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Advanced Radiographic Procedures

front 1

Which of the following imaging modalities is often used to diagnose pulmonary emboli?

back 1

Nuclear Medicine

front 2

Which imaging modality is often used to diagnose an ectopic pregnancy?

back 2

Ultrasound

front 3

Which of the following terms best describes a partial dislocation of a joint?

back 3

Subluxation

front 4

A bruise type of injury with a possible avulsion fracture is termed an

back 4

contusion

front 5

Which term describes a misalignment of a distal fracture fragment that is angled toward the midline?

back 5

Varus deformity

front 6

Which type of fracture is defined as being crushed at the site of impact, producing two or more fragments?

back 6

Comminuted

front 7

Which of the following fractures is described as an incomplete fracture with the cortex broken on one side of the bone?

back 7

Greenstick

front 8

Which of the following is not a fracture but a subluxation?

back 8

Nursemaids' elbow

front 9

Which of the following fractures is often called a reverse Colles' with anterior displacement of the distal radius?

back 9

Smith's

front 10

Which of the following fractures usually involves the spine?

back 10

Compression

front 11

Which type of procedure would be performed in surgery to realign a fracture?

back 11

open reduction

front 12

Generally, only one joint needs to be included for follow-up studies of a long bone fracture.

True or False

back 12

True

front 13

A fracture in which the bone is broken into three pieces, with the middle fragment fractured at both ends, is termed ______ fracture.

back 13

segmental

front 14

A fracture that occurs through the pedicles of the axis (C2), with or without displacement of C2 or C3, is termed ______ fracture.

back 14

hangman's

front 15

Which fracture is also called a "march fracture"?

back 15

Stress

front 16

A fragment of bone that is separated or pulled away by the attached tendon or ligament is termed a(n) _____ fracture.

back 16

avulsion

front 17

With high-level fluoroscopy (HLF), the maximum exposure rate cannot exceed 20 R/min.

True or False

back 17

True

front 18

Because of radiation exposure to the head and neck region, the C-arm should not be placed in the posteroanterior (PA) projection tube alignment.

True or False

back 18

False

front 19

_____ is used to create an x-ray beam that activates at timed increments to reduce exposure during C-arm fluoroscopy.

back 19

Pulse mode

front 20

A self-propelled, battery-driven mobile x-ray unit will generally go up a maximum incline of

back 20

7 degrees

front 21

What is the minimum distance a technologist should stand away from the x-ray tube during an exposure when using a mobile x-ray unit?

back 21

6 feet

front 22

Which one of the three cardinal rules of radiation protection is the most effective means of reducing exposure during mobile and surgical procedures?

back 22

Distance

front 23

Which of the C-arm orientations in general results in the greatest exposure to the operator's head region if the distance from the patient is unchanged (patient is supine).

back 23

Anteroposterior (AP) projection (x-ray tube above anatomy)

front 24

A radiographer receives 400 mR/hr standing 1 foot from a C-arm fluoroscopy unit. What is the exposure rate if the radiographer moves to a distance of 3 feet?

back 24

25 to 50 mR/hr

front 25

Where should the operator (or surgeon) stand when using a C-arm fluoroscopy unit in a horizontal central ray (CR) position?

back 25

Intensifier end of the C-arm

front 26

A 30 degree tilt of the C-arm x-ray tube from the vertical position will increase radiation exposure to the face and neck region of the operator standing next to the C-arm by approximately a factor of

back 26

4

front 27

How should the CR be aligned for an AP projection of the chest?

back 27

perpendicular to the long axis of the sternum

front 28

A patient enters the emergency department with a possible pneumothorax of the right lung. The patient is unable to stand or sit erect. Which specific position should be performed to diagnose this condition?

back 28

left lateral decubitus position

front 29

A patient enters the ED with a possible fractured sternum. The patient is supine and unable to lie prone. Which of the following routines best demonstrates the sternum?

back 29

LPO and horizontal beam lateral (RPO and lateral recumbent???)

front 30

How much rotation is required for an AP oblique projection of the sternum on a hypersthenic patient?

back 30

15 degrees

front 31

What type of "holding breath" instructions should be given for an AP projection (patient supine) of the ribs located above the diaphragm?

back 31

Expose upon inspiration

front 32

Which of the following positions or projections best demonstrates free intra-abdominal air on the patient who cannot stand or sit erect?

back 32

Left lateral decubitus

front 33

A patient comes to the ED with a possible abdominal aortic aneurysm. Which of the following projections of the abdomen best demonstrates it?

back 33

Dorsal Decubitus

front 34

What is the primary disadvantage of performing a PA thumb over an AP projection?

back 34

Results in an increase in object image receptor distance (OID).

front 35

Postreduction projection of the upper and lower limbs generally require only the joint nearest to the fracture site.

