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Clavicle

Total questions: 64

Worksheet time: 1hrs 5mins

Name
Class
Date
1.

What bone is highlighted?

a)

Skull (Mandible)

b)

Clavicle

c)

Mandible

d)

Scapula

2.

What's this

a)

Hyoid

b)

Humerus

c)

Ulna

d)

Radius

3.
Which of the following is NOT true about the pectoral girdle?
a)
includes the clavicle
b)
is part of the appendicular skeleton
c)
includes the humerus
d)
attaches the upper extremity to the axial skeleton
4.

Identify the pathology.

a)

Undisplaced fracture of the clavicle

b)

Transverse fracture of the clavicle

c)

Comminuted fracture of the clavicle

d)

Fracture of the middle 1/3 of the clavicle

5.

Over 90% of humerus is dislocated _____________ .

a)

Anteriorly

b)

Posteriorly

c)

Dorsally

d)

Antero-inferiorly

6.

Posterior fat pads are always visible in a lateral image of the elbow and they are normal.

a)

True

b)

False

7.

The 'terrible triad of the elbow' refers to a combination of elbow dislocation and ulnar head and coronoid process fracture.

a)

True

b)

False

8.

In condylar fractures, lateral condyle fractures are more common than medial.

a)

True

b)

False

9.

In acromioclavicular joint injuries, the shoulder blade (scapula) is forced __________ , and the clavicle (collarbone) appears __________ .

a)

Upwards, prominent

b)

Prominent, upwards

c)

Prominent, downwards

d)

Downwards, prominant

10.
What is this?
a)
Acromion
b)
Glenoid Fossa
c)
Coracoid Process
d)
Head of Scapula
11.
What portion of the sternum articulates with the clavicles
a)
Manubrium
b)
Body 
c)
Xiphoid process
12.
What portion of the Scapula articulates with the Clavicle?
a)
Acromion
b)
Glenoid Fossa
c)
Coracoid Process
13.
What two bones make the shoulder joint?
a)
Humerus and Scapula
b)
Humerus and Clavicle
c)
Clavicle and Scapula
d)
Scapula and Femur
14.
The bones labeled in red are called the 
a)
clavicle
b)
humerus
c)
scapula
d)
sternum
15.

The clavicle attaches to the ___ medially.

a)

tibia

b)

scapula

c)

sternum

d)

carpal

16.

The clavicle attaches to the ___ laterally.

a)

tibia

b)

scapula

c)

sternum

d)

carpal

17.

What is the name of this joint?

a)

Scapulothoracic Joint

b)

Sternoacromial Joint

c)

Sternoclavicular Joint

d)

Glenohumeral Joint

18.

What are the two articulating surfaces of this joint?

a)

Sternum

b)

Acromion

c)

Thoracic Cage

d)

Clavicle

e)

Scapula

19.

What is the name of this joint?

a)

Glenoid fossa joint

b)

Glenohumeral joint

c)

Glenoclavicular joint

d)

Coracohumeral joint

20.

What movements occur at this joint?

a)

Flexion and Extension

b)

Abduction and Adduction

c)

Anterior and Posterior Rotation

d)

Medial and Lateral Rotation

e)

Horizontal Flexion and Extension

21.

What is the classification of this joint?

a)

Synovial Plane Joint

b)

Synovial Condyloid Joint

c)

Synovial Gliding Joint

d)

Synovial Ball and Socket Joint

22.

What structure helps to deepen the shoulder cavity and increase stability?

a)

Glenoid Fossa

b)

Glenoid Cartilage

c)

Glenoid Labrum

d)

Glenoid Meniscus

23.

What is the name of this bone?

a)

Humerus

b)

Clavicle

c)

Scapula

d)

1st Rib

24.

What is the name of this bony feature?

a)

Acromion process

b)

Lesser Tubercle

c)

Coracoacromial Arch

d)

Coracoid process

25.

What is the name of this joint?

a)

Acromioclavicular joint

b)

Coracoclavicular joint

c)

Humeroclavicular joint

d)

Sternoclavicular joint

26.

What is the centering point for an AP shoulder?

a)

2" inferior to the coracoid

b)

mid-clavicle

c)

3" inferior to the coracoid

d)

1" inferior to the coracoid

27.

What is the centering point for an AP scapula?

a)

3" inferior to the coracoid

b)

1" inferior to the coracoid

c)

mid-clavicle

d)

2" inferior to the coracoid

28.

Which projection would best demonstrate the greater tubercle?

a)

AP oblique shoulder, Grashey method

b)

AP shoulder - internal rotation

c)

AP shoulder - external rotation

d)

AP scapula

29.

Which projection best demonstrates the intertubercular groove?

a)

AP shoulder - external rotation

b)

AP shoulder - internal rotation

c)

tangential

d)

inferosuperior axial shoulder

30.

Which projection best demonstrates the lesser tubercule?

a)

AP clavicle

b)

AP shoulder - internal rotation

c)

AP shoulder - external rotation

d)

tangential

31.

Which projection best demonstrates an open scapulohumeral joint?

a)

AP shoulder - internal rotation

b)

AP shoulder - external rotation

c)

AP oblique shoulder - Grashey method

d)

PA oblique scapular Y

32.

What is the projection is the Lawerence method for the scapulohumeral joint?

a)

AP shoulder

b)

AP clavicle

c)

tangential

d)

Inferosuperior axial shoulder

33.

On an AP shoulder with internal rotation, the humeral epicondyles should be:

a)

Parallel to the IR

b)

Perpendicular to the IR

c)

45 degree obliqued to the IR

d)

It doesn't matter how the epicondyles are positioned

34.

