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1) In the above fluoroscopy image, what is the structure indicated by the arrows? Note: The patient is lying face down on the stomach. *

2) In order to correct the fluoroscopic image above into an AP view of the lumbar spine, which movement from below should be made with the fluoroscope? Note: The patient is in the prone position, lying face down on the stomach. *

Rotate in oblique orientation until AP

Cephalad tilt until in AP view

Caudad tilt until in AP view

Wig-wag

Raise the C-arm or lower the patient bed

3) Which image above provides the optimal view of the right sacroiliac joint? *

4) What is depicted by the arrows in the above procedure fluoroscopic images? *

Radiocontrast or "contrast" dye spread

Local anesthesia spread

Sacroiliac joint injection

Spinal stimulation

None of the above

5) The fluoroscopic images above were taken during a procedure, what is the most likely procedure being performed based on what is shown in the images above? *

6) What type of surgical preparation solution or product is shown in the picture above? *

7) A patient is presenting for a 3PM scheduled elective procedure during which he is scheduled to receive intravenous conscious sedation. Which of the following will most likely result in cancellation the procedure due to increased risks of anesthesia? *

A light breakfast at 7AM that morning

A drink of water 3 hours before the scheduled procedure time

Nothing to eat since last night and now suffering from a headache

An elevated blood pressure of 155/90

None of the above would require cancellation of the procedure

8) Which of the following treatments is most likely to be the first procedure performed for a patient with degenerative disc disease and lumbar radiculopathy? *

Lumbar medial branch nerve blocks

Interlaminar lumbar epidural

Sacroiliac joint injection

Lumbar radiofrequency ablation or rhizotomy

Spinal cord stimulator implant (SCS implant)

9) Following an epidural treatment, there is no risk of a patient falling. *

True

False

10) What emergency equipment should be available when performing a spinal procedure? *

11) Currently, a diagnosis is charted in an electronic health record (EHR) using which of the following? *

12) It is possible to diagnose most spine and joint problems effectively with an X-ray. *

True

False

13) A patient presents with a condition requiring imaging but has a pacemaker. Which type of imaging study below will most likely not able to be performed due to the cardiac pacemaker? *

14) A patient is currently taking blood thinning medications and is scheduled for an interventional spinal cord stimulator trial procedure. What is most likely needed in order to allow the patient to move forward with the procedure as planned. *

The patient’s primary care doctor approval for the procedure in general

The interventional spine doctor’s approval alone

The patient’s willingness to accept the risk of taking anticoagulants

The patient’s cardiologist written approval to discontinue anticoagulants

The procedure should not be performed under any circumstance

15) The acronym MME in regard to pain medication stands for: *

Morphine minimum equivalents

Morphine maximum equivalents

Morphine milligram equivalents

Morphine multiple estimates

None of the above

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