First 3 PP

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pdizzle
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73113
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First 3 PP
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2011-03-15 16:55:28
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Prater\'s Radiology Class
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All the slides up to Midterm (Slide 130?)
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  1. In the healthcare profession who are our customers?
    Patients and families are customers or patients
  2. Total patient care is a balance of what?
    Total patient care is a balance of human caring and concern, technical expertise, and high quality customer service.
  3. Who stipulates that patient and family complaint systems must be in place and available for use as part of a continuous quality improvement program
    The Joint Commission (TJC)
  4. Should you be formal with all patients?
    Yes.
  5. How should you address someone over the age of 18?
    Mr. or Mrs.
  6. True or False?
    Do not make any assumptions about the patients concepts or ways to maintain health, the causes of illness, or the means to prevent or cure illness
    True.
  7. What factors are important in selecting a hospital for a non-emergency situation? (% are of 1st choice)
    • Latest technology & equipment 88%*
    • 2. Courtesy of hospital staff 83%
    • 3. Variety of specialists 83%
    • 4. Physician recommendations 65%
    • 5. Cost of services 62%
    • 6. Close to home 48%
    • 7. Friend/Family recommendation 27%
    • 8. Religious affiliations14%
  8. What are the 2 types of "customers" we serivce as healthcare professionals?
    • Outside customers - are those people from outside of the hospital such as patients, families, physicians, and others within the community
    • Inside customers - are members of other departments (ER, nursing, co-workers etc.) including the work environment.
  9. High quality service is realted to what things?
    • Self-image
    • Self-esteem
    • Self-confidence
    • Values of life and workplace
  10. Name some effective listening habits.
    • Good eye contact
    • Face the person
    • Physically relaxed – no crossed arms
    • Facial expression that shows concern
    • Use vocalizations- (“I see, Uh huh”)
    • Give complete attention
    • Avoid interrupting
  11. ALWAYS!!
    Be respectful, Be empathetic, but not tearful. Be considerate, but not overly concerned. Be professional, but not cold
  12. What does the radiologic technologist need to know to perform the responsibilities of radiologic technology?
    You need to look @ the course recommendations for approved programs and clinical affiliates
  13. What does ARRT stand for?
    ARRT (American Registry of Radiologic Technologists)
  14. Vertical plane divides the body into anterior and posterior portions
    Vertical plane divides the body into anterior and posterior portions
  15. lengthwise vertical plane divides the body into right and left halves
    Sagittal Plane
  16. Plane parallel to the ground divides body into upper and lower halves
    Transverse Plane –
  17. Define Radiographic Position
    The specific position of the body or body part in relation to the table or the image receptor
  18. Define Radiographic Projection
    The path that the x-ray beam takes as it passes through the body; described as if the body is in the anatomical position
  19. Define Radiographic View:
    The term used to explain how the image receptor sees the body image; opposite of the projection
  20. The patient is said to have the anterior surface against the film or image receptor.
    This is known as a PA projection
  21. The patient is said to have the posterior surface against the film or image receptor.
    This is known as an AP projection
  22. While working in a dark room with the Crookes tube, who noticed a piece of barium paper glowing or fluorescence in the room several feet away after he passed a current through the tube?
    Wilhelm Conrad Roentgen
  23. What was the 1st X-Ray of?
    Wilhelm Roentgen’s wife’s hand
  24. What were some of the early misuses of X-rays?
    • Circuses used x-rays for entertainment- guessing contents of purses
    • Dept. stores – offered “bone portraits”
    • Wealthy – purchased x-ray units for entertainment; imaging guests skeletons
    • Abuse of these rays later showed degenerating results
  25. Define Fluoroscopy
    a procedure using x-rays to image inner parts of body in movement and motion
  26. Name 2 specialized areas of Radiology
    • - computed tomography (CT)
    • - magnetic resonance (MR)
    • - nuclear medicine (NM)
    • - radiation therapy (RT)
    • - ultrasound (US)
    • - digital imaging & diagnostic radiography- mammography2
  27. ID the image
    Computer Tomography (CT)
  28. ID the image
    Mammography (X-Ray)
  29. ID the image
    Magnetic Resonse (MRI)
  30. ID the image
    Nuclear Medicine
  31. ID the image
    Ultrasound (Sonography)
  32. What areas are most sensitive to radiation?
    • Gonads
    • Breasts
    • Thyroid
    • Testies
  33. What is she wearing?
    Lead apron and thyroid shield.
