WorksheetsProcedures Final Study Guide
Total questions: 192
Worksheet time: 3hrs 12mins
The patient is prone the interpupillary line is perpendicular to IR, and the midsagittal is parallel to IR. The C.R. is perpendicular to a point 3/4 of inch above and 3/4 of inch anterior to the E.A.M. Which of the following choices could be used to critique the image?
1. occipital bone superimpose
2. sella turcica superimpose
3. orbital roofs superimpose
4. mandibular condyles superimposed
only numbers 1 & 2 are correct
Only numbers 2 and 3 are correct
Only numbers 1,2,& 3 are correct
Only numbers 2,3 & 4 are correct
The patient is in the erect position with the median sagittal plane parallel to the IR, the interpupillary line perpendicular to the IR and the central ray directed perpendicularly to the IR, entering the patient's head directed to a point between outer canthus & EAM. This position demonstrates:
the frontal and ethmoid sinuses
the maxillary sinuses
the sphenoid sinuses
All the sinuses are demonstrated
Only the orbits are demonstrated
Which group of sinuses is shaded (screened) in the frontal and lateral views of the illustration below?
Maxillary
Sphenoid
Ethmoid
Frontal
Which baseline was used in the original Caldwell position?
orbitomeatal line
glabellomeatal line
infraorbitomeatal line
acanthomeatal line
Caldwell gave no specific base line
The Water's position is used primarily to demonstrate which group of paranasal sinuses:
frontal and ethmoid sinuses
maxillary sinuses
sphenoid sinuses
mastoid sinuses
none of these choices are correct
The Water's position utilizes which baseline?
glabellomeatal
orbitomeatal
infraorbitomeatal
acanthomeatal
none of these choices are correct
If the O.M.L. line is less than 37o to the plane of the IR when doing a parietoacanthial projection, the resultant image would show:
the petrous ridges are shown through the maxillary sinuses
adequate demonstration of the antra
the antra foreshortened
None of the statements are correct
What is the name of the structure that serves as a common passageway for noth food and air?
Larynx
Esophagus
Epiglottis
Pharynx
The objective of the Water's position is to demonstrate:
detail of the orbital floor
the antral roofs
the frontal and ethmoid sinuses
the sphenoid sinuses
The posteroanterior projection of the wrist is ulnar deviation demonstrates the:
1. Coronoid free of self superimposition
2. Pisiform free of superimposition
3. Scaphoid not foreshortened
4. Interspace between the carpals on the medial side of the wrist
1 & 3 are correct
Only 2 is correct
Only 3 is correct
3 & 4 are correct
For the axial projection of the nasal bones, which of the following localization lines must be perpendicular to the IR?
glabellomeatal
acanthomeatal
orbitomeatal
glabelloalveolar
Which positioning line should be perpendicular to the plane of the IR for the AP axial (Towne) projection with a 37-degree caudad CR angle?
OML
IOML
AML
LML
Where does the CR exit for a modified parietoacanthial (modified Waters) projection of the facial bones?
Nasion
Glabella
Acanthion
Midorbits
numbers 1,2, 3 and 4 are correct
The Caldwell's position will demonstrate:
1. pars petrosae through lower 1/3 of orbits
2. The petrosae filling the orbit
3.The occipital bone
4.The frontal sinuses
only number 1 is correct
only number 2 is correct
only numbers 1 and 4 are correct
only number 4 is correct
Numbers 1,2, 3 and 4 are correct
The paranasal sinuses should routinely be radiographed with the patient in the:
prone position
erect position
supine position
The prone and supine postion are the most correct answer
none of these choices are correct
Radiographic exams of the paranasal sinuses require:
1. close collimation
2. short scale contrast
3. upright projections
4. lower K.V. than skull
only numbers 1 and 2 are correct
only numbers 1, 2 and 3 are correct
None of the choices are correct
Numbers 1, 2, 3 and 4 are correct
Which positioning line is placed perpendicular to the plane of the IR with a true lateral nasal bone projection?
OML
AML
Midsagittal
Interpupillary
To demonstrate ribs above the diaphragm:
Suspend respiration in expiration
none of the options are correct
use a breathing technique
suspend respiration in inspiration
Which of the facial bones forms the prominence of the cheeks?
