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Worksheetsprocedures test 2022 review
Total questions: 65
Worksheet time: 33mins
A geriatric patient comes to radiology for a lumbar spine series. She has severe kyphosis of the thoracolumbar spine. Which one of the following modifications should be applied to this patient?
Perform all positions erect
Perform all positions recumbent, include flexion and extension projections.
Include the entire spine for all projections regardless of what was ordered by the physician.
Use high (90 kV) for all projections.
Which of the following is best demonstrated in the AP axial projection (Towne method) of the skull, with the CR directed 30 degrees caudad to the orbitomeatal line (OML) and exiting at the foramen magnum?
Occipital bone
Frontal bone
Facial bones
Basal foramina
A radiograph of a left posterior oblique (LPO) projection of the lumbar spine reveals that the downside pedicle is projected too far posterior on the vertebral body. What specific positioning error is present on this radiograph?
Excessive rotation of the spine
Insufficient rotation of the spine
Tilt of the spine
Incorrect CR placement
A radiograph of an AP axial sacrum reveals that it is foreshortened and the sacral foramina are not clearly seen. The patient was in an AP supine position, and the technologist angled the CR 10° cephalad. What specific positioning error is present on this radiograph?
Excessive CR angulation
Rotation of the sacrum
Insufficient CR angulation
Wrong direction of the CR angle
A young female patient comes to radiology for a scoliosis study. The patient has had this series performed frequently. How much will the breast dose be decreased if a PA rather than an AP projection is taken?
15%
90%
35%
It will not make a significant difference with good collimation.
The structure located midway between the anterosuperior iliac spine (ASIS) and the pubic symphysis is the
dome of the acetabulum
femoral neck
greater trochanter
iliac crest
The proximal radius and all the are seen free of superimposition in which of the following projections?
AP elbow
Lateral elbow
Medial oblique elbow
Lateral oblique elbow
The RPO position (Judet method) of the right acetabulum will demonstrate the
Anterior rim of the right acetabulum
Anterior iliopubic column
Left iliac wing
Posterior rim of the right acetabulum
In which of the following positions can small amounts of free air in the peritoneal cavity be demonstrated?
Left lateral decubitus
Right lateral decubitus
AP Trendelenburg
AP supine
The uppermost portion of the iliac crest is at approximately the same level as the
costal margin
Umbilicus
xiphoid tip
Fourth lumbar vertebra
In a lateral projection of the normal knee, the
1) fibular head should be somewhat superimposed on the proximal tibia
2) patellofemoral joint should be visualized
3) femoral condyles should be superimposed
1 only
2 only
1 and 3 only
1, 2, and 3
Which position of the shoulder demonstrates the lesser tubercle in profile medially?
AP
External rotation
Internal rotation
Neutral position
Which of the following is/are associated with a Colles fracture?
1) Transverse fracture of the radial head
2) Chip fracture of the ulnar styloid
3) Posterior or backward displacement
1 only
1 and 3 only
2 and 3 only
1, 2, and 3
A lateral projection of the hand in extension is often recommended to evaluate
1) A fracture
2) A foreign body
3) Soft tissue
1 only
2 only
2 and 3 only
1 and 3 only
Which of the following statements regarding the scapular Y projection of the shoulder is/are true?
1) The midsagittal plane should be about 60° to the IR
2) The scapular borders should be superimposed on the humeral shaft
3) An oblique projection of the shoulder is obtained
1 only
1 and 2 only
2 and 3 only
1, 2 and 3
During IV urography, the prone position is generally recommended to demonstrate
1) ureteral filling
2) the renal pelvis
3) superior calyces
1 only
1 and 2 only
1 and 3 only
1, 2, 3
The act of expiration will cause the
1) Diaphragm to move inferiorly
2) Sternum and ribs to move inferiorly
3) Diaphragm to move superiorly
1 only
1 and 2 only
2 and 3 only
1, 2, and 3
The true lateral position of the skull uses which of the following principles?
1) Interpupillary line perpendicular to the IR
2) MSP perpendicular to the IR
3) Infraorbitomeatal line (IOML) parallel to the transverse axis of the IR
1 only
1 and 2 only
1 and 3 only
1, 2, and 3
When evaluating a PA axial projection of the skull with a 15 degree caudal angle, which of the following should be demonstrated?
