Deck 27: Pediatric Radiographic Techniques

Question 1

The radiographer should do each of the following to aid in managing the apprehensive patient EXCEPT one. Which one is the EXCEPTION?

A) Demonstrate attentive listening.
B) Maintain control over the procedure.
C) Expose the more difficult posterior radiographs first.
D) Compliment the patient on his or her cooperation.

Answer 1

Expose the more difficult posterior radiographs first.

Question 2

Each of the following management techniques will help avoid a gag response EXCEPT one. Which one is the EXCEPTION?

A) An empathetic response from the radiographer when the patient mentions a fear of gagging during the procedure
B) Using the power of suggestion to explain the tips and tricks the radiographer will apply for the patient to help avoid exciting the gag reflex
C) Asking for the patient's cooperation with performing distraction techniques during the procedure
D) Questioning the patient about his or her past history with a gag reflex prior to beginning the procedure

Answer 2

Questioning the patient about his or her past history with a gag reflex prior to beginning the procedure

Question 3

If absolutely necessary, who should be asked to hold the image receptor in place for the patient with physical disabilities?

A) The patient's caregiver or guardian
B) The dentist or doctor of the practice
C) Another dental office employee (receptionist, office manager, etc.)
D) The radiographer, while another team member pushes the exposure button.

Answer 3

The patient's caregiver or guardian

Question 4

Which of the following is the best recommendation when it becomes impossible to place an intraoral image receptor because of an exaggerated gag reflex?

A) Substitute a size #0 image receptor.
B) Use topical anesthetic to numb the oral cavity.
C) Substitute an extraoral radiograph.
D) Request that the patient rinse with salt water.

Question 5

Each of the following statements regarding the gag reflex is correct EXCEPT one. Which one is the EXCEPTION?

A) Some patients have a heightened gag reflex due to chronic sinus problems.
B) Mucus and saliva in the nasopharynx minimize the gag reflex.
C) A gag reflex may originate in the mind.
D) A gag reflex may be a response to physical stimuli.

Question 6

Which of the following conditions or circumstances would contraindicate necessary dental radiographs for the patient?

A) Pregnancy
B) Hearing or visual impairment
C) Wheelchair confinement
D) Recent dental radiographs at another practice

Question 7

Which of the following would be most likely to assist in controlling a tactile stimulated gag response?

A) Place a commercial edge-covering product over the image receptor.
B) Direct the patient to press the back of the head against the headrest.
C) Ask the patient to breath deeply through the nose.
D) Project confidence while maintaining an empathetic attitude.

Question 8

Which of these statements is FALSE?

A) Not all patients have gag reflexes.
B) Gagging is an involuntary effort to free the airway.
C) A hypersensitive gag reflex is the most troublesome problem a dental radiographer encounters.
D) A gag reflex can be stimulated by the suggestion of gagging.

Question 9

Which of the following statements regarding the gag reflex is correct?

A) Tactile stimuli result from the suggestion of gagging.
B) Psychogenic stimuli are a physical reaction to a feeling of the airway being blocked.
C) The radiographer should ask the patient, "Are you a gagger?"
D) Unless the patient brings up the problem of gagging, the radiographer should not mention it.

Question 10

Each of the following will aid in minimizing a hypersensitive gag reflex during the radiographic procedure EXCEPT one. Which one is the EXCEPTION?

A) Avoid scraping the palate with the edge of the image receptor.
B) Begin the exposure in the posterior region.
C) Convey a confident attitude.
D) Suggest breathing exercises.

Question 11

Each of the following will help to reduce a gag reflex EXCEPT one. Which one is the EXCEPTION?

A) Exposing the maxillary molar projection first
B) Using the bisecting technique
C) Having the patient rinse with cold water prior to placement of the image receptor
D) Placing salt on the tip of the patient's tongue

Question 12

To aid in managing a patient with special needs, an organized radiographer will:

A) progress through the procedure rapidly and accurately.
B) expose the easier projections first.
C) have all supplies and equipment ready before exposure.
D) All of the above.

Question 13

Which of the following should be increased if the exposure time is decreased to compensate for patient movement such as tremors?

A) kVp
B) mA
C) Impulses
D) PID length

Question 14

Which of these statements is FALSE?

A) A patient's apprehension is decreased when the operator appears unsure of him or herself.
B) The radiographer should take the time to explain the procedure and allow the apprehensive patient to ask questions.
C) Apprehensive patients often consider the radiographic procedure to be unpleasant.
D) Most patients are not apprehensive about radiographic procedures.

Question 15

To gain patient confidence and compliance, the easiest region to radiograph first would be the:

A) maxillary incisors.
B) maxillary premolars.
C) mandibular canines.
D) mandibular molars.

