QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
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Section 1 - Radiology: Imaging Trauma Patients in a Deployed Setting -
The initial radiographic evaluation of a trauma patient begins with
supine Anterior-Posterior (AP) chest and pelvis radiographs taken in the
trauma bay usually with a(n) __________. -ANSWER portable x-ray
machine
T/F: Computed Tomography scanning has been largely replaced by
Cervical Spine Radiographic Evaluation (CSRE) and should only be
performed when CSRE is unavailable. -ANSWER FALSE. Cervical
Spine Radiographic Evaluation (CSRE) has been largely replaced by
Computed Tomography (CT) and should only be performed when a CT
is unavailable.
What is the lowest level of care equipped with a Computed Tomography
(CT) Scanner? -ANSWER Role 3
What is the lowest level of care equipped with a portable x-ray machine?
-ANSWER Role 2
Members of the trauma team should have __________ aprons and
thyroid shields available near the trauma bay for radiation safety. -
ANSWER lead
,Distance is also protective from radiation exposure. If feasible based on
the patient's condition, any personnel without lead shielding should
move a short distance away from the x-ray unit. The recommended
minimal distance is __________ feet. -ANSWER Six (6)
A FAST examination is performed with a portable hand-held machine
most commonly using a standard 3-7 MHz curved array __________
probe. -ANSWER Ultra Sound (US)
The standard FAST examination is focused on evaluating for the
presence of __________ in certain areas of the body. -ANSWER Free
Intraperitoneal Fluid
When performing a FAST examination on a patient, you inspect the right
upper quadrant. You are inspecting between which two (2) organs?
ANSWER Liver & Kidney
When performing a FAST examination on a patient, you inspect the left
upper quadrant. You are inspecting between which two (2) organs?
ANSWER Spleen & Kidney
FAST in combat trauma has a sensitivity of only 56% and and specificity
of __________. -ANSWER 98%
,T/F: The FAST exam remains the most sensitive test for hollow viscus
injury and mesenteric injury. -ANSWER FALSE. Diagnostic Peritoneal
Lavage (DPL) remains the most sensitive test for hollow viscus injury
and mesenteric injury.
While the FAST scan has been validated only in hemodynamically
unstable blunt trauma patients, it has become a standard tool in the
trauma bay and Emergency Department (ED) in most trauma patients.
FAST stands for __________. -ANSWER Focused Abdominal
Sonographic Assessment for Trauma
T/F: At the Role 3, properly trained providers including radiologists,
surgeons, and emergency physicians, can perform and interpret FAST
scans in the emergency department on a hand held portable US device. -
ANSWER TRUE
An 18g __________ IV is typically desired for Computed Tomography
IV access. -ANSWER antecubital
T/F: The goal of Computed Tomography (CT) contrast injection is to
provide concurrent solid organ enhancement, arterial enhancement, and
pulmonary arterial. -ANSWER TRUE
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T/F: When performing Computed Tomography (CT) scan on a Military
Working Dog, utilize a scanning protocol based on the adult settings to
include the doses of and rates of contrast administration. -ANSWER