1. Petrous pyramids in the lower third of the orbits
2. Equal distance from the lateral border the skull to the lateral rim of the orbit bilaterally
3. Symmetrical petrous pyramids
1 and 2 only
1 and 3 only
2 and 3 only
1, 2, and 3
Which of the following barium-filled atomic structures is best demonstrated in the LPO position?
Hepatic/right colic flexure
Splenic / left colic flexure
Sigmoid colon
Ileocecal valve
During a double contrast BE, which of the following positions would afford the best double-contrast visualization of the lateral wall of the descending colon and the medial wall of the ascending colon?
AP or PA erect
Right lateral decubitus
Left lateral decubitus
Ventral decubitus
During chest radiography, the act of inspiration
1. Elevates the diaphragm
2. Raises the ribs
3. Depresses the abdominal viscera
1 only
1 and 2 only
2 and 3 only
1, 2, and 3
All of the following are palpable bony landmarks that can be used in radiography of the pelvis, except
The femoral neck
The pubic symphysis
The greater trochanter
The iliac crest
With which of the following does the trapezium articulate?
Fifth metacarpal
First metacarpal
Distal radius
Distal ulna
In the lateral projection of the foot, the
1. Plantar surface should be perpendicular to the IR
2. Metatarsals are superimposed
3. Talofibular joint should be visualized
1 only
1 and 2 only
2 and 3 only
1, 2, and 3
All elbow fat pads are best demonstrated in which position?
AP
Lateral
Acute flexion
AP partial flexion
In the AP projection of the ankle, the
1. Plantar surface of the foot is vertical
2. Fibula projects more distally than the tibia
3. Calcaneus is well visualized
1 only
1 and 2 only
2 and 3 only
1, 2, and 3
In the axiolateral projection of the hip, the CR should be
2 inches medial to the ASIS
Parallel to the IR
Perpendicular to the femoral neck
Parallel to the femoral neck
The AP projection of the sacrum requires that the CR should be directed
1. 15 degrees cephalad
2. two inches superior to the pubic symphysis
3. 10 degrees caudad
1 only
2 only
1 and 2 only
1 and 3 only
With the patient seated at the end of the x-ray table, elbow resting on table and flexed 80 degrees, and the CR directed 45 degrees laterally from the shoulder to the elbow joint, which of the following structures will be demonstrated best?
Radial head
Ulnar head
Coronoid process
Olecranon process
A radiolucent sponge can be placed under the patient's waist for a lateral projection of the Lumbosacral spine to
1. make the vertebral column parallel with the IR
2. place the intervertebral disk spaces perpendicular to the IR
3. decrease the amount of scatter radiation (SR) reaching the IR
1 only
1 and 2 only
2 and 3 only
1, 2, and 3
Which of the following projections is most likely to demonstrate the carpal pisiform free of superimposition?
Radial flexion /deviation
Ulnar flexion /deviation
AP (medial) oblique
AP (lateral) oblique
The term that refers to parts away from the source or beginning is
cephalad
proximal
distal
lateral
Which of the following positions of the abdomen is obtained with the patient lying supine on the radiographic table and the CR directed horizontally to the iliac crest?
AP abdomen
PA abdomen
Ventral decubitus position
Dorsal decubitus position
For the AP projection of the scapula, the
1. patient's arm is abducted at right angles to the body
2. patient's elbow is flexed with the hand supinated
3. exposure is or (can be) made during quiet breathing (to obliterate pulmonary vascular markings)
1 and 2 only
1 and 3 only
3 only
1, 2, and 3
How should an AP projection be obtained when examining the patient whose elbow is in partial flexion?
1. With humerus parallel to IR, CR perpendicular
2. With forearm parallel to IR, CR perpendicular
3. Through the partially flexed elbow, resting on the olecranon process, CR perpendicular
1 only
1 and 2 only
2 and 3 only
1, 2, and 3
What is the name of the condition that results in the forward slipping of one vertebra upon the vertebra below it?
Spondylitis
Spondylolysis
Spondylolisthesis
Spondylosis
Which of the following is a major cause of bowel obstruction in children?
