Trauma Worksheet

Question 1

Define trauma

Answer 1

A severe injury or damage to the body caused by an accident or violence

Question 2

how does a level I trauma center differ from a level IV trauma center?

Answer 2

Level I trauma centers provide the most comprehensive medical and emergency care, whereas level IV trauma centers provide care for basic injuries and can assess and stabilize patients for transfer to a larger trauma center

Question 3

Within how many feet form the x-ray tube should appropriate shielding be provided to patients on nearby stretchers when performing mobile radiography?

Answer 3

6 feet

Question 4

From the list below, circle the symptoms of shock that can be readily observed by a tech

Answer 4

a-cool, clammy skin
d-Excessive sweating
e-Increased drowsiness

Question 5

Concerning providing information to key personnel what procedure should a tech perform if it is necessary to deviate from the routine projections?

Answer 5

Document the alterations for the referring physician and radiologist

Question 6

What should be the first projection performed for a trauma patient with a cervical injury?

Answer 6

d-CT head with and without contrast

Question 7

when is it necessary to perform the lateral projection for the cervicothoracic region?

Answer 7

when the entire cervical spine and the interspace between C7 and T1 is not well demonstrated with the lateral projection

Question 8

what condition must be met before attempting to move the patient’s arms for the lateral projection of the cervicothoracic region, dorsal decubitus position?

Answer 8

Permission is granted from the attending physician after review of the lateral projection

Question 9

when performing the lateral projection for the cervicothoracic region, dorsal decubitus position, on a patient who cannot move the shoulder closer to the x-ray tube, the central ray may be angled __________

Answer 9

Caudally

Question 10

when performing the lateral projection of the cervicothoracic region,dorsal decubitus position, what is the purpose for using a long exposure time with the patient breathing normally?

Answer 10

To blur rib shadows

Question 11

when performing the anteroposterior (AP) axial projection on a patient who is NOT on a backboard or x-ray table, who should lift the patient’s head and neck so that a tech can position the image receptor (IR) under the patient?

Answer 11

the attending physician

Question 12

when performing the AP axial ablique projection for cervical vertebrae, why should you not use a grid IR?

Answer 12

the compound central ray angle will cause grid cutoff

Question 13

when performing the AP axial oblique projection for cervical vertebrae on a supine trauma, how should the central ray be directed with a nongrid IR?

Answer 13

at a compound angle of 15 to 20 degrees cephalad and 45 degrees lateromedially

Question 14

when performing the AP axial oblique projection for cervical vertebrae on a supine trauma patient, where should the central ray enter the patient?

Answer 14

slightly lateral to the midsagittal plane at the level of the thyroid cartilage, and passing through C4

Question 15

when demostrating lumbar vertebrae on a trauma patient who is supine on a backboard, what should be the first projection performed?

Answer 15

Lateral projection, dorsal decubitus position

Question 16

when performing the lateral projection for thoracic vertebrae on a trauma patient who is supine on a backboard, how should the central ray be directed?

Answer 16

Horizontal and perpendicular to the center of the IR

Question 17

when performing the AP projection of the abdomen on a trauma patient, what should be obtained before moving the patient to the rad table?

Answer 17

Permission from the attending physician to transfer the patient to the radiographic table

Question 18

Circle the signs that require the tech to immediately notify the ED physician

Answer 18

a
c
d
e

Question 19

When performing the AP projection of the abdomen on a trauma patient on a gurney, why must the grid IR be perfectly horizontal and the central ray directed perpendicularly to the IR?

Answer 19

to prevent grid cutoff and image distortion

Question 20

when performing the AP projection of the abdomen left lateral decubitus position, why should the patient be placed in the left lateral recumbent position for at least 5 minutes before making the exposure?

Answer 20

to allow any free air to rise and be visualized

Question 21

The type of shock that radiographers should be aware of when imaging patients with pelvic fracture is:

Answer 21

hemorrhagic shock

Question 22

what action should a tech initiate if a head trauma patient has unequal pupils or experiences a decrease in the level of consciousness?

Answer 22

Immediately alert the attending physician

Question 23

when performing the acanthioparietal projection, reverse Waters method, for facial bones on s supine trauma patient, how should the infraorbitomeatal line (IOML) be positioned with reference to the IR?

Answer 23

Approximately perpendicular

Question 24

what is the general rule concerning demonstrating adjacent joints when radiographing long bones on trauma patients?

Answer 24

Always include both joints

Question 25

what is the general rule concerning immobilization devices when radiographing upper and lower limbs on trauma patients?

Answer 25

Do not remove unless directed to do so by the attending physician

Question 26

Define the following abbreviations (26-35):

CPR

Answer 26

Cardiopulmonary resuscitation

Question 27

MVA

Answer 27

Motor vehicle accident

Question 28

GSW

Answer 28

Gunshot wound

Question 29

CVA

Answer 29

Cerebrovascular accident

Question 30

ED

Answer 30

Emergency department

Question 31

OML

Answer 31

Orbitomeatal line

Question 32

IOML

Answer 32

Inffraorbitomeatal line

Question 33

MML

Answer 33

Mentomeatal line

Question 34

IVU

Answer 34

Intravenous urography

Question 35

EAM

Answer 35

External acoustic meatus