Peds Test

Question 1

The age of understanding is most generally considered to be

Answer 1

2-3

Question 2

T/F A technologists attitude is one of the more important factors in making a pediatric procedure a success

Answer 2

True

Question 3

T/F fear and combative resistance from a young child are common initial responses to a radiographic procedure

Answer 3

True

Question 4

Who makes the decision on whether a parent stays in the room during the procedure

Answer 4

Tech

Question 5

Which of the following terms is commonly applied in describing child abuse

Answer 5

SNAT

Question 6

T/F it is the responsibility of the tech to make the determination if child abuse has occurred and then report it to law enforcement

Answer 6

False

Question 7

Which of the following factors should be the first consideration in controlling motion for the pediatric patient

Answer 7

Short exposure time

Question 8

Which of the following immobilization devices is recommended for an erect abdomen projection on an 18 month old patient

Answer 8

Pigg o stat

Question 9

T/F the Pigg o stat can be employed for pediatric skull procedures

Answer 9

False

Question 10

The neonate is defined as a child

Answer 10

Newly born

Question 11

Where should the adhesive surface of the tape be applied to help prevent movement of the infant during the exposure of a forearm, if tape is needed?

Answer 11

on the edge of the sponges that are on either side of the infant

Question 12

Which of the following is not a major category of child abuse?

Answer 12

verbal abuse

Question 13

Which of the following is the best way to get an exposure of the lower leg on an infant that is moving

Answer 13

utilize a lower exposure time

Question 14

A young child’s mother requests to stay in the room to assist in the exam, what should you do?

Answer 14

let her help, unless she is causing more issues than helping

Question 15

Classic metaphyseal lesion (CML) is a fracture involving the

Answer 15

metaphysis

Question 16

Which term describes the primary center for ossification of long bones?

Answer 16

Diaphysis

Question 17

Which term describes the space between the primary and secondary growth centers?

Answer 17

Epiphyseal plate

Question 18

T/F The ImageGently.org campaign is designed to use minimal immobilization techniques and measures when imaging a young child.

Answer 18

False

Question 19

. Another term for the CML injury is

Answer 19

corner fracture.

Question 20

Which of the following pathologies is best demonstrated with a radiographic chest procedure?

Answer 20

Cystic fibrosis

Question 21

The central ray (CR) should be directed to the level of ____ for a lateral 2-year-old chest patient.

Answer 21

the mammillary line

Question 22

Which modality is commonly used for evaluating congenital hip dislocation in newborns?

Answer 22

Sonography

Question 23

Which modality is commonly used for evaluating for vesicoureteral reflux in infants?

Answer 23

Nuclear medicine

Question 24

Which modality is commonly used for evaluating and staging of tumors in young children without providing a high patient dose?

Answer 24

MRI

Question 25

Which modality is commonly used to produce three-dimensional images of vascular lesions without introducing contrast media?

Answer 25

Helical CT

Question 26

Which modality is commonly used for clinical evaluation for attention deficit-hyperactivity disorder (ADHD) in young children?

Answer 26

Functional MRI

Question 27

Which modality is commonly used for diagnosing pyloric stenosis in infants or young children without providing a high patient dose?

Answer 27

Sonography

Question 28

'Which of the following digital system kV ranges is recommended for a lateral projection of the pediatric chest?

Answer 28

80 to 90

Question 29

T/F Regions of extensive bone growth, such as the elbow and wrist, should be radiographed separately on older children rather than combined on a single projection of the entire limb.

Answer 29

True

Question 30

An 8 year old child is having an IVU exam. How long before the exam do they withhold clear liquids?

Answer 30

1 hour

Question 31

. Which of the following pathologic indications requires a significant decrease (up to 50%) of manual exposure factors?

Answer 31

Osteogenesis imperfect

Question 32

What are the basic projections and/or positions for a radiographic study of the hips on a pediatric patient (nontraumatic injury)?

Answer 32

AP and bilateral frog-leg projections

Question 33

Which positioning line is perpendicular to the image receptor (IR) for an AP projection of the pediatric skull?

Answer 33

Orbitomeatal line (OML)

Question 34

Which of the following radiographic structures are evaluated to best determine tilt on a lateral pediatric skull projection?

