How does the technologist prepare the trauma patient for radiography?

Tell patient of plans; take off easily removable jewelry

Which of the following adaptations of Exposure Factors must the trauma technologist make?

Use short exposure, adjust for backboard and pathology.

How is Sonography used in abdominal trauma imaging?

To initially evaluate abdominal trauma

Which of the following patient Status Changes must be immediately reported to trauma doctor?

Patient has cold, clammy skin with sweating; bluish skin.

Which Cervical spine projection is always done first in trauma radiography?

Cross-table lateral with Swimmer's projection if needed.

How does technologist implement patient care in trauma situation?

Identify self to ALL patients; communicate intentions.

When must collimated field be Sella Turcica to C6 per Merrill's?

When using DR for Cervical spine trauma lateral.

If patient has to be held during trauma radiography, who is the best person to perform hold?

Non-pregnant, Non-medical person

Which trauma cervical projection has CR angled 45 deg medially, 15-20 degs cephalic?

Supine patient, AP Axial Oblique

Which cervical spine trauma projection must be taken first?

Lateral in dorsal decubitus position

Which of following are technologist role in trauma radiography?

Imaging, radiation protection, patient care

When is the dorsal decubitus position used for Cervical Spine trauma imaging?

Cross-table Lateral projection Cervical Spine.

What statistic applies to Male: Teenage to early adult?

Group with most traumatic injuries

When should the technologist inform the doctor IMMEDIATELY about patient status change?

Patient loses consciousness during procedure.

Which action should technologist do if patient becomes diaphoretic: cold, clammy, sweaty?

Inform doctor IMMEDIATELY: shock state pending.

Which of the following is a sign of hip fracture in trauma patient?

Extreme eversion of foot on affected side.

Which trauma protocol might use Ultrasound before x-ray imaging?

Initial assessment of Abdominal trauma

Which projection has CR enter just above clavicle through C7-T1 interspace in trauma x-ray?

Cervical spine lateral: Swimmer's projection

What is required before technologist can remove cervical restraints?

Radiologist clears C-spine; ordering Dr. gives permission.

Which of the following are Best Practices in trauma radography?

Speed, accuracy, high quality imaging.

Name a precautionary guideline for trauma radiography

Need doctor's permission to remove cervical collar

How can using large Focal Spot help in trauma radiography?

Shortens exposure time, reducing likelihood of motion.

What may be the result of poor patient condition or level of cooperation in trauma radiography?

Sub-optimal images may be acceptable

Which of the following is good trauma projections strategy?

Except for spine, do all APs first; do two orthogonal views

Which cervical trauma projection shows Open Intervertebral foramina(IVF) of side CR enters?

Supine AP Axial Oblique Cervical spine.

What services are likely in a Level I Trauma Center?

FAST:(Fast Assessment Sonography) and Rapid Full Body CT

What/whom must tech protect from radiation in trauma situation?

Self, personnel remaining in room, possibly patient gonads.

When is it permissible to irradiate a larger field than required by a particular projection?

If Doctor requests to see adjacent anatomy.

When is the Swimmer's projection always necessary in trauma?

If top of T1 and C7-T1 interspace not visible on lateral.

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Spring2019Quiz6

40 termsStudBud Administration57 plays

Tests knowledge of procedures for Trauma Radiography.