Maxilla
Zygoma
Palatine
Mandible
None of the choices are correct
Which sinuses are best demonstrated with a parietoacanthial (Waters) projection?
Maxillary
Frontal and Maxillary
Frontal, Maxillary and Ethmoid
Sphenoid and Maxillary
The Parietal bone is best demonstrated in which of the following Projections/view or method.
Waters
Lateral Skull
SMV
Caldwells
The Nasal Septum is best demonstrated in which of the following projections/view or method.
Waters
Grashey
Caldwells
Lateral skull
Straight PA
A blowout fracture would be best demonstrated in which of the following projections/view or method.
Modified Waters Projection
Submentovertex Projection
Caldwell method
Lateral Skull
Haas Method
Nasal bones are routinely (always) radiographed
Bilaterally
Obliquely
In the SMV Projection
Unilaterally
How many bones make up the facial bone region?
6
8
12
14
The mastoid process is part of what bone?
Occipital
Parietal
Temporal
Ethomoid
A patient enters the ED with trauma to the bony thorax. The initial radiographs reveal that there are fractured ribs and a possible pneumothorax of the left thorax. The physician orders a chest study to confirm the pneumothorax; however, the patient cannot stand. Which of the following positions would best demonstrate the pneumothorax?
Left lateral decubitus
Right lateral decubitus
Dorsal decubitus
Ventral decubitus
Which one of the following technical considerations is most critical for demonstrating air and/or fluid levels within the cranium?
Low kVp range
Detail image receptor (IR)
Short exposure time
Erect or horizontal x-ray beam positioning
Which cranial bone possesses the sella turcica?
Temporal
Sphenoid
Ethmoid
Occipital
None of the above
Which of the following project off the posterior, lateral border of the vertebral body?
pedicles
laminae
spinous process
articular processes
What is the difference, in degrees, between the infraorbitomeatal and orbitomeatal lines?
10 degrees
15 to 22 degrees
7 to 8 degrees
20 to 25 degrees
Sigmoid
All of the sinuses intercommunicate with each other and with the nasal cavity.
True
False
The submentovertical projection requires that the infraorbital meatal line (IOML) is placed perpendicular to the image receptor.
True
False
For lateral view of the C-Spine the CR is centered to:
1. C-4
2. The level of the mastoid tip
3. A point 2 inches above the manubrium
4. A point 1.5 inches below the EAM
Only number 1 is correct
Only number 2 is correct
Only numbers 1 and 2 are correct
Only Numbers 1,2 and 3 are correct
Which of the following is NOT a correct evaluation criterion for the AP axial C-spine projection?
Spinous processes are seen to be equal distances from the vertebral body lateral boders.
CR is at the lower margin of the thyroid cartilage.
C3-T2 vertebral bodies should be visualized.
All the options are correct
The RAO of the SI joint will demonstrate which of the following:
The Joint remote from the IR
The joint adjacent to the IR
None of the statements are correct
All of the statements are correct
The LPO of the C-Spine will demonstrate which of the following:
pedicles remote from the IR
foramina adjacent to the IR
zygapophyseal farthest from the IR
All the statements are correct
none of the statements are correct
What are the lateral projections on a typical vertebra called?
Spinous processes
Articular processes
transverse process
pedicles
The eye of the "scotty dog" is formed by:
pedicle
transverse process
inferior articular process
none of the above
The front leg of the "scotty dog," is formed by:
pedicle
inferior articular process
transverse process
superior articular process
A patient enters the emergency department (ED) because of a MVA. The patient is on a backboard and wearing a cervical collar. The technologist is concerned about the artifacts that the collar will project on the spine during the horizontal beam lateral projection. What should the technologist do in this situation?
Remove the cervical collar but be careful not to more the patient's head.
Leave the collar on during the exposure.
Ask the patients to remove the collar herself.
Ask a nurse to remove the collar and hold the patient's head.
