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Review Exercise A

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Factors that produce a successful pediatric radiographic procedure:   tech's attitude and approach to the child, tech's preperation of the room  
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Possible roles of the parent duing a pediatric procedure:   observe, lend support and comfort, serve as a participator, assist w/immobilization, remain in waiting room  
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Parents should never be in the radiographic room with their child. True/False   False, parents can provide comfort to their child in some cases  
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Battered child syndrome (BCS) is the current term for child abuse. True/False   False, NAT (nonaccidental trauma)  
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The technologist is responsible for reporting potential signs of child abuse to the police. True/False   False, the technologist should discuss the facts with the radiologist or supervisor on duty.  
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The technologist should always use as short an exposure time as possible during pediatric procedures. True/False   True  
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A piece of Plexiglas with short Velcro straps for immobilization of upper and lower limbs.   Tam-em Board  
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A device used to hold down upper or lower limbs without obscuring essential anatomy.   Plexiglas hold-down paddle  
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The immobilization device most commonly used for erect chests and abdomen procedures on infants and small children up to 2 years of age.   Pigg-o-stat  
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Sandbags completely filled with fine sand should be used for a larger pediatric patient. True/False   False, course sand is used in sandbags and should not be overfilled; should be pliable.  
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What size stockinettes are used for immobilization purposes on larger pediatric patients?   4 inch  
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Which type of tape is not recommended for immobilization purposes on children?   Adhesive may create an artifact on the radiograph when placed over the region being radiographed.  
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What size stockinettes are used for immobilization on smaller pediatric patients?   3 inch  
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When adhesive tape is used for immobilization of a child, it is placed directly on the skin. True/False   False. To prevent injury tape should be twisted so surface is not against the skin or place guaze pads between the skin and tape.  
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If Ace bandages are used for immobilization of the legs, which size should be used on infants and smaller children? 3, 4, or 6 inch   4 inch  
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If Ace bandages are used for immobilization of the legs, which size should be used on older children? 3, 4, or 6 inch   6 inch  
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There are five steps for "mummifying" a child. True/False   False, there are six steps.  
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Primary centers of bone formation (ossification) involving the midshafts of long bones are called:   Diaphysis  
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Secondary centers of ossification of the long bones are called:   Epiphysis  
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The spaces between the primary and secondary areas of ossification are called:   Epiphyseal plate  
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The age a skeleton reaches full ossification is:   25 years old  
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The approximate age the epiphysis of the fibular apex first becomes clearly visible is:   5 or 6 years old  
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The safeguards used to help reduce repeat exposures during pediatric procedures.   proper immobilization, high mA, short exposure time  
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The safeguards used to reduce the patient dose during pediatric procedures.   close collimation, low dose techniques, minimum number of exposures  
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Duties of the primary technologist.   positions the patient, positions the tube and collimates, instructs the parents  
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Duties of the assisting technologist.   initiates exposures, processes the images, sets exposure factors.  
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The imaging modality that is most effective in diagnosing pyloric stenosis in children.   Sonography  
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Functional MRI has been used to detect disorders in what conditions?   Autism, Tourette syndrome, ADHD  
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Renal CT scans have largely replaced intravenous urography studies for children. True/False   True  
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Dose can be reduced to the pediatric patient during a CT scan by increasing:   kV and pitch ratio  
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Multiphase CT examinations are necessary for most pediatric studies. True/False   False, rarely necessary  
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What imaging modality is used to diagnose congenital hip dislocations in the newborn, beyond radiography?   Sonography  
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Meconium aspiration   may develop during stressful births  
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Hyaline membrane disease   also known as respiratory distress syndrome  
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Neonate Grave's disease   a form of hyperthyroidism  
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Epiglottitis   bacterial infection can lead to closure of the upper airway  
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Cystic fibrosis   inherited disease leading to clogging of bronchi  
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Croup   viral infection leading to labored breathing and dry cough  
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Hemoptysis   coughing up blood  
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Meningocele   congenital defect in which the meninges of the spinal cord protrude through an opening in the vertebral column  
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Kohler's bone disease   inflammation of the navicular bone in the foot  
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Ewing's osteosarcoma   the most common bone cancer in children ages 10-18 years  
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Talipes equinus   congenital deformity of the foot involving plantar flexion  
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Osteogenesis imperfecta   hereditary disorder characterized by soft and fragile bones  
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Achondroplasia   most common form of short-limbed dwarfism  
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Myelocele   congenital defect in which the spinal cord protrudes through and opening in the vertebral column  
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Osteochondrosis   group of diseases affecting the epyphyseal plates of long bones  
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Hydronephrosis   enlarged renal collection system due to obstruction  
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Pyloric stenosis   may result in repeated, forceful vomiting  
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NEC   inflammation of the inner lining of the intestive  
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Atresias   condition characterized by absence of an opening in an organ  
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Hypospadias   congenital defect in male urethra  
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Hirschsprung disease   characterized by absence of rhythmic contractions of large intestive  
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Celiac disease   condition resulting from an allergic reaction to gluten  
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Skeletal pathologic conditions that require manual exposure factors be increased.   hydrocephalus, osteopetrosis  
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Skeletal pathologic conditions that require manual exposure factors be decreased.   idiopathic juvenile osteoporosis, osteochondrosis, osteogenesis imperfecta, osteomalicia  
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Skeletal pathologic conditions that require no change in manual exposure factors.   craniostenosis, developmental dysplasia of hip, osteochondrodysplasias, osteomyelitis, spina bifida, talipes, tumors  
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Abdominal pathologic conditions that require manual exposure factors be increased.   intestinal obstructions: intussusception, meconium ileus, volvulus  
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Meconium   dark, green secretion of the liver and intestinal glands mixed with amniotic fluid  
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Malignant bone tumors are rare in young children. True/False   True. Occur less frequently and are more curable than in adults.  
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A device with an adjustable type of bicycle seat and two clear plastic body clamps.   Pigg-o-stat  
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