Simulation 1 Study set

Question 1

What does C, C, D, D, M, S, S stand for?

Answer 1

Center (tube, pt, IR)
Collmate
Detent
Distance (SID)
Marker
Shield
Set technique

Question 2

Is a PA Chest routine?

Answer 2

yes

Question 3

For a PA chest…
1) How should the patient be positioned?
2) Where should the CR be centered? what technique do we use to get there?
3) What is the SID?
4) The top of the IR should be how many inches above the shoulders?
5) Do we take it portrait or landscape?
6) What should the collimation be?
7) When should the exposure be made?

Answer 3

1) Standing erect, hands on hips shoulders forward, chin up, no rotation.
2) Midsaggital. At T7. Using the hand span meathod (hang loose). DETENT.
3) 72” SID
4) 1 1/2- 2” away. Light should be above shoulders.
5) Depedning on the size of the patient but standard portrait.
6) The collimation should be 14x17 or 17x14 . DETENT.
7) After shield, marker, and technique is placed and on the secound full inspiration.

Question 4

is a lateral chest routine?

Answer 4

yes

Question 5

For a lateral chest….
start by positioning for a…..?
1) How should the patient be positioned?
2) Where should the CR be centered? what technique do we use to get there?
3) What is the SID?
4) Do we take it portrait or landscape?
5) What should the collimation be?
6) When should the exposure be made?

Answer 5

start by postioning for a PA.
1) Erect, left side agains bucky, arms raised above head, and chin up.
2) Mid coronal. At T7. handspan method (hang loose) when starting at PA. DETENT.
3) 72” SID. Lower the Bucky 1” from a PA.
4) IR portait.
5) 14x17”
6) After LEFT marker, shield, and technique is placed on the secound full inspiration.

Question 6

For a AP Supine and AP Semi Erect chest…. (portable)
1) How should the patient be positioned?
2) Where should the CR be centered? what technique is used?
3) What is the SID and how do we measure it?
4) Where should the IR be placed?
5) When should the exposure be made?

Answer 6

1) Upright (supine) in the bed. shoulders rolled forward if possible.
2) Midsaggital at T7 (3-4” below jugular notch using hand span (rock on method). DETENT.
3) 72” SID meaured with measuring tape.
4) Behind or under the patient. 1 1/2” above the shoulders. IR should be up and off the strecher. wrap arms around each side of patient to make sure IR is not angled.
5) After shield,maker, and technique have been placed on the 2nd full inspiration.

Question 7

Is a AP Supine and AP Semi Erect Chest considered a special projection?

Answer 7

yes

Question 8

Is a AP Lateral Decubitus postion considered special?

Answer 8

yes

Question 9

For a AP Lateral Decubitus position….
1) How should the patient be positioned?
2) Where should the CR be centered? what technique do we use to get there?
3) What is the SID?
4) The top of the IR should be how many inches above the shoulders?
5) Do we take it portrait or landscape?
6) What should the collimation be?
7) When should the exposure be made?

Answer 9

1) Patient lying on the right side for a right lateral decub and patient laying on left side for a left lateral decub. Both arms should be raised above head to clear the lung field. Back should be agains Bucky. Knees should be slightly bent.
2) CR should be midsaggital at T7 (3-4” below the jugular notch using the hand span meathod). DETENT.
3) 72” SID.
4) 2” above shoulders.
5) Portrait (depending on pt size.)
6) Collimation of 17x14
7) On 2nd full inspiration after maker, shied, and technique have been placed.

Question 10

For a AP Lordotic Postion….
1) How should the patient be positioned?
2) Where should the CR be centered? what technique do we use to get there?
3) What is the SID?
4) The top of the IR should be how many inches above the shoulders?
5) Do we take it portrait or lanscape?
6) What should the collimation be?
7) When should the exposure be made?

