Ultrasound, CT, MRI and Nuclear Medicine

Question 1

What is an Ultrasound?

Answer 1

A non-invasive procedure that uses sound waves for imaging soft tissue.

Question 2

List 3 common U/S procedures that require NO patient prep:

Answer 2

1. Vascular (Arterial, Carotid, Venous)
2. Extremities/small parts
3. Echocardiogram

Question 3

List 4 common U/S procedures that REQUIRE patient prep:

Answer 3

1. Abdomen
2. Pelvic
3. Obstetrical (OB)
4. Biopsies done under U/S (FNA, breast biopsy etc)

Question 4

What do you transcribe on an U/S req for a procedure WITH patient prep?

Answer 4

• Place RN instructions sheet inside Kardex
• Book Porter
• Send chart with porter
• check for post-test orders

Question 5

What do you transcribe on an U/S req for a procedure without patient prep?

Answer 5

• Book Porter
• Send chart with porter
• check for post-test orders

Question 6

List 8 CT procedures:

Answer 6

1. Abdominal (gallbladder, liver, renal/kidney, pelvic)
2. Facial Bones
3. Sinuses
4. Brain
5. Head
6. Spine (lumbar, thoracic, cervical)
7. Chest (lungs)
8. Biopsies done under CT

Question 7

What do you transcribe on an CT req?

Answer 7

• Place RN instructions sheet inside Kardex
• Book Porter
• Send chart with porter
• check for post-test orders

Question 8

What is a MRI?

Answer 8

A technique for viewing the interior of the body using a powerful magnetic field. MRI can distinguish between benign and malignant tumors.

Question 9

List 6 contraindications for MRI:

Answer 9

1. pacemakers
2. cochlear implant
3. cerebral aneurysm clips
4. any electrically, magnetically, or mechanically activated implants
5. ferrous-based prosthetic devices
6. pregnancy

Question 10

List 8 MRI scans:

Answer 10

1. Upper and lower extremities
2. Bones and joints
3. Spine
4. Brain
5. Head
6. Vascular studies
7. Lungs
8. Abdomen

Question 11

How many appointments are needed for Nuclear Medicine? For what? How far between?

Answer 11

2 appointments 2 hours apart from each other. One is for the injection of the radiotracer, the other is for the scan. ex. inj@ 0800 scan@1000

Question 12

List some common Nuclear Medicine studies that require NO patient prep:

Answer 12

1. Bone Scan
2. L&S scan
3. RBC Liver scan
4. WBC scan (Indium)
5. Gallium Scan
6. Thyroid Uptake and scan (aka RIU or T4 uptake)
7. Perfusion Lung scan (VQ scan)
8. Renal scan
9. PET scan

Question 13

List some common Nuclear Medicine studies that REQUIRE patient prep:

Answer 13

1. Hida scan (liver and gallbladder - hepatobiliary)
2. Schillings test
3. MIBI scan
4. Persantine MIBI scan
5. Thallium scan

Question 14

What do you transcribe on a Nuclear Medicine req for a procedure without patient prep?

Answer 14

• Book Porter
• Send chart with porter
• check for post-test orders

Question 15

What do you transcribe on a Nuclear Medicine req for a procedure with patient prep?

Answer 15

• Place RN instructions inside Kardex
• Book Porter
• Send chart with porter
• check for post-test orders

Question 16

How many Nuclear Medicine tests can be performed per day?

Answer 16

one

Question 17

Name 4 ways a NUC can know what preparation is required for a Nuclear Medicine scan?

Answer 17

1. Verbally from the Dept
2. Preparation/instruction sheet sent up from the dept.
3. Preparation/instruction that is automatically issued when booking the appt in the computer
4. Diagnostic manual

Question 18

What is another name for a VQ scan?

Answer 18

Lung scan (Perfusion lung scan)

Question 19

What is another name for a Hida scan?

Answer 19

Liver and bile duct scan (hepatobiliary scan)

Question 20

What are 2 other names for a Thyroid Uptake and scan?

Answer 20

T4 uptake and RIU