Flashcards40 cardsFPractice quizPHost liveL

Questions 40

Answers

1
How does the technologist prepare the trauma patient for radiography?
Remove piercings not in area of x-ray field.
Remove clothing over area to be x-rayed.
Tell patient of plans; take off easily removable jewelry
Remove casts. slings, or braces to get accurate positioning.
2
Which of the following adaptations of Exposure Factors must the trauma technologist make?
Use long exposure time, increase SID, increased OID
Use short SID, adjust for ER workspace and patient motion.
Use short exposure, adjust for backboard and pathology.
Use short SID, increase OID and exposure time
3
What Level Trauma center is a large university with 24-hour all type specialists?
Level I
Level IV
Level II
Level III
4
What type of trauma is Stab Wound?
Burn
Blunt
Penetrating
Fall
5
Which of the following are common trauma procedures?
Chest, thoracic spine, skull
Chest, abdomen, cervical spine
Abdomen, femur, mandible
Ribs, sternum, TMJs
6
How is Sonography used in abdominal trauma imaging?
To initially evaluate abdominal trauma
To detect renal stones in trauma patient.
To detect liver cirrhosis
To detect pregnancy in trauma patient.
7
Which of the following patient Status Changes must be immediately reported to trauma doctor?
Patient complains of increased pain.
Patient complains of nausea.
Patient has cold, clammy skin with sweating; bluish skin.
Patient complains of severe headache.
8
Which Cervical spine projection is always done first in trauma radiography?
AP and Odontoid view to rule out fracture C2.
AP Axial Oblique with patient supine.
Cross-table lateral with Swimmer's projection if needed.
Cross-table Swimmer's to ensure no Thoracic spine fracture.
9
How does technologist implement patient care in trauma situation?
Identify self to unconscious patients not intubated.
Identify self to conscious patients only.
Identify self to adults only; inform nurse of intentions.
Identify self to ALL patients; communicate intentions.
10
What type of trauma is Assault?
Blunt
Penetrating
Heat
Explosive
11
When must collimated field be Sella Turcica to C6 per Merrill's?
When using DR for Cervical spine trauma lateral.
When using CR for Cervical spine trauma imaging.
If C7-T1 imaging is not required.
If Pituitary tumor is suspected as cause of trauma.
12
If patient has to be held during trauma radiography, who is the best person to perform hold?
Senior Radiographer
Non-pregnant Medical person working in ER.
Student radiographer
Non-pregnant, Non-medical person
13
Which trauma cervical projection has CR angled 45 deg medially, 15-20 degs cephalic?
Supine patient, AP Axial Oblique
Upright patient, AP Axial Oblique
Supine patient, Modified lateral
Upright patient, Modified lateral
14
Which cervical spine trauma projection must be taken first?
Upright lateral
Lateral in dorsal decubitus position
AP Axial Oblique to show dislocation
Odontoid projection
15
Which of following are technologist role in trauma radiography?
Imaging , perform CPR, hold patient during x-ray if needed.
Imaging, checking crash cart, patient care
Imaging, asking family for history of injury, patient care.
Imaging, radiation protection, patient care
16
When is the dorsal decubitus position used for Cervical Spine trauma imaging?
Upright AP Axial Oblique Cervical Spine
PA Axial Oblique Cervical Spine
Cross-table Lateral projection Cervical Spine.
Upright Lateral Cervical Spine
17
What statistic applies to Male: Teenage to early adult?
Group with least traumatic injuries
Group most likely to suffer Burn trauma.
Group with most traumatic injuries
Group with fewer traumatic injuries than females same age
18
When should the technologist inform the doctor IMMEDIATELY about patient status change?
Patient loses consciousness during procedure.
Patient needs urinal during procedure.
Patient requests more medication during procedure.
Patient feels nauseated during procedure.
19
How does correct CR-part alignment and untilted grid longitudinally affect image in trauma?
Lessens radiation entrance dose.
Produces less scatter.
Causes grid cutoff, but reduces exposure.
Prevents image distortion.
20
A large hospital, not teaching or research; all specialties doctors, some not on-site is a-----
Level I Trauma Center
Level III Trauma Center
Level IV Trauma Center
Level II Trauma Center
21
How do Falls rate in US trauma statistics?
Less common than Blunt Trauma
Most common type of trauma.
Less common than Gunshot Wounds (GSW)
Least common type of trauma.
22
Which action should technologist do if patient becomes diaphoretic: cold, clammy, sweaty?
