AIM: Brant: Ch 65: Imaging Children

Question 1

In children, if inspiratory/expiratory chest radiographs are required for assessment of air trapping, these are best performed using what position/s:
a. Upright
b. Lateral
c. Lateral decubitus (bilateral)
d. Cross-table lateral

Answer 1

c. Lateral decubitus (bilateral)

Question 2

In infants, this position is considered possible for all but the sickest of infants when evaluating for pneumothorax:
a. Upright
b. Decubitus
c. Cross-table lateral
d. None of the above

Answer 2

b. Decubitus

Question 3

In children, two-view abdominal radiographs are better performed with supine and decubitus views (vs. upright in adults). ____ views require less cooperation and have the benefit of increasing the amount of gas in the right lower quadrant which is helpful when appendicitis is a consideration (a common occurrence)

Answer 3

Left lateral decubitus views

Question 4

At least how many separate radiographs are required for a skeletal survey for child abuse (radiation risk is not even a consideration here due to the risk to the child from missed abuse and the benefit of diagnosis)?
a. 10
b. 15
c. 20
d. 25

Answer 4

c. 20

Question 5

Imaging modality that is considered workhorse of pediatric imaging
a. Radiography
b. Fluoroscopy
c. Ultrasound
d. MRI

Answer 5

c. Ultrasound

Question 6

At all ages, ____ is probably the most important factor in obtaining high-quality images
a. Ultrasound technologist
b. Sedation
c. Distraction techniques
d. Ultrasound machine

Answer 6

a. Ultrasound technologist

Question 7

This is an examination that is almost unique to pediatrics and is still extensively used for the diagnosis, staging, and follow-up of neuroblastoma
a. HIDA scan
b. 123I- MIBG scan
c. Cystograms
d. 18-F FDG-PET

Answer 7

b. 123I- MIBG scan

a. HIDA scan: hepatobiliary scan for biliary atresia
c. Cystograms: VUR
d. 18-F FDG-PET: lymphoma and sarcomas