RadReview Medical Emergencies

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1

During a grand mal seizure, the patient should be

A.
protected from injury.

B.
placed in a semiupright position to prevent aspiration of vomitus.

C.
allowed to thrash freely.

D.
given a sedative to reduce jerky body movements and reduce the possibility of injury.

A.
protected from injury.

2

The type of shock often associated with pulmonary embolism or myocardial infarction is classified as

A.
neurogenic.

B.
cardiogenic.

C.
hypovolemic.

D.
septic.

B.
cardiogenic.

3

Which of the following drugs is considered a bronchodilator?

A.
Epinephrine

B.
Lidocaine

C.
Nitroglycerin

D.
Verapamil

A.
Epinephrine

4

The condition in which pulmonary alveoli lose their elasticity and become permanently inflated, causing the patient to consciously exhale, is
A.
bronchial asthma.
B.
bronchitis.
C.
emphysema.
D.
TB.

C.
emphysema

5

A diabetic patient who has prepared for a fasting radiographic examination is susceptible to a hypoglycemic reaction. This is characterized by
1. shaking and nervousness.
2. cold, clammy skin.
3. cyanosis.

A.
1 only
B.
2 only
C.
1 and 2 only
D.
1, 2, and 3

C.
1 and 2 only

6

Difficulty in breathing precipitated by stress and causing bronchospasm best describes
A.
asthma.
B.
anaphylaxis.
C.
myocardial infarct.
D.
rhinitis.

A.
asthma.

7

Which of the following statements would be true regarding tracheostomy patients?

Tracheostomy patients have difficulty speaking.

A routine chest x-ray requires the tracheostomy tubing to be rotated out of view.

Audible rattling sounds indicate a need for suction.

A.
1 only
B.
1 and 2 only
C.
1 and 3 only
D.
1, 2, and 3

C.
1 and 3 only

8

A minor reaction to the IV administration of a contrast agent can include

a few hives

nausea

a flushed face

A.
1 only
B.
1 and 2 only
C.
1 and 3 only
D.
1, 2, and 3

D.
1, 2, and 3

9

Symptoms of inadequate oxygen supply include

dyspnea.

cyanosis.

retraction of intercostal spaces.

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

D.
1, 2, and 3

10

Rapid onset of severe respiratory or cardiovascular symptoms after ingestion or injection of a drug, vaccine, contrast agent, or food, or after an insect bite, best describes
A.
asthma.
B.
anaphylaxis.
C.
myocardial infarction.
D.
rhinitis.

B.
anaphylaxis.

11

If an emergency trauma patient experiences hemorrhaging from a leg injury, the radiographer should

apply pressure to the bleeding site.

call the emergency department for assistance.

apply a pressure bandage and complete the examination.

A.
1 and 2 only
B.
1 and 3 only
C.
2 and 3 only
D.
1, 2, and 3

A.
1 and 2 only

12

A radiographer should recognize that gerontologic patients often have undergone physical changes that include loss of

muscle mass.

bone calcium.

mental alertness.

A.
1 only
B.
1 and 2 only
C.
1 and 3 only
D.
1, 2, and 3

B.
1 and 2 only

13

Which of the following is a vasopressor and may be used for an anaphylactic reaction or a cardiac arrest?
A.
Nitroglycerin
B.
Epinephrine
C.
Hydrocortisone
D.
Digitoxin

B.
Epinephrine

14

Moderate hypertension can produce damage to which of the following organ(s)

1. Lungs

2. Kidneys

3. Brain
A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

D.
1, 2, and 3

15

Abnormal accumulation of air in pulmonary tissues, resulting in overdistention of the alveolar spaces, is
A.
emphysema.
B.
empyema.
C.
pneumothorax.
D.
pneumoconiosis.

A.
emphysema.

16

Which of the following statements is (are) true regarding the proper care of a patient with a tracheostomy?

Employ sterile technique if you must touch a tracheostomy for any reason.

Before you suction a tracheostomy, the patient should be well aerated.

Never suction for longer than 15 seconds, permitting the patient to rest in between.

A.
1 and 2 only
B.
1 and 3 only
C.
2 and 3 only
D.
1, 2, and 3

D.
1, 2, and 3

17

You have encountered a person who is apparently unconscious. Although you open his airway, there is no rise and fall of the chest, and you can hear no breath sounds. You should
A.
begin mouth-to-mouth rescue breathing, giving two full breaths.
B.
proceed with the Heimlich maneuver.
C.
begin external chest compressions at a rate of 70-80 compressions/min.
D.
begin external chest compressions at a rate of at least 100 compressions/min.

D.
begin external chest compressions at a rate of at least 100 compressions/min.

18

Improper support of a patient's fractured lower leg (tibia/fibula) while performing radiography could result in

movement of fracture fragments.

tearing of soft tissue, nerves, and blood vessels.

initiation of muscle spasm.

A.
1 and 2 only
B.
1 and 3 only
C.
2 and 3 only
D.
1, 2, and 3

D.
1, 2, and 3

19

Examples of COPD include

bronchitis.

pulmonary emphysema.

asthma.

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

D.
1, 2, and 3

20

Sternal compressions during CPR are made with the heels of the hands located about
A.
11/2 in. superior to the xiphoid tip
B.
11/2 in. inferior to the xiphoid tip
C.
3 in. superior to the xiphoid tip
D.
3 in. inferior to the xiphoid tip

A.
11/2 in. superior to the xiphoid tip

21

A patient experiencing an episode of syncope should be placed in which of the following positions?
A.
Dorsal recumbent with head elevated
B.
Dorsal recumbent with feet elevated
C.
Lateral recumbent
D.
Seated with feet supported

B.
Dorsal recumbent with feet elevated

22

A vasodilator would most likely be used for
A.
angina.
B.
cardiac arrest.
C.
bradycardia.
D.
antihistamine.