To demonstrate the cervical intervertebral foramina in the posteroanterior oblique projection, besides rotating the patient, it is necessary to:
direct the CR 30 to 35 degrees caudad
direct the CR 30 to 35 degrees cephalad
direct the CR 15 to 20 degrees cephalad
direct the CR 15 to 20 degrees caudad
The medial malleolus is part of the
Fibula
Tibia
Calcaneus
Talus
The cross-table lateral projection of the skull could :
1. Demonstrate fluid in the sphenoid sinus
2. Be beneficial in diagnosing a basal skull fracture
3. Demonstrate the parietal bone
4. Could be used to demonstrate the sella turcica
Only number 1 is correct
Only numbers 1 and 2 are correct
Only numbers 1, 2 and 3 are correct
None of the choices listed are correct
Numbers 1, 2, 3, and 4 are correct
Which cranial bone possesses the zygomatic process?
Temporal
Sphenoid
Ethmoid
Frontal
None of the above
The projection for the Scaphoid requires that the CR be:
1. Perpendicular to the Scaphoid
2. angled 10 to 20 degrees toward the elbow
3. angled 5 to 10 degrees toward the elbow
4. angled 10 to 20 degrees medially
Only 1 and 2 are correct
Only 1 is correct
Only 2 and 3 are correct
Only 2, 3 and 4 are correct
Which zygapophyseal joint is demonstrated with an LAO position of the lumbar spine?
Neither. The LAO demonstrates the intervertebral foramina
Right
Left
none of these statements are correct
How much central ray (CR) angulation (if any) should be used for an AP projection of the toes?
Keep CR perpendicular to IR
5 degrees towards calcaneus
10-15 Degrees towards calcaneus
20 to 25 degrees towards calcaneus
How much flexion of the knee is recommended for the lateral projection of the patella?
5 to 10 degrees
20 to 30 degrees
35 to 40 degrees
45 to 50 degrees
A patient enters the emergency department (ED) with a possible transverse fracture of the patella. Which of the following routines would safely provide the best images of the patella?
AP and horizontal beam lateral, no flexion of knee
AP and 5 to 10 degrees flexion lateral
AP and merchant method (tangential projection)
PA and 45 Degree PA oblique with medical rotation
What vertebra or segment is located at the level of the Xiphoid?
T10
T6
T12
L1
For the AP weight-bearing knee projection on an average patient, the CR should be:
10 degree caudad
5 to 10 degree cephalad
perpendicular to the image receptor
perpendicular to the image receptor, but SID should be increased to 60 inches
When radiographing the sacro-iliac joints with the patient rotated from the prone position, the join being radiographed is:
closest to the IR
farthest from the IR
parallel to the IR
parallel to the central ray
A patient comes to radiology with an infection involving the sesamoid bones of the foot. Beyond the routine foot projections, which one of the following projections can be performed to best demonstrate these structures?
PA axial Camp Coventry method
AP weight-bearing foot projection
Lateral weight-bearing projection
Tangential projection
The oblique projections of the cervical vertebrae are taken primarily to demonstrate the:
intervertebral spaces
intervertebral foramina
spinous processes
transverse processes
A 3 to 5 degree caudad CR angle should be used for an AP knee projection for patients with thick thighs.
True
False
Which vertebra or segment is located at the level of the iliac crest?
T5
L1
L3
S1
None of these are correct
A correctly positioned lateral ankle will demonstrate the lateral malleolus superimposed over the posterior half of the tibia.
True
False
Which of the following structures is not an aspect of the proximal femur?
Intertrochanteric crest
Fovea Capitis
Obturator Foramen
Lesser Trochanter
In order to localize the long axis of the femoral neck
Draw a line between the ASIS and the pubic symphysis
Draw a line one inch below trochanter
Draw a line between greater trochanter and pubic symphysis
Draw a line between the ASIS and upper border of the symphysis and mark its center point, then draw a line between this point and a point 1 inch distal to the greater trochanter
The reasons for using a long SID for a lateral projection of the cervical spine include:
1. To preserve the normal curvature of the cervical spine
2. To project the pedicles over the vertebral bodies
3. To decrease magnification and distortion
Only 1 is correct
Only 2 is correct
Only 3 is correct
1 and 2 are correct
1, 2 and 3 are correct
Why must the lower limbs be rotated to 15 to 20 degrees internally for AP pelvis projection (nontrauma)?
To separate the greater trochanters from the lesser trochanter
To place the fovea capitis into a profiled position
To open up the femoroacetabular joint
To place the femoral neck parallel to the image receptor.
