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RADR 233 final review - revised Flashcards | StudBud
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RADR 233 final review - revised
RADR 233 final review - revised
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1
Which of the following immobilization techniques is age appropriate for a 5-year-old pediatric patient?
have the pregnant parent hold the child
a plexiglass paddle or compression band separated by a sponge
use of radiopaque safety vest
utilizing staff to hold arms and legs
2
Because of radiation exposure to the head & neck region, a C-arm should not be used in the PA projection tube alignment.
True
False
3
What is used to create an x-ray beam that activates at timed increments to reduce exposure during c-arm fluoroscopy?
road mapping
boost digital spot
pulse mode
magnification mode
4
What is the centering point for a KUB?
MCP
MCP at the level of the iliac cres
MSP at the level of the iliac crest
MSP at the lower costal margin
5
Which of the cardinal rules of radiation protection is the
most effective
at reducing exposure during mobile & surgical
distance
shielding
none of the above
time
6
If a patients' heartbeat is substantially elevated, you would describe this condition using the term:
angioderma
a.cardiac arrest
bradycardia
tachycardia
7
Arthroplasty is a formal term describing a(n):
removal of damaged meniscus in the knee
debridement of loose bodies in a joint
internal reduction of a long bone fracture
total hip replacement
8
The abbreviation ORIF refers to:
orthopedic reduction internal fixation
open reduction internal fixation
open reduction internal fracture.
orthopedic rodding internal fixation
9
What projection(s) for a dislocated shoulder should be performed on a patient that is unable to stand or sit erect ?
AP projections with internal and external rotation of the shoulder
AP and trans-axillary projections of the shoulder
AP and horizontal beam transthoracic lateral of the shoulder
AP and AP axial projections of the shoulder
10
Which of the following is
NOT
an essential attribute for the surgical radiographer?
confidence
mastery of essential nursing skills
mastery of positioning and technical concepts
problem-solving skills
11
The horizontal beam lateral lumbar spine projection requires a CR position that is:
perpendicular to the coronal plane
a.angled 5° to 7° caudad
angled 5° to 7° cephalic
perpendicular to the image receptor
12
A surgical procedure to remove a small portion of the bone that is impinging the nerve root is termed:
spinal fusion
diskectomy
vertebroplasty
laminectomy
13
What is the CR angulation on an AP axial projection of the clavicle on an asthenic patient?
10 degrees cephalad
20 degrees cephalad
40 degrees cephalad
15 degrees caudad
14
A fragment of bone that is separated or pulled away by the attached tendon or ligament is termed a(n) _____ fracture.
epiphyseal
chip
avulsion
depressed
15
A
laparoscope
is used during the retrograde urogram.
True
False
16
Retrograde urography is classified as a non-functional study of the urinary system.
True
False
17
How is the CR aligned for the acanthiomeatal (reverse Waters) projection for the facial bones?
Parallel to the mentomeatal line
Perpendicular to the plane of the IR
15° cephalad angle to the orbitomeatal line
a.Parallel to the lips-meatal line
18
Only sterile items are allowed within the sterile field.
False
True
19
Which of the following fractures usually involves the spine?
Depression
Stellate
Comminuted
Compression
20
During an ERCP, which of the following steps is part of the radiologic technologists role?
instruct the radiologist what contrast to use and the concentration
direct the administration of contrast media
ensures proper radiation protection measures during fluoroscopy
perform the overhead and rapid sequences (fluoro) images
21
The following image from an esophagram demonstrates what pathology?
esophagitis
carcinoma
achalasia
diverticula
22
What should a technologist do if the sterile environment is violated during a surgical procedure?
Inform the radiology supervisor
Note the violation on the examination requisition
Tell a member of the surgical team once the procedure has been completed
Notify a member of the surgical team immediately
23
Which imaging modality is often used to diagnose an ectopic pregnancy?
ultrasound
nuclear medicine
CT
MRI
24
A 64-year old patient, is unable to sit or stand but needs an x-ray for free air. What projection must you perform?
dorsal decubitus abdomen
left lateral decubitus abdomen
ventral decubitus abdomen
right lateral decubitus chest
25
When performing imaging during an operative cholangiogram, the IR is placed in a special metal tray called a:
Meyer's tray
cholangiogram tray
Smith tray
"pizza pan" tray
26
A fracture in which the bone is broken into three pieces, with the middle fragment broken at both ends is what?
segmental fracture
splintered fracture
impacted fracture
butterfly fracture
27
Which of the following is an indication for having an x-ray of the pelvis?
trauma
lower abdominal pain
evaluation of constipation/fecal loading, bowel obstruction, or perforation
paralysis of the diaphragm
28
Which of the following fractures is often called a reverse Colles’ with anterior displacement of the distal radius?
Smith's
Tripod
Trimalleolar
Pott's
29
How much rotation is required for an AP oblique projection of the sternum on a
hypersthenic
patient?
15°
25°
20°
30°
30
The horizontal beam lateral projection for the cervical spine requires a ____ source image receptor distance (SID).
