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Procedures Chapter 13
front 1 What is the purpose of supporting the head on a radiolucent sponge for the trauma lateral projection (dorsal decubitus position) of the cranium? Increases patient comfort Reduces magnification Helps ensure demonstration of the posterior portion of the cranium in the image Absorbs blood from the patient's injuries | back 1 Helps ensure demonstration of the posterior portion of the cranium in the image |
front 2 As a means of improving efficiency in trauma imaging, generally only the most critical projection is obtained for a procedure. True False | back 2 False |
front 3 An efficient method of performing multiple imaging procedures on the same patient is to: Move the tube in one direction (e.g., superiorly to inferiorly) Refer the patient for a CT Use the shortest possible exposure time Use the largest image receptor size available and put more than one body part on each image | back 3 Move the tube in one direction (e.g., superiorly to inferiorly) |
front 4 Which of the following patient status changes require immediate
notification of the ED physician? 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3 | back 4 1, 2, and 3 |
front 5 Which of the following duties are part of a trauma radiographer’s
responsibilities in the emergency department (ED)? 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3 | back 5 2 and 3 only |
front 6 What is the proper method for lifting an injured limb? Lift the limb, supporting only the joint that is distal to the injury Support the limb at the joints proximal and distal to the injury Lift the limb, supporting only the joint that is proximal to the injury Log-roll the patient | back 6 Support the limb at the joints proximal and distal to the injury |
front 7 What anatomy should be included on a lateral projection of the lumbar spine taken with the patient in the dorsal decubitus position? L1 to L5 T12 to L5 T10 to L5 T12 to the sacrum | back 7 T12 to the sacrum |
front 8 If OML is positioned perpendicular to the image receptor for the trauma AP axial projection (Towne method) of the cranium, the central ray is directed: 30 degrees caudad 30 degrees cephalad 37 degrees caudad 37 degrees cephalad | back 8 30 degrees caudad |
front 9 If a trauma patient loses consciousness during an imaging procedure, the imaging professional should: a. assess the patient's airway b. check the patient's pulse c. notify the ED physician immediately d. check the patient's pupil responses | back 9 c. notify the ED physician immediately |
front 10 All of the following patient status changes require immediate notification of the ED physician except: Loss of consciousness Aggression Seizures Bluish nail beds | back 10 Aggression |
front 11 If a grid is used to obtain a trauma AP axial oblique projection of the cervical spine, what is the central ray orientation? Perpendicular Horizontal 15 to 20 degrees lateromedial 45 degrees mediolateral | back 11 45 degrees mediolateral |
front 12 Which projection is necessary if the top of T1 and the C7-T1 interspace is not clearly demonstrated on the lateral projection, dorsal decubitus position of the cervical spine? a. AP projection, open-mouth position b. lateral projection, swimmer's technique c. lateral projection of the thoracic spine d. AP axial c-spine | back 12 b. lateral projection, swimmer's technique |
front 13  Examine the image below. What anatomy is of interest? Cranium Facial bones Cervical vertebrae Brain | back 13 Facial bones |
front 14  Examine the image below. What error is present in this trauma image? Not all of the required anatomy is demonstrated. The image displays rotation from a true lateral position. Preventable artifacts are visible. There is no error evident in this trauma image. | back 14 Not all of the required anatomy is demonstrated. |
front 15  Examine the image below. What, if any, additional trauma projections are needed to provide a complete projection of the anatomy of interest? Additional trauma projections are not needed to demonstrate the anatomy of interest. Trauma oblique projections are required. A cross-table lateral projection of the knee joint is required. An AP projection of the knee joint is required. | back 15 A cross-table lateral projection of the knee joint is required. |
front 16 All of the following trauma procedures may first be referred for CT, except: Cervical spine Cranium Abdomen Pelvis | back 16 Abdomen |
front 17 Moving the x-ray tube in one direction, such as superiorly to inferiorly along the patient, to obtain projections in a trauma patient with multiple injuries is intended to: Protect emergency department personnel from injury during trauma imaging Reduce radiation exposure during trauma imaging Increase efficiency in trauma imaging This method is not recommended in trauma imaging | back 17 Increase efficiency in trauma imaging |
front 18 Which of the following actions are technical considerations in trauma
radiography? 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3 | back 18 1 and 3 only |
