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RADIOLOGY SHOULDER, ELBOW, AND WRIST

Total questions: 48

Worksheet time: 26mins

Name
Class
Date
1.

IDENTIFY THE VIEW

a)

AP

b)

PA

c)

AP-O

d)

A

2.

IDENTIFY THE VIEW

a)

AP

b)

AL

c)

PA

d)

P

3.

Age where ossification of clavicle, scapular body, and humeral shaft begins

a)

7th to 8th week fetal life

b)

7-8 months

c)

7-8th weeks neonate

d)

7 years old

4.

Age of ossification center for proximal humeral head

a)

36 weeks fetal life

b)

5 weeks old

c)

12 months old

d)

7 years old

5.

The bone development, the greater and lesser tuberosity appears at the age of______

a)

3-5 weeks of fetal life

b)

3-5 weeks old

c)

3-5 months

d)

3-5 years old

6.

The following are indication for routine radiologic examination of the shoulder

a)

Trauma

b)

Metabolic changes

c)

Systemic Disease

d)

Nutritional Issues

e)

Neoplasm

7.

Aly was referred to radiology for an xray of the shoulder the following are the correct position

a)

AP view in IR

b)

PA view in IR

c)

AP view in ER

d)

AP view IR

8.

This view is taken in the true AP anatomic position, which places the shoulder and arm in external rotation.

a)

AP ER

b)

AP IR

c)

AP FLEXION

d)

AP-O

9.

The average width of the glenohumeral joint can be observed by drawing lines across the joint surfaces and the average distance is __________

a)

10mm

b)

5mm

c)

5cm

d)

10cm

10.

Minimal widening of the acromioclavicular joint space with the coracoclavicular distance still within normal range: AC ligaments are sprained.

a)

Gr 1 sprain

b)

Gr 2 sprain

c)

Gr 3 sprain

d)

NOTA

11.

Identify the grade of the AC joint sprain

a)

1

b)

2

c)

3

d)

4

12.

Widening of the AC joint space to 1.0 to 1.5 cm with a 25% to 50% increase in the coracoclavicular distance: AC ligaments are torn, coracoclavicular ligaments are sprained.

a)

Gr1

b)

Gr2

c)

Gr3

d)

Gr4

13.

Widening of the acromioclavicular joint space 1.5 cm or greater with a 50% or more increase in the coracoclavicular distance: Both the AC and coracoclavicular ligaments are torn.

a)
b)
c)
d)
14.

In viewing the scapula should be position into

a)

Abduction IR

b)

Adduction IR

c)

Adduction ER

d)

Abduction ER

15.

The patient's position in the lateral view of the scapula

a)

The patient’s arm is positioned across the front of his or her chest to free the body of the scapula from superimposition of the humeral shaft, or the patient’s arm maybe positioned behind his or her back to free the acromion and coracoid process from superimposition of the humeral head.

b)

The patient’s arm is positioned across the front of his or her chest to free the body of the scapula from superimposition of the humeral shaft, or the patient’s arm maybe positioned behind his or her back to free the acromion from superimposition of the humeral head.

16.

The first imaging test performed for most suspected bone and soft tissue abnormalities of the shoulder

a)

b)

c)

d)

17.

The following are imaging planes for CT and MRI

a)

Axial, O-Sagittal, O-Coronal

b)

Axial, O-Sagittal, O-Transverse

c)

Axial, O-Scaption, O-Coronal

18.

The following are the practice guidelines for CT of the shoulder

a)

▪ Identification of loose bodies in the glenohumeral joint

b)

Evaluation of labral or rotator cuff pathology, if MRI is unavailable or contraindicated

c)

Evaluation of any condition typically seen by MRI if MRI is contraindicated

d)

This includes the use of intraarticular contrast for a CT arthrogram, if MR arthrogram is contraindicated

19.

The axial scanning plane is ________ to the humeral shaft.

a)

Parallel

b)

Perpendicular

c)

Oblique Coronal

d)

Oblique Sagittal

20.

The oblique sagittal plane is parallel to the bony __________ of the shoulder.

a)

acromion

b)

glenoid fossa

c)

coracoid process

d)

nota

21.

The oblique coronal is parallel to the ________ a shoulder muscle.

a)

Infraspinatus

b)

Subscapularis

c)

Supraspinatus

d)

Deltoid

22.

Synovitis of the shoulder is best seen using this imaging modality

a)

X-ray

b)

Flouroscopy

c)

Computed Tomography

d)

MRI

23.

Contraindication in using MRI as an imaging modality.

a)

Pacemaker

b)

Brace

c)

Infection

d)

Magnetic hypersensitivity

24.

