Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Rad Pro 3 > Trauma Radiography > Flashcards

Trauma Radiography Flashcards

1
Q

What level of care is this?

Able to care for all levels of injuries

A

Level one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What level is this describing?

ER trained physician, nurses, and radiology staff on duty 24hs/day

A

Level 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What level is this describing?

Provides surgical, radiographic, and fluorographic procedures, CT, MRI

A

Level 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What level is this describing?

Smaller community hospitals

A

Level 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What level is this?

Make transfer arrangements for more serious injuries

A

Level 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What level has specially trained ER and OR staff

A

Level one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What level is this describing?

Typically is a limited teaching center as not all specialties are offered

A

Level 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What level is this describing?

Have ER physician and radiographer on call at night

A

Level 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What level is this describing?

Physicians’ roles are to assess, stabilize, and resuscitate

A

Level 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What level is this describing?

Provides emergency radiographic, fluoroscopic, angiography, CT, MRI, NM, and US - 24 hrs/day

A

Level one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What level is this describing?

Highest level of emergency

A

Level one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

T/F

Patients will be transferred to LEVEL 1 from level 2 only if necessary eg. Neurosurgery, pediatrics, ect.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What level is this describing?

Provide care for minor injuries or stabilizations

A

Level 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What level are clinics?

A

Level 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What level is this describing?

Have access to transfer facilities (helicopters)

A

Level one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What level is this describing?

Typically a teaching center offering all specialties

A

Level one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the biggest difference between level one and level 2 care?

A

-Biggest difference is that it doesn’t offer all specialties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the pros and cons of using this peice of equipment?

A

Advantages: Good for cross table positions-to get your obliques so you are always in line with the grid. And can adjust the SID
Disadvantage; table is very heavy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What type of staff will be present with trauma cases in the room?

A

Trauma doctor, RT, RN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

T/F

Trauma patients that arrive to the x ray room are stabalized

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

T/F

Trauma radiographs must be taken with minimal patient movement, requiring more maneuvering of the tube and image receptor (IR)

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the 3 standards of best practice for trauma imaging?

A
  1. Perform quality diagnostic imaging procedures as requested
  2. Practice ethical radiation protection for self, patient, and other personnel
  3. Provide competent patient care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What aspects of patient care is the radiographer responsible for?

A

1.Not moving the patient excessively
2.Assess for changes in status,
3.Always communicate with patient (eye contact if patient alert-lean over collar on their side otherwise patient may try to move their head)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the common trauma views?

