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Chapter 15- surgical radiography Flashcards | StudBud
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Chapter 15- surgical radiography
Chapter 15- surgical radiography
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1
What is the soaking of moisture through a sterile or non sterile drape, cover or protective barrier?
Arthroplasty
Cerclage wire
Strike through
Shower curtain
2
In what position is the patient placed during retrograde urography?
Sims position
Reverse Trendelenburg position
Modified lithotomy position
Trendelenburg position
3
What is the primary advantage of using the “boost” feature during a mobile fluoroscopic procedure?
Provides an improved and brighter image
Decreases patient dose
Increases fluoroscopic time
Decreases fluoroscopic time
4
What is the electro hydraulic shock waves used to break apart calcifications in the urinary system?
ESWL
Strike through
Arthroplasty
Cannulated screw
5
What is the isolation drape that separates the sterile field from the non sterile environment?
Cerclage wire
ESWL
Strike through
Shower curtain
6
Which cardinal rule is most effective in reducing occupational exposure?
Shielding
Time
Distance
Intensity
7
Retrograde urography is a _________ examination of the urinary system.
Nonfunctional
Functional
8
A common name for the special tray device that holds the IR and grid during cholangiogram is called “pizza pan”
True
False
9
Which of the following orthopedic devices is classified as an external fixator?
Intramedullary nail
Cerclage wire
Semitubular plate
Ilizarov device
10
The pliable nose strip on the surgical mask helps prevent the fogging of eyeglasses
True
False
11
Which one of the following devices is best during a c-arm hip-pinning procedure to protect the sterile environment?
Sterile towel over image intensifier
Sterile towel over x-ray tube
Shower curtain
Wiping down the entire C-arm with an antiseptic solution
12
What is the creation of an artificial joint to correct ankyloses?
Strike through
ESWL
Arthroplasty
Prosthesis
13
Individual who has primary responsibility for the surgery and the well-being of patient before, during and after.
Scrub
Anesthesiologist
Surgeon
Circulator
14
For a successful surgical radiographic exposures, clear communication must be established among the surgeon, tech, &
CST
Circulator
Anesthesiologist
Scrub
15
The abbreviation for ORIF refers to:
Orthopedic rodding internal fixation
Open reduction internal fracture
Open reduction internal fixation
orthopedic reduction internal fixation
16
Which of the following is not an essential attribute for the surgical radiographer?
Confidence
Problem-solving skills
Mastery of essential nursing skills
Mastery of positioning and technical concepts
17
________consists of the practice & procedures to minimize the level of infectious agents present in surgical environment
Sterile practice
Surgical asepsis
Asepsis
OSHA standards
18
What is this movement of the C-arm called?
Plung/boom
Banking
Wig-wag
Arc
19
Which of the following is not an advantage of laparoscopic cholecystectomy over traditional cholecystectomy?
Can be performed as an outpatient procedure
Less patient dose during fluoroscopy
Less invasive
Reduce hospital time & cost
20
Tech has a moral and ethical responsibility to report violations of sterile field, even if it was not noticed by others
False
True
21
What is a narrow orthopedic screw designed to enter an fix cortical bone
Cortical screw
Cancellous screw
Cannulated screw
Cerclage wire
22
which of the following orthopedic devices is often used during a hip pinning?
Ilizarov device
Semitubular plate
Cannulated screw assembly
Kirschner wire
23
Where should the operator/surgeon stand when using a C-arm fluoro unit in a horizontal CR position?
Intensifier end of C-arm
Midway between the x-ray tube and the intensifier
Must stand back at least 6 feet from the patient
X-ray tube end of C-arm
24
CST is an acronym for ___________ .
Circulating Surgical Tech
Cerebral Spinal Test
Certified Surgical Tech
Certified scrub tech
25
A radiographic examination of the pelvicalyceal system only during surgery is termed:
Nephrostomy
Retrograde pyelogram
Retrograde ureterogram
Antegrade pyleogram
26
What is the orthopedic screw designed to enter and fix porous and spongy bone?
Cortical screw
Cannulated screw
Prosthesis
Cancellous screw
27
What is this movement of the C-arm called?
Plung/boom
Banking
Vertical
Wig-wag
28
Which procedure would an Intramedullary rod be utilized?
Scoliosis corrective surgery
Spinal fusion
Long bone reduction
Microdiskectomy
29
The “boost” feature found on many c-arm systems slightly increase exposure to the patient & technologist.