Question 16

Currently, the ADA recommendation is that elective radiographs may be taken on the pregnant female. Unnecessary radiographs may be taken only when the female is determined not to be pregnant.

A) The first sentence is true. The second sentence is false.
B) The first sentence is false. The second sentence is true.
C) Both sentences are true
D) Both sentences are false.

Question 17

Each of the following statements regarding the gag reflex is correct EXCEPT one. Which one is the EXCEPTION?

A) The radiographer should not dismiss patient concerns about gagging as "all in the mind."
B) The radiographer should inform the patient that there are techniques to help minimize the gag reflex.
C) Most gagging patients are embarrassed by their involuntary reaction of gagging.
D) The radiographer should let the patient place the image receptor in his or her own mouth to help control the gag reflex.

Question 18

Each of the following statements regarding dental radiography of the older adult patient is correct EXCEPT one. Which one is the EXCEPTION?

A) A smaller, lighter weight image receptor holder may be more comfortable.
B) Use of a commercial image receptor edge protector may make the procedure more comfortable.
C) If necessary, the radiographer should hold the image receptor in the patient's mouth during the exposure.
D) If necessary, an extraoral radiograph may be substituted.

Question 19

Standard radiographic procedures can be altered for the older adult who presents with age-related change complications. Using the salutations "Honey" or "Dear" when addressing an elderly patient will assist the radiographic
Process.

A) Both sentences are true.
B) Both sentences are false.
C) The first sentence is true. The second sentence is false.
D) The first sentence is false. The second sentence is true.

Question 20

For patients with motor disorders and conditions of involuntary movement, which of the following can be adjusted to help avoid blurry images?

A) Increase milliamperage and decrease exposure time.
B) Decrease milliamperage and decrease exposure time.
C) Increase milliamperage and increase exposure time.
D) Decrease milliamperage and increase exposure time.

Question 21

In a patient with a strong gag reflex, the image receptor placement for the bisecting technique may be easier to achieve.

Question 22

Stimuli that excites a gag reflex

originating from a physical reaction to a feeling of the airway being blocked is called "psychogenic stimuli."

Question 23

If the patient mentions gagging, the radiographer should dismiss his or her concern as all in the mind.

Question 24

A disability is defined as a physical limitation.

Question 25

The gagging patient can be instructed to hold his or her breath to control the gag reflex.

Question 26

The radiographer may better assist the patient with a disability by asking personal questions regarding the nature and cause of the impairment.

Question 27

Placing the image receptor to expose the anterior regions first can help avoid exciting a gag reflex.

Question 28

Telling the patient that you do not like having radiographs taken will help the patient cooperate with the procedure.

Question 29

Before starting the procedure, the radiographer should ask the patient, "Are you a gagger?"

Question 30

Some situations call for transferring the patient who uses a wheelchair to the dental chair for exposing radiographs.

Question 31

To suppress a gag reflex, the patient must continue breathing during the exposure of the radiograph and must be told not to hold the breath.

Question 32

Apprehensive means to be anxious or fearful about the future.

Question 33

Prior to beginning the radiographic procedure, the radiographer may need to remove the mask worn for PPE when treating a patient with a hearing impairment.

Question 34

The personal eyewear worn by many patients with visual disabilities will need to be removed during the radiographic procedure.

Question 35

Patients with a large oral cavity and a high palatal vault do not have a gag reflex.

Question 36

It is best to ask the caregiver of a person with disabilities questions about the patient.

Question 37

Taking time to explain the radiographic procedure and allowing the patient to ask questions can help alleviate apprehension.

Question 38

Using a distraction technique would produce the best results of suppressing a gag reflex that originates from psychogenic stimuli.

Question 39

Placing table salt on the middle or tip of the patient's tongue has been shown to be effective at reducing the gag reflex.

Question 40

To minimize a patient's gag reflex, the radiographer can apply distraction techniques.

Question 41

How should pregnant patients who need dental radiographs be prepared for the procedure?

Question 42

Should the radiographer tell the gagging patient that the gag reflex is all in the mind?

Question 43

What should the radiographer do to help communicate with a hearing-impaired patient prior to putting on a protective mask?

Question 44

What are some examples of distraction techniques the radiographer can use to help the patient control the gag reflex?

Question 45

Should the radiographer expose the anterior or posterior projections first?

Question 46

Should the radiographer allow the patient to help decide the correct position of the image receptor intraorally?

Question 47

What is one possible theory to explain why stimulating the oral mucosa by digital palpation suppresses the gag reflex?

Question 48

Is receipt of large amounts of therapeutic radiation to the head and neck area a contraindication to future dental radiographs?

Question 49

Should a hearing aid be removed prior to a panoramic radiographic exposure?

Question 50

What are two stimuli that must be diminished or eliminated to reduce gagging?