front 19 If a trauma patient loses consciousness during an imaging procedure, the imaging professional should: a. assess the patient's airway b. check the patient's pulse c. notify the ED physician immediately d. check the patient's pupil responses | back 19 c. notify the ED physician immediately |
front 20 Where does the central ray enter the patient for the trauma AP projection of the abdomen? MSP at a level 2 inches (5 cm) superior to the ASIS MCP at a level 2 inches (5 cm) inferior to the ASIS MCP at the level of the iliac crests MSP at the level of the iliac crests | back 20 MSP at the level of the iliac crests |
front 21  Examine the image below. Where does the central ray enter the patient for this trauma projection? MSP at the level of C4 MCP at the level of C4 MSP at the level of the C7-T1 interspace MCP at the level of the C7-T1 interspace | back 21 MCP at the level of C4 |
front 22  Examine the image below. What anatomy is labeled with the number 1? Body of C3 Body of C4 Pedicle of C3 Pedicle of C4 | back 22 Body of C4 |
front 23
Which of the following actions are technical
considerations in trauma radiography? 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3 | back 23 1 and 3 only |
front 24 All of the following actions are best practices in trauma radiography except: Using image evaluation criteria that take into account the patient's condition Obtaining quality images in an efficient manner Moving the image receptor and x-ray tube, rather than the patient, when needed projections are being obtained Providing a minimum of two projections at right angles to each other | back 24 Using image evaluation criteria that take into account the patient's condition |
front 25 One best practice in trauma radiography is to: Accommodate the patient’s injury by moving the tube and IR, instead of the patient, whenever possible during positioning for imaging procedures. Reduce repeats by altering the evaluation criteria of image quality to accommodate the patient’s condition Anticipate the need to remove immobilization devices to avoid image artifacts Obtain the single best projection of the injured part as quickly as possible | back 25 Accommodate the patient’s injury by moving the tube and IR, instead of the patient, whenever possible during positioning for imaging procedures. |
front 26 If a grid is used to obtain a trauma AP axial oblique projection of the cervical spine, what is the central ray orientation? Perpendicular Horizontal 15 to 20 degrees lateromedial 45 degrees mediolateral | back 26 45 degrees mediolateral |
front 27 Moving the x-ray tube in one direction, such as superiorly to inferiorly along the patient, to obtain projections in a trauma patient with multiple injuries is intended to: Protect emergency department personnel from injury during trauma imaging Reduce radiation exposure during trauma imaging Increase efficiency in trauma imaging This method is not recommended in trauma imaging | back 27 Increase efficiency in trauma imaging |
front 28 All of the following duties are part of a trauma radiographer’s responsibilities in the emergency department (ED), except: Obtaining quality images efficiently Providing ethical radiation for patients, ED personnel, and self Administering of pain medication under physician’s order Providing patient care during imaging procedures | back 28 Administering of pain medication under physician’s order |
front 29 While performing trauma imaging of a patient with injuries to the pelvis, you notice that the patient is sweating heavily and becoming drowsy. What should you do? Continue with the imaging procedure as requested Document the signs on the requisition after the procedure is complete Notify the emergency department (ED) physician immediately Give the patient a drink of water to lower the body temperature | back 29 Notify the emergency department (ED) physician immediately |
front 30 Which imaging modality is often used to evaluate trauma to the abdomen? a. CT b. MRI c. NM d. sonography | back 30 d. sonography |
front 31 The trauma radiographer must ensure other team members are protected
from unnecessary radiation. Which of the following practices will
accomplish this? a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3 | back 31 b. 1 and 3 |
front 32 While performing trauma imaging of a patient with injuries to the pelvis, you notice that the patient is sweating heavily and becoming drowsy. What should you do? Continue with the imaging procedure as requested Document the signs on the requisition after the procedure is complete Notify the emergency department (ED) physician immediately Give the patient a drink of water to lower the body temperature | back 32 Notify the emergency department (ED) physician immediately |
front 33  Examine the image below. What is the anatomy of interest? Cervical spine Cranium Thoracic spine Facial bones | back 33 Cervical spine |
front 34 Which of the following duties are part of a trauma radiographer’s
responsibilities in the emergency department (ED)? 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3 | back 34 2 and 3 only |