False
True
30
Asepsis is defined as a(n):
Clean environment
Sterile dressings and covers
Absence of infectious organisms
Proper hand washing
31
An unthreaded (smooth) or threaded metallic wire, used to reduce fractures of the wrist (carpals), is called
Intramedullary rod
Cerclage wire
Kirschner wire
Cannulated screw
32
Individual who assists in OR with needs of scrubbed members within sterile field, before during and after procedure
Surgeon
Circulator
Scrub
Surgical assistant
33
What portion(s) of the OR table is (are) sterile?
Only the level of the tabletop
None of the table
Entire table
Tabletop and half of the base
34
The technologist can wear non sterile gloves when handling the IR and surgical cover following a procedure.
True
False
35
Which of the following procedures does not require the use of mobile fluoroscopy?
Hip pinning
Open reduction of tibia
Intramedullary rod insertion
All of the above require fluoroscopic guidance
36
An individual who prepares the sterile field and scrubs and gowns members of the surgical team is a:
Surgical assistant
Circulator
Scrub
Certified surgical tech (CST)
37
________ is employed to reduce exposure during C-arm fluoroscopy.
Road-mapping
Magnification mode
Boost exposure
Pulsed fluoroscopy
38
Which of the following orthopedic procedures is considered non surgical?
Open reduction
Closed reduction
Internal fixation
External fixation
39
Which type of pathology is addressed through vertebroplasty?
Herniated intervertebral disk
Compression fracture of vertebral body
Scoliosis
Spondylolysis
40
ORIF is the abbreviation for _______________.
Open reduction internal fixation
Open reduction internal fracture
Orthopedic reduction internal fixation
Orthopedic rodding internal fixation
41
Which of the following methods with best reduce patient dosage during a fluoroscopic procedure in surgery?
Decrease kV
Increase mA
Use pulse fluoro
Place x-ray tube above patient
42
Which parts of a sterile gown are considered sterile?
The sleeves and waist region
The shoulders to level of sterile field, sleeve from cuff to elbow
The entire surgical gown
From the top of the shoulders to the knee
43
Suctioning, tying, clamping blood vessels, also assisting in cutting and suturing tissues, are the general duties of:
Surgical assistant
Circulator
CST
Scrub
44
To decrease radiation exposure to patient and operator, pulse fluoro mode should be used rather than contin. Fluoro mode
True
False
45
an unthreaded/threaded metallic wire used to reduce fractures of wrist (carpals) and individual bones of hand/feet?
Cerclage wire
Prosthesis
Cancellous screw
Kirschner wire
46
During most surgical procedures, the technologist is not required to wear protective eyewear
False
True
47
Imaging equipment permanently stored in surgery must be cleaned at least:
Monthly
Daily
Weekly
Bimonthly
48
Laparoscopic cholecystectomy is not suited for every patient and condition.
False
True
49
In what position is the patient placed during most cervical laminectomies?
Trendelenburg
Supine
Prone
Lateral
50
Which of the following is NOT a measure taken to maintain sterile field when operating C-arm in surgical suite?
maintain sterile area by using a “shower curtain”
Rad tech should be scrubbed in/sterile during surgery
Drape image intensifier using sterile cloth/bag
drape patient/surgical site with sterile cloth
51
The least amount of operator rad. exposure occurs when the x-ray tube of the c-arm is located under the surgical table.
False
True
52
On average, how much contrast media is injected during operative cholangiogram?
1-2mL
8-10mL
20-25mL
6-8mL
53
The absence of infectious organisms is the definition for:
Surgical cleanliness
Asepsis
Sepsis
Surgical Sterility
54
A health professional who prepares the OR by supplying it with appropriate supplies and instruments is a:
Certified surgical tech (CST)
Circulator
Surgical assistant
Surgeon
55
Which of the following devices is often used to reduce femoral, tibial, and humeral shaft fractures?
Ilizarov device
Intramedullary nail
Compression screw
Cerclage wire
56
What is this movement of the C-arm called?
Boom/Plung
Vertical
Wig-wag
Arc
57
which of the following devices is classified as an external fixator?
Compression screw
Interbody fusion cages
Intramedullary nail
Ilizarov device
58
Which of the following is not an advantage of laparoscopic cholecystectomy?
It is a less invasive procedure
The procedure is performed without anesthetic in radiology
It can be performed as an outpatient procedure
The patient can return home following the procedure
59
Which of the following techniques best reduces the dose to the surgical team during a C-arm procedure?
Lower kVp as much as possible
Use intermittent fluoroscopy
Place tube in vertical position above patient
Use boost function whenever possible
60
What is this movement of the C-arm called?
Wig-wag
Arc
Banking
Plung/boom
61
Which of the C-arm orientation in general results in the greatest exposure to the operators head (patient supine)?
AP projection (x-ray tube above anatomy)
No significant difference
PA projection (x-ray tube below anatomy)
PA, 30 degree tilt away from operator
62
What should a technologist do if the sterile environment is violated during a surgical procedure?
