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Paediatric Imaging

Total questions: 52

Worksheet time: 31mins

Name
Class
Date
1.

Have distraction, immobilisation and __________ tools ready to go when preparing the imaging room.

a)

radiation protection

b)

measuring

c)

sterilisation

d)

lighting

2.

For infants aged 0-6 months, it is important to maintain a ______ and soothing tone.

a)

calm

b)

loud

c)

sarcastic

d)

funny

3.

For infants aged 0-6 months, ensure that any movements are ______ and gentle.

a)

slow

b)

fast

c)

rough

d)

jerky

4.

Infants aged 0-6 months may be soothed by a pacifier.

a)

True

b)

False

5.

Infants aged 0-6 months can get cold quickly.

a)

True

b)

False

6.

Age specific needs: 6–12 month Children in this age group are quite easily _________

a)

distracted

b)

focused

c)

isolated

d)

aggressive

7.

Age specific needs: 6–12 month Try using:

a)

Tapping the LBD

b)

Singing

c)

Clapping

d)

Writing

8.

Children in this age group are likely to need restraint and holding.

a)

0-6 months

b)

6-12 months

c)

1-3 years

d)

3-5 years

9.

For children aged 1-3 years, the window of opportunity is _____

a)

short

b)

long

c)

closed

d)

irrelevant

10.

For children aged 1-3 years, make sure your room is adequately prepared and patient is _____ before starting to position the patient.

a)

prepped

b)

asleep

c)

hungry

d)

dressed

11.

Children aged 1-3 years generally respond well to b (a)   .

12.

For children aged 3–5 years, give them choices on things that won’t affect the examination.

a)

Choosing what chair to sit on

b)

If they want to do the examination standing up or sitting down

c)

When they want to do the examination

d)

How many candles do they want to blow out for a CXR

13.

For children aged 5-12 years, it is important to ask

a)

what happened

b)

who their parents are

c)

their parents about what occurred

d)

how many eggs they ate today

14.

For children aged 5-12 years, parents will still be present but may be ______ involved.

a)

less

b)

more

c)

always

d)

never

15.

Which of the following statements is true regarding the respect adolescents should be given in a healthcare setting?

a)

They should be given less respect than adults

b)

They should be afforded the same respect that you would give an adult patient

c)

They do not require respect

d)

Only their parents should be respected

16.

Adolescents must have their right to (a)   respected.

17.

At what age should all girls be checked for pregnancy status according to age-specific needs?

a)

10 and up

b)

12 and up

c)

15 and up

d)

18 and up

18.

Parents can still be present for adolescent patients but are less involved.

a)

True

b)

False

19.

Which of the following modalities may require sedation and anaesthetic to ensure that a child stays still for an extended period of time?

a)

CT

b)

MRI

c)

Interventional Radiology

d)

Nuclear Med

e)

General Radiography

20.

Which of the following are commonly used methods of sedation or anaesthesia in paediatric imaging?

a)

Feed and sleep

b)

General anaesthetic

c)

Chloral hydrate

d)

Ibuprofen

e)

Antihistamine

21.

Which of the following are commonly used methods of sedation or anaesthesia in paediatric imaging?

a)

Nitrous sedation

b)

Oxygen therapy

c)

IV Sedation

d)

Nitroglycerin

22.

Children have a longer life span ahead of them compared to adults and their cells are dividing at a rapid rate. Therefore, it can be said that children are considerably more sensitive to the carcinogenic effects of ionising radiation.

a)

True

b)

False

23.

Neonates and immunocompromised patients are particularly susceptible to what?

a)

Infection

b)

Dehydration

c)

Fractures

d)

Allergies

24.

For patients less than 1 year old, what is the usual position for a chest X-ray?

a)

supine

b)

prone

c)

erect

d)

lateral decubitus

25.

For patients aged 1 year to 4-5 years, which position is preferred for a chest X-ray?

a)

AP preferably Erect / Sitting

b)

PA Lateral Decubitus

c)

Supine

d)

Oblique Prone

26.

