MIC Ch4 Patient Handling and Safety

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MIC Ch4 Patient Handling and Safety
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2015-09-24 12:56:33
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MIC CT Registry Review
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CT Patient Handling and Safety
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  1. 28. Following the HIPPA guidelines, you may give a patient's medical information to another employee:
    A. if it is in plain sight on the CT console and the employee has already read it
    B. only if it is needed to do their job
    C. to joke about the patient's excessive weight
    D. if the employee if related to the patient
    B. only if it is needed to do their job
    (this multiple choice question has been scrambled)
  2. 15. If the mA of a 2 second brain scan is doubled and all other parameters are not changed, the dose is:
    A. doubled
    B. unaffected
    C. halved
    D. quadrupled
    A. doubled
    (this multiple choice question has been scrambled)
  3. 38. Which of the following is the complete name of the laboratory test known at PTT?
    A. partial prothrombin time
    B. partial thromboplastin time
    C. thromboplastin time
    D. prothrombin time
    B. partial thromboplastin time
    (this multiple choice question has been scrambled)
  4. 16. Renal function refers to which of the following organs?
    A. gall bladder
    B. kidney
    C. liver
    D. spleen
    B. kidney
    (this multiple choice question has been scrambled)
  5. 43. In all states, patients are required by law to sign consent forms for the following reason:
    A. signed consent forms are not required by law in every state
    B. permission to administer contrast
    C. permission to perform a surgical procedure
    D. permission to administer sedation
    A. signed consent forms are not required by law in every state
    (this multiple choice question has been scrambled)
  6. 13. Which of the following values for prothrombin time are considered outside the normal range?
    1. 12 seconds
    2. 20 seconds
    3. 30 seconds
    A. 2 only
    B. 2 and 3
    C. 1 only
    D. 3 only
    B. 2 and 3
    (this multiple choice question has been scrambled)
  7. 25. ____mm Hg is within the normal diastolic pressure range for adults.
    A. 120
    B. 40
    C. 80
    D. 140
    C. 80
    (this multiple choice question has been scrambled)
  8. 40. The result of which of the following lab tests may impact the decision to administer IV contrast media?
    1. BUN
    2. creatinine
    3. PT
    A. 1, 2, and 3
    B. 3 only
    C. 1 only
    D. 2 only
    A. 1, 2 and 3
    (this multiple choice question has been scrambled)
  9. 42. On a multi-row detector scanner, a radiation penumbra may be found:
    A. only on the trailing edges of the slices
    B. on every other slice
    C. only on the first and last slices of the slice volume
    D. on every slice
    C. only on the first and last slices of the slice volume
    (this multiple choice question has been scrambled)
  10. On a single-row detector scanner, which of the following does NOT decrease the patient dose?
    A. decreasing the scan time while leaving the mA constant
    B. reformat the data instead of re-scanning
    C. decreasing the slice thickness while covering the same anatomical region
    D. increasing the pitch
    C. decreasing the slice thickness while covering the same anatomical region
    (this multiple choice question has been scrambled)
  11. 46. Which of the following is the correct action to take if a patient arrives with obvious head trauma, expecting a CT of the brain, but the paperwork request a pelvic CT?
    A. perform only a scan of the brain
    B. request clarification from the ordering physician
    C. perform only a scan of the pelvis
    D. perform both exams
    B. request clarification from the ordering physician
    (this multiple choice question has been scrambled)
  12. 18. During a CT scan, the patient must be monitored:
    A. occasionally
    B. visually and verbally
    C. by a nurse
    D. by a pulse oximeter
    B. visually and verbally
    (this multiple choice question has been scrambled)
  13. 4. Which of the following does NOT minimize the radiation dose to the patient?
    A. decreasing the distance from the x-ray tube to the patient
    B. increasing the pitch
    C. filtration of the low energy photons from the x-ray beam
    D. pre-patient collimation
    A. decreasing the distance from the X-ray tube to the patient
    (this multiple choice question has been scrambled)
  14. 30. For x-ray radiation, whcih of the following is TRUE?
    A. 1 ray = 1 Sv
    B. 1 rad = 1 Gy
    C. 1 rem = 1 rad
    D. 1 rem = 1 Gy
    C. 1 rem = 1 rad
    (this multiple choice question has been scrambled)
  15. 47. A normal pulse rate for an infant is _____ BPM.
