ANSWERS (VERIFIED)
The initial radiographic evaluation of a trauma patient begins with supine anterior-Posterior chest and
pelvis radiographs taken in the trauma bay usually with a _______
ANSWER = Portable Xray 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
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
Members of the trauma team should have ______ aprons and thyroid shields available near the trauma
bay for radiation safety
ANSWER = Lead
,Recommended minimal distance for any personnel without lead shielding from x ray unit
ANSWER = 6 feet
FAST stands for
ANSWER = Focused Abdominal Sonographic assessment for Trauma
FAST is combat trauma has a sensitivity of only 56% and a specificity of
ANSWER = 98%
T/F The FAST exam remains the most sensitive test for hollow viscus injury and mesenteric injury
ANSWER = False, DPL
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 exam is performed with a portable hand held machine most commonly using a standard 3-7 MHz
curved array _____ probe
ANSWER = US
,The standard FAST exam is focused on evaluating for the presence of _____ in certain areas of the body
ANSWER = free intraperitoneal fluid
When performing a FAST exam on a patient, you inspect the right upper quadrant between which 2
organs
ANSWER = liver and kidney
When performing a FAST exam, you inspect the left upper quadrant, between which 2 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
T/F When performing Computed tomography scan on a MWD, utilize a scanning protocol based on the
adult settings to include doses and rates of contract administration
ANSWER = False, pediatric
, T/F All patients evac'd through casualty evacuation should have images sent electronically ahead of time
as well as a CD created to send with the Pt as backup
ANSWER = True
T/F Magnetic resonance imaging is widely used in theater, as its utility in the acute management of
combat trauma was extensively established during OEF
ANSWER = False, not established
All trauma patients arriving at Role ___ will receive proper and expeditious radiologic screenings of
injuries.
ANSWER = Role 3
T/F Patients exposed to hazardous noise are only at risk for aural trauma
ANSWER = False, also hearing loss
The symtoms of acoustic trauma are
ANSWER = Hearing loss, tinnitus, aural fullness, difficulty localizing sounds and hearing in a noisy
background, vertigo
Acoustic trauma may result in sensorineural hearing loss (SNHL) that is either _____ or _____