Radiologic Technology Program

Clinical Worksheet I- (RTE 1804)

Name: ____________________________ Date: ____________

· Answer all questions in depth. Demonstrate the scope of your knowledge in each category. If you do not know an answer, research it. I will be looking at how you interpret questions and process information. First 50 questions of the worksheet must be completed and turned into the Clinical Coordinator by the Wednesday of week 4. Questions 51-100 will be due by the Wednesday of Week 8.

Section I Upper Extremity

1. Name the bones of the hand and the wrist and describe from proximal to distal in detail.

2. Name the parts of the distal humerus and the specific depressions associated with it.

3. Name the three concentric arcs and explain its significance and what position will best demonstrate it?

4. Of the listed synovial joints fill in the correct type of movement. (Plane),(Ginglymus),(Trochoid),(Ellipsoid),(Sellar), (Spheroid)
a) First Carpometacarpal joint____________________________
b) Elbow joint_____________________________________
c) Shoulder joint_____________________________________
d) Intercarpal joint____________________________________
e) Wrist joint__________________________________________
f) Third metacarpophalangeal joint____________________________
g) Second interphalangeal joint__________________________________
h) Distal radioulnar joint_________________________________________
i) Ankle joint__________________________________________________

5. List the pathologic indications of the upper limb that require an adjustment in exposure technique.

6. Explain the reason for placing digits in medial versus lateral rotation when doing oblique projections?

7. List the special view associated with the thumb and describe the area of interest.

8. Draw a picture of the wrist and label its parts from distal to proximal row.

9. Describe the ulnar deviation of the wrist and explain the purpose and provide alternatives based on condition of the patient.

10. If the pisiform and hamate are superimposing on the Gaynor-Hart Method what is the cause of this problem and what correction is necessary?

11. Describe the differences between the Gaynor-Hart and Carpal Bridge?

12. Give a detail description of the lateral rotation of the elbow.

13. If the patient is unable to extend the arm for an AP Elbow, what alternative method can the technologist do to achieve an optimal image?

14. Explain the importance of positioning the elbow in a true lateral position.

15. Detail how to perform the trauma coyle view, describe radiographic criteria.

16. How is the AP humerus projection completed? And how one can tell the correct position of the shoulder based on the position of the humerus.

17. Give a detail description of the anatomical structures demonstrated in a lateral (Scapular Y) position.

18. List the angles and borders of the scapula and what important factor to consider when imaging the scapula AP.

19. Explain how you would locate the central ray on an AP shoulder.

20. What is the joint classification and mobility type of the shoulder? Based on your answer what significant pathology typically occurs in this region?

21. Indicate specifically the location and shapes of both greater tubercle and lesser tubercle in external, neutral, and internal rotation.

22. How would you apply shielding to patients for upper limb radiography?

23. What are some implications when applying pediatric applications for upper limb radiography?

24. Why is it important to know if the patient has a history of osteoporosis?

25. Draw an axiolateral , demonstrating the bankart lesion and hills sacks defect.

Section II Lower Extremities

26. Name the bones and locations of the tarsals in detail.

27. The largest and strongest bone of the foot is called_________________? Explain how to demonstrate the tibio talo joint space in profile.

28. Understanding that the tissue thickness between the proximal and distal foot varies how can this be overcome when doing foot imaging?

29. Draw a diagram of the foot and label the parts of the bone include the names of the articulating bones.

30. How are the arches of the foot demonstrated ?

31. Describe what the deep socket or three sided opening is called? And explain the how the degree of rotation will help demonstrate it.

32. Explain the relationship between the tibia and fibula.

33. Explain the correct angulation for opening the knee joint on an AP view?

34. Explain how you would visualize the intercondylar fossa, the patelofemoral joint and knee joint.

35. Explain the angulation used for demonstrating the lateral knee? Be specific.

36. Explain why knee flexion is important in radiographing the knee? Be clear and specific with your answer.

37. Describe how the radiologist can view the patellar surface free of superimposition.

38. If the lateral knee demonstrated the adductor tubercle in profile what should be the next course of action?

39. When handling Geriatric patients, what are some of the most effective ways to provide good patient care?

40. What’s the best method to demonstrating the sesamoid bones of the foot?

41. What are some of the differences between the ankle mortise and ankle oblique views?

42. Describe how to properly position the plantodorsal (axial) projection. How would you achieve full dorsiflexion when the patient has difficulty holding the position?