True or False

back 35

True

front 36

A patient enters the ED with a fractured forearm. The physician reduces the fracture and places a fiberglass cast on the forearm. The initial analog technique was 55 kv and 5 mAs. Which of the following technical factors is best for the postreduction study?

back 36

65 kv and 5 mAs

front 37

How should the CR be aligned for a trauma PA projection of the elbow?

back 37

Perpendicular to the interepicondylar plane

front 38

A patient enters the ED with a possible shoulder dislocation. Because of his multiple injuries, the patient is unable to stand or sit erect. Which of the following routines best demonstrates the dislocation?

back 38

AP and horizontal beam transthoracic lateral projections

front 39

A patient enters the ED with a possible fractured scapula. Because of her multiple injuries, the patient is on a backboard. Which of the following technique's is most helpful in providing a lateral view of the scapula if the patient is unable to rotate the affected shoulder adequately?

back 39

Angle the CR lateromedial and parallel to the scapular body

front 40

What CR angulation should be used for an AP projection of the clavicle on an asthenic patient?

back 40

20 degrees cephalad

front 41

An ankle series would best demonstrate a Pott fracture.

True or False

back 41

True

front 42

A patient's lower leg is in traction in the hospital bed. The orthopedic surgeon orders an AP mortise projection of the ankle. Because of the traction, the lower leg cannot be rotated. The leg is in a straight "foot up" position. What can the radiographer do to achieve this AP mortise projection?

back 42

Perform a CR 15 degree to 20 degree lateromedial anlge AP projection

front 43

A patient enter the ED on a backboard with multiple injuries, including an injury to the knee region with a possible stellate fracture noted on the examination requisition. Which of the following routines best demonstrates this injury safely?

back 43

AP and horizontal beam lateral projections of the knee and patella without knee flexion

front 44

Which of the following projections best produces an unobstructed view of the fibular head and neck without rotation of the lower leg (with patient in supine position)?

back 44

CR 45 degrees mediolaterally

front 45

How is the CR aligned for an axiolateral, inferosuperior (Danelius-MIller) projection?

back 45

Perpendicular to femoral neck

front 46

A patient enters the ED with a possible cervical spine fracture. The inital AP and lateral projections were negative for fracture. The ED physician wants a projection to demonstrate the vertebral pedicles. Which of the following projections would demonstrate these structures safely?

back 46

CR 15 cephalic and 45 lateromedial

cassette angled 45 degrees under table to match cr angle and reduce magnifacation

front 47

Focused grids are recommended for mobile chest studies.

True or False

back 47

False

front 48

Ideally, the horizontal beam lateral projections for the cervical spine require a ______ source image receptor distance (SID).

back 48

60 to 72 inch (153-180 cm)

front 49

The horizontal beam lateral lumbar spine projection requires a CR position that is

back 49

perpendicular to the image receptor

front 50

Which of the following projections will best demonstrate an air-fluid level within the skull with the patient recumbent?

back 50

Horizontal beam lateral

front 51

The AP reverse Caldwell projection for a trauma skull examination requires the CR be

back 51

15 degrees cephalad to OML

front 52

How is the CR aligned for the acanthiomeatal (reverse waters) projection for the facial bones?

back 52

Parallel to the mentomeatal line (MML)

front 53

A patient enters the ED with a possible greenstick fracture. Which age group does this type of fracture usually affect?

back 53

Pediatric

front 54

Subluxation is best described as a

back 54

partial dislocation

front 55

A patient enters the ED with a possible Monteggia fracture. Which of the following positioning routines should be performed?

back 55

Horizontal beam PA and lateral forearm projections

front 56

A patient enters the ED with a possible blow-out fracture involving the orbits. The patient is restricted to a backboard because of trauma. Which of the following positioning routines should be performed?

back 56

AP 30 and axial horizontal beam lateral skull

front 57

What should a technologist do if the sterile field is violated during a surgical procedure?

back 57

Notify a member of the surgical team immediately

front 58

Which one of the following devices is best during a C-arm hip pinning procedure to protect the sterile environment?

back 58

Shower curtain

front 59

Asepsis is defined as a(n)

back 59

absence of infectious organisms

front 60

OR tables are considered sterile only at the level of the tabletop.