What is the method name for the inferosuperior axial projection?

a)

Pearson method

b)

Coyle method

c)

Lawerence method

d)

Schuller method

35.

Which projection best demonstrates the body of the scapula?

a)

AP shoulder

b)

tangential shoulder

c)

AP clavicle

d)

AP scapula

36.

What is the centering point for AC joints?

a)

mid-medial border of the scapula

b)

mid- clavicle

c)

shoulder joint

d)

MSP at the level of the AC joints

37.

When positioning for a PA oblique shoulder, the body is rotated until the scapula is ______________ to the IR.

a)

parallel

b)

medial

c)

perpendicular

d)

lateral

38.

What is the centering point for an inferiorsuperior axial shoulder?

a)

2" inferior to the coracoid

b)

shoulder joint

c)

proximal humerus

d)

1" inferior to the coracoid

39.

What is the centering point for the AP oblique shoulder?

a)

1" inferior to the shoulder joint

b)

2" inferior to the coracoid

c)

1" inferior to the acromion

d)

mid-medial border of the scapula

e)

2" medial & 2" inferior to superolateral border of shoulder

40.

What is the method name for the bilateral AC joints?

a)

Lawerence

b)

Pearson method

c)

Coyle method

d)

Fisk method

41.

What is the first projection you should do when the patient cannot rotate or move their arm?

a)

AP shoulder, neutral rotation

b)

AP shoulder, external rotation

c)

AP shoulder, internal rotation

d)

PA oblique, scapular Y

42.

If the arm is abducted 90 degrees on the Lawerence, should the angle on the CR be angled 15 degrees medially?

a)

Yes

b)

No

43.

The bone that is not part of the shoulder

a)

clavicle

b)

radius

c)

scapula

d)

humerus

44.
Movement away from the mid-line is called _____________.
a)
abduction
b)
adduction
c)
internal rotation
d)
external rotation
45.
What injury would you suspect with the deformity shown in this image?
a)
Clavicle fracture
b)
Rib fracture
c)
Scapula fracture
d)
Sternum fracture
46.

What is the purple highlighted area?

a)

Coracoid process

b)

Acromion process

c)

Spine of the scapula

d)

glenoid tubercle

47.

What is the purple highlighted area?

a)

Acromion Process

b)

Coracoid process

c)

Infraglenoid tubercle

d)

Superior angle of scapula

48.

What is the purple highlighted area?

a)

Subscapular fossa

b)

Glenoid fossa

c)

infraspinous fossa

d)

Root of the spine of the scapula

49.

The small, rounded, elevated process identified in the figure above is the:

a)

acromion

b)

anatomic neck

c)

greater tubercle

d)

lesser tubercle

50.

The bone part identified in the figure above is the:

a)

acromion

b)

costal surface

c)

coracoid process

d)

glenoid cavity

51.

The area of the proximal humerus located directly below the tubercles, which is the site of many fractures, is called the:

a)

anatomic neck

b)

surgical neck

c)

coracoid process

d)

intertubercular groove

52.

What is the purpose of the angle on the AP axial clavicle?

a)

There is no purpose

b)

To show all of the clavicle

c)

To project most of the clavicle free of superimposition of the ribs and scapula

d)

To elongate the clavicle

53.

The articulation between the glenoid cavity and head of the humerus is called the _____ joint.

a)

synovial

b)

spheroidal

c)

acromioclavicular

d)

scapulohumeral

54.

The IR size commonly used for an AP projection of the shoulder is:

a)

8 x 10 inches (18 x 24 cm)

b)

10 x 12 inches (24 x 30 cm)

c)

11 x 14 inches (30 x 35 cm)

d)

7 ´ 17 inches (18 x 43 cm)

55.

After the initial projection taken on a trauma shoulder, which projection should you do if you suspect dislocation?

a)

AP oblique shoulder

b)

AP shoulder with internal rotation

c)

AP shoulder with external rotation

d)

Inferosuperior axial shoulder

e)

PA oblique shoulder, scapular Y

56.

After the initial projection on a trauma shoulder, which projection should you do if you suspect a fracture?

a)

AP oblique shoulder

b)

AP shoulder with internal rotation

c)

AP shoulder with external rotation

d)

Transthoracic lateral projection, Lawerence method

e)

Interosuperior axial projection

57.

What is the SID on bilateral AC joints?

a)

40"

b)

48"

c)

72"

d)

76"

58.

What is the amount and direction of tube angulation on an AP axial clavicle?

a)

20-30 degrees caudal

b)

15-30 degrees cephalic

c)

35 degrees cephalic

d)

10-40 degrees cephalic

59.

If the humeral head is dislocated below the acromion on a PA oblique shoulder (Scapular Y), it would be a/an ________________ dislocation

a)

posterior

b)

anterior

60.

If the humeral head is dislocated below the coracoid on a PA oblique shoulder (Scapular Y), it would be a/an ________________ dislocation

a)

posterior

b)

anterior

61.

In the Rafert method to demonstrate the Hill-Sachs defect, the arm is abducted and the hand is rotated an additional _______ degrees

a)

25

b)

35

c)

55

d)

45

62.

You have been called to the ER for a trauma case. The ordering physician says he needs shoulder x-rays in Room 3. The patient fell and does not want to move his arm. Which projection should you take first?

a)

AP with external rotation

b)

AP with internal rotation

c)

PA oblique shoulder - scapular Y

d)

AP with neutral rotation

e)

inferosuperior axial shoulder

63.

AC joints should always be done upright

a)

True

b)

False

64.

Why should AC joints be radiographed at 72 inches?

a)

It reduces magnification

b)

Because you have to use weights

c)

72" reduces foreshortening

d)

72" is easier than 40"