60 to 72-inch (153 to 183-cm)
35 to 40-inch (89 to 102-cm)
96-inch (245-cm)
40 to 44-inch (102 to 113-cm)
31
With high-level fluoroscopy (HLF), the maximum exposure rate cannot exceed 20 R/min.
True
False
32
Which one of the following devices is classified as an external fixator?
Ilizarov device
intrmedullary nail
compression screw
interbody fusion
33
Post-reduction projections of the upper and lower limbs generally require only the joint nearest to the fracture site.
True
False
34
A hysterosalpingogram should be undertaken:
21 days following commencement of menstruation
during menstruation
7-10 day following commencement of menstruation
5 days prior to menstruation
35
The marker on this image demonstrates what anatomical part?
frontal bone
superior orbital margins
frontal sinus
crista galli
36
How much rotation of the body is generally required for an AP oblique, lateral scapular Y projection?
10° to 15° from AP projection
45° to 60° from AP projection
35° to 40° from AP projection
25° to 30° from AP projection
37
What radiographic projection is represented in the accompanying image?
AP right hip
AP lateral distal femurs
AP coccyx
AP bilateral "frog-leg" pelvis
38
Ankylosing spondylitis
affects the hips
causes acute inflammation
causes fusion of joints such as the SI joints and the spine
causes chest pain
39
All of the following factors are causes of childhood cancer
EXCEPT
?
all the above
prenatal carcinogenic exposure
postnatal cardiogenic exposure
smaller body mass and surface area
40
What structure is identified with an arrow in the following image?
right fallopian tube
uterus
Ovary
left fallopian tube
41
What is the medical term used to describe a partial dislocation of a joint?
luxation
angulation
apposition
subluxation
42
The primary clinical indication for an operative cholangiogram is:
hepatitis
jaundice
pancreatitis
biliary calculi
43
Soaking of moisture through a sterile drape, cover, or protective barrier permitting bacteria to reach sterile areas is:
sterile violation
strike-through
transmission
aseptic leakage
44
Focused grids are recommended for mobile chest studies.
True
False
45
What abdominal projection(s) should be performed on a patient with a history of recent abdominal surgery?
AP and bilateral "frog-leg" pelvis
erect and lateral decubitus abdomen
PA supine KUB
lateral chest
46
Which of the following fractures is described as an incomplete fracture with the cortex broken on one side of the bone?
Greenstick
a.Avulsion
Torus
Bayonet
47
An internal pacemaker implantation can be performed under local anesthetic.
False
True
48
How would you radiograph the abdomen of a hypersthenic man?
two cassettes crosswise
one cassette crosswise
two cassettes lengthwise
one cassette lengthwise
49
Which of the following projections of the abdomen best demonstrates an abdominal aortic aneurysm?
dorsal decubitus
AP kidneys, ureter, bladder (KUB)—supine
erect abdomen
right lateral decubitus
50
Which of the following devices is an alternative to traditional spinal fusion procedures?
Ilizarov device
Harrington rods
Cortical bone trajectory screw
Interbody fusion cage
51
The retrograde
pyelo
gram is intended to demonstrate the collecting structures of the
kidney
only
False
True
52
“Boost” exposures used during C-arm procedures are intended to:
provide a road map effect
decrease the technologist's dose
decrease patient dose
increase brightness of the image
53
A patient arrives in the ED unable to walk after falling off a balcony. The following radiograph obtain represents:
AP pelvis with osteoporosis
a double expose pelvis x-ray
a normal AP projection of the pelvis
bilateral hip fractures
54
A bruise type of injury with a possible avulsion fracture is termed a(n):
luxation
subluxation
apposition
contusion
55
Electrohydraulic shock wave used to break apart calcifications in the urinary system is the definition for:
ORIF
ERCP
ESWL
HTO
56
A fracture that occurs through the pedicles of C2, with or without displacement of C2 or C3, is termed a ____ fracture.
odontoid
Jefferson
Hangman's
clay shoveler's
57
The frequency of x-ray examinations for patients of all ages in the United States has increased by ___ times since 1950.
10
5
15
20
58
Typically, how much contrast media is injected by the surgeon during an operative cholangiogram?
1 to 2 mL
15 to 20 mL
10 to 12 mL
6 to 8 mL
59
Along with a decline in memory, dementia patients may also experience changes in:
all of the above
recognition
communication
motor function
60
What is the primary disadvantage of performing a PA thumb over an AP projection?r
required the use of a higher kVp and greater exposure to the patient
is more difficult to position
may not demonstrate the entire thumb
results in an increase in object to image receptor distance (OID)
61
A self-propelled, battery-driven mobile (portable) x-ray unit will generally go up a maximum incline of:
7°
2°
15°
10°
62
Where should the operator or surgeon stand when using a C-arm unit in a horizontal central ray (CR) position?