Notify a member of the surgical team once the procedure is completed
Inform the radiology supervisor
Note the violation on the examination requisition
Notify a member of the surgical team immediately
63
What is this movement of the C-arm called?
Boom
Banking
Arc
Wig-wag
64
Which of the following devices is an example of an external fixator?
Ilizarov device
Interbody fusion cage
Thompson Prosthesis
Modular bipolar prosthesis
65
What is the fabricated (artificial) substitute for a diseased or missing anatomic part?
Arthroplasty
Strike through
Prosthesis
ESWL
66
Which of the following measures is most effective/practical in limiting exposure with mobile fluoroscopy?
Limit all fluoroscopy procedures to no more than 10 minutes
Limit C-arm procedures to surgery cases only
Prevent nonradiologists from using the C-arm
Use intermittent or “foot-tapping” fluoroscopy
67
What is the large screw used in internal fixation of non displaced fractures of proximal femur?
ESWL
Cortical screw
Cannulated screw
Cancellous screw
68
Individual who assists the surgeon is:
Circulator
Certified surgical technologist
Surgical assistant
Scrub
69
The technologist may violate the sterile environment in surgery if wearing sterile gloves, mask and surgical scrubs
True
False
70
When transporting C-arm equipment, the vertical control should be lowered.
True
False
71
What is the primary disadvantage of using the “boost” feature during a mobile fluoroscopic procedure?
There is no disadvantage
Increase radiation to patient and surrounding surgical team
Decrease radiation to patient and surrounding surgical team
Decrease image quality
72
What anatomy is examined during an operative (immediate) cholangiogram?
Small intestine
Biliary ductal system
Large intestine
GI tract
73
What is the orthopedic wire that tightens around the fracture site to reduce shortening of limb?
Cannulated screw
ESWL
Kirschner wire
Cerclage wire
74
The entire OR table is considered sterile.
True
False
75
The first step in setting up the C-arm is to plug the Workstation power cord into the wall socket
False
True
76
How must the IR and grid be aligned if the OR table is tilted during an operative cholangiogram?
Landscape
Diagonal
Portrait
At patients head
77
Which of the following devices can be used for spinal fusion surgery rather than the use of a pedicle screw?
Interbody fusion cage
Dynamic compression plate
Cannulated screw
Austin Moore prosthesis
78
Which type of procedure would be performed in surgery to realign a fracture?
Open reduction internal fixation
Compound reduction
Closed reduction
Internal fixation
79
Health professional who prepares the OR by supplying it with the appropriate supplies and instruments:
Certified surgical technologist
Surgical assistant
Surgeon
Scrub
80
Soft (canvas) shoes should be worn in surgery
False
True
81
The surgeon is responsible to maintain safe radiation environment for all personnel in OR
False
True
82
“Boost” exposures used during C-arm procedures are intended to:
Decrease patient dose
Decrease technologists dose
Increase brightness of image
Provide a road map effect
83
Sterile gloves must be worn when handling a contaminated IR in surgery.
False
True
84
Which spinal procedure may require the use of Harrington or Luque rods?
Scoliosis corrective surgery
Microdiscectomy
Spinal fusion
All of the above
85
What type of orthopedic fixator is commonly used to reduce midhumeral fractures?
Compression screw assembly
Interbody fusion cage
Kirschner wire
Intramedullary rod
86
Individual who prepares sterile field, scrubs &gowns for surgical team, and prepares/sterilizes instruments b4 procedure
Surgeon
Surgical assistant
Circulator
Scrub
87
Scrub covers must be removed before entering the surgical suite.
True
False
88
Scrubs worn in radiology may also be worn in surgery.
False
True
89
Which of the following is not a cardinal rule of radiation protection?
Shielding
Distance
Intensity
Time
90
Which of the following devices helps maintain the sterile environment is surgery during a C-arm guided hip pinning?
Shower Curtain
Good cleaning of equipment before procedure
Cassette cover
Mylar Shield
91
Individual who has the responsibility of ensuring safety of the patient and monitoring physiologic functions/fluid level
Surgical assistant
Surgeon
Scrub
Anesthesiologist
92
Which of the following is NOT an essential attribute of a successful surgical technologist?
Technique
Communication
Problem-solving skills
Mastery
Confidence
93
Which of the following orthopedic devices is used to stabilize a midfemoral shaft fracture?
Cannulated Screw
Austin Moore prosthesis
Interbody fusion cages
Intramedullary Rod
94
Surgical _________ is the absence of infectious organisms.
Disinfection
Sepsis
Asepsis
sterilization