Final review Flashcards
What is a normal pulse rate for a healthy adult
60-100 beats/minute
Systolic blood pressure corresponds with the contraction of which chamber of the heart
Left ventricle contraction
What is a normal blood pressure
120/80 or less
Diastolic blood pressure corresponds to
Ventricular diastole or ventricular relaxation
Initial electrical impulse in the heart is generated by the
Sinus node
An elevated ST segment on an EKG indicates what
Myocardial infarction
Which reasons might a patient’s pulse ox reading fall below 90%
Sleep apnea
Poorly placed oximetry sensor
Chronic obstructive pulmonary disease
Cardiac arrest
Which aspect of the EKG rhythm strip represents the electrical conduction through the atria of the heart
P segment (the first little bump)
Which aspect of the EKG rhythm strips represents the electrical activity of the ventricles during diastole e
T segment
small little bump at the end
Normal range for BUN
7-21 mg/dL
What factors can cause creatinine levels to fluctuate
Age
Muscle mass
Hydration
Gender
Which tests are used for renal function
BUN
Creatinine
GFR
Which tests are hematology tests
Hematocrit
Hemoglobin
Platelets
WBC
What tests are coagulation tests
PT (Prothrombin time)
PTT (Partial thromboplastin time)
INR (International standardized ratio)
ACT (activated coagulation time)
What is the normal range for creatinine
0.7-1.5mg/dL
What is the normal GFR range
90-120
A GFR below 90 would indicate what
Poor renal function
A GFR below 30 would indicate
Potential renal failure
A BUN over 50 would indicate
Potential renal failure
A creatinine over 2 indicates what
Potential renal failure
What factors are used to calculate a patient’s GFR
Creatinine level
Age
Gender
What represents the amount of red blood cells in whole blood
Hematocrit
Which lab tests may help to indicate if a patient has anemia
Hemoglobin
Hematocrit
Which lab tests May indicate bleeding or blood loss
Hematocrit
Hemoglobin
What lab test may indicate a patient’s potential for bleeding
Platelet count
PTT
PT
INR
ACT
What is a normal hemoglobin range for males
14-17
What is a normal hemoglobin range for females
12-15
A software program that allows for digital documentation of all patient health information
EHR
This system has replaced hard copy and film storage systems in most Radiology departments
PACS
“Meaningful use” is a set of electronic medical records standards as governed by
Center for Medicare and Medicaid services (CMS)
An information-sharing system unique to the diagnostic imaging department is identified as
RIS
The acronym PACS stands for
Picture archiving and communication system
A PACS program consists of what three things
Storage device
Display workstation
Imaging modality
The acronym RIS stands for
Radiology information system
Definitions for appropriate sharing of personally identified health information is largely provided by
Health insurance portability and accountability Act (HIPAA)
Define embolism
Anything blocking a vessel
Define thrombus
Clotting within a vessel
Define thrombotic embolism
Condition in which the formation or movement of a thrombus occludes a vessel causing infarction of the tissues being supplied by the vessel
Define CVA
A critical condition in which a thrombus in the brain causes irreversible damage to brain cells
Define TIA
Focal cerebral ischemia not associated with permanent cerebral infarction
How long do the symptoms of a TIA typically last
Less than 1 hour
Which of the following terms are synonymous
Ischemic stroke
Transient ischemic attack
Cerebral infarct
Cerebrovascular accident
Ischemic stroke
Cerebral infarct
Cerebrovascular accident
Which signs/symptoms are often associated with CVA
Acute confusion
Permanent brain infarction
Acute dysphasia
Unilateral weakness
Define cardiogenic shock
A physiologic state in which inadequate tissue perfusion results from cardiac dysfunction
Define myocardial infarction
Irreversible necrosis of heart muscle secondary to prolonged ischemia
Define congestive heart failure
A clinical syndrome in which the heart fails to pump blood at the rate required by the metabolizing tissues
Define cardiac tamponade
A clinical syndrome caused by the accumulation of fluid in the pericardial space
Which of these compensatory mechanisms are associated with CHF
Increased blood volume
Increased cardiac filling pressure
Decreased heart rate
Decreased myocardial mass
Increased blood volume
Increased cardiac filling pressure