A.
angina.

23

The medical term for hives is
A.
vertigo.
B.
epistaxis.
C.
urticaria.
D.
aura.

C.
urticaria.

24

An acute reaction caused by ingestion or injection of a sensitizing agent describes
A.
asthma
B.
anaphylaxis
C.
myocardial infarction
D.
rhinitis

B.
anaphylaxis

25

The medical term for nosebleed is
A.
vertigo.
B.
epistaxis.
C.
urticaria.
D.
aura.

B.
epistaxis.

26

Skin discoloration owing to cyanosis may be observed in the

gums.

earlobes.

corneas.

A.
1 only
B.
1 and 2 only
C.
3 only
D.
1, 2, and 3

B.
1 and 2 only

27

A patient who is diaphoretic is experiencing
A.
profuse sweating.
B.
hot, dry skin.
C.
dilated pupils.
D.
warm, moist skin.

A.
profuse sweating.

28

A diabetic patient who has not taken insulin while preparing for a fasting radiologic examination is susceptible to a hypoglycemic reaction. This is characterized by

fatigue

cyanosis

restlessness

A.
1 only
B.
1 and 2 only
C.
1 and 3 only
D.
1, 2, and 3

C.
1 and 3 only

29

The normal average rate of respiration for a healthy adult patient is
A.
5 to 7 breaths/min.
B.
8 to 12 breaths/min.
C.
12 to 20 breaths/min.
D.
20 to 30 breaths/min.

C.
12 to 20 breaths/min.

30

The mechanical device used to correct an ineffectual cardiac rhythm is a
A.
defibrillator.
B.
cardiac monitor.
C.
crash cart.
D.
resuscitation bag.

A.
defibrillator.

31

The condition that allows blood to shunt between the right and left ventricles is called
A.
patent ductus arteriosus.
B.
coarctation of the aorta.
C.
atrial septal defect.
D.
ventricular septal defect.

D.
ventricular septal defect.

32

Anaphylactic shock manifests early symptoms that include

dysphagia.

itching of palms and soles.

constriction of the throat.

A.
1 only
B.
2 only
C.
2 and 3 only
D.
1, 2, and 3

D.
1, 2, and 3

33

The Heimlich maneuver is used if a patient is
A.
in cardiac arrest.
B.
choking.
C.
having a seizure.
D.
suffering from hiccups.

B.
choking.

34

When performing cardiopulmonary resuscitation (CPR) on an infant, it is recommended that the number of compressions per minute, compared with that for an adult,
A.
remain the same.
B.
double.
C.
decrease.
D.
increase.

D.
increase.

35

While performing mobile radiography on a patient, you note that the requisition is for a chest image to check placement of a Swan–Ganz catheter. A Swan–Ganz catheter is a(n)
A.
pacemaker.
B.
chest tube.
C.
IV catheter.
D.
urinary catheter.

C.
IV catheter.

36

All the following are central venous lines except
A.
a Port-a-Cath.
B.
a PICC.
C.
a Swan–Ganz catheter.
D.
a Salem-sump.

D.
a Salem-sump.

37

Rapid onset of severe respiratory or cardiovascular symptoms after ingestion or injection of a drug, vaccine, contrast agent, or food or after an insect bite best describes
A.
asthma
B.
anaphylaxis
C.
myocardial infarction
D.
rhinitis

B.
anaphylaxis

38

The term dysplasia refers to
A.
difficulty speaking.
B.
abnormal development of tissue.
C.
malposition.
D.
difficult or painful breathing.

B.
abnormal development of tissue.

39

Anaphylaxis is the term used to describe
A.
an inflammatory reaction.
B.
bronchial asthma.
C.
acute chest pain.
D.
allergic shock.

D.
allergic shock.

40

You and a fellow radiographer have received an unconscious patient from a motor vehicle accident. As you perform the examination, it is important that you

refer to the patient by name.

make only those statements that you would make with a conscious patient.

reassure the patient about what you are doing.

A.
1 only
B.
1 and 2 only
C.
2 and 3 only
D.
1, 2, and 3

D.
1, 2, and 3

41

The medical term used to describe the vomiting of blood is
A.
hematemesis
B.
hemoptysis
C.
hematuria
D.
epistaxis

A.
hematemesis

42

What type of shock results from loss of blood?
A.
Septic
B.
Neurogenic
C.
Cardiogenic
D.
Hypovolemic

D.
Hypovolemic

43

Nitroglycerin is used
A.
to relieve pain from angina pectoris.
B.
to prevent a heart attack.
C.
as a vasoconstrictor.
D.
to increase blood pressure.

A.
to relieve pain from angina pectoris.

44

A patient whose systolic blood pressure is consistently greater than 140 mm Hg usually is considered
A.
hypertensive.
B.
hypotensive.
C.
average/normal.
D.
baseline.

A.
hypertensive.

45

In what order should the following examinations be performed?

Upper GI series

IVU

BE

A.
3, 1, 2
B.
1, 3, 2
C.
2, 1, 3
D.
2, 3, 1

D.
2, 3, 1

46

An illness of unknown or obscure cause is said to be
A.
systemic.
B.
epidemic.
C.
idiopathic.
D.
pathogenic.

C.
idiopathic.