NIS

Question 1

Tx of symptomatic urticaria (hives)

Answer 1

PO, IM or IV Benadryl 25-50mg

or PO Allegra (Fexofenadine) 180mg

Question 2

Tx for anaphylactic shock at administration of CT contrast?

Answer 2

IV epinephrine 1:10,000

0.1 mg = 1 mL
up to 1 mg = 10 mL

Question 3

principles of professionalism

Answer 3

1) primary of patient welfare
2) patient autonomy
3) social justice.

Question 4

What are the two dimensions of quality?

Answer 4

Excellence and consistency

Question 5

The two Gad contrast agents used at UMC are:

Answer 5

Gadobutrol (Gadavist) - Macro

Gadoxetato (Eovist) - Linear ( 50% Hepatobili excretion)

Question 6

According to the publication, “To Err is Human: Building a Safer Health System”, how many in-hospital deaths are attributed to medical errors each year?

Answer 6

44,000-98,000

Question 7

Max gray value luminance for nonmammographic interpretation should be at least __

Answer 7

350 cd/m2

Question 8

The four elements of medical malpractice:

Answer 8

1) established duty of the physician to the patient
2) breach of that duty
3) causation
4) damages.

Question 9

MC claims for radiologic negligence

Answer 9

1) diagnostic errors (MC)
2) procedural complications
3) communication deficiencies

Question 10

The 6 goals of healthcare according to the IOM “Chasm” report:

Answer 10

safe, effective, patient-centered, timely, efficient, and equitable.

Question 11

measuring and testing elements of performance to ensure standards are met and correcting instance of poor quality

Answer 11

Quality control

Question 12

process for monitoring and ensuring performance quality in an organization

Answer 12

Quality Assurance

Question 13

activities designed to improve performance quality in an organization in a systematic and sustainable way.

Answer 13

Quality improvement

Question 14

Three elements of anticipation by HRO (High reliability organizations)

Answer 14

1. preoccupation with failure
2. reluctance to simplify
3. sensitivity to operations

Question 15

According to the Agency for Healthcare Research and Quality what commitment includes a “blame-free environment where individuals are able to report errors or near misses without fear or reprimand or punishment”.

Answer 15

culture of safety

Question 16

What does DICOM stand for?

Answer 16

Digital Imaging and Communications in Medicine

Question 17

What is DICOM?

Answer 17

It is the international standard that specifies protocols for display, transfer, storage, and processing of medical images.

Question 18

The metadata, located in the “DICOM header” of the image, contains information about the

Answer 18

image, series, exam, patient, imaging facility, and scanner. This information needs to be erased before use in research.

Question 19

Pediatric dosing

epinephrine

Answer 19

< 30kg: IM Epipen Jr (.15mg)

IM dosing: < 30kg: 0.01 mL/kg (0.01 mg/kg) of 1:1,000 dilution (max single dose of 0.3 mL [0.3 mg]); repeated every 5-15 min needed up to a max dose of 1 mg (1 mL)

IV dosing: 0.1 mL/kg (0.01 mg/kg) of
1:10,000 dilution (maximum single dose of 1mL [0.1 mg]), repeated every 5 – 15 min,
as needed up to a maximum dose of 1 mg
(1 mL)

Question 20

Atropine dosing

Answer 20

0.6 to 1.0 mg IV, into a running infusion of IV fluids. May repeat atropine up to a total dose of 3 mg.

Question 21

High risk GBC agents for NSF. Absolutely contraindicated if GFR < 30

Answer 21

Omniscan, Magnevist (and Optimark no longer manufactured)

Question 22

Low risk GBC agents for NSF (few, if any unconfounded cases)

Answer 22

Prohance, Gadavist, Multihance, Dotarem

Question 23

Max gray value luminance for mammographic interpretation

Answer 23

420 cd/m2

Question 24

The ACR-AAPM-SIIM technical standard recommends that ideal reading room ambient lighting fall in the range of

Answer 24

25 to 50 lux.

Question 25

Quenching greasest risk of

Answer 25

asphyxiation**

Question 26

This individual provides
organizational oversight and support, removing
barriers as they arise. The sponsor should
have the organizational authority to provide
resources and resolve interpersonal conflicts.
Projects may have more than one sponsor.
While sponsors may provide general guidance
and suggestions, they should be careful to avoid
overstepping their bounds and assuming the
project leader’s role.

Answer 26

Project Sponsor*****

Question 27

role is to direct and coordinate activities of the project
to ensure its success. The leader helps assemble
the team, manage the project, delegate and
follow up on assignments, report on progress,
alert the project sponsor when more help is
needed, and ensure the timely completion of
the project. Should have strong
organizational and leadership skills

Answer 27

Project leaders

Question 28

expert in improvement methods who advises and
supports the team. Alerts
organizational leaders when the project appears
to be veering off track

Answer 28

Project coach

Question 29

Laryngeal Edema tx

Answer 29

IM if hypotensive too give IV.**

Question 30

The project team should establish a performance goal
(often referred to as an aim statement). A commonly
used acronym to describe the attributes of the goal is
“SMART,” meaning that the goal should be…

Answer 30

specific,

measurable, achievable, relevant, and time-bound**