Which of the following is a critical cardiac arrhythmia
Ventricular tachycardia
Atrial fibrillation
Ventricular fibrillation
Asystole
Ventricular tachycardia
Ventricular fibrillation
Asystole
Which of these cardiac conditions can cause inadequate ventricular filling in the presence of a healthy myocardium
Myocardial infarction
Congestive heart failure
Cardiogenic shock
Cardiac tamponade
Cardiac tamponade
Which of these conditions typically occurs secondary to myocardial infarction
Cardiogenic shock
Cardiac tamponade
Congestive heart failure
Transient ischemic attack
Cardiogenic shock
Which of these conditions is caused by a thrombus in the coronary arteries
Congestive heart failure
Cardiac tamponade
Myocardial infarction
Cardiogenic shock
Myocardial infarction
Which of the following can cause respiratory arrest
Trauma
Airway obstruction
Respiratory muscle weakness
Decreased respiratory drive
All of them
Which of the following are clinical signs of anaphylaxis
Hypertension
Airway edema
Vasoconstriction
Mucus secretions
Airway edema
Mucus secretions
Hypotension and hypertension are always secondary to other clinical conditions true or false
False
Which of the following could potentially cause a vasovagal response
Anxiety
Fear
Medications
Pain
All of them
Which of the following are considered common vasovagal responses
Fainting
Spontaneous arrhythmias
Syncope
Death
Fainting
Syncope
Which of the following correctly describes the intended effect of contrast agent administration in medical imaging
Enhance tissue discrimination
Differentiate between normal tissues
Differentiate between normal tissues and abnormalities
Stimulate physiological response in abnormal tissues
Enhanced issue discrimination
Differentiate between normal tissues
Differentiate between normal tissues and abnormalities
Tissue differentiation in sonography imaging is based on
Tissue harmonics
Tissue differentiation in MRI imaging is based on
Variable nuclear resonance
Tissue differentiation in Interventional Imaging is based on
Differential attenuation of the radiation beam
Tissue differentiation in a computed tomography is based on
Differential attenuation of the radiation beam
Which of these materials would be correctly described as paramagnetic
Iodine
Air
Microbubbles
Iron
Iron
Differential ultrasonic imaging may be enhanced with what type of contrast
Microbubbles
Describe what effect a non-toxic contrast agent has on the body
Unless it’s minimal adverse effects in the body
Describe what effect a stable contrast agent has on the body
Does not break down in the body
Describe what effect an inert contrast agent has on the body
Does not readily react with other chemicals or medications
Describe what effect contrast agent specificity has on the body
Engages only the organs or tissues it is intended to affect
A contrast material requiring a large volume injection to produce the necessary image contrast would be described as having poor
Carrier efficiency
The harmonic qualities of tissues and materials is a physical characteristic most relevant to which imaging modality
Sonography
The administration of a gadolinium nanoparticle for an MRI procedure would have the most pronounced effect on which aspect of the digital image
Spatial resolution
Temporal resolution
Contrast resolution
Digital matrix size
Contrast resolution
A patient in your department is injected with an iodonated contrast material. Which of these reactions would be described as a normal, non-idiosyncratic response to the contrast agent
Sensations of warmth
Persistent vomiting
Pulmonary edema
Scattered urticaria
Sensations of warmth
Mild palpitations, tachycardia, and bradycardia are all symptoms of which level of contrast reaction
Non-idiosyncratic
Moderate
Mild
Severe
Moderate
With which of these symptoms of a contrast reaction to the administration of contrast be stopped immediately
Laryngeal edema
Bronchospasm
Hives
Dizziness
All of them
Define diaphoresis
Sweating
Define urticaria
Hives
Define pruritus
Itching
Define rhinorrhea
Runny nose
Define retching
Dry heaving
Define laryngeal edema
Throat swelling
The imager’s response to a contrast reaction should include
Call for nursing and physician on staff
Have contrast reaction kit and O2 mask on hand
Acquire vital signs
Be prepared to call a code blue if necessary
All of them