Appendicitus
Intussuception
Regional enteritis
Ulcerative colitis
The most significant risk factor for breast cancer is
Age
Gender
Family history
Personal history
The term caudad refers to which of the following?
Towards the feet
Towards the head end
Towards the ventral surface
Towards the apex
What term is used to describe a part of the structure that is nearest to the origin or source?
Proximal
Medial
Cephalad
Distal
Which of the following is the largest bone in the upper extremity?
Radius
Ulna
Humerus
Clavicle
The acromion is located on which of following bones?
Radius
Ulna
Clavicle
Scapula
How many pairs of ribs are there in a normal human skeleton?
7
12
14
24
Which position has the patient standing erect and leaning backward to rest his/her shoulders against the image receptor?
Posterior oblique
Apical lordotic
Intrathoracic
Mediastinal tilt
For a lateral L5-S1 projection, the CR must be parallel to the:
midsagittal plane.
midcoronal plane
interiliac line
transverse plane
How much obliquity of the body is required for posterior oblique positions for the sacroiliac joints?
45°
10° to 15°
60° to 70°
25° to 30°
The "nose" of the Scottie dog represents the spinous process of a lumbar vertebra
True
False
The anterior oblique (RAO and LAO) positions of the lumbar spine will demonstrate the zygapophyseal joints closest to the image receptor.
True
False
The intervertebral foramina of the lumbar spine are located at an angle of _____ in relation to the midsagittal plane.
45°
30° to 35°
70° to 75°
90°
What CR angle should be used for a lateral sacrum/coccyx projection?
15° cephalad
30° cephalad
None. CR is perpendicular to the image receptor.
10° cephalad
What CR angulation should be used for an AP axial projection of the L5-S1 joint space on a male patient?
20° cephalad
30° cephalad
35° caudad
40° to 45° cephalad
What type of CR angulation is required for an AP axial projection of the coccyx?
10° caudad
15° cephalad
10° cephalad
Perpendicular to the cassette
A high and transverse stomach would be found in a(n) ____ patient.
hyposthenic
asthenic
sthenic
hypersthenic
A PA radiograph taken on a hypersthenic patient during an upper GI series reveals that the pylorus and duodenal bulb are superimposed. Which of the following modifications will best eliminate the superimposition between these structures?
Roll the patient into a slight RAO position.
Angle the CR 35° to 45° cephalad.
Place a rolled towel or a filled compression paddle under the patient's abdomen before exposure.
Increase the kV.
A patient comes to radiology for an upper GI series. The patient has a clinical history of hiatal hernia. Which of the following positions may be helpful in demonstrating this condition?
AP Trendelenburg position
Left lateral decubitus, AP projection
Dorsal decubitus, lateral projection
LAO with compression technique
At what level should the CR and image receptor be centered for the RAO or PA upper GI projection and/or position on a sthenic-body type of patient?
Lower costal margin
L2
L3-4
Iliac crest
How much obliquity is required for the RAO position for the esophagus?
10° to 15°
20° to 30°
35° to 40°
45° to 60°
One radiograph of an upper GI series needs repeating. The technologist is unsure which projection and/or position is seen on this radiograph. The fundus is filled with barium, and the pylorus and duodenal bulb are profiled and air filled. The patient was recumbent for all projections. Which projection and/or position needs to be repeated?
PA
LPO
RAO
Right lateral
Patient preparation for an esophagram includes NPO _____ before the procedure.
4 to 6 hours
30 minutes to 1 hour
4 to 6 hours and no gum chewing or smoking
None of the above; patient preparation is not needed as long as an upper GI series is not scheduled to follow.
The esophagus is located ____ to the larynx.
anterior
posterior
inferior
proximal
Which aspect of the stomach is attached to the duodenum?
Fundus
Body
Pylorus
Cardiac
Which of the following upper GI projections and/or positions will best demonstrate the pylorus and duodenal bulb in profile during a double-contrast study?
AP
LAO
PA
LPO
How much rotation and which oblique position are required to best demonstrate the left sternoclavicular joints?
10° to 15° LAO
35° to 45° LAO
10° to 15° RAO
5° to 10° RAO
The degree of rotation for the right anterior oblique (RAO) projection of the sternum is dependent on the size of the thoracic cavity.
True
False
