WorksheetsA&P 1 Review
Total questions: 160
Worksheet time: 1hrs 20mins
How many bones make up the phalanges of the hand?
5
8
14
16
How many bones make up the carpal region?
5
7
8
14
What is the total number of bones that make up the hand and wrist?
21
26
27
32
Which carpal contains a “hooklike” process?
Hamate
Pisiform
Scaphoid
Trapezium
Which carpal articulates with the thumb?
Lunate
Scaphoid
Trapezium
Trapezoid
Which carpal is most commonly fractured?
Scaphoid
Capitate
Trapezium
Triquetrum
Where are the coronoid and radial fossae located?
Anterior aspect of distal humerus
Posterior aspect of distal humerus
Proximal radius and ulna
Distal end of radius
Which two bony landmarks are palpated to assist with positioning of the upper limb?
Radial and ulnar styloid processes
Lateral and medial epicondyle
Pisiform and hamate
Coronoid and olecranon processes
In an erect anatomic position, which one of the following structures is considered to be most inferior or distal?
Head of radius
Head of ulna
Olecranon process
Radial Tuberosity
Which carpal bone has only one name?
Hamate
Capitate
Pisiform
Scaphoid
Fat pads of the elbow are normally seen on correctly positioned and correctly exposed anteroposterior (AP) elbow projections
True
False
Why should a forearm never be taken as a PA projection?
Too painful for the patient
Causes the distal radius to cross over the ulna
Causes the proximal radius to cross over the ulna
Increases the object-image distance (OID) of the distal radius
In what position should the hand be for an AP elbow projection?
True lateral position
Supinated
Pronated
Rotated 20° from supinated position
In what position should the hand be for an AP medial rotation oblique elbow position?
True lateral position
Supinated
Pronated
Rotated 20° from supinated position
The long axis of the anatomic part being imaged should be placed:
Perpendicular to the long axis of the IR
Parallel to the long axis of the IR
30° angle to the long axis of the IR
Any way that will accommodate multiple images being place on a single film
Arthrography is a radiographic study of:
Medullary aspect of long bones
Fat pads and stripes
Soft tissues structures within certain synovial joints
Epiphyses of long bones
Which wrist projection requires that the IR be inclined toward the elbow at an angle of 20° from horizontal?
PA
PA oblique
PA with ulnar deviation
PA axial (Stecher method)
With reference to the plan of the IR, how should the humeral epicondylar plane be positioned for the lateral projection of the elbow?
Parallel
Perpendicular
45° lateral rotation
45° medial rotation
Which projection of the elbow best demonstrates the olecranon process in profile?
AP projection
Lateral projection
AP lateral oblique projection
AP medial oblique projection
Which of the following pathologic indication requires a decrease in manual exposure factors?
Achondroplasia (dwarfism)
Osteopetrosis
Gout
Joint effusion
Where is the central ray centered for a PA projection of the second digit?
Affected CM joint
Affected MP joint
Affected middle phalanx
Affected PIP joint
Why is it important to keep the long axis of the digit parallel to the film?
To reduce distortion of the phalanges
To preparedly visualize joints
To demonstrate small fractures
All of the above
Where is the central ray placed for a PA projection of the hand?
Middle phalanx of 3rd digit
2nd MP joint
3rd MP joint
3rd PIP
What is the major disadvantage of performing a PA projection of the thumb rather than an AP?
Awkward position for patient
More painful for the patient
Increased OID
Increased in patient dose
Choose the best set of exposure factors for upper limb radiography:
75 kVp, 200 mA, 1/20 second, small focal spot 72-inch SID
75 kVp, 600 mA, 1/60 second, large focal spot, 40-inch SID
64 kVp, 100 mA, 1/10 second, small focal spot, 40-inch SID
64 kVp, 200 mA, 1/20 second, small focal spot, 40-inch SID
A radiograph of a PA oblique of the hand reveals that the mid aspect of the 3rd, 4th, and 5th metacarpals are slightly superimposed. What must be done to correct this positioning problem on the repeat exposure.
Spread fingers out further
Form a tight fist with fingers.
Increase obliquity of hand
Decrease obliquity of hand
A radiograph of an AP elbow projection demonstrates total separation between the proximal radius and ulna. What must be done to correct this positioning error on the repeat exposure.
