Practice exam November 2014 Version 2, Questions - Diagnostic Radiography Methods IIB PDF

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practice scenario exam question provided by tutor/lecturer from 2014...

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MRSC2150 Diagnostic Radiography Methods IIB (Trial Exam) READ THIS. This is a trial examination for the MRSC2150 Subject. It should give students an indication of the knowledge content, the depth of knowledge, the question weighting, the style of questioning, and the general difficulty. Please note the word indication. This trial exam is not prescriptive in any of these factors, in any way. Students are encouraged to read widely, including sources external to those indicated in Course Outlines, and to develop strong holistic knowledge.

SUGGESTIONS. I suggest that you undertake this trial without influence. Just print it out, give yourself five minutes reading time, and write down your honest answers. Don’t listen to other student input before undertaking it. Try to create as close to an exam situation as you can. No distractions. No Google. No phone. Then discuss it with those who have completed it. If you look at an answer before completing it, you’re only cheating yourself of an opportunity.

I’LL SAY THIS ONE MORE TIME: This exam is provided as a courtesy, to indicate the sort of knowledge base you should be headed towards. It is provided so that students can be as well prepared for the examination as possible.

Modified Essay Questions. Answer all questions in the spaces provided, or clearly indicate the location of the correct answers. Instructions Read the following instructions carefully. Read the scenario given, and answer the questions that follow, giving as much detail as possible, displaying the full extent of your knowledge and understanding. Your answers should demonstrate critical thinking and clinical reasoning which are based on evidence and fact. References are not required. Supplementary diagrams, in conjunction with your written answers, may be used. Each scenario is divided into a series of chapters, which inform you of the journey of the patient. You are advised to read the scenario completely before commencing any answers. For all the scenarios that follow, consider the following to be true: 1. You are the sole radiographer in a country district hospital, the Generic District Hospital. 2. The medical imaging department is equipped with a general X-Ray unit and an OPG machine. 3. The general room has a fluoroscopic unit. 4. You have access to a normal department’s amount of contrast. 5. You have access to sandbags, sponges, markers, and all other standard positioning aids. 6. The Emergency Department is equipped with a mobile X-Ray unit. 7. The Emergency Department beds have cassette-holding trays built in. 8. You have access to no other modalities (CT, MRI, Ultrasound) at this centre, but patients may be sent to other centres for imaging as required / requested by the medical team. 9. All films are transmitted to a radiologist at the next major regional hospital which is 60km away via teleradiology. You have no on-site radiology support, and for the purposes of this exam, you have no senior staff to whom you may defer any questions. Finally, with regard to the request forms, assume that the signatures on the request forms are legal, the text is legible, and that the date is correct. You may remove the appendices (request forms) from the paper for ease of use, but they are retained by the invigilators for this exam.

Scenario One: Liara’s Story. Chapter One Liara is a 26 year old female, who presents to your emergency department. Liara is fair-haired, and has a sthenic body habitus. Liara has acute pain in her abdomen, and has been vomiting. Liara tells you that she is actively trying to start a family with her partner. Liara has a stressful job (she’s an asari researcher), and she tells you she suffers from high blood pressure). You are advised to read and examine Appendix A before continuing. Qu Questi esti estion on 01 [2 m marks] arks] What are the routine projections for an acute abdomen series, and why?

Qu Questi esti estion on 02 [2 m marks] arks] Give two reasons why you might see Subdiaphragmatic gas on Liara’s erect abdomen or chest x-ray.

Qu Questi esti estion on 03 [2 mark marks] s] Describe the projection for a left lateral decubitus abdomen.

Qu Questi esti estion on 04 [2 marks] Liara has an ERCP a few hours later. It’s found that a stone has been retained in her duct during her Laporoscopic Cholecystectomy. The stone looks impacted in the duct, and will be difficult to remove. Describe two methods that could be used to get this stone out of Liara’s duct.

Qu Questi esti estion on 05 [2 mark marks] s] If a patient had a cancer that was closing a duct or compressing it, what could be done to ensure that bile still flowed out?

Qu Questi esti estion on 06 [4 mark marks] s] Describe the HyCoSy imaging procedure.

Qu Questi esti estion on 07 [3 mar marks] ks] Discuss the use of chaperones in medical imaging, including advantages and disadvantages.

Chapter Three A few months later, Liara re-presents. Sadly, she has had a stroke (she always did have high blood pressure), and nor presents for rehabilitation care. Qu Questi esti estion on 08 [3 mark marks] s] Describe the use of foodstuffs and liquids, combined with contrast media, in modified barium swallows.

Qu Questi esti estion on 09 [2 mark marks] s] How would you explain the post procedural care after a barium imaging procedure?

Qu Questi esti estion on 10 [3 mar marks] ks] Describe why a haemorrhagic stroke can lead to an infarcted territory around the bleeding region.

Appendix A Generic General Hospital Medical Imaging Request Form Patient’s Name Liara T’Soni

M.R.N.: 987342

Date of Birth: 12/7/1995

Accession No.: 5000338765

Clinical History: NVD. ? Choledocholithiasis. Had a recent Lap Chole – possible retained stone?

Examinations Requested: Acute Abdomen.

Important Clinical Notes: Non-Pregnant (-ve Beta HCG).

Requesting Dr.: Dr. Hannibal Lecter

Dr’s Signature: H. Lecter

Today’s Date: 11th November 2014

Dr’s Contact 16785 No....