A patient presented to your department has a regular bowel incontinence and has an accident on the examination table it was later determined that patient has c-diff as a consequence of inadequate cleaning of the exam table at least one other patients can do later in the day develops the same infection this type of infection is referred to as
Nosocomial
Acquiring an infectious agent while bathing a patient is what kind of transmission
Direct contact
Influenza requires what kind of isolation precaution
Droplet isolation
Acquiring an infectious agent through the hospital ventilation system is what kind of transmission
Airborne
Another word for aseptic technique
Sterile technique
What procedure is focused on the absence of pathogenic organisms but does not require items to be sterile
Medical asepsis
Procedures including hand washing, routine equipment cleaning, and proper personal hygiene are considered
Medical asepsis
What procedures should be followed any time the patient’s skin is intentionally perforated
Sterile technique
What procedures should be used during procedures involving entry into the peritoneal cavity
Sterile technique
Another term for “clean technique”
Medical asepsis
What procedure is required during IV catheter insertion
Sterile technique
Which of the following applies to a patient with standard precautions
Hand hygiene
Safe injection practices
Use of personal protective equipment
Respiratory hygiene/cough edicate
All of them
Which of the following is a transmission based infection precaution
Contact isolation
Droplet isolation
Standard precaution
Airborne isolation
Contact isolation
Droplet isolation
Airborne isolation
What isolation precaution is applicable to a patient with an infectious condition that may be transmitted through skin-to-skin contact
Contact isolation
Which precaution is most relevant when a patient care is an infectious agent that can be carried by sputum droplets through the air
Droplet isolation
Pneumonia requires what kind of isolation precaution
Droplet isolation
Meningitis requires what kind of isolation precaution
Droplet isolation
What type of isolation precaution is used for all patients at all times
Standard precautions
Which type of isolation precautions require special air handling units
Airborne isolation
Tuberculosis requires what kind of isolation precaution
Airborne isolation
What type of isolation precaution is most relevant when infectious agents can be suspended in air for long periods of time over long distances
Airborne isolation
MRSA requires what kind of isolation precaution
Contact isolation
C-diff requires what kind of isolation precaution
Contact isolation
Acquiring an infectious agent by touching a contaminated door handle is what kind of transmission
Indirect contact
876 year old female is brought to your department for imaging of the abdomen. The patient is in contact isolation for MRSA. To avoid transmitting this infection to other patients you should
Shut down the room after the patients departure
Wash your hands after the procedure
Wear a fitted surgical mask during the examination
Disinfect any equipment used for imaging
Wash your hands after the procedure
Disinfect and equipment used for imaging
Which precaution is most relevant when infectious agents may be spread through a contaminated EKG machine
Contact isolation
VRE requires what kind of isolation precaution
Contact isolation
What type of precaution is the most relevant when a patient care is an infectious agent that may be spread through talking, sneezing, or coughing
Droplet isolation
You receive a requisition in your department to complete an imaging procedure of a patient’s lower extremity. This patient has VRE. An appropriate way of minimizing potential infection to other patients in this situation is
Perform the exam portably in the patient’s room
Wear a mask during the examination
Request the patient wears a mask during the examination
Perform the exam in a negative pressure room
Perform the exam portably in the patient’s room
Reusing gloves between patients is most likely to result in what kind of infection transmission
Influenza
C-diff
Meningitis
Pneumonia
C-diff
What factors potentially affect the human body’s response to a medication
Patient weight
Patient immune status
Patient gender
Patient age
Define duration of action
The time during which the drug is in the body and elicits a therapeutic response
Define onset of action
The point at which a drug reaches its intended effect
Define maximum Peak
This is when a drug reaches its highest potential and begins to subside
Define antagonist