Answer 34

Orbital roofs

Question 35

What is the recommended NPO (nothing by mouth) fasting period for a 1-month-old infant before an upper gastrointestinal series?

Answer 35

3 hours

Question 36

'Double-contrast barium enemas are most commonly performed on young pediatric patients when _____ is suspected.

Answer 36

polyps

Question 37

Where is the CR centered for a kidneys, ureter, and bladder (KUB) performed on an infant?

Answer 37

1 inch (2.5 cm) above the umbilicus

Question 38

A mechanical obstruction where the intestinal contents become hardened, creating a blockage and can be associated with cystic fibrosis is termed

Answer 38

meconium ileus

Question 39

Which projection and/or position of the abdomen is recommended for demonstrating the prevertebral region of the abdomen?

Answer 39

Dorsal decubitus

Question 40

How much barium is given to a neonate during an upper gastrointestinal series?

Answer 40

1-3 oz

Question 41

What is the average transit time for the barium to reach the ileocecal valve during a pediatric small bowel study?

Answer 41

1 hour

Question 42

Images are taken at ____ intervals for a small bowel series on a pediatric patient.

Answer 42

20- to 30-minute

Question 43

What type of contrast media is most effective in reducing an intussusception?

Answer 43

Air

Question 44

Which of the following terms describes a condition in which the urethra opens up on the underside of the penis?

Answer 44

Hypospadias

Question 45

What size and type of catheter is recommended for a VCUG on a young pediatric patient?

Answer 45

10 Fr flexible silicon catheter

Question 46

What is a common clinical indication for a pediatric VCUG?

Answer 46

Vesicoureteral reflux

Question 47

A 2-year-old child comes to radiology for a cervical spine series. The child is unable to hold still for the projections even with immobilization. Which of the following individuals should be asked to hold the child if present?

Answer 47

Father wearing protective apron

Question 48

A mild form of a defect of the posterior arch of L5-S1 vertebrae

Answer 48

Spinal bifida occulta

Question 49

An inflammation at the tibial tuberosity, most common in 5- to 10-year-old boys

Answer 49

Osgood-Schlatter disease

Question 50

A congenital condition in which there is an absence of an opening to an organ that requires surgical intervention

Answer 50

Atresia (or clausura)

Question 51

An inflammation of navicular bone of foot

Answer 51

Köhler bone disease

Question 52

An inflammation of the inner lining of the intestine that may lead to tissue death; most common in newborns

Answer 52

Necrotizing enterocolitis

Question 53

A congenital condition of the large intestine in which nerves controlling rhythmic contractions are missing

Answer 53

Hirschsprung disease

Question 54

Neonate hypothyroidism with slowed bone growth or possible dwarfism

Answer 54

Cretinism (a thyroid gland disorder)

Question 55

An emergency type of condition in newborns in which the alveoli and capillaries of the lungs are injured or infected, creating leakage of fluid into the alveoli; demonstrated radiographically by granular pattern of increased densities

Answer 55

Hyaline membrane disease

Question 56

A condition of irreversible widening (dilation of the bronchi); frequently begins in early childhood (may require a slight increase in exposure factors)

Answer 56

Bronchiectasis

Question 57

A condition of labored breathing and harsh dry cough caused by viral infection (most common in children ages 1 to 3 years)

Answer 57

Croup

Question 58

A condition of partial or complete collapse of a lung caused by an obstruction of the bronchus

Answer 58

Atelectasis

Question 59

An inherited disease with progressive heavy mucus blocking the bronchi; demonstrated by increased radiodensities in specific lung regions

Answer 59

Cystic fibrosis

Question 60

What is the most common location for an aspirated foreign body?

Answer 60

right side of bronchial tree

Question 61

Which types of fractures are classic indicators of physical abuse of a child? (1) spiral fractures (2) "bucket handle" fractures (3) posterior rib fractures

Answer 61

2 and 3 only

Question 62

Which body parts can be imaged on pediatric patients using the Pigg-O-Stat immobilizer?

Answer 62

chest and abdomen

Question 63

All of the following are methods to time the exposure on inspiration during chest radiography on a young child, except:

Answer 63

wait for the beginning of a cry