Intensifier end of the C-arm
X-ray tube end of the C-arm
Midway between the x-ray tube and the intensifier
Must stand back at least 6 feet from the patient
63
A 30° tilt of the C-arm tube from vertical will increase radiation exposure to the face & neck by a factor of what?
6
2
4
3
64
A possible complication when performing an arthrogram is:
thrombosis formation
infection
CVA
hearth arrhythmia
65
Radiography of the liver and biliary system includes:
upper abdominal contrasted venography
non-contrast studies of the pancreas
non-contrast study of the gallbladder and biliary ducts
contrast study of the liver, gallbladder, biliary ducts, & pancreatic ducts
66
Which procedure may require the use of Luque or Harrington rods?
Internal reduction of long bone
Arthroplasty
Microdiskectomy
Scoliosis corrective procedure
67
The female bony pelvis differs from the male bony pelvis. Which of the following statements is correct?
The symphysis pubis is longer on the female pelvis than on the male pelvis
The true pelvis of the female is wider and more rounded than the male
The iliac wings of the male pelvis are more flared than the female pelvis
The pubic arch is wider on the male pelvis than the female pelvis
68
The PA Axial "Butterfly" projection of the rectosigmoid requires a CR angulation of:
10 degrees caudad
30 -40 degrees caudad
30 degrees cephalad
the x-ray beam is perpendicular to the IR
69
Which of the following fractures involves the distal fifth metacarpal?
Barton's
Boxer's
Pott's
Smith's
70
Which of the following projections best demonstrates free abdominal air on the patient who cannot stand or sit erect?
dorsal decubitus abdomen
left lateral decubitus abdomen
right lateral decubitus abdomen
AP supine KUB
71
What type of fracture is also called a "march fracture"?
burst
Pott's
trimalleolar
stress
72
A patient enters the ED with a possible Monteggia fracture. Which positioning routines should be performed?
Horizontal beam PA and lateral forearm projections
AP and horizontal beam lateral skull projections
PA and lateral thumb projectionsCorrect
AP and lateral cervical spine projections
73
Which of the following statements concerning surgical cholangiography is correct?
is useful for demonstrating the bile ducts and part of the ileum
occurs only during laparoscopic surgery
may demonstrate gallstones in the gallbladder and bile ducts
occurs only during open surgery
74
What projections would you perform on a patient immobilized on a backboard with a possible orbital blow-out fracture?
AP acanthioparietal & horizontal beam lateral facial bone images
AP modified acanthioparietal & horizontal beam lateral facial bone images
AP 30° & axial and horizontal beam lateral skull
AP 0° & horizontal beam lateral skull
75
What radiographic projection is demonstrated in this image?
AP projection
lateral oblique projection
lateral projection
medial oblique projection
76
A patient enters the ED with a possible greenstick fracture. Which age group does this type of fracture usually affect?
Young adult
Middle-age
Pediatric
Geriatric
77
How is the
CENTRAL RAY (CR) aligned
for an axiolateral, inferosuperior (Danelius-Miller) projection of the hip?
Perpendicular to femoral neck
Parallel to femoral neck
a.At a 45° angle to the femoral neck
At a 20° angle to the femoral neck
78
Asepsis is defined as a(n):
absence of infectious organisms
sterile dressing and covers
proper handwashing
clean environment
79
You perform a forearm with 55 kV & 5 mAs. After placement of a fiberglass cast, what technical factors should you use?
59 kV; 5 mAs
72 kV; 5 mAs
67 kV; 5 mAs
62 kV; 5 mAs
80
A patient enters the ED with a possible sternum fx - supine & unable to lie prone. What projections should you perform?
RAO and lateral recumbent - horizontal beam
AP and LPO
LPO and horizontal beam lateral
AP and horizontal beam lateral
81
Shoe covers are
NOT
required in the pre-surgical, surgical or recovery areas.
True
False
82
What imaging modality is often used to diagnose pulmonary emboli?
ultrasound
nuclear medicine
MRI
radiation therapy
83
The urologist will withdraw the urethral catheter
before
imaging begins for a retrograde pyelogram.
True
False
84
A plane that divides the body into mirror images is:
coronal plane
midsagittal plane
transverse plane
frontal plane
85
Closer to the point of origin or closer to the body is termed:
caudal
cranial
proximal
distal
86
A health professional who prepares the operating room by supplying it with the appropriate supplies and instruments is a
surgical assistant
scrub
circulator
certified surgical technologist (CST)
87
A 45 year old female has bloating of the abdomen and difficulty passing stools. The following image represents:
volvulus
constipation
pneumoperitoneum
tumor
88
What is the appropriated action of a technologist whose patient is showing moderate to severe symptoms of anaphylaxis?
suction of fluids
RUN!
stay with the patient and monitor his/her vital sign
administration of epinephrine
89
Meconium ileus is:
thickening of the intestinal wall
commonly seen in neonates
thought to create a blockage of the distal ileum
usually seen in adults
90
Colitis is:
a perforated bowel
a blockage of the bowel
inflammation of the small bowel
inflammation of the large bowel