    A. 30
    B. 85
    C. 60
    D. 140
    D. 140
    (this multiple choice question has been scrambled)
  16. 26. The most important consideration in the care of an unconscious patient is to ensure that:
    A. no medication are administered
    B. the body temperature is decreased
    C. fluids are maintained
    D. air passages are clear
    D. air passages are clear
    (this multiple choice question has been scrambled)
  17. 14. Which of the following statements is TRUE if the patient history was taken at the time of scheduling?
    1. a claustrophobic patient can arrive for the scan prepared with a perscription sedative
    2. time can be saved the day of the exam by skipping the screening process
    3. if it has been determined that hte patient has no prior illness or condition, monitoring is unnecessary
    A. 3 only
    B. 1, 2 and 3
    C. 1 only
    D. 2 only
    C. 1 only
    (this multiple choice question has been scrambled)
  18. 9. The human embro/fetus is most sensitive to radiation:
    A. equally in all trimesters
    B. in the third trimester
    C. in the first trimester
    D. in the second trimester
    C. in the first trimester
    (this multiple choice question has been scrambled)
  19. Which of the following could be the dose experienced by the pituitary from a typical CT brain scan?
    A. 5 mGy
    B. 1mGy
    C. 9 rads
    D. 2 rads
    D. 2 rads
    (this multiple choice question has been scrambled)
  20. If there is no overlap or gap between adjacent slices of a CT scan, CTDI ____ MSAD.
    A. is much greater than
    B. is less than
    C. is slightly greater than
    D. equals
    D. equals
    (this multiple choice question has been scrambled)
  21. 27. A normal adult has _____ respiration per minute.
    A. 20-30
    B. 12-20
    C. 30-40
    D. 5-8
    B. 12-20
    (this multiple choice question has been scrambled)
  22. 1. A blood urea nitrogen level of _____ mg/dl is considered outside the normal range.
    1. 10
    2. 18
    3. 32
    A. 1 only
    B. 2 and 3
    C. 3 only
    D. 2 only
    C. 3 only
    (this multiple choice question has been scrambled)
  23. 8. Which of the following tests is NOT an indication of renal function?
    1. BUN
    2. creatinine
    3. PTT
    A. 2 and 3
    B. 3 only
    C. 1 only
    D. 2 only
    B. 3 only
    (this multiple choice question has been scrambled)
  24. 48. Which of the following conditions may be an indication NOT to use IV contrast media?
    1. previous serious reaction to contrast media used during another diagnostic procedure
    2. allergy to iodine
    3. renal impairment
    A. 3 only
    B. 2 only
    C. 1 only
    D. 1, 2 and 3
    D. 1, 2 and 3
    (this multiple choice question has been scrambled)
  25. 23. Which of the following is NOT a typical indication of shock?
    A. convulsive seizures
    B. tachycardia
    C. grayish skin tone
    D. hypotension
    A. convulsive seizures
    (this multiple choice question has been scrambled)
  26. 10. Platelets are small:
    A. catheters used for administering contrast media
    B. detector elements responsible for capturing attenuated photons
    C. cell fragments necessary for blood coagulation
    D. implants
    C. cell fragments necessary for blood coagulation
    (this multiple choice question has been scrambled)
  27. 17. Which of the following reduces patient dose at the expense of increasing the apparent noise in the image?
    A. kVp
    B. pitch
    C. table increment
    D. mAs
    D. mAs
    (this multiple choice question has been scrambled)
  28. 2. A 25 year old female is scheduled for a CT scan of the sinuses. She is not absolutely certain that she is not pregnant and it has been three weeks since her last menstrual period. Which of the following is the best course of action?
    A. postpone the procedure until she is more certain of her condition
    B. suggest she get an MRI instead
    C. perform the exam immediately, which she is experiencing sinus problems
    D. cancel the procedure indefinitely
    A. postpone the procedure until she is more certain of her condition
    (this multiple choice question has been scrambled)
  29. 50. Which of the following is a possible long-term effect of repeated exposure to radiation?