  34. ID
    Cassettes
  35. What is the position?
    Caudid/Cephalic
  36. What is the position?
    Prone
  37. What is the position?
    Supine
  38. True or False?
    Radiography is one of the primary methods of diagnosing disease
    True
  39. Radiographic examinations are divided into 3 categories
    • 1. Radiographic procedures/studies
    • 2. Fluoroscopic procedures/studies
    • 3. Special procedures/studies
  40. What are the 2 types of patient prep?
    • External preparation
    • Internal preparation
  41. Define external preperation.
    • Removal of clothing and jewelry
    • False teeth, hearing aids etc.
    • Anything that might obscure the image
  42. How can we prepare the patient externally?
    • Removing clothes and jewelry
    • Buttons – snaps – zippers etc.
    • Ear rings – necklaces – etc.Rings – watches – eyeglasses
    • Clips on undergarments – safety pins, hearing aids
  43. Define artifacts
    undesirable or unintended densities or blemishes on a radiograph that might interfere with or obscure the image
  44. How can we prepare the patient internally?
    • Cleansing enemas – performed so that structures in abd. are free of air (gas) and fecal material (artifact)
    • Dietary considerations – NPO (nothing by mouth) for several hours
  45. WHY IS PROPER PATIENT PREP IMPORTANT?
    • Decreases dosage of radiation to pt.- no repeat exams due to artifacts (int. or ext.)
    • Earlier diagnosis of disease
  46. Define contrast media.
    Solutions or gases added to body to provide contrast (differences) between structures such as an organ and its surrounding tissue
  47. What are some types of contrast media?
    • Iodine
    • Barium
    • Air
  48. Define Radiopaque
    appears bright on radiograph; absorbs x-rays rather than passes through
  49. Define Radiolucent
    allows passage of x-rays; appear dark on radiograph.
  50. Define doubel contrast media
    Used with barium and iodine
  51. - Most commonly radiographed region
    - Lungs, heart, ribs, sternum
    - Evaluating fluid in lungs, collapsed lungs, tumors, fractured ribs, heart enlargement
    Thoracic Cavity
  52. What are the views?
    PA
  53. - divided into upper and lower
    - divided into shoulder and pelvic regions
    Extremities
  54. What do the Lower extremities include?
    toes, feet, heels, ankles, lower legs, knees, patellae, femurs, hips and pelvis
  55. Why do Extremity exams?
    evaluation of fractures dislocations, arthritis, osteoporosis and tumors
  56. What does Excretory Urography of Abdomen do?
    • Visualizes the urinary system
    • A.K.A intravenous urography or intravenous pyelograms (IVP)
  57. Require the radiologist or RA to perform and monitor the examination. Views the study “live”
    Fluoroscopic Studies
  58. ESOPHAGRAM is what?
    • Study of the esophagus
    • Requires pt. to swallow a barium sulfate preparation
    • Radiologist or RA obtains “live” digital images or spot films
  59. Starts with the pt. standing if possible
    Ends with the pt. lying on the table
    Tech. provides assistance
    Demonstrates tumors, constrictions and spasms
    ESOPHAGRAM
  60. Upper Gastrointestinal Series (UGI): ?
    • Study of the stomach using barium sulfate drink
    • Pt. must drink barium while “live” images are taken
    • Evaluates hiatal hernias, peptic ulcers etc.
  61. Evaluates tumors, bowel obstructions, diverticula and inflammation
    Barium Enema (BE)

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