True or False

back 60

True

front 61

The entire sterile gown, worn by the surgeon, is considered sterile.

True or False

back 61

False

front 62

Only sterile items are allowed within the sterile field.

True or False

back 62

True

front 63

Shoe covers are not required in the presurgical or recovery areas.

True or False

back 63

False

front 64

An aerosol cleaner should be used in cleaning the C-arm in surgery before a procedure.

True or False

back 64

False

front 65

Which one of the following methods will best reduce patient dosage during a fluoroscopic procedure in surgery?

back 65

Use intermittent fluoro

front 66

"Boost" exposures used during C-arm procedures are intended to

back 66

increase brightness of image

front 67

The primary clinical indication for an operative cholangiogram is

back 67

biliary calculi

front 68

When performing convential imaging during an operative cholangiogram, the IR is placed in a special metal tray called a

back 68

"pizza pan"

front 69

Typically, how much contrast media is injected by the surgeon during an operative cholangiogram?

back 69

6 to 8 mL

front 70

Which of the following modifications must be made if the OR table is tilted while imaging during an operative cholangiogram using analog imaging?

back 70

grid cassette is placed crosswise

front 71

Which one of the following structures is not typically visualized during an operative cholangiogram?

back 71

stensons duct

front 72

Which of the following is NOT an advantage of laparoscopic cholecystectomy?

back 72

The procedure is performed without anesthetic in radiology

front 73

Retrograde urography is classified as a nonfunctioning study of the urinary system?

True of False

back 73

True

front 74

A laparoscope is used during the retrograde urogram.

True or False

back 74

False

front 75

The urologist will withdraw the urethral catheter before imaging during a retrograde pyelogram.

True or False

back 75

False

front 76

The retrograde pyelogram is intended to demonstrate the collecting structures of the kidney only.

True of False

back 76

True

front 77

The abbreviation ORIF refers to

back 77

open reduction internal fixation

front 78

Which of the following procedures is a nonsurgical procedure?

back 78

Closed reduction

front 79

Which one of the following devices is classified as an external fixator?

back 79

llizarov device

front 80

Which device is commonly used during a hip pinning to reduce a fracture of the proximal femur?

back 80

Cannulated screw assembly

front 81

What type of orthopecic fixator is commonly used to reduce midhumeral fractures?

back 81

Intramedulliary nail

front 82

Arthroplasty is a formal term describing a(n)

back 82

Total Hip Replacement

front 83

What is the newer type of prosthetic device being used for total hip replacements?

back 83

Modular bipolar endoprosthesis

front 84

A surgical procedure to remove a small portion of the bone that is impinging the nerve root is termed

back 84

laminectomy

front 85

Which of the following devices is an alternative to traditional spinal fusion procedures

back 85

interbody fusion cage

front 86

Which one of the following procedures used a high-powered steroscopic microsope to provide illumination and magnification of the impinged nerve and surrounding structures?

back 86

microdiskectomy

front 87

Which procedure may require the use of Luque or Harrington rods?

back 87

Scholiosis corrective procedure

front 88

Which procedure introduces orthopedic cement directly into the weakened vertebrae?

back 88

Vertebroplasty

front 89

An orthopedic wire that tightens around a fracture site to reduce shortening of a limb is a ______ wire.

back 89

cerclage

front 90

Electrohydraulic shock wave used to break apart calcifications in the urinary system is the definition for

back 90

ESWL

front 91

Soaking of moisture through a sterile or nonsterile drape, cover, or protective barrier permitting bacteria to reach sterile areas is generally termed

back 91

strike through

front 92

In orthopedic terms, CR refers to

back 92

closed reduction

front 93

An internal pacemaker implantation can be performed under local anesthetic.

True of False

back 93

True

front 94

Baseball fractures=

back 94

Mallet fractures

front 95

Hutchinson's fractures=

back 95

Chauffeur's fractures

front 96

Reverse Colles' fracture=

back 96

Smith fracture

front 97

Simple fracture=

back 97

Closed fracture

front 98

Blow-out fracture=

back 98

Tripod fracture

front 99

Greenstick fracture=

back 99

Hickory-stick fracture

front 100

Stress or fatigue fracture=

back 100

March fracture