14

Jeopardy:
By the age of ______ a child can be spoken to and they can follow instructions

Answer 14

2-3 years old

Question 15

Jeopardy:
what position is performed to look at both hip joints in a lateral perspective?

Answer 15

bilateral frogs
(included as much as possible in one image)

Question 16

Jeopardy:
what exam or position is performed to determine if a child has stopped growing?

Answer 16

bone age survey
(one x-ray of the left hand)

Question 17

Jeopardy:
what is a disorder of abnormal development resulting in dysplasia, subluxation, and possible subluxation of hip secondary to capsular laxity and mechanical instability?

Answer 17

DDH
(developmental dysplasia of the hip)

Question 18

Jeopardy: what is croup? How is it diagnosed?

Answer 18

infection in the upper airway which becomes more narrow and making it hard to breathe AP + Lat soft neck tissue

Question 19

Jeopardy: What is intussusception?

Answer 19

telescoping of the bowel causing life threatening folds in the stomach

Question 19

Exam: What is RDS? what exam would we perform for this?

Answer 19

respiratory distress syndrome chest**

Question 20

Jeopardy: What is the older term for child abuse? What is the new & more acceptable term?

Answer 20

Battered child syndrome suspected non- accidental trauma (SNAT)

Question 21

Exam: What is osteogenesis imperfecta? what happens to technique?

Answer 21

bones that easily break decreases

Question 22

Exam: What is RSV?

Answer 22

Respiratory syncytial virus Common virus that affects most infants by age 2 & mimics symptoms of a cold (Cough + running nose)

Question 23

Exam: What is cystic fibrosis?

Answer 23

inherited disease which causes heavy mucus or clogging in the bronchi hyperinflation of lungs from blocked airways (shows up on x-rays as radiopaque & not obvious at birth but are more obvious later on)

Question 24

Exam: What is Croup? how is diagnosed (what exams)? how is it treated?

Answer 24

caused by viral infection causes labored breathing & harsh dry cough along with fever AP & Lat soft neck tissue x-rays antibiotics

Question 24

Exam: What is the space between the primary and secondary growth center is called?

Answer 24

epiphyseal plate **?

Question 25

Exam: what are the different abdomen positions? why are these used?

Answer 25

Lat Decub + erect abdomen (to evaluate air-fluid levels) Dorsal decub (to see pre-vertebral region of the abdomen) Supine abdomen (regular KUB)

Question 25

Exam: what demonstrates the pre-vertebral region of the abdomen?

Answer 25

dorsal decubitus

Question 26

Exam: What are these? SCA: SNAT: PIT: BCS:

Answer 26

suspected child abuse suspected non-accidental trauma pediatric intentional trauma battered child syndrome (old name)

Question 27

Exam: what is the kVp range for PA + lateral chest x-rays?

Answer 27

70-80 kVp or 75 to 85 (D) 75-80 or 80-85 kVp (D)

Question 27

Exam: what are the restraining devices used?

Answer 27

sandbag pigg-o-stat *

Question 28

Exam: What aids motion in pediatric exams?

Answer 28

short exposure time

Question 29

Exam: how are hip dislocations identified in newborns?

Answer 29

ultrasound (sonography)

Question 30

Exam: What modality would we use to diagnose for ADHD & evaluate for suspected tumors?

Answer 30

MRI

Question 31

Exam: what is the CR for KUB? Chest?

Answer 31

1" above umbilicus Mammillary line

Question 32

Exam: What is the hip protocol for pediatric patients?

Answer 32

if it is paired with other imaging complete in one exposure to reduce radiation exposure (ALARA)

Question 33

Exam: what is a neonate?

Answer 33

technical term for newborns

Question 34

Exam: how should tape be applied to pediatric patients?

Answer 34

adhesive side not touching patient (could have an undiagnosed allergy)

Question 35

Exam: What are Pigg-O-stats?

Answer 35

immobilization technique for erect abdomen & chest for infant up to age 5

Question 36

Exam: What are the six categories of child abuse?

Answer 36

neglect physical abuse sexual abuse psychological maltreatment medical neglect other

Question 37

Exam: What is radiation protection for child? what is optimal regarding exposures and imaging?

Answer 37

Gonadal shielding if there are exams including wrist and forearm complete in one exam (hip to ankle) ****

Question 38

Exam: what is the CML fx? what is another name for this?

Answer 38

classic metaphyseal lesion fx along the metaphysis that results in tearing or avulsion fx can be also called corner fracture

Question 39

Exam: What positioning aid can we use for erect abdomens?

Answer 39

pigg-o-stat