The two bony landmarks that are palpated using the hip localization method are the:
Ischial spine and the symphysis pubis
symphysis pubis and the greater trochanter
ASIS and the crest of ilium
ASIS and the symphysis pubis
What is one advantage of the lateromedial projection of the foot?
It is more comfortable for the patient.
It better demonstrates the intertarsal joints.
The foot assumes a true lateral position.
It opens the subtalar joint.
A radiograph of a lateral projection of the cranium reveals that the orbital roofs (plates) are not superimposed—one is slightly superior to the other. Which of the following positioning errors led to this radiographic outcome?
Rotation
Tilt
Excessive flexion
Excessive extension
Which projection of the knee will best demonstrate the neck of the fibula without superimposition of the tibia?
AP
Lateral
AP oblique with medial rotation
AP oblique with lateral rotation
Using the hip localization method, the femoral head can be located:
1 in (2.5 cm) below the midpoint of the imaginary line between the two bony landmarks.
1 1/2 in (4 cm) below the midpoint of the imaginary line between the two bony landmarks.
2 1/2 in (6 to 7 cm) below the midpoint of the imaginary line between the two bony landmarks.
At the level of the symphysis pubis.
Gonadal shielding of the male patient for the AP pelvis projection requires that the top of the shield is not extended above the level of:
the ASIS
the ischial spine
the inferior margin of the symphysis pubis
none of the options; gonadal shielding cannot be used due to possible covering of pertinent anatomy.
In the submentovertex position, the central ray is directed:
from the gonion to the vertex
from the inion to the vertex
from the opitc foramen to
from the glabella to the vertex
None of these statements are correct
A patient enters the emergency department (ED) having sustained trauma to the pelvis. The patient's main complaint is about her left hip. Which of the following projections should be taken first to rule out fracture or dislocation?
AP Pelvis
AP projection of the left hip
Axiolateral (Inferosuperior) projection of the left hip
Unilateral frog-leg projection of the left hip
A patient comes to radiology with a request for a right hip study. He is from an extended care facility and is confused about the cause of the injury. The technologist takes an AP pelvis, and when the lateral frog-leg projection is attempted, the patient complains loudly about the pain in his affected hip. What should the technologist do to complete the study?
Continue to position the patient but more the affected limb more gently.
Perform the AP pelvis projection only
Perform the axiolateral (inferosuperior) projection
Perform the anterior pelvis (Taylor) outlet projection
A study of prosthetic hip demonstrates that the end of the prosthesis is cut off on the AP projection, but the entire device demonstrated on the lateral projection. What should the technologist do next?
Repeat both the AP and lateral projections
Repeat AP projection only.
Ask another technologist for his or her opinion.
Ask the radiologist if he or she wants the AP projection repeated.
The term pelvic girdle refers to the total pelvis including the sacrum and coccyx.
True
False - Girdle
Only a small part of the lesser trochanter, if any, will be visible on a well-positioned axiolateral (infersuperior) lateral hip.
True
False
If a patient has excessive external rotation of one foot, a fractured hip may be indicated.
True
False
Which of the following projections will best demonstrate the C4-C5 zygapophyseal joints of the cervical spine?
AP axial
Posterior Oblique
Anterior Oblique
Lateral
What type of CR angle is required for posterior oblique (LPO/ RPO) positions of the cervical spine?
