Week 8 - Radiographs

Question 1

___ testing frequently results in admission, dx, and mgmnt.

Answer 1

Radiograph

Question 2

For an ovarian cyst, order a ___ ___.

Answer 2

pelvic CT

Question 3

Order only what you are ___ for.

Answer 3

looking

Question 4

When suspecting appendicitis, order a ___ of ___ and ___.

Answer 4

CT, abdomen, pelvis

Question 5

You can get a 2, 3, or 5-view w/an ___.

Answer 5

xray

Question 6

Use a ___ to view/remove foreign objects.

Answer 6

fluoroscopy

Question 7

Contrast medium can be given ___ or ___. With ___, have to wait 1-2 hrs before doing.

Answer 7

orally, IV, oral

Question 8

Contrast medium ___ anatomy

Answer 8

highlights

Question 9

Limit ___ time to pt and maximize ___ - should be at least ___ ft away. Shield pt and self.

Answer 9

exposure, distance, 6

Question 10

Know what ___ pt is on to determine if it interacts w/contrast.

Answer 10

meds

Question 11

Use a ___ for emergent cases.

Answer 11

CT

Question 12

If ___ is decreased, don’t want to use contrast. Do ___ instead.

Answer 12

GFR, u/s

Question 13

Red flags for contrast include: hx of ___, fever, incont, unexplained wt ___, hx of ___, long-term ___ use, ___ drug use, inability to get in comfortable position.

Answer 13

trauma, loss, CA, steroid, IV

Question 14

Amt of radiation:
CXray = \_\_\_
Abd xray = \_\_\_
Full body CT scan = \_\_\_
Mammogram = \_\_\_
Bone scan = \_\_\_

Answer 14

0.1
4
10
0.4
0.4

Question 15

Serum creatinine increases by 25%, so want to ___ pt, space out contrast ___ hrs apart, and consider alternatives.

Answer 15

pre-hydrate, 72

Question 16

___ must be stopped on the day of receiving contrast and for ___ days post procedure, otherwise risk of induced ___ ___.

Answer 16

Metformin, 2, lactic acidosis

Question 17

If contrast used in post-partum mom, pump and dump for ___ hrs.

Answer 17

24

Question 18

Pre-medicate w/___, ___, and ___ if known allergic reaction w/contrast agents. May also use a ___ to help relax.

Answer 18

prednisone, benadryl (H1), pepcid (H2), benzo

Question 19

If presents w/a + Ottawa ankle rule, perform ___.

Answer 19

x-ray

Question 20

Air filled regions appear ___.
Fat regions appear ___ ___.
Water/liquid filled regions (heart) appear ___ ___.
Bones appear ___.
Metals and contrast dye appear ___ of ___.

Answer 20

black
darker grey
lighter grey
white
whitest of white

Question 21

To r/o rib fx, a ___ is better than a ___.

Answer 21

CT, cxray

Question 22

Tx for rib fx is splint w/a ___ and use ___ ___.

Answer 22

pillow, incentive spirometer

Question 23

A ___ ___ radiograph is used to r/o infection, mass/tumor, CHF, chronic lung dis, pneumo, or rib fx.

Answer 23

chest xray

Question 24

___ ___ radiograph used to r/o free fluid, retroperitoneal air, abscess, obstruction, stones, abd aortic aneurysm, organs.

Answer 24

Abdominal xray

Question 25

___ provides real time imaging of structures in motion. A continuous xray beam is passed thru the body part being examined.

Answer 25

Fluoroscopy

Question 26

___ can be used on skeletal, digestive, urinary, resp, and reproductive.

Answer 26

Fluoroscopy

Question 27

Uses for a ___ include: lap band inj, removal of foreign bodies, lumbar punctures, joint inj, placement of IV catheters, and bx.

Answer 27

fluoroscopy

Question 28

Radiation exposure used in higher amts w/___ d/t multiple images being taken.

Answer 28

fluoroscopy

Question 29

Use a ___ if vag blding present.

Answer 29

u/s

Question 30

___ uses high freq sound waves (above human hearing) to visualize soft tissue structures in the body in real time.

Answer 30

U/S

Question 31

W/an ___, there is no radiation, relatively safe, and used in pelvic blding, breast tissue, testicular torsion, DVT, gallbladder, renal, or GI.

Answer 31

u/s

Question 32

To r/o kidney stones, use a ___ ___ contrast.

Answer 32

CT without

Question 33

___ imaging gives the impression of looking at cross-sectional slices of the pt. Gives you the ability to look inside w/out cutting the pt open.

Answer 33

CT

Question 34

A ___ is used to look at systems or organs.

Answer 34

CT

Question 35

A ___ of the ___ looks at infarctions, tumors, hemorrhage, bone trauma, edema, sinuses, tinnitus, stroke, pain in lymph area, masses, and PE.

Answer 35

CT, head

Question 36

A ___ of the ___ looks at pyelo, kidney stones, pancreatitis, bowel obst, inf or tumor, GB dis.

Answer 36

CT, abdomen

Question 37

___ generates cross-sectional images using a large magnetic field. No x-ray used, so no ionizing radiation.

Answer 37

MRI

Question 38

If suspect brain bld or stroke, want to do ___ instead of ___ d/t emergent sit.

Answer 38

CT, MRI

Question 39

A ___ will highlight a tumor if suspected.

Answer 39

CT