Wait to see if patient gets more symptoms.
Ask fellow student what to do.
Inform doctor IMMEDIATELY: shock state pending.
Tell patient procedure will soon be finished.
23
How do Firearms rate in trauma type fatality statistics?
Lowest fatality rate
Not significant fatality rate
Highest fatality rate
Less than Falls in fatality rate
24
Which of the following is a sign of hip fracture in trauma patient?
Rotation of pelvis toward affected side.
Extreme dorsiflexion of foot.
Extreme inversion of foot on affected side.
Extreme eversion of foot on affected side.
25
Which trauma protocol might use Ultrasound before x-ray imaging?
Initial assessment of Abdominal trauma
Pre- CT Abdomen With Contrast
Follow-up assessment of Abdominal Trauma
Pre- CT Abdomen Without Contrast
26
Which projection has CR enter just above clavicle through C7-T1 interspace in trauma x-ray?
Cervical spine lateral: Swimmer's projection
Cervical spine AP trauma
Cervical spine AP Axial trauma projection C7-T1
Cervical spine lateral: C1-C6
27
What is required before technologist can remove cervical restraints?
Nurse clears Cervical spine x-ray and permits removal.
Radiologist clears Cervical spine; no permission given tech.
Radiologist clears C-spine; ordering Dr. gives permission.
Patient requests removal of brace; states causing pain.
28
Which of the following are Best Practices in trauma radography?
Proceed slowly and carefully; use longest mAs but low kVp.
Speed, few errors, use regular x-ray room techniques.
Speed, accuracy, high quality imaging.
Never use grids in case grid lines show; always get help.
29
Name a precautionary guideline for trauma radiography
Disconnect patient's IV before leaving ER
Need doctor's permission to remove cervical collar
Clamp off patient's urinary bag for trauma projections.
Put patient on wall oxygen to transport to x-ray.
30
Which of the following replaces radiography for Skull trauma in Level I trauma centers.
CT
Ultrasound
Nuclear Medicine
MRI
31
How can using large Focal Spot help in trauma radiography?
Keeps scatter down without using grids.
Permits longer exposure, giving less radiation.
Gives better resolution of small pathologies.
Shortens exposure time, reducing likelihood of motion.
32
What may be the result of poor patient condition or level of cooperation in trauma radiography?
Patient cannot be diagnosed accurately.
Sub-optimal images may be acceptable
Technologist must keep repeating until image is excellent.
All sub-optimal images must be repeated.
33
Which of the following is good trauma projections strategy?
Take Cervical Spine AP first; then odontoid projection
Except for spine, do all APs first; do two orthogonal views
Take most difficult projection first; do one view.
Take all Laterals first; do one projection each procedure.
34
Which cervical trauma projection shows Open Intervertebral foramina(IVF) of side CR enters?
Recumbent Lateral Cervical spine.
Supine AP Axial Oblique Cervical spine.
Supine AP Cervical spine, CR angle 45 degrees cephalad.
Lateral cross-table cervical spine.
35
What services are likely in a Level I Trauma Center?
CT capable of all studies; basic Ultrasound machine.
FAST:(Fast Assessment Sonography) and Rapid Full Body CT
CT capable of rapid Head CT; portable Ultrasound machine
On-call Ultrasound CT and Ultrasound technologists.
36
When are Lateral projections always performed first in trauma situations?
Cervical Spine
Long bone radiography
Pediatric radiography
Extremity radiography
37
What/whom must tech protect from radiation in trauma situation?
Self, personnel remaining in room, possibly patient gonads.
Self, patient gonads if possible, patient in bed 6 ft away.
Self, patients family in hallway, doctor at Control Desk.
Self, personnel bagging patient, patient across hallway.
38
When is it permissible to irradiate a larger field than required by a particular projection?
To avoid missing off anatomy during high speed Code Blue..
If Doctor requests to see adjacent anatomy.
If technologist wants to avoid repeat for missing anatomy.
Never
39
When is the Swimmer's projection always necessary in trauma?
If doctor suspects upper Thoracic spine trauma.
If IR for first lateral cervical spine was placed too high.
If top of T1 and C7-T1 interspace not visible on lateral.
If patient is asthenic.
40
State minimum number of projections for each body part.
One projection if bone fracture suspected.
Two orthogonal projections
Two projections parallel to body part.
Three projections

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