ergonomics and understanding other modalities Flashcards

1
Q

the study of the human body at work

A

ergonomics

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2
Q

gained popularity during the industrial revolution

A

ergonomic concepts

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3
Q

method that improved worker efficiency by improving the job process

A

scientific management

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4
Q

most common sonographer complaint

A

shoulder pain in scanning arm

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5
Q

incidence of WRMSDs in the US

A

81%

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6
Q

where industry specific guidlines do not exist the _______ is used

A

general duty clause

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7
Q

to the general duty clause states that each employee shall comply with occupational safety and health standards and all rules, regulations, and orders issued persuant to this Act that are applicabe to his or her own actions or conduct

A

section 5B

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8
Q

Work related musculoskeletal disorder

A

WRMSD

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9
Q

WRMSD incidents are defined as injuries that

A

result in restricted work
result in days away from work
involve MSD symptoms that remain for more than 7 days
involve MSD symptoms that require medical treatment beyond first aid

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10
Q

echocardiography, high-risk OB scanning, and to a lesser extent vascular scanning can cause WRMSD because of

A

repetitve motion

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11
Q

helps organizations work with OSHA to prevent workplace injury

A

alliance program

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12
Q

society for diagnostic medical sonography hosts

A

international ultrasound industry consensus confrence

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13
Q

At the International Ultrasound Industry Consensus Conference administrators addressed the issues of

A

workload, scheduling, and room size

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14
Q

sonographers discussed

A

best practices, education, and training

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15
Q

also discussed at the conference were the need for accredited programs to include ________________________ and the need for ___________________________

A

curriculum retated to ergonomics and injury prevention

certifying bodies to test knowledge of risk factors

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16
Q

address the role of employees and employers, educators, medical facilities, and equipment in reducing the impact of work-related injuries on the workforce and are intended to assist all stakeholders in making informed decisions

A

industry standards

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17
Q

include injuries of muscles, tendons, and joints

A

WRMSDs

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18
Q

risk factors for WRMSDs

A
forecful exertions
awkward or prolonged static posture
repetitive motion
"pinch" grip
environmental factors
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19
Q

inflammation of the tendon and the sheath around the tendon, which often occur together

A

tendonitis and tenosynovitis

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20
Q

specific type of tendonitis of the thumb that can result from gripping the transducer

A

de quervain disease

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21
Q

entrapment of the median nerve as it runs through the carpal bones of the wrist. Results from repeated flexion and extension of the wrist

A

carpal tunnel

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22
Q

entrapment of the ulnar nerve as it runs through the elbow

A

cubital tunnel

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23
Q

inflammation of the periosteum in the area of the insertion of the biceps tendon into the distal humerus. Can result from repeated twisting of the forearm

A

epicondylitis

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24
Q

nerve entrapment that can occur at different levels, resulting in a variety of symptoms

A

thoracic outlet syndrome

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25
Q

inflammation and swelling of the tendon sheath in a finger that entraps the tendon and restricts the motion of the finger

A

trigger finger

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26
Q

inflammation of the shoulder bursa

A

bursitis

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27
Q

repeated motion, which causes fraying of the rotator cuff muscle tendons

A

rotator cuff injury

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28
Q

intervertebral disk degeneration that results from bending and twisting and improper seating

A

spinal degeneration

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29
Q

bedside examinations should be shared with

A

other staff

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30
Q

work related injuries should be reported __________ to occupational heath or rish management departments and recoreded on ________ logs.

A

immediately

OSHA

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31
Q

Xrays are a type of _______________ radiation, which has both electircal and magnetic properties

A

electromagnetic

32
Q

Xrays travel at the speed of

A

light

33
Q

production of X-rays requires a stream of high energy electrons, accelerated across a high voltage, then suddenly stopped by impacting a ________ charged metal barrier called an _________

A

positively

anode

34
Q

source of the stream of electrons is a ____________ charged electrode called a _______________

A

negatively

cathode

35
Q

Movements of electrons between the anode and cathode are possible because of the ___________________, and the electrons are accelerated because of the high voltage generated between the cathode and anode.

