Pediatrics Flashcards

(86 cards)

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
List 3 factors that reduce the # of repeat exposures with pediatric pt
Proper immobilization, short exposure time, accurate technique
26
Which immobilization device or method should be used for an erect 1 year old chest procedure?
Pigg o stat
27
2 common terms for the classic metaphyseal lesion, which may indicate child abuse, are
Corner fx and bucket fx
28
If the tech suspects child abuse, he or she should
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
29
Primary centers
Diaphysis
30
Secondary centers
Epiphysis
31
Space between primary and secondary centers
Epiphyseal plate
32
Occurs before birth
Diaphysis
33
Continues to change from birth to maturity
Epiphysis and epiphyseal plate
34
Which of the following procedures can be performed to diagnose possible genetic fetal abnormalities
3D ultrasound
35
Which of the following procedures can be performed to evaluate children for attention deficient hyperactivity
Functional MRI
36
A common condition in children between the ages of 1-3, caused by a viral infection
Croup
37
Tumor that usually occurs in children younger than 5
Wilms tumor
38
Group of diseases affecting the epiphyseal growth plates
Osteochondrosis
39
Fx involving the epiphyseal plate
Salter-Harris fx
40
Premature closure of the skull sutures
Craniostenosis
41
Second most common form of cancer in children younger than 5 years of age
Neuroblastoma
42
Bacterial infection of the upper airway that may be fatal if untreated
Epiglottis
43
Congenital defect in which an opening into an organ is missing
Atresia
44
Inherited disease leading to clogging of bronchi
Cystic fibrosis
45
Bacterial infection of the kidney
Pyelonephritis
46
Also known as congenital megacolon
Hirschsprung disease
47
Also known as rickets
Osteomalacia
48
Inherited condition that produces very fragile bones
Osteogenesis imperfecta
49
Idiopathic juvenile osteoporosis, osteomalacia, osteogenesis imperfecta
Decrease exposure factor
50
Which of the following imaging modalities is effective in detecting signs of autism
Functional MRI
51
Which of the following techniques helps to remove the scapulae from lung fields during chest radiography
Extend arms upward
52
What is the kvp range for a pediatric study of the upper limb
50-60kvp
53
T/F a hand routine for a 7 year old child would be the same as for an adult pt
True
54
T/F for a bone survey of a young child, both limbs are commonly radiographed for comparison
True
55
Which radiographic technique or method is performed to study congenital clubfoot radiographically
Kite method
56
Where is gonadal shielding placed for a bilateral hip study on a female pediatric pt
Between umbilicus and just above the pubis
57
Intussusception
Abdomen
58
NEC
Abdomen
59
Atelectasis
Chest
60
Premature closure of fontanelles
Skull
61
CHD
Pelvic/hips
62
Cystic fibrosis
Chest
63
Meconium ileus
Abdomen
64
Legg calve perthes disease
Pelvic / hip
65
Asthma
Chest
66
Bronchiectasis
Chest
67
Hyaline membrane disease
Chest
68
How much is the CR angled to the OML for an AP axial towne projection of the skull
30°
69
Where is the CR centered for a lateral projection of the pediatric skull
Midway between the glabella and inion
70
The NPO fasting period for a 6 month old infant before an upper GI is
4 hours
71
Other than preventing artifacts in the bowel what is the other reason that solid food is withheld for 4 hrs before a pediatric IVU
Diminish the risk for aspiration from vomiting
72
Which of the following conditions contraindicates the use of laxatives before a contrast media procedure
Appendicitis
73
Where is the CR centered for a KUB on and 8 year old and 3 month old
8yr- level of iliac crest 3 month- 1” above umbilicus
74
Where is the CR centered for a PA and lateral pediatric chest projection
Mammillary line
75
What is the recommended amount of barium administered to an infant who is having an upper GI
6-12 oz
76
How is barium instilled into the large bowel for a barium enema study on an infant
60 mL syringe & 10F flexible silicone catheter
77
What is the bowel prep for a pediatric VCUG
No prep
78
When is urinary reflux most likely to occur during a VCUG
When bladder is full and when voiding
79
For a young pediatric small bowel study, the barium normally reaches the ileocecal region in
1 hour
80
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
Vesicoureteral reflux Before
81
T/F gonadal shielding should only be used in supine positions because of difficulty in keeping the shield in place
False
82
T/F There should be no attempt to straighten out the abnormal alignment of the foot during a clubfoot study
True
83
Which radiographic procedure is commonly performed for epiglottitis
AP and lateral upper airway
84
Which of the following radiographic routines and/ or procedures best demonstrates osgood-schlatter disease
AP and lateral knee
85
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
Inform the supervisor or physician
86
Which of the following conditions can be diagnosed prenatally with sonography
Spina bifida