43. If the physician was interested in the intercondylar fossa how would you demonstrate on a patient who’s condition does not allow lots of movement.

44. Give an example of when it is necessary to use immobilization devices on the lower extremity.

45. For questions 45-50
design a matrix of your own
to include the following routine radiographic examinations: (2 upper extremity, 2 lower extremity, 1 special view. (5 exams in total should be reflected).

Section IV IVU +Venipuncture

46. Explain in detail the structural and functional unit of the kidney.

47. What are the differences between a bolus injection and drip infusion.

48. What are the two type of iodinated contrast media used in Urology and explain the advantages and disadvantages of each?

49. Draw a diagram of the urinary system and label the parts.

50. Before introducing iodinated contrast media into a patient what are the important patient history questions that should be asked?

51. List the categories of contrast media reactions? And describe the technologist responsibilities involved.

52. What are the radiographic criteria for oblique positions of an IVU?

53. Explain the purpose of using a Ureteric compression?

54. What are some of the contraindications of using ureteric compression? And what alternative can be performed to demonstrate the same effect?

55. Describe the procedure for Voiding cystourethrogram?

56. What is nephroptosis? And how is it demonstrated?

57. What are the points of constriction for the ureters?

58. List the treatment protocol for treating extravasation?

59. Explain some of the differences between a functional study of the kidneys and a retrograde procedure?

60. Write up a sample routine protocol for an IVU study. What differences would you include that make yours different than the book?

61. What is a nephrotomogram? And what function does it serve?

62. Describe the purpose of the hypertensive IVU. How is it different than a traditional IVU study?

63. Describe some pathological indications for ordering an IVU study?

64. Describe the premedication procedure when dealing with patients who might have susceptibility to contrast media reaction?

65. What must be readily available on an emergency response cart?

66. What are some safety guidelines when doing venipuncture?

67. Explain why an informed consent is needed for a venipuncture procedure?

68. Describe the radiographic criteria for scout image of an IVU.

69. Create a history sheet and include what you think are the most important questions that need to be asked prior to introducing iodinated contrast.

70. What are some ways to prevent a patient from experiencing a reaction to contrast media?

Section IV

Patient Care

71. Explain the significance of HIPAA and write an example of a HIPAA violation.

72. Detail the important elements of each of the sacred seven elements of the clinical history and write up a more focused history pertaining to an x-ray exam.

73. Give some examples of subjective versus objective data collecting in doing patient history.

74. What is orthostatic hypotension? And what are some ways to minimize its effect?

75. If the patient had a weight bearing status in the chart and came down on a wheelchair, how would you proceed with moving the patient to the table for a knee exam? Explain each step in detail and describe the communication between you and the patient.

76. What radiology procedures would require the use of sterile technique?

77. Name the three Transmission Based Precautions and list the common infectious pathogens for each category.

78. What is the difference between nosocomial and iatrogenic infection? List at least 5 sources of nosocomial infections and demonstrate some uses of medical asepsis techniques to help reduce the chances of infection.

79. What is the difference between Standard Precaution and body substance isolation precaution?

80. Define the 4 torts and give examples of each.

81. Explain when informed consent is needed and list 6 clauses contained.

82. Under methods of administration, describe in detail?

a) Oral

b) Sublingual

c) Topical

d) Parenteral

83. What are some of the conditions that will make an item unsterile?

84. List the types of shock and which one is more commonly encountered in Radiology and why?

85. Discuss the factors that contribute to the development of hypoglycemia?

86. Detail the documentation procedures related to drug administration?

87. Differentiate between certification, accreditation and licensure.

88. Give examples of high-flow versus low flow oxygen-delivery devices.

89. Name and describe chest tubes and CV lines and explain the radiographer’s role when doing a portable chest x-ray for line placement.

90. Describe the radiographic appearance and proper placement of endotracheal tubes, thoracostomy tubes, and central venous lines.

91. Describe the care of the patient with a urinary catheter.

92. Discuss the advantages of nonionic iodinated contrast media.

93. Differentiate among the major adverse effects of various contrast agents.

94. Discuss principle-based ethics and give examples of each.

95. Discuss the procedure for correcting or amending documentation errors in a patient health record.

96-100. Draw an organizational chart for how you would organize your hospital setting? Would you incorporate, a matrix, vertical, or horizontal structure?

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