radiology - imaging trauma patients in a deployed setting

Question 1

The initial radiographic evaluation of a trauma patient begins with supine Anterior-Posterior (AP) chest and pelvis radiographs taken in the trauma bay usually with a _________

Answer 1

portable x-ray machine.

Question 2

T/F CT scanning has been largely replaced by Cervical spine radiographic evaluation should only be performed when a CSRE is unavailable.

Answer 2

false

Question 3

what is the Lowest level of care equipped with a CT scanner?

Answer 3

role 3 and above

Question 4

what is the lowest level of care equipped with a portable x ray machine?

Answer 4

role 2

Question 5

Members of the trauma team should have______ aprons and thyroid shields available near the trauma bay.

Answer 5

lead

Question 6

Distance is also protective from radiation exposure. If feasible based on the patient’s condition, any personnel without lead shielding should move a short distance (recommended minimal distance ______) away from the x-ray unit.

Answer 6

6 feet

Question 7

While the FAST scan has been validated only in hemodynamically unstable blunt trauma patients, it has become a standard tool in the trauma bay and Emergency Department (ED) in most trauma patients. FAST stands for:

Answer 7

focused abdominal sonographic assessment for trauma

Question 8

FAST in combat trauma has a sensitivity of only 56% and specificity of __

Answer 8

98%

Question 9

T/F the FAST exam remains the most sensitive test for hollow viscus injury and mesenteric injury

Answer 9

False, DPL is most sensitive

Question 10

T/F At the Role 3, properly trained providers including radiologists, surgeons and emergency physicians, can perform and interpret FAST scans in the ED on a hand held portable US device.

Answer 10

true

Question 11

a FAST examination is performed with a portable hand-held machine most commonly using a standard 3-7 MHz curved array ______ probe

Answer 11

US

Question 12

The standard FAST examination is focused on evaluating for the presence of __________ in certain areas of the body

Answer 12

free intraperitoneal fluid

Question 13

during a FAST examination you inspect the upper left quadrant. Which two organs are you looking between?

Answer 13

spleen and kidney

Question 14

during a FAST examination you inspect the upper right quadrant. Which two organs are you looking between?

Answer 14

liver and kidney

Question 15

an 18g ______ IV is typically desired for CT IV access`

Answer 15

antecubital

Question 16

T/F The goal of the CT contrast injection is to provide concurrent solid organ enhancement, arterial enhancement, and pulmonary arterial.

Answer 16

true

Question 17

T/F when scanning a MWD Utilize a scanning protocol based on the adult settings to include the doses of and rates of contrast administration

Answer 17

false, pediatric

Question 18

T/F All patients evacuated through casualty evacuation should have images sent electronically ahead of time as well as have a CD created to send with the patient as a backup.

Answer 18

true

Question 19

T/F MRI is widely used in theater as its utility in the acute management of combat trauma was extensively establishment during OEF

Answer 19

false, not established in theater

Question 20

All trauma patients arriving at a Role __ hospital will receive proper and expeditious radiologic screening of injuries.

Answer 20

3