Angle central ray 5° to 10° caudad
Rotate upper limb laterally
Rotate upper limb medially
Fully extend elbow
A radiograph of the carpal canal (inferiorsuperior) projection reveals that the pisiform and hamulus are superimposed. What can be done to correct this problem on the repeat exposure?
Rotate wrist medially 5° to 10°
Rotate wrist laterally 5° to 10°
Extend wrist slightly
Flex wrist slightly
A radiograph of an elbow, AP oblique with medial rotation reveals that the coronoid process is not in profile and the radial head is only partially superimposed over the ulna. What specific positioning error was involved?
Excessive extension of elbow
Excessive flexion of elbow
Excessive medial rotation
Insufficient medial rotation
A radiograph of a lateral projection of the elbow reveals that the epicondyles are not superimposed and the trochlear notch is not clearly seen. What must be done to correct this positioning error during the repeat exposure?
Angle central ray 45° away from shoulder
Angle central ray 45° toward shoulder
Place humerus/forearm in same horizontal plane
Extend elbow to form an 80° horizontal plane angle
From the prone position, how many degrees should a hand be rotated for the PA oblique projection of the hand?
15°
25°
35°
45°
Which positioning characteristic best indicates that the humerus is properly positioned for the AP projection of the humerus:
The hand is pronated on the table
The hand is true lateral on the table
The humeral epicondyles are parallel with the IR
The humeral epicondyles are perpendicular to the IR
Which evaluation criterion indicates that the humerus was properly positioned for the lateral projection?
The lesser tubercle is seen in profile
Beam divergence opens the elbow joint
The humeral head and greater tubercle are both seen in profile
Maximum visualization of the epicondyles without rotation is seen
Situation: A patient with a possible Barton’s fracture enters the emergency room. Which positioning routine should be performed to confirm the diagnosis?
Elbow
Wrist
Hand
Thumb
A patient with a possible Smith’s fracture enters the ED. Which positioning routine should be performed to confirm this diagnosis?
Thumb
Hand
Wrist/forearm
Elbow
Select the term(s) that correctly describes the shoulder joint:
A. Humeroscapular
B. Scapulohumeral
C. Glenohumeral
B and C
Which specific joint is found on the lateral end of the clavicle?
Acromioclavicular
Glenohumeral
Scapulohumeral
Sternoclavicular
Which of the following is not an angle found on the scapula?
Inferior angle
Superior angle
Medial angle
Lateral angle
Which one of the following structures of the scapula extends most anteriorly?
Acromion
Coracoid process
Glenoid cavity
Scapular spine
The male clavicle is shorter and less curved than the female clavicle.
True
False
Which bone structure separates the supraspinous and the infraspionous fossae?
Superior border of scapula
Scapular spine
Glenoid cavity
Acromion
Which on of the following structures is considered to be the most posterior?
Acromion
Coracoid process
Glenoid process
Scapular notch
Even though the amount of radiation exposure is minimal for most shoulder projections, gonadal shielding should be used for children and adults of child-bearing age.
True
False
Which one of the following pathologic conditions may require a reduction in manual exposure factors?
Bursitis
Rheumatoid arthritis
Rotator cuff tear
Bankart lesion
Which basic projection of the shoulder requires that the humeral epicondyles be parallel to the cassette?
Grashey method
Internal rotation
External rotation
Neutral rotation
Where is the central ray centered for an AP projection of the shoulder?
Acromion
1 inch inferior to coracoid process
1 inch superior to coracoid process
2 inches inferior to AC joint
Which position of the shoulder and proximal humerus projects the lesser tubercle in profile medially?
External rotation
Neutral rotation
Internal rotation
Exaggerated rotation
For the erect version of the tangential projection for the intertubercular groove, the patient leans forward __________ from vertical.
5° to 7°
10° to 15°
20° to 25°
35° to 45°
With which one of the following projections is a breathing technique preferred?
Garth method
Grashey method
Scapular Y
Transthoracic lateral
A PA axial projection of the clavicle requires a 15° to 30° caudal central ray angle.
True
False
A 72-inch SID is recommended for acromioclavicular joint studies.