For patients aged 5 years and older, which positions can be used for a chest X-ray?

a)

AP or PA depending on patient ability.

b)

Only lateral position is used.

c)

Only supine position is used.

d)

Only prone position is used.

27.

What should you do with the detector to reduce repeats?

a)

Place the detector directly under the patient.

b)

Increase the distance between the detector and the patient.

c)

Use a smaller detector for all patients.

d)

Turn the detector off during exposure.

28.

To reduce repeats, use an exposure suitable for ________ and ________.

a)

the examination and patient size

b)

the room and equipment

c)

the time of day and temperature

d)

the technician and location

29.

What type of image would always be done initially for abdominal imaging?

a)

Supine image

b)

Erect chest image

c)

Lateral skull image

d)

PA hand image

30.

A Chest XR and Abdominal XR is usually performed on one image for smaller children

a)

True

b)

False

31.

What are the possible positions for imaging the pelvis depending on clinical history, patient presentation, and age of patient?

a)

Supine or AP standing

b)

Prone or lateral

c)

Only supine

d)

Only standing

32.

What is a common indication for imaging of hips?

(a)  

33.

From what age is XR used and considered the standard for looking at DDH?

a)

1 month

b)

3 months

c)

5 months

d)

12 months

34.

Gonad shielding is recommended when imaging the pelvis.

a)

True

b)

False

35.

What are the standard projections for pelvis imaging?

a)

AP Pelvis & Frog Leg Lateral Hips

b)

Lateral Pelvis & AP Hips

c)

Prone Pelvis & Lateral Hips

d)

Only AP Pelvis

36.

Individual hips are rarely performed in pelvis imaging.

a)

True

b)

False

37.

Paediatrics often inhale, swallow, ingest and tread on foreign bodies. Imaging is used to confirm which of the following?

a)

Location

b)

Type

c)

Depth

d)

All of the above

38.

Identifying foreign bodies such as button batteries and magnets is critical and can be considered an emergency.

a)

True

b)

False

39.

______ is often the easiest position for lower extremity assessment.

a)

Supine

b)

Prone

c)

Sitting

d)

Standing

40.

This is an image of a paediatric patient with a foreign body.

What should be changed in this image if it has to be repeated?

(a)  

41.

With an erect abdomen xr, how may it be performed for paediatric patients?

a)

Standing up

b)

On a chest chair

c)

Supine

d)

Kneeling

42.

How is a Bone age XR taken?

a)

Hand & Forearm

b)

L Hand & Wrist (2cm up forearm)

c)

R Hand & Wrist (2cm up forearm)

d)

Hand, Wrist & Forearm

43.

What is considered a high risk Foreign body?

a)

Button battery in oesophagus

b)

Large object (>6cm long/ >2.5cm wide)

c)

2 magnets

d)

1 magnet + metal object

e)

Sharp object in oesophagus

44.

What is the pathology?

(a)  

45.

The use of feed and sleep as a sedation method is typically used for children aged

a)

<3 months

b)

0-6 months

c)

<1 month

d)

<5months

46.

The use of chloral hydrate as a method of sedation is used for children aged

a)

3 months - 3 years

b)

>3months

c)

0 - 3 years

d)

1 - 6 years

47.

How many hours of fasting is required for children that require general anaesthetic?

a)

1 - 2 hours

b)

1 hour

c)

4 - 6hours

d)

6 - 8 hours

48.

IV sedation is a (a)   form of sedation

49.

Milk is considered food and water is not

a)

True

b)

False

50.

Clear apple juice is considered food.

a)

True

b)

False

51.

Nitrous sedation requires a ___ hour fast

a)

2

b)

3

c)

4

d)

5

52.

The best way to immobilise is to

a)

hold them flat against the detector

b)

lock the hinge joints

c)

angle the tube to suit their direction

d)

strap using belts