    1. cataracts
    2. cancer
    3. decrease in life expectancy
    A. 2 only
    B. 3 only
    C. 1 only
    D. 1, 2 and 3
    D. 1, 2 and 3
    (this multiple choice question has been scrambled)
  30. 24. CPR must be administered to a cardiac arrest victim within a maximum of _____ minutes(s) before there is a risk of brain damage.
    A. 1
    B. 4
    C. 8
    D. 12
    B. 4
    (this multiple choice question has been scrambled)
  31. 35. Which is NOT a standard infection control precaution to use with all patients?
    A. wash hands after touching a patient
    B. disposal of needle in sharps onctainer
    C. wear gloves wiht starting an IV
    D. use of a N95 respirator
    D. use of a N95 respirator
    (this multiple choice question has been scrambled)
  32. 12. Which of the following statements is TRUE?
    1. respirators are not allowed in the CT suite
    2. pulse oximeters are allowed in the CT suite
    3. the patient should be removed from the CT suite to treat cardiac arrest
    A. 3 only
    B. 1, 2 and 3
    C. 2 only
    D. 1 only
    C. 2 only
    (this multiple choice question has been scrambled)
  33. 39. A patient about to get a scan of her sinuses may wear:
    A. a nose ring
    B. earrings, to look her best
    C. eyeglasses so she can see the technologist
    D. her new belt with a large silver buckle
    D. her new belt with a large silver buckle
    (this multiple choice question has been scrambled)
  34. Which of the following is TRUE regarding a radiation penumbra?
    1. it occurs because the collimator is broken
    2. it is radiation that extends outside of the imaging region
    3. it is accounted for in the calculation of the MSAD
    A. 3 only
    B. 2 only
    C. 1 only
    D. 2 and 3
    D. 2 and 3
    (this multiple choice question has been scrambled)
  35. 11. A creatinine level of 3.1 mg/dl indicates the:
    1. kidneys are not removing waste products from the urine
    2. patient is not a good candidate to receive IV contrast media
    3. value is below the normal range
    A. 3 only
    B. 1 only
    C. 2 only
    D. 1, 2 and 3
    C. 2 only
    (this multiple choice question has been scrambled)
  36. 36. Making up the ARRT Standard of Ethics are the Code of Ethics, which is _____, and the Rules of Ethics, which are _____.
    A. a law, varibale depending upon the state you're in
    B. a conduct guideline, variable depending upon the state you're in
    C. a law, recommended job descriptions
    D. a conduct guideline, enforceable
    D. a conduct guideline, enforceable
    (this multiple choice question has been scrambled)
  37. When reviewing the images from a helical CT scan, a subtle, suspicious area of possible pathology is noticed. What could be done to better visualize the suspicious area WITHOUT increasing the dose to the patient?
    1. re-scan the region using thinner slices
    2. re-scan the region using a lower pitch
    3. retrospectively reconstruct the slices so that they overlap
    A. 3 only
    B. 2 only
    C. 1, 2 and 3
    D. 1 only
    A. 3 only
    (this multiple choice question has been scrambled)
  38. 34. Which of the following vital signs is considered abnormal?
    A. adult blood pressure of 160/100
    B. oral tempature of 97*
    C. pediatric pulse of 110 BPM
    D. adult pulse of 75 BPM
    A. adult blood pressure of 160/100
    (this multiple choice question has been scrambled)
  39. 3. To modify a standard CT protocol so that is is appropriate for child, which of the following should be decreased?
    1. pitch
    2. kVp
    3. mAs
    A. 1 and 3
    B. 1 only
    C. 2 and 3
    D. 1 and 2
    C. 2 and 3
    (this multiple choice question has been scrambled)
  40. 31. Which of the following may result from exposing an embryo to x-ray radiation?
    1. mental retardation
    2. miscarriage
    3. deformities
    A. 1 only
    B. 3 only
    C. 2 only
    D. 1, 2 and 3
    D. 1, 2 and 3
    (this multiple choice question has been scrambled)
  41. What are the lab values for a patients BUN?
    A. 0.6 to 1.7 mg/dl
    B. 95 to 120 mL/min/1.72m2
    C. 5 to 25 mg/dl
    C. 5 to 25 mg/dl
    (this multiple choice question has been scrambled)