A

-XTL C-Spine
-AP Supine Chest
-AP Supine Pelvis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
If a patient needs to be moved off the trauma board, what transfer is used?
Logroll if patient is moved off of board
26
How do we get IR underneath the patient for trauma views when the patient is on a trauma board?
-lift the entire board and put it underneath because it is radiolucent (lift at foot and head end) ## Footnote Someone else has to lift so you can put the board underneath
27
What artifacts are seen in this image?
-ET tube -Chest tube (for a PTX) -Board artifact seen -ECG leads (can move the leads if it’s a male patent) ## Footnote Subcutaneous emphysema -Rib fracture
28
Would this be a repeat?
Would not repeat because we can see the pathologies ## Footnote Bruh this isn't true just cneter lower
29
Is this life-threatening? Why or why not?
-Life threatening because of the femoral arteries, possible spinal cord injuries and torn rectum (not a sterile environment-can cause infection to spread into the intestines) ## Footnote -Pubic symph is torn apart -Ischium is fractured -Right ilium SI joint dislocated, torn bladder, torn rectum
30
What should you do if the trauma patient vomits?
If patient vomits do the log roll patient AND GET HELP
31
# T/F If patients are un stable they are accompanied by the nurse to the DI department
True
32
Where can MRT’s provide suction to?
We can suction orally and around the surface of tracheostomy tube
33
What is the typical order for a Complete Spine Request?
1. Lateral C-Spine 2. Swimmer’s 3. Lateral T-Spine 4. Lateral L-Spine 5. AP L-Spine 6. AP T-Spine 7. AP C-Spine 8. Odontoid 9. Oblique C-Spines (if appropriate equipment, or approved, or trauma views with compound angles)
34
Would we get a better image with 220 than 180?
Yes!!! Less diverging beam, however you would need a higher technique! (If you are using a focus grid, you would have to be within that range that is specified)
35
What position should be done first in the trauma image of the C spine?
Do the lateral FIRST
36
Why should the lateral position in a C-spine trauma be done first?
To let the attending physician or Radiologist must rule out fracture or dislocation before other projections are attempted and to see what angle is needed for AP and obliques
37
# T/F It is rare to see C7/T1 on lateral
True (Swimmer’s View often necessary)
38
What patient and x-ray tube position is shown in this image?
-Dorsal decubiti's position -Right lateral position for the x ray tube
39
What arm is raised in the Trauma C-spine swimmers view?
Arm closest to detector raised!!! (place this arm in line with the c-spine)
40
If the shoulder cannot be depressed enough to see C7/T1 in the swimmers view, what should be done?
-May require a 3° to 5° caudad angle if remote shoulder cannot be depressed enough
41
If the dependent arm is injured can we raise the remote arm instead?
Yes-can use uninjured arm!!
42
What types of filters are used for the trauma C spine views?
Wedge or ingot filter
43
Why do we raise the **dependant** arm for trauma C spine views?
The reason why we lift the dependant arm is because if we used the remote, it would be harder to see the light collimation
44
What position is shown here? What errors have been made?
Left Lateral swimmers view with L arm raised -Could have extended their arm more -Didn’t use an angle-we know this because we can see through the joint spaces
45
How do you image the AP C-Spine Trauma?
Same as routine, only supine Still get your angle from the lateral ## Footnote 15 degree cephalad angle-say you got it from the lateral
46
How do you position a trauma C-spine odontoid?
Need to angle caudad Remove any dentures Angle the laser from the teeth to the base of skull and adjust the centering to the edge of the open mouth
47
How do you image the C-spine oblique trauma?
Rotate the column 90 degrees and angle towards the midline of the table 45 degrees and then rotate the column more towards the patients head 15 degrees
48
Can we use a grid with a compound angle?
NO!
49
Which image used a compound angle?
B
50
What cross table position is done for the T and L spines?
Dorsal decubitus position for laterals (XTL)
51
What position should the forearms be in for the T and L spine?
-Bring forearms together in front of chest for both lateral T and L spines
52
Why can’t you hug the arms around the chest for the cross table position for the T and L spine?
Hugging the chest may cause the fingers to be projected over the spine
53
# T/F You cannot bend knees for trauma AP projections of the T and L spine
True
54
When would we do a ventral decubitus position?
CROSS TABLE LATERAL RECTUM-for barium enema
55
Patient presents on spine board. The AP and XTL images ordered for the L spine. What view would you do first? Why?
-Do AP first because it may change which lateral that we do ## Footnote -Lateral doesn’t help us with the AP
56
What positon should be done?
Left lateral position at 100 SID
57
How should you image the trauma AP foot?
-Place sponge under foot -Get the IR on a wedge sponge against the plantar surface of the foot -Angle the tube to that the CR is perpendicular to the arch of the foot
58
What errors have been made in this image of the trauma AP foot?
-Not perpendicular to the dorsal plane of the foot -Marker not in a good place
59
How do you get a true lateral of the trauma foot?
-Put the foot on a sponge -Turn the IR so that its parallel to the lateral calcaneus and the 5th metatarsal and angle the tube to be perpendicular
60
What errors have been made in this trauma lateral foot?
-Foot not dorsiflexed -Bad centering -Turn the collimator -Marker needs to be flipped in the direction of the toes and the marker flipped
61
**How do you demonstrate the proximal fibula (tib/fib joint) without any superimposition? (trauma)**
-45-degree lateral medial projection
62
How do you demonstrate the distal fibula (mortise) without any superimposition?
-15-20 degree lateral medial projection
63
How do you get a lateral hip when a patient cannot move (role on side or lift either leg)
Clements-Nakayama Modification
64
How do you position for the Clements-Nakayama Modification?
Cross table of your hip, go perpendicular to the femoral neck by pivoting 45 degrees and then include a 15 degree angle down towards the table. Then match the IR.
65
What positions are we demonstrating here?
Y scap on the left side or the right glenoid by centering different (this would produce less distortion than if we were to have them flat)
66
# T/F For the trauma XTL skull you should put the head on a sponge
True ## Footnote You have to make sure you build the skull up or you are going to clip
67
**How are we going to get a Ruggles method for skull on a C collar by using the OML? The TEA?**
Use the laser to angle from the OML (caudal) and include the entire skull (vertex to the base of skull-close to the shoulders) **OR** Using the TEA: Align the Top of ear attachment with the supraorbital margin and center between the vertex and the base of the skull
68
# T/F ER doctor will “CLEAR” the spines before patient is taken off the board for the spine
True
69
Why are flexion and extension ordered for the spine?
Flexion and extension views may be ordered to r/o instability | Good communication needed ## Footnote This is good for ligament instability assessment
70
Why is flexion and extension of the trauma spine halted? What would they do to assess mobility instead?
-If patient experiences -ain (extreme), and numbness in fingers or hands -They would do a fluoroscopy in this case (see it in live action)
71
How do you position normally for the the Caldwell trauma skull?
Line up the laser with the lower third of orbits and align to top of ear attachment
72
If the OML is on a 20-degree angle, what angle would we use to get a Caldwell projection?
Use a 5 degree caudad angle
73
-If the OML was 10 degree angle, what angle would we use to get a Caldwell projection?
Use a 5 degree cephalad angle
74
What is the collimation for the waters facial bones?
Include all of the mandible to middle of the forehead to include all the orbits
75
-Noramly for the waters when we are using the MML, what is the angle of the OML to the IR?
37 degrees from the IR
76
# What position is this for? Whatever angle he gives us for the MML, the OML and the other angle has to equal 53
Waters
77
A trauma patient in a collar requires a Water’s method to rule out facial bone fractures. The OML is measured at 20°. What angle is required for this image?
Answer: 33 OML=20 CR-OML=53 33 degrees cephalad needed 53-20=33
78
# T/F CTA is becoming the norm for diagnosis
True

Rad Pro 3 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions