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FInal Exam Flashcards

(48 cards)

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1
Q

Epidural Spinal Injections are used for?

A
  • Contrast injection for CT Myelogram
  • Injection of radionuclide for nuc med
  • Injection of chemotherapy
  • Injection of steroid or meds for pain management
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2
Q

Is surgical or medical asepsis used for spinal injections?

A

Surgical

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3
Q

Geriatric patients are especially prone to this due to falls and osteoporosis?

A

Broken hips

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4
Q

This can be used to perform chest, abdomen and spine X-rays on a small child?

A

Pig-o-stat

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5
Q

Following a spinal injection how long must the patient wait until they can leave?

A

15-30 minutes

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6
Q

Why must CT myelogram patients remain supine after injection?

A

To prevent contrast from travelling up the spinal cord

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7
Q

Pain management exams are performed under “this” modality?

A

Fluoroscopy

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8
Q

Which position will the patient be in for a Facet injection?

A

RAO/LAO

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9
Q

Increased patient thickness=Increased scatter which results in?

A

Decreased contrast resolution

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10
Q

This type of needle is used in all joint injections?

A

Spinal needle

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11
Q

Some common indications for Pain Management?

A
  • Bursitis
  • Tendonitis, tendonosis, tenosynovitis
  • Arthritis
  • Various forms of back pain
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12
Q

What 4 medications are commonly used in pain management?

A
  1. Local Anesthetic
  2. Pain Relief
  3. Contrast
  4. Steriods
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13
Q

For a pre-MRI shoulder arthrogram “this” will be injected along with X-ray contrast?

A

Gadolinium

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14
Q

The standard protocol for a bone age exam is this?

A

Left hand and wrist routine

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15
Q

The most important technique adjustment to make when imaging very large patients is?

A

Increase kVp

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16
Q

What does the Tech do during pain management?

A
  • Double ID, obtains consent
  • Prep room, trays, images
  • Use the c-arm
  • Document patient condition(Pre and Post)
  • Ensure patient comfort and safety
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17
Q

How long is the patient instructed to wait after a pain management injection?

A

10-30 minutes

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18
Q

What is the purpose of skin prep of a site?

A

Reduce infection

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19
Q

Patients may be asked to rate pain level pre and post injection using “this”?

A

Scale of 1-10

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20
Q

“This” is the only difference between pain injection and arthrogram of same joint?

Study These Flashcards
A

The medication injected

21
Q

Challenges that occur when images bariatric patients?

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A
  • Decreased image quality
  • Can be hard on equipment
  • Can’t transfer patient safely
  • Takes more time
  • Physical harm for tech and or patient
22
Q

Loss of bone mass and atrophy of tissues requires “this” when imaging geriatric patients?

23
Q

A common urinary system exam performed on kids is?

24
Q

An air enema can be used to reduce this dangerous occurrence in a childs bowel?

Study These Flashcards
A

Intussesception

25
What 2 considerations must a tech make when radiographing a patient with Paget's disease?
- Size of IR | - Increase kVp
26
What are some examples of immobilization devices we can use when examining small children?
``` Octostop Pigg-o-stat Sandbags Ace Bandage Tape Weighted angle blocks Mummy wrap Shielding ```
27
"This" chest pathology requires a DECREASE in technique?
Emphysema
28
When a chest X-ray is done AP in a wheelchair the tube angle needs to match "this"?
Angle of sternum
29
Arthrography is a method of visualizing "this"?
Synovial Joint
30
When performing an epidural the puncture is always below "this"?
Conus Medullaris
31
Arthrography can be done using which 3 modalities?
CT MRI Fluoro
32
What views do we take on a child with congenital club foot?
2 views 90 degrees apart
33
What is the upper GI prep for - Infants younger than 3 months? - Children 3 months to 5 years? - Children 5 years and older?
- NPO for 3 hours prior to exam - NPO 4 hours prior to exam - NPO 6 hours prior to exam
34
What is the prep for a Lower GI on - Infants to 2 years? - Children 2 to 10? - Children 10 years and up?
- No prep - A low residue meal evening before, laxative before bed, possible pedi-fleet enema - Same as adults
35
What is the prep required for an IVU of a child?
No solid food 4 hours prior to exam | -Drink clear liquids
36
The radiologist will confirm the location and depth of the needle fluoring in "this" position?
Cross table lateral
37
What are 2 ways to decrease scatter when imaging bariatrics?
Grids | Collimation
38
After contrast injection into the joint the radiologist does what?
Manipulation of the joint
39
A facet injection will provide "this" if is was the source of pain?
Immediate relief
40
"This" landmark can be used to locate other positioning landmarks?
Jugular notch
41
What is the most common arthrography site?
Shoulder
42
What is the positioning order for a pediactric UGI?
``` Supine Left lateral LPO RAO Right lateral Prone ```
43
"This" medication must be stopped 24-48 hours prior to an epidural to prevent unwanted complications?
Blood thinners
44
"This" selection shold be used for all images except for distal limbs?
Larger focal spot
45
Geriatric patients have a strong fear of "this" during fluoro exams?
Falling
46
Why are bone age examinations performed? What do they entail?
-Evaluate degree of skeletal mutation -Know how child is developing -Standard AP of left hand and wrist 1-2 year old protocol includes left knee
47
What is Meconium Aspiration Syndrome?
Uterine aspiration of amniotic fluid and meconium by fetus, leads to aspiration pneumonia
48
What is Legg-Perthes Disease?
A disorder initiated by a disruption of blood flow to the femoral head, causing bone to die

Specialized Imaging (2 decks)

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