True
False
Which projection of the upper limb should be performed to demonstrate a fracture of the proximal humerus when that arm cannot be abducted?
Tangential projection, Fisk
AP projection of the shoulder with internal rotation
AP projection of the shoulder with external rotation
Transthoracic lateral projection
Which projection of the shoulder requires that a horizontal central ray be directed 15 to 30° medially and enter the axilla of the affected arm?
AP projection
PA oblique (scapularY) projection
Inferosuperior axial projection (Lawrence method)
Transthoracic lateral projection (Lawrence method)
The kV range for adult shoulder projections is between 80 and 90 kV for analog and 100 and 110 kV for digital imaging systems.
True
False
In which body position should the patient be placed to demonstrate the left shoulder with the PA oblique projection (scapularY)?
LAO
LPO
RAO
RPO
If the patient’s condition permits, which joint should be demonstrated with the patient in an upright position?
Glenohumeral
Scapulohumeral
Sternoclavicular
Acromioclavicular
When performing the AP projection of the scapula, the central ray should be directed toward a point 2 inches ________ to the coracoid process.
Lateral
Medial
Inferior
Superior
A radiograph of the Grashey method reveals that the anterior and posterior glenoid rims are not superimposed. The following positioning factors were used: erect position, body rotated 35° toward the affected side, central ray perpendicular to scapulohumeral joint space, and affected arm slightly abducted in neutral rotation. Which one of the following modifications will superimpose the glenoid rims during the repeat exposure?
Rotate body less toward affected side
Rotate body more toward affected side
Angle central ray 10° to 15° caudad
Place affected arm in external rotation position
A patient with a possible shoulder dislocation enters the ED. A neutral, AP projection of the shoulder has been taken, confirming a dislocation. Which additional projection should be taken?
Garth method
Grashey method
Inferosuperior axial projection – Lawrence method
AP, external rotation
A radiograph of an AP axial clavicle is projected in the lung field below the top of the shoulder. The following factors were used: erect position, central ray angled 15° cephalad, 40-inch SID, and respiration suspended at the end of expiration. Which one of the following modifications should be made during the repeat exposure?
Increase central ray angulation
Reverse central ray angulation
Decrease central ray angulation
Use 72-inch SID
A patient with a possible acromioclavicular separation enters the ED. Which one of the following routines should be used?
AP internal and external projections
AP neutral and transthoracic lateral projections
AP neutral projection and Garth method
Acromioclavicular joint series: non-weight-bearing projections
Which of the following is not an aspect of the metatarsal?
Head
Tail
Body
Base
The distal portion of the 5th metatarsal is a common fracture site.
True
False
Where are the sesamoid bones of the foot most commonly located?
Plantar surface near cuboid bone
Plantar surface near head of 1st metatarsal
Plantar surface at 1st tarsometatarsal joint
Dorsum aspect near base of 1st metatarsal
What is the name of the tarsal bone found on the medial side of the foot between the talus and 3 cuneiforms?
Calcaneus
Cuboid
Navicular
Lateral malleolus
Which tarsal bone is considered to be the smallest?
Lateral cuneiform
Intermediate cuneiform
Medial cuneiform
Navicular
What is another term for the talocalcaneal joint?
Mortise joint
Subtalar joint
Tibiocalcaneal joint
Tarsometatarsal joint
The distal tibial joint surface is called the:
Tibial plafond
Anterior tubercle
Medial malleolus
Lateral malleolus
The mortise of the ankle should be totally open and visible on a correctly positioned anteroposterior (AP) projection of the ankle.
True
False
What is the correct centering of the central ray for an AP projection of the toes?
Head of affected metatarsal
Affected MTP joint
Affected DIP joint
Affected PIP joint
Which type of central ray angle is required for an AP projection of the toes?
0 to 5°
5°
10° to 15° posterior
20° to 25° posterior
Which of the following projections is used for the sesamoid bones of the foot?
AP mortise
Tangential
Camp-Coventry
AP and lateral weight bearing
How much foot rotation is required for the AP oblique, medial rotation projection of the foot?
3° to 5°
15° to 20°
30° to 40°
45°
What is another name for the AP projection of the foot?
Plantodorsal projection
Dorsoplantar projection
Mortise projection
Weight-bearing study
Which central ray angle and direction are generally required for the AP projection of the foot?
10° anterior
10° posterior
15° posterior
Central ray is perpendicular
Which projection of the foot best demonstrates the cuboid?
AP oblique – medial rotation
AP oblique – lateral rotation
Lateromedial
AP
What is another term or the intercondyloid eminence?
Intercondylar fossa
Tibial spine
Tibial plateaus
Tibial tuberosity
What is the name of the deep depression found on the posterior aspect of the distal femur?
Intercondylar sulcus
Intercondylar fossa
Articular facets
Patellar surface
A line drawn across the most distal aspect of the medial and lateral femoral condyles would be _____ from being at a right angle, or 90°, to the long axis of the femur.
0°
3° to 5°
5° to 7°
10° to 20°
The angle referred to in question 79 would be less on a tall, slender person.
True
False
The upper, or superior, portion of the patella is called the:
Patellar head
Apex
Base
Styloid process
Which two ligaments of the knee joint help stabilize the knee from the anterior and posterior perspective?
Cruciate
Collaterals
Quadriceps femoris
Patellar
Which structures serve as shock absorbers within the knee joint?
Infrapatellar and suprapatellar bursae
Infrapatellar fat pads
Articular facets
Menisci
Which of the following conditions may cause the tibial tuberosity to be pulled away from the tibial shaft?
Gout
Reiter’s syndrome
Osgood-Schlatter disease
Osteomalacia
Where is the central ray placed for a plantodorsal projection of the calcaneus?
Sustentaculum tali
Base of third metatarsal
Calcaneal tuberosity
1 inch inferior to medial malleolus
Which ankle projection is best for demonstrating the mortise of the ankle?
Mediolateral
AP
AP oblique - 15° to 20° medial rotation
AP oblique - 15° to 20° lateral rotation
Which imaginary plane should be placed parallel to the IR for an AP projection of the knee?
Interepicondylar
Midsagittal
Midcoronal
Intermalleolar
Which joint space should be open or almost open for a well-positioned AP oblique knee projection with medial rotation?
Patellofemoral
Both sides of knee joint
Proximal tibiofibular
Distal tibiofibular
A 5° to 7°cephalad angle of the central ray for a lateral projection of the knee helps superimpose the distal borders of the medial and lateral condyles of the femur.
True
False
Why is a PA projection of the patella preferred to an AP projection?
Less magnification of patella
Less distortion of patella
Less object-image distance (OID)
All of the above
A projection is performed for the patellofemoral joint with the patient supine and the knee flexed 40°. The central ray is angled 30° caudad from horizontal. The cassette is resting on the lower legs supported by a special cassette-holding device. Which one of the following methods has been described?
Merchant
Camp-Coventry
Settegast
Hughston
What is the major disadvantage of the Settegast method?
Requires AP positioning
Requires overflexion of knee
Requires the use of a long OID
Requires use of specialized equipment
A radiograph of an AP knee reveals that the joint spaces are not equally open and the proximal fibula is superimposed over the tibia. Which specific positioning error lead to this radiographic outcome?
Lateral rotation of lower limb
Over angulation of central ray
Medial rotation of lower limb
Under angulation of central ray
Where should the central ray be directed for the AP oblique projections of the foot?
To the base of the 3rd metatarsal
To the head of the 3rd metatarsal
To the metatarsophalangeal joint of the 3rd digit
To the proximal interphalangeal joint of the 3rd digit
Where should the central ray be directed for the lateral projection of the calcaneus?
Toward the midpoint of the foot
Toward the midpoint of the calcaneus
Toward the base of the 3rd metatarsal
Toward the head of the 3rd metatarsal
For the lateral projection of the knee, how many degrees should the knee be flexed?
10 to 20°
20 to 30°
30 to 40°
40 to 50°
How many degrees and in what direction should the central ray be directed for the lateral projection of the knee?
Perpendicular
5 to 7° caudad
5 to 7° cephalad
10° cephalad
Which positioning factor determines the number of degrees the central ray should be angled for the tangential projection (Settegast method) to demonstrate the patella?
Part thickness
Degree of knee flexion
Object-to-image distance
Source-to-image distance
How should the central ray be directed for the AP projection of the femur?
Perpendicularly
Caudally 3 to 5°
Cephalically 3 to 5°
Cephalically 15°
For which lower limb projection should the lower limb be rotated medially 10 to 15°?
AP projection of the femur
Lateral projection of the femur
AP medial oblique projection of the foot
AP medial oblique projection of the knee
A radiograph of the Camp-Coventry method was produced, but the intercondylar fossa is not open and is foreshortened. The following positioning factors were used: prone position, lower leg flexed 45°, and central ray angles 30°caudad and centered to the popliteal crease. Which of the following factors should be changed during the repeat exposure to produce a more diagnostic image?
Decrease lower leg flexion to 30°
Increase CR angle to 45°
Increase flexion of lower limb to 50° to 60°
Rotate lower limb 5° internally
A radiograph of a plantodorsal axial projection of the calcaneus reveals that the calcaneus is foreshortened. The following positioning factors were used: supine position, foot dorsiflexed perpendicular to image receptor, and central ray angled 30° cephalad and centered to base of 3rd metatarsal. Which of the following factors should be changed during the repeat exposure to produce a more diagnostic image?
Reduce dorsiflexion of foot
Increase central ray angulation to 40°
Center central ray to sustentaculum tali
Reverse direction of central ray angulation
A patient with a possible fracture of the middle and distal femur enters the emergency room. The patient cannot be turned from the supine position. The physician orders a portable study because the patient is in a splint and in great pain. What specific positioning routine would be used with this patient?
AP positioning only
AP and horizontal beam lateral position
AP and lateral recumbent femur
Lateral position only
If a radiograph were made of an average-size knee using automatic exposure control (AEC) and all three photocells were selected, the resulting radiograph would demonstrate:
Excessive density
Insufficient density
Poor detail
Adequate exposure
Which bones form the pelvis?
Two hip bones only
Two hip bones and sacrum only
Two hip bones, sacrum and coccyx only
Two hip bones, sacrum, coccyx and femurs
Which three names refer to the major bone that makes up the right or left half of the pelvis?
Ilium, hip bone, and ischium
Ilium, pubis, and innominate
Os coxae, pubis, and ischium
Os coxae, hip bone, and innominate
Which bones of the pelvis compose the acetabulum?
Ilium and pubis only
Ilium and ischium only
Pubis and ischium only
Pubis, ischium, and ilium
Which parts of the hip bones support the weight of the body when a person is in the seated position?
Ischial spines
Ischial tuberosities
Inferior rami of the pubes
Posterior inferior iliac spines
Where on the midline of the patient should the central ray enter for the AP projection of the pelvis?
2 inches above the iliac crest
2 inches above the pubic symphysis
At the level of the ASIS
2 inches above the level of the ASIS
Which positioning maneuver should be performed to place the femoral necks parallel with the IR for an AP projection of the pelvis?
Rotate the lower limbs laterally 15 to 20°
Rotate the lower limbs medially 15 to 20°
Flex the hips 15 to 20° and extend the lower limbs
Flex the hips and abduct the femurs laterally 15 to 20°
How should the central ray be directed for the AP oblique projection (modified Cleaves method) to demonstrate bilateral hips?
Perpendicularly
Cephalically 20°
Cephalically 40°
Parallel with the long axis of the femurs
Where on the midline of the patient should the central ray be directed for the AP oblique projection (modified Cleave method)?
To the level of the iliac crests
1 inch above the symphysis pubis
To the level of the ASIS
2 inches below the ASIS
For which projection of an individual hip should the unaffected hip be flexed and the thigh be raised out of the way of the central ray?
AP projection
Lateral projection (Lauenstein method)
AP oblique projection (modified Cleaves method)
Axiolateral projection (Danelius-Miller)
For which projection of the hip should the central ray be directed horizontally into the medial aspect of the affected thigh?
AP projection
Lateral projection (Lauenstein method)
AP oblique projection (modified Cleaves method)
Axiolateral projection (Danelius-Miller)
Innominate bone is another name for:
Ossa coxae
Hip bone
One half of the pelvic girdle
All of the above
Which one of the following structures is considered to be the most posterior?
ASIS
Symphysis pubis
Acetabulum
Ischial spine
A geriatric patient with an externally rotated lower limb may have:
Osteoarthritis
Fractured proximal femur
Slipped capital femoral epiphyses (SCFE)
A normal hip joint
Which one of the following radiographic signs indicates whether the proximal femurs are in position for a true AP projection?
Limited view of fovea capitis
Limited view of lesser trochanter in profile
Symmetric appearance of iliac wings
Limited view of the greater trochanter in profile
Which one of the following projections/methods is often used to evaluate a pediatric patient for congenital hip dislocation?
Judet
Taylor method
Bilateral frog-leg
Clements- Nakayama
Which one of the following projections is used to evaluate the pelvic inlet for possible fracture?
AP axial projection
Taylor method
Clements-Nakayama
Danelius-Miller
Which type of pathology is best demonstrated with the posterior oblique (Judet method)?
Anterior pelvic bone fractures
Proximal femur fractures
Femoral neck fractures
Acetabular fractures
What type of CR angle is required for the PA axial oblique (Teufel method) for acetabulum?
12° cephalad
15° cephalad
20° caudad
25° cephalad
What is the optimal amount of hip abduction applied for the unilateral “frog-leg” projection to demonstrate the femoral neck without distortion?
10° from vertical
20 to 30° from vertical
45° from vertical
90° from vertical
Which one of the following types of body habitus may cause the costophrenic angles to be cut off if careful vertical collimation is not used?
Hypersthenic
Hyposthenic
Sthenic
Hyposthenic and asthenic
Optimal technical factor selection ensures proper penetration of the:
Heart
Great vessels
Lung regions
Hilar region
All of the above
What is a common radiographic sign seen on a chest radiograph for a patient with respiratory distress syndrome (RDS)?
Enlargement of heart
Fluid in apices
Elevated diaphragms
Air bronchogram
Why are the shoulders rolled forward for a PA projection of the chest?
To remove scapulae from lung fields
To prevent hyperemia of pulmonary vessels
To allow the diaphragm to move down farther
To reduce chest rotation
Where is the central ray placed for an AP supine projection of the chest?
1 to 2 inches below jugular notch
3 to 4 inches below jugular notch
3 to 4 inches below thyroid cartilage
7 to 8 inches below vertebra prominens
A condition in which all or a portion of the lung is collapsed is:
Pleural effusion
Pneumothorax
Pneumoconiosis
Atelectasis
Which one of the following terms is defined as “shortness of breath”?
Bronchiectasis
Pleurisy
Dyspnea
Atelectasis
Manual exposure factors for a patient with a large pneumothorax should:
Remain the same
Be reduced
Be increased
Change from manual technique to AEC
Identify the best kV level for adult chest radiography form the following choices:
85 kV, 40” SID
110 kV, 40” SID
120 kV, 60” SID
125 kV, 72” SID
An ambulatory patient with a clinical history of advanced emphysema enters the emergency room. The patient is having difficulty breathing and is receiving oxygen. The physician has ordered a PA and lateral chest study. Should the technologist alter the typical exposure factors for this patients?
No. Increase the SID instead of changing the exposure factors
No. Use the standard exposure factors
Yes. Increase the exposure factors
Yes. Decrease the exposure factors
A patients enters the ED with an injury to the chest. The ED physician suspects a pleural effusion in the right lung. The patient is unable to stand or sit erect. Which specific position or projection can be performed to confirm the presence of the pleural effusion?
Left lateral decubitus
Inspiration and expiration PA
Right lateral decubitus
AP lordotic
Which of the following technical considerations is essential when performing abdomen studies on young pediatric patient?
High-speed image receptor
Reduced kV and mAs
Short exposure time
All of the above
Which one of the following exposure considerations would be most ideal for an AP abdomen of an average-size adult?
60 – 70 kV, grid, 40” SID
75 – 85 kV, grid, 40” SID
85 – 95 kV, grid, 40” SID
110 – 120 kV, grid 40” SID
The xiphoid process corresponds with which vertebral level?
