trauma c spine test

A severe injury or damage to the body caused by an accident or violence defines ______

Trauma

Which of the following trauma centers is the most comprehensive in its care?

Level I

When performing mobile radiography in ER, if another patient in an adjacent room is less than _____ feet away, they should be given appropriate lead shielding

6

Which of the following are possible shock injured symptoms?

• cool and clammy skin

• Diaphoresis

• Lethargy

• Loss of consciousness

• Polydipsia

Which of the following is true concerning trauma radiography?

• document any necessary alterations to protocol for the referring physician and the radiologist

• When performing trauma radiography, do at least two projections, 90 degrees apart

• Constantly monitor your patient for changes in their condition

• Report any patient condition changes to the attending physician

When performing a trauma c spine, which of the following is true?

• always do the cross table lateral, dorsal decubitus position, first

• Document radiographic and clinical clearance information, such as who cleared and the time cleared and the type of clearance (radiographic vs. clinical)

• Don’t do a cross table lateral swimmers projection until the cross table Lateral c spine has been cleared radiographically and clinically so that the arms can be manipulated

If the patients right shoulder is injured and non mobile and a left cross table lateral swimmers projection is performed, what could be done with the CR in order to protect the injured shoulder away from the area of interest?

Angle the CR 3 to 5 degrees caudad

When would it be advantageous to use a long exposure time?

On a cross table lateral swimmers projection in order to blur out lung and rib shadows

While performing a mobile c spine exam, if the patient isn’t on a backboard and you need to place the IR directly under the patients neck for an AP axial projection, who should ideally lift the patients head for IR placement?

The ER physician

When performing oblique c spines on a patient who cannot be moved, how much and what direction would you angle the CR in order to simulate an LPO position?

Angle it 45 degrees toward the patients left

Where should you center for an AP oblique projection for the cervical vertebrae on a supine trauma patient?

More than one, but not all of the above

Which of the following is an example of blunt trauma?

• a fall

• MVA

• battery

Which procedures should be followed when trying to localize a penetrating foreign object?

• mark entrance wound with a radiopaque marker

• Mark exit wound with a radiopaque marker

• Decrease kVp

Which of the following patient signs would require the R.T. To immediately notify the ER physician?

• loss of consciousness

• Posturing

• Bluish nail beds

• Abdominal distention

• Chest pain and/ or SOA

• Seizures

Slurred speech is often associated with what type of injury?

• stroke

• CVA

True or false:

Never remove an immobilization device without a physicians orders to do so

True

What should the radiographer do if a semiconscious head trauma patient begins vomiting during radiographic procedures

Log roll the patient into their side

If a trauma patient with a head injury displays uneven pupils, what should the radiographer do?

Notify the ER physician immediately

True or false:

Generally speaking, radiographers performing trauma cases should utilize the shortest time possible when setting their technique

True

True or false:

Once collar removal is clear, it is okay for the patient to move their neck in any position they desire

False

True or false:

If the patients head is rotated, straighten it up for the preliminary cross table lateral c spine

False

CPR

cardiopulmonary resuscitation

MVA

motor vehicle accident

GSW

Gun shot wound

CVA

cerebrovascular accident

ED

Emergency department