FInal Exam Flashcards
Epidural Spinal Injections are used for?
- Contrast injection for CT Myelogram
- Injection of radionuclide for nuc med
- Injection of chemotherapy
- Injection of steroid or meds for pain management
Is surgical or medical asepsis used for spinal injections?
Surgical
Geriatric patients are especially prone to this due to falls and osteoporosis?
Broken hips
This can be used to perform chest, abdomen and spine X-rays on a small child?
Pig-o-stat
Following a spinal injection how long must the patient wait until they can leave?
15-30 minutes
Why must CT myelogram patients remain supine after injection?
To prevent contrast from travelling up the spinal cord
Pain management exams are performed under “this” modality?
Fluoroscopy
Which position will the patient be in for a Facet injection?
RAO/LAO
Increased patient thickness=Increased scatter which results in?
Decreased contrast resolution
This type of needle is used in all joint injections?
Spinal needle
Some common indications for Pain Management?
- Bursitis
- Tendonitis, tendonosis, tenosynovitis
- Arthritis
- Various forms of back pain
What 4 medications are commonly used in pain management?
- Local Anesthetic
- Pain Relief
- Contrast
- Steriods
For a pre-MRI shoulder arthrogram “this” will be injected along with X-ray contrast?
Gadolinium
The standard protocol for a bone age exam is this?
Left hand and wrist routine
The most important technique adjustment to make when imaging very large patients is?
Increase kVp
What does the Tech do during pain management?
- Double ID, obtains consent
- Prep room, trays, images
- Use the c-arm
- Document patient condition(Pre and Post)
- Ensure patient comfort and safety
How long is the patient instructed to wait after a pain management injection?
10-30 minutes
What is the purpose of skin prep of a site?
Reduce infection
Patients may be asked to rate pain level pre and post injection using “this”?
Scale of 1-10
“This” is the only difference between pain injection and arthrogram of same joint?
The medication injected
Challenges that occur when images bariatric patients?
- Decreased image quality
- Can be hard on equipment
- Can’t transfer patient safely
- Takes more time
- Physical harm for tech and or patient
Loss of bone mass and atrophy of tissues requires “this” when imaging geriatric patients?
Decrease kVp
A common urinary system exam performed on kids is?
VCUG
An air enema can be used to reduce this dangerous occurrence in a childs bowel?
Intussesception
What 2 considerations must a tech make when radiographing a patient with Paget’s disease?
- Size of IR
- Increase kVp
What are some examples of immobilization devices we can use when examining small children?
Octostop Pigg-o-stat Sandbags Ace Bandage Tape Weighted angle blocks Mummy wrap Shielding
“This” chest pathology requires a DECREASE in technique?
Emphysema
When a chest X-ray is done AP in a wheelchair the tube angle needs to match “this”?
Angle of sternum
Arthrography is a method of visualizing “this”?
Synovial Joint
When performing an epidural the puncture is always below “this”?
Conus Medullaris
Arthrography can be done using which 3 modalities?
CT
MRI
Fluoro
What views do we take on a child with congenital club foot?
2 views 90 degrees apart
What is the upper GI prep for
- Infants younger than 3 months?
- Children 3 months to 5 years?
- Children 5 years and older?
- NPO for 3 hours prior to exam
- NPO 4 hours prior to exam
- NPO 6 hours prior to exam
What is the prep for a Lower GI on
- Infants to 2 years?
- Children 2 to 10?
- Children 10 years and up?
- No prep
- A low residue meal evening before, laxative before bed, possible pedi-fleet enema
- Same as adults
What is the prep required for an IVU of a child?
No solid food 4 hours prior to exam
-Drink clear liquids
The radiologist will confirm the location and depth of the needle fluoring in “this” position?
Cross table lateral
What are 2 ways to decrease scatter when imaging bariatrics?
Grids
Collimation
After contrast injection into the joint the radiologist does what?
Manipulation of the joint
A facet injection will provide “this” if is was the source of pain?
Immediate relief
“This” landmark can be used to locate other positioning landmarks?
Jugular notch
What is the most common arthrography site?
Shoulder
What is the positioning order for a pediactric UGI?
Supine Left lateral LPO RAO Right lateral Prone
“This” medication must be stopped 24-48 hours prior to an epidural to prevent unwanted complications?
Blood thinners
“This” selection shold be used for all images except for distal limbs?
Larger focal spot
Geriatric patients have a strong fear of “this” during fluoro exams?
Falling
Why are bone age examinations performed? What do they entail?
-Evaluate degree of skeletal mutation
-Know how child is developing
-Standard AP of left hand and wrist
1-2 year old protocol includes left knee
What is Meconium Aspiration Syndrome?
Uterine aspiration of amniotic fluid and meconium by fetus, leads to aspiration pneumonia
What is Legg-Perthes Disease?
A disorder initiated by a disruption of blood flow to the femoral head, causing bone to die
