FInal Exam Flashcards

1
Q

Epidural Spinal Injections are used for?

A
  • Contrast injection for CT Myelogram
  • Injection of radionuclide for nuc med
  • Injection of chemotherapy
  • Injection of steroid or meds for pain management
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2
Q

Is surgical or medical asepsis used for spinal injections?

A

Surgical

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3
Q

Geriatric patients are especially prone to this due to falls and osteoporosis?

A

Broken hips

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4
Q

This can be used to perform chest, abdomen and spine X-rays on a small child?

A

Pig-o-stat

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5
Q

Following a spinal injection how long must the patient wait until they can leave?

A

15-30 minutes

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6
Q

Why must CT myelogram patients remain supine after injection?

A

To prevent contrast from travelling up the spinal cord

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7
Q

Pain management exams are performed under “this” modality?

A

Fluoroscopy

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8
Q

Which position will the patient be in for a Facet injection?

A

RAO/LAO

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9
Q

Increased patient thickness=Increased scatter which results in?

A

Decreased contrast resolution

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10
Q

This type of needle is used in all joint injections?

A

Spinal needle

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11
Q

Some common indications for Pain Management?

A
  • Bursitis
  • Tendonitis, tendonosis, tenosynovitis
  • Arthritis
  • Various forms of back pain
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12
Q

What 4 medications are commonly used in pain management?

A
  1. Local Anesthetic
  2. Pain Relief
  3. Contrast
  4. Steriods
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13
Q

For a pre-MRI shoulder arthrogram “this” will be injected along with X-ray contrast?

A

Gadolinium

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14
Q

The standard protocol for a bone age exam is this?

A

Left hand and wrist routine

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15
Q

The most important technique adjustment to make when imaging very large patients is?

A

Increase kVp

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16
Q

What does the Tech do during pain management?

A
  • Double ID, obtains consent
  • Prep room, trays, images
  • Use the c-arm
  • Document patient condition(Pre and Post)
  • Ensure patient comfort and safety
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17
Q

How long is the patient instructed to wait after a pain management injection?

A

10-30 minutes

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18
Q

What is the purpose of skin prep of a site?

A

Reduce infection

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19
Q

Patients may be asked to rate pain level pre and post injection using “this”?

A

Scale of 1-10

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20
Q

“This” is the only difference between pain injection and arthrogram of same joint?

A

The medication injected

21
Q

Challenges that occur when images bariatric patients?

A
  • Decreased image quality
  • Can be hard on equipment
  • Can’t transfer patient safely
  • Takes more time
  • Physical harm for tech and or patient
22
Q

Loss of bone mass and atrophy of tissues requires “this” when imaging geriatric patients?

A

Decrease kVp

23
Q

A common urinary system exam performed on kids is?

A

VCUG

24
Q

An air enema can be used to reduce this dangerous occurrence in a childs bowel?

A

Intussesception

25
Q

What 2 considerations must a tech make when radiographing a patient with Paget’s disease?

A
  • Size of IR

- Increase kVp

26
Q

What are some examples of immobilization devices we can use when examining small children?

A
Octostop
Pigg-o-stat
Sandbags
Ace Bandage
Tape
Weighted angle blocks
Mummy wrap
Shielding
27
Q

“This” chest pathology requires a DECREASE in technique?

A

Emphysema

28
Q

When a chest X-ray is done AP in a wheelchair the tube angle needs to match “this”?

A

Angle of sternum

29
Q

Arthrography is a method of visualizing “this”?

A

Synovial Joint

30
Q

When performing an epidural the puncture is always below “this”?

A

Conus Medullaris

31
Q

Arthrography can be done using which 3 modalities?

A

CT
MRI
Fluoro

32
Q

What views do we take on a child with congenital club foot?

A

2 views 90 degrees apart

33
Q

What is the upper GI prep for

  • Infants younger than 3 months?
  • Children 3 months to 5 years?
  • Children 5 years and older?
A
  • NPO for 3 hours prior to exam
  • NPO 4 hours prior to exam
  • NPO 6 hours prior to exam
34
Q

What is the prep for a Lower GI on

  • Infants to 2 years?
  • Children 2 to 10?
  • Children 10 years and up?
A
  • No prep
  • A low residue meal evening before, laxative before bed, possible pedi-fleet enema
  • Same as adults
35
Q

What is the prep required for an IVU of a child?

A

No solid food 4 hours prior to exam

-Drink clear liquids

36
Q

The radiologist will confirm the location and depth of the needle fluoring in “this” position?

A

Cross table lateral

37
Q

What are 2 ways to decrease scatter when imaging bariatrics?

A

Grids

Collimation

38
Q

After contrast injection into the joint the radiologist does what?

A

Manipulation of the joint

39
Q

A facet injection will provide “this” if is was the source of pain?

A

Immediate relief

40
Q

“This” landmark can be used to locate other positioning landmarks?

A

Jugular notch

41
Q

What is the most common arthrography site?

A

Shoulder

42
Q

What is the positioning order for a pediactric UGI?

A
Supine
Left lateral
LPO
RAO
Right lateral
Prone
43
Q

“This” medication must be stopped 24-48 hours prior to an epidural to prevent unwanted complications?

A

Blood thinners

44
Q

“This” selection shold be used for all images except for distal limbs?

A

Larger focal spot

45
Q

Geriatric patients have a strong fear of “this” during fluoro exams?

A

Falling

46
Q

Why are bone age examinations performed? What do they entail?

A

-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

47
Q

What is Meconium Aspiration Syndrome?

A

Uterine aspiration of amniotic fluid and meconium by fetus, leads to aspiration pneumonia

48
Q

What is Legg-Perthes Disease?

A

A disorder initiated by a disruption of blood flow to the femoral head, causing bone to die