A

difference in charges

36
Q

refers to the amount of energy that reachers the film of the detector and its subsequent display on the image

A

high or low density

37
Q

tissues that absorb a greater number of X-rays create __________ areas on the resultant image (bone)

A

whiter

38
Q

In xray, air absorbs the beam the least, and is displayed as

A

black

39
Q

the difference among adjacent densities (structures). The feature of an image that affects the ability to visualize detail and detect lesions

A

contrast

40
Q

Two kinds of radiographic contrast

A

film/detector

subject

41
Q

Film/detector contrast

A

Inherent in the film type and processing techniques

not changeable by the operator

42
Q

subject contrast

A

affected by the absorption characteristics of the tissue

43
Q

If the image is made up of multiple tissues with similar _______________, differentiating anatomic structures is difficult

A

absorption characteristics

44
Q

Imaging the entire abdomen is an example of

A

Low subject contrast. Lots of grays

45
Q

Chest xray is an example of

A

high subject contrast. Black and white

46
Q

used to increase or decrease the absorption of X-rays

A

contrast media

47
Q

“active ingredients” in almost all medical radiographic contrast media. Positive contrast agents

A

iodine and barium

48
Q

Air is a

A

Negative contrast agent

49
Q

Air filled stuctures appear ________ than the surrounding tissues

A

darker

50
Q

An adult patient may be referred to ultrasound if

A

pleural effusion is detected on chest X-ray

ventriculoperitoneal (vp) shunts are seen radiographically

51
Q

A pediatric patient may be referred to ultrasound if

A

to evaluate VP shunts or

as a follow up on a positive VCUG study

52
Q

The areas of interest to a sonographer on a follow up sonogram after xray are

A

lung bases and diaphragm

53
Q

In a normal chest xray, the lateral areas of the lung come to a point called the

A

cotophrenic angle

54
Q

pleural fluid causes blunting of the

A

costophernic angles

55
Q

shunt tubing connect from the ventricles of the brain to the abdominal cavity to allow fluid to drain from the ventricalar system of the brain into the peritoneal cavity

A

VP shunt

56
Q

VCUG studies are performed primarily on pediatric patients with a

A

recurrent urinary tract infection

57
Q

VCUG images should be evaluted by sonographer to see the degree of

A

hydronephrosis

58
Q

Typical CT scanner is a doughut with a hole in the center called a

A

gantry

59
Q

Inside the gantry is xray producing tube opposite the banana shaped

A

xray sensors

60
Q

Whole body images are produced, with image slices or

A

tomographic cuts

61
Q

Common name for the method of CT scanning whose xray tube rotates continuously in one direction wihinin the gantry while the object to be xrayed slides through the xray opening is

A

spiral or helical CT

62
Q

Dilute suspension of barium sulfate is most commonly used for

A

oral contrast

63
Q

may be used if barium is contraindicated

A

Iodinated contrast agents

64
Q

In nuclear medicine, gamma rays are spontaneously generated from the decay of

A

radioactive isotopes

65
Q

The radioactive atom is bound chemically to the tracer molecule

A

radioactive pharmaceuticals

66
Q

can be inhaled, taken orally, or administered intravenously

A

radionuclides/radiopharaceuticles/radiotracers

67
Q

site of interest where radionuclide is administered

A

target tissue

68
Q

all other tissues where radionuclides may be administered

A

background

69
Q

special sensing equipment used to detet the radioactivity emitted by the tracer to yeild an image

A

scintigraphy

70
Q

Camera used to detect radiation, named after its inventor, Dr. Hal Anger

A

Anger camera or gamma camera

71
Q

Nuclear medicine is often able to determine the cause of clinical problems caused by the ____________ malfunction of the bone, organ, or tissue. This is different from other imaging modalities that detect and characterize disease based on __________ appearance

A

physiologic

structural

72
Q

Nuclear med images tend to lack anatomic detail and are often described as _______ or ________

A

cold spots

hot spots

73
Q

Most common question for patient sent for ultrasound after nuclear med imaging involves

A

thyroid and parathyroid lesions

74
Q

Decreased cellular function. Solid lesion that isn’t functioning, a cyst which wouldn’t have any functioning tissue, or a type of living tissue which without affinity for the particular type of tracer used

A

cold spot

75
Q

increased uptake of the radionuclide or hyperfunctioning tissue. Increased cellular function

A

hot spot

76
Q

CT scanner is incorporated in the ___________, and the system generates a composite image that consists of a CT scan with a superimposed colorized nuclear medicine image

A

pet scan

77
Q

Most commonly used tracer in Pet scan is

A

F-18-flurodeoxy-glucose (FDG)