Mammography and Venipunctures

Question 1

What is the recommended age for women start have yearly mammograms?

Answer 1

40

Question 2

Breast cancer is the second only to ____?

Answer 2

lung cancer

32% accountable in all the new cancer in women

Question 3

Mammography started to become a reliable diagnostic tool around what year?

Answer 3

1950s

Question 4

What is the average survival rate for breast cancer patients?

Answer 4

2 years

1/8 women will develop it

Question 5

Name the risk factors:

Answer 5

Age
Family History
Genetics
Breast Type
Menstruation < 13, menopause > 55
Prolong use of estrogen
Late age birth/no children

Question 6

What level does the breast start?

Answer 6

From (clavicle or 2nd rib) to (6th or 7th rib)

Question 7

How many lobes does an average breast have?

Answer 7

15 to 20 lobes

Question 8

What are the standard projection for a procedure?

Answer 8

Craniocaudal Projection
Mediolateral Oblique
Implant Displaced (Eklund Methold) for implants

Question 9

True or False. Women should not wear deodorant before getting exam.

Answer 9

True

Question 10

Why would you send a patient over to MRI

Answer 10

Detect palpable masses not seen in mammography/ultasound.
Able to view glandular breast
Possible leakage from silicone breast implants

Question 11

Carcinoma locations:

Answer 11

Upper lateral: 50%
Upper medial: 15%
Nipple area: 20%
Lower lateral: 10%
Lower medial: 5%

Question 12

Age group between 15 to 30 years of age, having very dense breast tissue and has very little fat.

Answer 12

Fibro-Glandular

Question 13

Age group between 30 to 50 years of age, having 50% fat and 50% fibro-glandular, having more than 3 pregnancies.

Answer 13

Fibro-Fatty

Question 14

50 years and over, Postmenopausal, and breast of children and men.

Answer 14

Fatty

Question 15

What is a venipuncture

Answer 15

Puncture of the vein for withdrawal or injection of a substance.
fastest method where an instantaneous adverse reaction is possible

Question 16

What year did American College of Radiology (ACR) officially allowed venipuncture to be in the scope of practice.

Answer 16

1991

Question 17

What is the first thing you do before injecting a patient with a needle.

Answer 17

Introduce yourself, what department your from, obtain a PT history, explanation the procedure (why), and wash hands.

Question 18

Name the 3 components of syringe?

Answer 18

Tip: area where needle attaches to syringe
Barrel
Plunger: plastic device on syringe to withdraw or inject solutions.

Question 19

True or false, the gauge increase as the diameter of the bore decreases.

Answer 19

True.

*18 gauge is larger than a 22 gauge needle

Question 20

Average size of a IV needle?

Answer 20

1” to 1 1/2”

Question 21

Name the 3 components of the needle?

Answer 21

Hub: attaches to the syringe
Cannula: length of the needle
Bevel: slanted needle tip

Question 22

What are the five rights of mediation?

Answer 22

right patient
right medication
right route
right amount
right time

Question 23

Trachycardia, Bradycardia, Hypertension, Generalized erythema are symptoms of what?

Answer 23

Moderate Reaction to Contrast Media

Question 24

What does infiltration/extravastion mean?

Answer 24

a process where fluid passes into the tissue instead of a vein. Needle displacement

Question 25

How many attempts should a try before notifying a nurse?

Answer 25

2 attempts

Question 26

What happens when both walls of the vein are punctured?

Answer 26

Hematoma will develop

remove needle and apply pressure at puncture site

Question 27

How many degrees should you angle the needle before entering the skin

Answer 27

20 to 30 degrees

Question 28

How many inches should the tourniquet be placed away from the puncture site

Answer 28

6 to 8 inches

Question 29

Most commonly IV access points?

Answer 29

Anterior forearm, posterior hand, antecubital space.

for feet and legs PT should be 2 years and older

Question 30

What is the difference between an artery and a vein

Answer 30

arteries contain more pressure and has a pulse.

veins lie closer to the surface

Question 31

stainless steel needle with plastic appendages on both sides (wings), what am I?

Answer 31

Butterfly needle

also has a 6” of tubing with a connector @ the end

Question 32

What is a over the needle cannula?

Answer 32

catheter slips off the needle after needle is injected into PT.
recommended for long therm therapy or rapid infusions

Question 33

Laryngeal edema, profound hypotension, unresponsiveness, and cardiopulmonary arrest are symptoms of what?

Answer 33

Severe Reactions to Contrast Media

Question 34

Nausea, Vomitting, Warmth, and Headaches are symptoms of what?

Answer 34

Mild Reactions to Contrast Media