front 35 Where does the central ray enter the patient on a trauma AP projection of the chest? 3 inches (7.6 cm) superior to the jugular notch 3 inches (7.6 cm) superior to the xiphoid process 3 inches (7.6 cm) inferior to the jugular notch 3 inches (7.6 cm) inferior to the xiphoid process | back 35 3 inches (7.6 cm) inferior to the jugular notch |
front 36 Examine the image below. What anatomy is labeled with the number 1? Body of C3 Body of C4 Pedicle of C3 Pedicle of C4 | back 36 Body of C4 |
front 37 One best practice in trauma radiography is to: Accommodate the patient’s injury by moving the tube and IR, instead of the patient, whenever possible during positioning for imaging procedures. Reduce repeats by altering the evaluation criteria of image quality to accommodate the patient’s condition Anticipate the need to remove immobilization devices to avoid image artifacts Obtain the single best projection of the injured part as quickly as possible | back 37 Accommodate the patient’s injury by moving the tube and IR, instead of the patient, whenever possible during positioning for imaging procedures. |
front 38 If OML is positioned perpendicular to the image receptor for the trauma AP axial projection (Towne method) of the cranium, the central ray is directed: 30 degrees caudad 30 degrees cephalad 37 degrees caudad 37 degrees cephalad | back 38 30 degrees caudad |
front 39 What anatomy should be included on a lateral projection of the cervical spine taken with the patient in the dorsal decubitus position? Everything from the sella turcica to the top of T1 C1 to C7 C1 to T1 Everything from the EAM to the top of C7 | back 39 Everything from the sella turcica to the top of T1 |
front 40 What is the proper method for lifting an injured limb? Lift the limb, supporting only the joint that is distal to the injury Support the limb at the joints proximal and distal to the injury Lift the limb, supporting only the joint that is proximal to the injury Log-roll the patient | back 40 Support the limb at the joints proximal and distal to the injury |
front 41 Which of the following would be considered a trauma radiography
guideline? a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3 | back 41 c. 2 and 3 |
front 42 All of the following duties are part of a trauma radiographer’s responsibilities in the emergency department (ED), except: Obtaining quality images efficiently Providing ethical radiation for patients, ED personnel, and self Administering of pain medication under physician’s order Providing patient care during imaging procedures | back 42 Administering of pain medication under physician’s order |
front 43 Which imaging modality has replaced conventional trauma skull radiography in most Level I trauma centers? a. CT b. MRI c. nuclear medicine d. angiography | back 43 a. CT |
front 44 Which imaging modality is often used to evaluate trauma to the abdomen? a. CT b. MRI c. NM d. sonography | back 44 d. sonography |
front 45 Extreme eversion of the foot is a sign of traumatic injury to the: a. tibia and fibular b. knee joint c. pelvis d. hip | back 45 d. hip |
front 46 Whenever possible, the x-ray tube and image receptor should be positioned, rather than the patient, to obtain the trauma imaging projection. True False | back 46 True |
front 47 If the infraorbitomeatal line (IOML) is positioned perpendicular to the image receptor for the trauma AP axial projection (Towne method) of the cranium, the central ray is directed: 30 degrees caudad 30 degrees cephalad 37 degrees caudad 37 degrees cephalad | back 47 37 degrees caudad |
front 48 What are the best practices guidelines regarding immobilization in trauma radiography? The radiographer should remove immobilization only during the imaging procedure and replace it after images have been evaluated. Immobilization is never removed without a physician’s order. Immobilization is always removed before imaging to help prevent artifacts. The radiographer must evaluate the patient’s injuries to determine whether immobilization can be removed for a particular trauma imaging procedure. | back 48 Immobilization is never removed without a physician’s order. |
front 49 Which projection is necessary if the top of T1 and the C7-T1 interspace is not clearly demonstrated on the lateral projection, dorsal decubitus position of the cervical spine? a. AP projection, open-mouth position b. lateral projection, swimmer's technique c. lateral projection of the thoracic spine d. AP axial c-spine | back 49 b. lateral projection, swimmer's technique |
front 50  Examine the image below. What, if any, additional trauma projections are needed to provide a complete projection of the anatomy of interest? Additional trauma projections are not needed to demonstrate the anatomy of interest. Trauma oblique projections are required. Trauma AP axial projection is required. Trauma lateral cervicothoracic projection is required. | back 50 Trauma lateral cervicothoracic projection is required. |
front 51 Which of the following procedures are appropriate for trauma
patients? a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3 | back 51 c. 2 and 3 |