T4-5
T9-10
L2-3
L4-5
To identify the inferior margin of the abdomen, the technologist can palpate the symphysis pubis or:
ASIS
Iliac crest
Greater trochanter
Ischial tuberosity
An important landmark that is commonly used to locate the center of the abdomen is the:
Iliac crest
Greater trochanter
ASIS
Ischial tuberosity
The telescoping of a section of bowel into another loop is called:
Ascites
Volvulus
Intussusception
Ulcerative colitis
If the PA chest projection is not performed for the acute abdomen series, centering for the erect abdomen projection must include the:
Entire kidneys
Inferior liver margin
Bladder
Diaphragm
Which specific decubitus position of the abdomen should be used in an acute abdomen series if the patient cannot stand?
Right lateral decubitus
Left lateral decubitus
Ventral decubitus
Dorsal decubitus
A radiograph of an AP projection of the abdomen reveals that the right iliac wing is wider than the left. What type of positioning error was involved?
Rotation toward the right
Rotation toward the left
Tilt to the right
Tilt to the left
A patient comes into the ED with a history of Crohn’s disease. An acute abdomen series is ordered on this patient. Which of the following is the reason for this order?
Verify diagnosis
Verify current infection
Identify current inflammation
Identify location of gallstones
A KUB on a large hypersthenic patient reveals that the entire abdomen is not included on the 14 x 17 IR. What can be done to correct this on the repeat radiograph?
Expose during inspiration
Use two IRs placed lengthwise
Use two IRs placed crosswise
Perform KUV with patient in the erect position
Within the imaging room, which of the following can reduce patient anxiety and the need for immobilization?
1. Provide age-appropriate videos
2. Perform the procedure in a room with a good view
3. Align the imaging equipment before bringing the patient in the room
1 & 2
1 & 3
2 & 3
1, 2, & 3
Which of the following is one of the most dangerous causes of acute upper airway obstruction in children and is treated as an emergency?
Osteogenesis imperfecta
Omphalocele
Epiglottitis
Hypothermia
Which type of fracture occurs through the epiphysis?
Bucket-handle fractures
Greenstick fractures
Salter-Harris fractures
Torus or buckle fractures
Which of the following is the most reliable method of detecting inspiration on chest radiography for patients from birth to age 3?
Watching the abdomen
Waiting for the end of a cry
Watching the rise and fall of the sternum
Cry at the control panel because you have to xray a 3 year old
A child comes to radiology with a clinical history of talipes equinovarus. Which of the following positioning routines and/or methods is often performed for this condition?
Coyle method Erect
AP knee projection
AP and lateral hip
AP and lateral foot – Kite method
If child abuse is suspected by the technologist, he or she should
Ask he parent when the abuse occurred
Report the abuse immediately to the necessary state officials as required by law
Refuse to do the exam or touch the child until a physician has examined the patient
Do none of the above
One of the ways to obtain a pediatric patient’s cooperation is to:
Make sure you explain everything to the parents
Talk to the child at their eye level
Talk to the child in “baby talk”
Give the child plenty of options to choose from
In communicating with the adolescent patient, it is important to assess their:
Maturity level
Intelligence level
Sensitivity level
Level of independence
All of the following provide optimum radiation protection during surgical procedures for
the radiographer, except:
Standing a minimum of 6 feet from the x-ray source
Standing at a right angle to the patient
Standing at a right angle to the primary beam
Placing the tube side of the C-arm above the patient
In what position is the patient placed during retrograde urography?
Sim’s
Trendelenburg position
Fowler’s position
Modified lithotomy positon
Which of the following devices is often used to reduce femoral, tibial and humeral shaft fractures?
Cerclage wire
Ilizarov device
Intermedullary nail
Compression screw
Which of the following orthopedic devices is often used during a hip pinning?
Ilizarov device
Kirschner wire
Semitubular plate
Cannulated screw assembly
Which one of the following procedures does not require the use of mobile fluoroscopy?
Hip pinning
Intramedullary rod insertion
Open reduction of tibia
All of the above require fluoroscopic guidance
Which spinal procedure may require the use of Harrington or Luque rods?
Microdisectomy
Spinal fusion
Scoliosis corrective surgery
All of the above
Which one of the following techniques will best reduce dose to the surgical team during a C-arm procedure?
Place tube in vertical position above patient
Use boost functions whenever possible
Lower kV as low as possible
Use intermittent fluoroscopy