  42. What are the lab values for a patients creatine?
    A. 5 to 25 mg/dl
    B. 95 to 120 mL/min/1.72m2
    C. 0.6 to 1.7 mg/dl
    C. 0.6 to 1.7 mg/dl
    (this multiple choice question has been scrambled)
  43. What are the lab values for a patients GFR?
    A. 5 to 25 mg/dl
    B. 0.6 to 1.7 mg/dl
    C. 95 to 120 mL/min/1.73m2
    C. 95 to 120 mL/min/1.73m2
    (this multiple choice question has been scrambled)
  44. What does GFR determine?
    flow rate of filtered fluid through the kidney
  45. What are the values for PT (prothrombin time)?
    A. 10 to 14 seconds
    B. 20 to 40 seconds
    C. 60 to 80 seconds
    A. 10 to 14 seconds
    (this multiple choice question has been scrambled)
  46. What are the values for PTT (partial thromboplastin time)?
    A. 10 to 14 s
    B. 60 to 80 s
    C. 20 to 40 s
    C. 20 to 40 s
    (this multiple choice question has been scrambled)
  47. What does a high INR indicate?
    A. high chance of bleeding
    B. high chance of having a clot
    C. low chance of having a clot
    D. low chance of bleeding
    A. high chance of bleeding
    (this multiple choice question has been scrambled)
  48. What does having a low INR indicate?
    A. high chance of having a clot
    B. low chance of having a clot
    C. high chance of bleeding
    D. low chance of bleeding
    A. high chance of having a clot
    (this multiple choice question has been scrambled)
  49. What are the values for normal INR?
    0.9 to 1.3
  50. The CTDI represents the average dose along the what axis or direction?
    A. y
    B. x
    C. z
    C. z
    (this multiple choice question has been scrambled)
  51. What is the purpose of the MSAD?
    Helps correct the CTDI by factoring in gaps or overlaps between slices or helices due to the selected table or pitch.
  52. 32. As measured by a pulse oximeter, normal oxygen saturation in the blood is __% to __%.
    A. 95, 100
    B. 70, 75
    C. 85, 90
    D. 50, 55
    A. 95, 100
    (this multiple choice question has been scrambled)
  53. Where is the Sinoatril (SA) node located and what does it do?
    • Right Atrium
    • Main control and source of each beat
  54. What is called the "natural pacemaker" of the heart?
    SA node
  55. What does the Atrioventricular (AV) node do?
    • Provides a pathway for impulses from the Atria to the Ventricles.
    • Creates a delay in conduction from the atria to the ventricles.
  56. 41. In a normal electrocardiogram, the ____ wave represents Atrial Contraction.
    A. P
    B. T
    C. R
    D. Q
    a. P
    b. QRS
    c. T
    A. P
    (this multiple choice question has been scrambled)
  57. What wave shows the Ventricular Contractions?
    A. P
    B. QRS
    C. T
    B. QRS
    (this multiple choice question has been scrambled)
  58. What wave shows the Ventricular Relaxation?
    A. QRS
    B. T
    C. P
    B. T
    (this multiple choice question has been scrambled)
  59. Where are the ECG leads placed at on the body?
    On each shoulder and at the apex of the heart
  60. What phase of the heart has the Atria and Ventricles relaxed?
    Diastole
  61. What phase of the Heart triggers both the Atria to contract?
    Atrial Systole
  62. What phase of the Heart triggers both the Ventricles to contract?
    Ventricular Systole
  63. What are the values for an Oral Temperature?
    97 to 99
  64. What are the values for an Axilla Temperature?
    96.5 to 98.5
  65. What are the values for Rectal Temperature?
    97.5 to 99.5
  66. Where is the most common site for taking a pulse?
    Radial
  67. What is the Average Adult Pulse?
    70 to 100 bpm
  68. What is an Athletic Adults Pulse?
    45 to 60 bpm
  69. What is a Childs Pulse?
    95 to 110 bpm
  70. What is an Infants Pulse?
    100 to 180 bpm
  71. What indicates the force of ventricular contraction?
    Systolic pressure
  72. What indicates the lowest pressure of the ventricle between heartbeats?
    Diastolic Pressure
  73. Where is the most common place for measuring blood pressure?
    Brachial Artery
  74. What is the normal systolic pressure for an Adult?
    90 to 140
  75. What is the normal diastolic pressure for an Adult?
    60 to 90
  76. What is the normal systolic and diastolic pressure for a Child?
    85-130 over 45-85
  77. Whats the average respiration rate for a child?
    15 to 30
  78. Whats the average respiration rate for an infant?
    25 to 50
  79. 5. Air in the pleural space causes the lung to collapse. This condition is known as:
    A. Pneumothorax
    B. Empyema
    C. Hemothorax
    D. Pleural effusion
    D. Pneumothorax
    (this multiple choice question has been scrambled)
  80. 6. Which medical device is used most often to deliver oxygen therapy?