front 52 Examine the image below. What, if any, additional trauma projections are needed to provide a complete projection of the anatomy of interest? Additional trauma projections are not needed to demonstrate the anatomy of interest. Trauma oblique projections are required. Trauma AP axial projection is required. Trauma lateral cervicothoracic projection is required. | back 52 Trauma lateral cervicothoracic projection is required. |
front 53 Which of the following are required to produce optimal radiographs
during foreign body localization? a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3 | back 53 d. 1, 2, and 3 |
front 54 Which of the following are required to produce optimal radiographs
during foreign body localization? a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3 | back 54 d. 1, 2, and 3 |
front 55 What anatomy should be included on a lateral projection of the lumbar spine taken with the patient in the dorsal decubitus position? L1 to L5 T12 to L5 T10 to L5 T12 to the sacrum | back 55 T12 to the sacrum |
front 56 Which projection must be evaluated prior to taking any other images on a trauma patient? a. AP projection of the atlas and axis, open-mouth position b. lateral projection, swimmer's technique c. lateral projection of the c-spine, dorsal decubitus position d. AP axial c-spine | back 56 c. lateral projection of the c-spine, dorsal decubitus position |
front 57 What are the best practices guidelines regarding immobilization in trauma radiography? The radiographer should remove immobilization only during the imaging procedure and replace it after images have been evaluated. Immobilization is never removed without a physician’s order. Immobilization is always removed before imaging to help prevent artifacts. The radiographer must evaluate the patient’s injuries to determine whether immobilization can be removed for a particular trauma imaging procedure. | back 57 Immobilization is never removed without a physician’s order. |
front 58 Which of the following steps is required for the trauma lateral projection (dorsal decubitus position) of the cranium? Directing the central ray vertically to exit at the level of the foramen magnum Directing the central ray horizontally to enter at the level of the foramen magnum Elevating the head on a radiolucent sponge Increasing SID to overcome increased OID | back 58 Elevating the head on a radiolucent sponge |
front 59 Which imaging modality has replaced conventional trauma skull radiography in most Level I trauma centers? a. CT b. MRI c. nuclear medicine d. angiography | back 59 a. CT |
front 60 Status of the patient should be noted: 1 and 2 only 1 and 3 only 2 and 3 only 1, 2, and 3 | back 60 1, 2, and 3 |
front 61  What is the anatomy of interest in this trauma image? Thoracic vertebrae Abdomen Pelvis Lumbar vertebrae | back 61 Pelvis |
front 62 Sonography is often used in trauma imaging of the: Cervical spine Abdomen Cranium Pelvis | back 62 Abdomen |
front 63 What is the anatomy of interest in this trauma image? Thoracic vertebrae Abdomen Pelvis Lumbar vertebrae | back 63 Pelvis |
front 64 An efficient method of performing multiple imaging procedures on the same patient is to: Move the tube in one direction (e.g., superiorly to inferiorly) Refer the patient for a CT Use the shortest possible exposure time Use the largest image receptor size available and put more than one body part on each image | back 64 Move the tube in one direction (e.g., superiorly to inferiorly) |
front 65 Where does the central ray enter the patient for the trauma AP projection of the abdomen? MSP at a level 2 inches (5 cm) superior to the ASIS MCP at a level 2 inches (5 cm) inferior to the ASIS MCP at the level of the iliac crests MSP at the level of the iliac crests | back 65 MSP at the level of the iliac crests |
front 66 What is the ideal central ray direction for the AP axial oblique projections of the cervical spine on an injured patient? 45 degrees mediolaterally and 15 to 20 degrees caudad 15 to 20 degrees lateromedially and 45 degrees cephalad 45 degrees lateromedially and 15 to 20 degrees cephalad 15 to 20 degrees mediolaterally and 45 degrees caudad | back 66 45 degrees lateromedially and 15 to 20 degrees cephalad |
front 67 Examine the image below. What error is present in this trauma image? Not all of the required anatomy is demonstrated. The image displays rotation from a true lateral position. Preventable artifacts are visible. There is no error evident in this trauma image. | back 67 Not all of the required anatomy is demonstrated. |
front 68 How is the central ray directed for the cross-table lateral projections of the humerus? Vertical and perpendicular to the midhumerus Horizontal and perpendicular to the midhumerus Vertical and angled to open the elbow joint space Horizontal and angled parallel to the angle of the injury | back 68 Horizontal and perpendicular to the midhumerus |
front 69 Extreme eversion of the foot is a sign of traumatic injury to the: a. tibia and fibular b. knee joint c. pelvis d. hip | back 69 d. hip |
front 70 Examine the image below. What anatomy is of interest? Cranium Facial bones Cervical vertebrae Brain | back 70 Facial bones |