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; CSRE has
been replaced by CT Scanning
What is the lowest level of care equipped with a Computed
Tomography scanner? - ANSWER✓✓-Role 3
What is the lowest level of care equipped with a portable x-ray
machine? - ANSWER✓✓-Role 2; Many of the portable units,
especially at the Role 2, have limited ability to penetrate
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 ______ . - ANSWER✓✓-6 Feet
, 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✓✓-(F)ocused
(A)bdominal (S)onographic Assessment for (T)rauma
FAST in combat trauma has a sensitivity of only 56% and specificity
of ___________ . - ANSWER✓✓-98%
T/F: The FAST exam remains the most sensitive test for hollow
viscus injury and mesenteric injury. - ANSWER✓✓-False; DPL
(Diagnostic Peritoneal Lavage) remains the most sensitive test
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
device. - ANSWER✓✓-True
A FAST examination is performed with a portable hand-held machine
most commonly using a standard 3-7 MHz curved array __________
probe. - ANSWER✓✓-US (Ultrasound)
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
organs? - ANSWER✓✓-Liver and Kidney
When performing a FAST examination on a patient, you inspect the
left upper quadrant. You are inspecting between which two organs?
- ANSWER✓✓-Spleen and Kidney
An 18g __________ IV is typically desired for Computed Tomography IV
access. - ANSWER✓✓-Antecubital
T/F: The goal of Computed Tomography contrast injection is to
provide concurrent solid organ enhancement, arterial enhancement,
and pulmonary arterial. - ANSWER✓✓-True
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