A drug or natural substance that is attracted to and blocks specific receptor sites
Define therapeutic index (TI)
A measure of the relative safety of a drug
Define drug receptors
Specific biologic sites located on a cell surface or within the cell
Define Agonist
A drug or natural substance with an attraction to a specific receptor site that produces a physiologic response
Which of the following represents the most desirable therapeutic index
10: 1
1: 1
2: 1
200: 1
200:1
Define narcotic
Opium-based or opium-like pain relievers
Define analgesic
Pain relievers
Define sedatives
A drug that calms anxiety
Define antibiotics
A soluble substance derived from a mold or bacteria that kills or inhibits the growth of other microorganisms
Define anxiolytics
An anti-anxiety medication
Define antiemetic
A drug that prevents or minimizes nausea and vomiting
Define anticoagulant
A drug that prevents or reduces the coagulation of blood
Define vasoconstrictors
A drug causing increased blood pressure
Define anti-arrhythmic
A medication that may prevent tachycardia
Define thrombolytics
A clot dissolving medication
Define vasodilators
A drug causing relaxation and opening of blood vessels
What drug classification do calcium channel blockers fall under
Anti-arrhythmic
What drug classification does epinephrine fall under
Vasoconstrictor
What drug classification does Xanax fall under
Anxiolytic
What drug classification does tPA fall under
Thrombolytic
What drug classification does Zofran fall under
Antiemetic
What drug classification does fentanyl fall under
Narcotic
What drug classification does Valium fall under
Sedative
What drug classification does tetracycline fall under
Antibiotic
What drug classification does Coumadin fall under
Anticoagulant
What drug classification does aspirin fall under
Antiplatelet
Analgesic
Anticoagulant
What drug classification does morphine fall under
Narcotic
Which of these drugs is known to increase heart rate, constrict blood vessels, dilate air passages, and stimulate the sympathetic nervous response
Benadryl
Oxygen
Albuterol
Epinephrine
Epinephrine
Which of these medications might be valuable to a patient having a respiratory reaction to ICM
Atropine
Albuterol
Atenolol
Oxygen
Albuterol
Oxygen
Which of these medications function as an immunosuppressant to counteract hives and/or itching
Epinephrine
Solu-Medrol
Benadryl
Atropine
Benadryl
Solu-Medrol
Which of these medications would be valuable to a patient experiencing hypotension or bradycardia during and medication reaction
Benadryl
Atropine
Versed
Epinephrine
Epinephrine
Atropine
What medication types. The body’s inflammatory response to iodinated contrast
Diazepam
Solu-Medrol
Epinephrine
Benadryl
Solu-Medrol
Benadryl
Which of these medications would be useful to a patient experiencing acute dyspnea? (choose all correct)
Epinephrine
Albuterol
Zofran
Oxygen
Epinephrine
Albuterol
Oxygen
A patient with atrial fibrillation is prone to ischemia stroke as a result of blood thrombi formed in the heart and deposited in the cerebrum. Examples of medications that may reduce the risk of stroke for this patient are: (choose all correct)
warfarin
epinephrine
diazepam
heparin
warfarin
heparin
A patient with severe pulmonary edema is brought to your department for an examination of the lungs. A patient with this condition is likely to be on which of these medications?
Atropine
Lasix
Normal saline
Epinephrine
Lasix
CT angiography of the heart is sometimes performed prior to ablation procedures in patients with atrial fibrillation. Which of these medications may help to stabilize the rhythm of the heart during the CT angiography study?
Antibiotic
Antiemetic
Narcotic
Beta-blocker
Beta-blocker
Describe deep sedation
limited response to stimuli
Describe general anesthesia
requires significant support of vital functions
Describe anxiolysis sedation
relaxes patient and reduced anxiety
Describe conscious sedation
patient follows specific instructions
Which of these medications are likely to be used together for sedation and analgesia during a radiology procedure? (choose all correct)
midazolam
hydromorphone
morphine
fentanyl
midazolam
fentanyl
When should vital signs be assessed for a patient scheduled for an interventional procedure requiring some level of sedation? (choose all correct)
after the procedure
before the procedure
only during deep sedation
during the procedure
after the procedure
before the procedure
during the procedure