True or False: AP view with the arm externally rotated —the greater tuberosity is in profile

(a)  

25.

This ligament attaches to medial humeral epicondyle and extends in a broad triangular expanse to the olecranon

(a)  

26.

This ligament an oval band that encloses the head of the radius and attaching it to the anterior and posterior margins of the radial notch; allows radial head to rotate.

(note: ligament pertaining to the red mark on x-ray)

a)

Annular Ligament

b)

Lateral Ulnar Collateral

c)

Medial Ulnar Collateral

d)

Radial Collateral

27.

The Normal ROM of elbow flexion is _______.

a)

0-135

b)

0-145

c)

0-150

d)

0-120

28.

Ossification of elbow begins at ____________ of fetal life at the shafts of the humerus, ulna and radius; they are the only ones visible on xray at birth, the rest of the elbow is still cartilage

a)

10th week

b)

8th week

c)

6th week

d)

5th week

29.

Supinator line normally seen on the lateral radiograph of a thin, lucent line parallel to the anterior aspect of the proximal 3rd of radius approximately 1 cm from anterior margin of radius.

True or False: Line becomes blurred in acute radial head fracture

(a)  

30.

The second most common fx in children, can develop compartment syndrome called (Volkmann’s contracture due to occlusion of brachial artery

a)

Olecranon

b)

Supracondylar

c)

Transcondylar

d)

Condylar

31.

Identify this fracture

a)

Supracondylar

b)

Olecranon

c)

D/3 FX

d)

NOTA

32.

Distal humerus fracture describes as oblique fracture uncommon in adults but can be seen in children

a)

Condylar

b)

Transcondylar

c)

Articular

d)

NOTA

33.

Most common distal humeral fracture in adults & results from a direct force that causes the wedgelike olecranon to be driven into the distal humeral articular surface, splitting the condyles

a)

Intercondylar

b)

Condylar

c)

Articular

d)

NOTA

34.

Fracture radial shaft only, involving proximal 3rd w/ associated dislocation or subluxation of the distal radioulnar joint

a)

Colles

b)

Galleazzis

c)

Smith

d)

Murphy

35.

Fracture of ulnar shaft only, usually due to a direct blow during a defensive maneuver

a)

Nightstick fracture

b)

Monteggia's fracture

c)

Colles

d)

Murphy

36.

Affects flexor muscle group at the musculotendinous junction and its origin on the medial epicondyle

a)

Medial Epicondylitis

b)

Lateral Epicondylitis

37.

Involves musculotendinous junction of the extensor carpi radialis brevis muscle at the lateral epicondyle

a)

Lateral Epicondylitis

b)

Medial Epicondylitis

38.

Localized joint injury that involves a separation of a segment of cartilage and subchondral bone from the articlar surface.Most common at the knee (75%) but can also occur in the elbow, wrist and ankle.

a)

Osteochondritis Dissecans

b)

OA

c)

RA

d)

Osghgood Schlatter

39.

Radiographic sign of osteochondritis dessicans

a)

sclerotic rim of subchondral bone adjacent to articular surface, irregular ossification, radiolucency, bony defect

b)

Lytic lesions and subchondral erosions, degeneration and subluxation

40.

This joint allows cupping of the palm

a)

CMC rolling gliding joints

b)

CMC gliding joints

41.

Age of ossification center for triquetrum appears, and followed by lunate, trapezium, trapezoid and scaphoid up to age 6

a)

2 years

b)

3 years

c)

1 year

d)

3 1/2 years

42.

Age of complete ossification at the carpals

a)

14-16

b)

11-14

c)

13-15

d)

14-17

43.

Recommended projection for the wrist and hand

a)

AP-L-O

b)

AP-L

c)

PA-L

d)

PA-L-O

44.

This view allows better visualization of phalanges,carpals,metacarpals, and all joints of the hand

a)

AP

b)

A

c)

P-L

d)

PA

45.

demonstrates the phalanges, metacarpals, carpals, and all joints of the hand in an oblique view

a)

O

b)

A

c)

P

d)

L

46.

The thumb is seen in a true _ projection

a)

PA

b)

AP

c)

O

d)

L

47.

Oblique projections best shown the trapezium,

the scaphoid, and the first carpometacarpal

joint of the thumb

a)

Trapezium, Scaphoid

b)

Pisiform,Lunate

c)

Scaphoid,Lunate

d)

Capitate,Hamate

48.

This type of projection is tangential infero-superior view of the wrist that allows visualization of the carpal sulcus  

a)

Carpal Zone View

b)

Guyon's View

c)

Phalen Tunnel View

d)

Carpal Tunnel