Answer 10

1) AP erect. Have pt stand about 8” away from Bucky and lean back to place head and neck on the IR. Rest their hands on the back of thier hips and roll shoulders forward.
2) Midsaggital at T7 (3-4” below jugular notch) use the handspan meathod. DETENT.
3) 72” SID
4) 3” above shoulders. light should not be on face.
5) portrait
6) 14x17 or smaller
7) On 2nd full inspiration after marker, shield, and technique have been set.

Question 11

Is a AP Abdomen (KUB) considered routine or special?

Answer 11

Routine

Question 12

For a AP Abdomen. (KUB)….
1) How should the patient be positioned?
2) Where should the CR be centered? what technique do we use to get there?
3) What is the SID?
4) Do we take it portrait or lanscape?
5) What should the collimation be?
6) When should the exposure be made?

Answer 12

1) Pt is supine with MSP centered to table, legs extended and arms placed at sides away from the body.
2) MSP and iliac crest. palpate for iliac crest. DETENT.
3) 40” SID
4) Portrait
5) 14x17”
6) End of first expiration after marker, shield, and technique have been set.

Question 13

Can you have the patient locate there belly button to make sure you have centered you CR?

Answer 13

yes

Question 14

Is a Bladder Shot considered special or routine?

Answer 14

special

Question 15

For a Bladder Shot….
1) How should the patient be positioned?
2) Where should the CR be centered? what technique do we use to get there?
3) What is the SID?
4) Do we take it portrait or lanscape?
5) What should the collimation be?
6) When should the exposure be made?

Answer 15

1) Supine with MSP centered to table. legs extended. arms at side away from body.
2) Centered at MSP and 2” below asis. Palpate ASIS and use 3 fingers to measure 2”. DETENT.
3) 40” SID
4) Portrait
5) 10x12”
6) End of first expiration after marker, shield, and technique have been set.

Question 16

What must be present in all abodominal x-rays to be considered efficient?

Answer 16

the symphesis pubis.

Question 17

Is a Prone PA Abdomen considered routine or special?

Answer 17

special

Question 18

For a Prone PA Abdomen….
1) How should the patient be positioned?
2) Where should the CR be centered? what technique do we use to get there?
3) What is the SID?
4) Do we take it portrait or lanscape?
5) What should the collimation be?
6) When should the exposure be made?

Answer 18

1) Patient prone with MSP centered to table and IR. legs extended and arms bedside head.
2) CR is to be cenred ar the MSP and iliac crest. DETENT.
3) 40” SID
4) portrait.
5) 14”x17”
6) End of expiration after marker, technique and shield have been set.

Question 19

is a Left Lateral Decubitus Abdomen special?

Answer 19

yes.

Question 20

For a Left Lateral Decub Abdomen…
1) How should the patient be positioned?
2) Where should the CR be centered? what technique do we use to ge there?
3) What is the SID?
4) Do we take it portrait or lanscape?
5) What should the collimation be?
6) when should the exposure be made?

Answer 20

1) Left lateral recumbend with back agains Bucky. Kneesd partially flexed and arms up near head.
2) MSP at 2” above iliac crest. ( use 3 fingers to meaure up from iliac crest. DENTENT
3) 40” SID
4) Portrait
5) 17x14”
6) At the end of expiration after marker, technique and shiled have been set.

Question 21

is a AP Erect Abdomen Special or Routine?

Answer 21

Special

Question 22

For a AP Erect Abdomen ….
1) How should the patient be positioned?
2) Where should the CR be centered? what technique do we use to ge there?
3) What is the SID?
4) Do we take it portrait or lanscape?
5) What should the collimation be?
6) When should the exposure be made?

Answer 22

1) MSP centred to Bucky and arms away from body.
2) At MSP and 2” above iliac crest. (use 3 fingers to measure up from iliac crest).
3) 40” SID
4) Portrait
5) 14x17”
6) During expiration after marker, shield, and technique have been set.

Question 23

oops free one

Answer 23

hehe