    A. Tracheostomy tube
    B. Mechanical ventilator
    C. Nasal cannula
    D. Venturi mask
    C. Nasal cannula
    (this multiple choice question has been scrambled)
  81. 7. Which of the following statements is FALSE about oximetry?
    A. Normal oxygen saturation is 85-90%
    B. A pulse oximeter works by passing a beam of red and infrared light through a capillary bed
    C. Oximetry is a procedure for measuring the concentration of oxygen in the blood
    D. Oximetry is used for patient monitoring
    A. Normal oxygen saturation is 85-90%
    (this multiple choice question has been scrambled)
  82. 19. ____ offers standardized lab values indicating the blood's ability to coagulate for patients who are taking anticoagulant medications.
    A. PT
    B. INR
    C. PTT
    D. GFR
    B. INR
    (this multiple choice question has been scrambled)
  83. 20. Chest tubes:
    1. are used to remove air or fluid from the pleural cavity
    2. may be looped so that they don't get in the way during the CT scan
    3. are attached to a drainage system that needs frequent emptying
    A. 1, 2 & 3
    B. 1 & 3
    C. 1 & 2
    D. 1 only
    D. 1 only
    (this multiple choice question has been scrambled)
  84. 21. When reviewing the images from a helical CT scan, a subtle, suspicious area of possible pathology is noticed. What could be done to better visualize the suspicious area WITHOUT increasing the dose to the patient?
    1. Re-scan the region using thinner slices
    2. Re-scan the region using a lower pitch
    3. Retrospectively reconstruct the slices so that they overlap
    A. 1, 2 & 3
    B. 1 only
    C. 2 only
    D. 3 only
    D. 3 only
    (this multiple choice question has been scrambled)
  85. 22. The diabetes drug, Metformin, has the same precautions as:
    1. Glucophage
    2. Glucovance
    3. Gadolinium
    A. 1 only
    B. 1, 2 & 3
    C. 1 & 2
    D. 1 & 3
    C. 1 & 2
    (this multiple choice question has been scrambled)
  86. 29. Which of the following lab tests is often performed in conjunction with CT pulmonary angiography in order to rule out pulmonary emboli?
    A. D-dimer
    B. Platelet count
    C. GFR
    D. INR
    A. D-dimer
    (this multiple choice question has been scrambled)
  87. 33. In a normal electrocardiogram, the ____ wave has the highest amplitude.
    A. P
    B. Q
    C. R
    D. T
    C. R
    (this multiple choice question has been scrambled)
  88. 37. Which of the following is a good estimate of the effective dose from a typical CT head scan?
    A. 0.3 mSv
    B. 9 rem
    C. 5 rem
    D. 2 mSv
    D. 2 mSv
    (this multiple choice question has been scrambled)
  89. 44. During a coronary calcium scoring study, which technique will minimize the radiation dose to the patient?
    A. Pitch < 1
    B. No cardiac synchronization
    C. Retrospective cardiac synchronization
    D. Prospective cardiac synchronization
    D. Prospective cardiac synchronization
    (this multiple choice question has been scrambled)
  90. 45. Which measurement of radiation dose accounts for helical studies on multi-row detector scanners and considers the total volume of irradiated tissue?
    A. DLP
    B. CTDIvol
    C. MSAD
    D. CTDI
    A. DLP

    Dose length product

    (this multiple choice question has been scrambled)
  91. 49. Radiation shields used in CT:
    1. May be used to protect radiation sensitive body parts such as the heart and liver
    2. Are typically made from tungsten antimony and bismuth
    3. Must be kept outside of the scan FOV
    A. 1 only
    B. 1 & 2
    C. 1, 2 & 3
    D. 2 & 3
    D. 2 & 3
    (this multiple choice question has been scrambled)

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