15 degree cephalad
5 degree cephalad
15 degree caudad
None. The CR is perpendicular to the IR
In reference to the AP of the sacrum, which of the following is/are correct:
1. The CR is angled 15 degrees cephalad
2. Feces could obscure this projection of the sacrum
3. If the CR is not correctly angled, the sacrum will be superimposed on itself
4. The CR forms a 90 degree with the IR
Only number 1 is correct
Only numbers 1 & 3 are correct
Only numbers 3 & 4 are correct
Only Numbers 1,2 & 3 are correct
For the posterior oblique projection of the SI joints the:
1. Patient is oblique 25 to 30 degrees
2. LPO will visualize the right joint
3. RPO will visualize the right joint
4. This exam requires that both sides be done
Only number 1 is correct
Only number 2 is correct
Only numbers 1,2 and 4 are correct
Numbers 1,2,3 and 4 are correct
Which of the following is/are correct about the lateral of L-5 (Spot View):
1. This is a routine view of Lumbosacral-spine exams
2. CR is centered to a point 1.5 inches below the crest of the ilium
3. The lumbosacral junction is well demonstrated
4. The space between L-5 and S-1 should be well demonstrated
Only number 1 is correct
Only number 2 is correct
Only numbers 1,2 and 3 are correct
Only numbers 1,2,3 & 4 are correct
A lateral view of the Lumbar spine will demonstrate the ___ well
1. Intervertebral disk spaces
2. All spinous process
3. All the intervertebral foramina
4. Transverse processes
Only number 1 is correct
Only number 2 is correct
Only number 3 is correct
Only numbers 1, 2, & 3 are correct
A good well positioned oblique view of the L-S spine is evidence by the demonstration of:
1. Scotty dog sign
2. Zygapophyseal articulations
3. Otivag sign
4. Intervertebral foramen
Only Number 1 is correct
Only number 2 is correct
Only numbers 1 & 2 are correct
Only number 4 is correct
The spinous process is best demonstrated in the
AP Projection
Lateral Projection
Oblique View
none of these statements are correct
The apophyseal joints of the lower six cervical vertebrae are at an angle to the midsagittal plane of:
45 degrees
90 degrees
35 degrees
70 degrees
The RAO of the cervical spine will demonstrate the:
1. the pedicles closest to the IR
2. the intervertebral foramina closest to the IR
3. the foramina adjacent to the IR
Only number 1 is correct
Only number 2 is correct
Only numbers 1 and 2 are correct
Numbers 1,2,and 3 are correct
The goal of the Swimmers method is to have one shoulder higher than the other, just enough to prevent their superimposition on the vertebrae.
True
False
On a patient with a severe neck injury, which projection should always be taken first?
Open mouth
oblique
6' lateral cross-table
72'' Upright lateral
What SID should be used when radiographing an erect Lateral Cervical spine?
40 '' SID
6' SID
3' SID
None of these are correct
Which vertebra is/are located at the level of the jugular notch?
T-2 to T3
T4
T10
C7
The dens will be visualized in the
Swimmers view
Oblique projection of the C-spine
open-mouth position of the cervical spine
Twinning method
The position in which zygapophyseal joints of the lumbar spine are best demonstrated is the
anteroposterior
posteroanterior
oblique
lateral
In the lateral lumbar position, if the spine not parallel to the IR, it will be necessary to
flex the hips and knees
direct the central ray 5 to 8 degrees caudad
direct the central ray 5 to 8 cranially
direct the CR perpendicular to the IR
To prevent overlapping of the intervertebral disk spaces in the lateral projection of the lumbar vertebrae
angle the central ray 25 degrees caudad
use of short SID
elevate the since on a suitable support until it is horizontal with the table top
None of these statements are correct
For the lateral projection of the lumbar spine, center the IR at the level of
The symphysis pubis
the iliac crest
the anterior superior iliac spine
a point midway between the iliac crest and symphysis pubis
The intervertebral foramina are well demonstrated in which projection of the lumbar vertebraw?
anteroposterior
lateral
oblique
erect anteroposterior
For the frontal projection of the lumbar spine, center the IR at the level of the
the iliac crest
the symphysis pubis
the anterior superior iliac spine
a point midway between the iliac crest and symphysis pubis
To reduce the lumbar lordosis, with the patient in the anteroposterior position, for frontal projection of the lumbar spine, it is necessary to
angle the central ray 15 degrees cephalad
angle the central ray 15 degrees caudad
flex the hips and knees
extend the hops and knees
The zygapophyseal joints are well demonstrated in which projection of the cervical vertebrae?
anteroposterior
lateral
oblique
erect anteroposterior
The intervertebral foramina are well demonstrated in which projection of the thoracic vertebrae?
anteroposterior
lateral
oblique
erect oblique
When patient is in the recumbent position, to prevent overlapping of the intervertebral spaces in the lateral projection of the thoracic vertebrae:
elevate the lower thoracic spine until it is horizontal to the table top
utilize the breathing method
angle the central ray toward the feet
use a short focal-IR distance
The routine lateral projection of the thoracic vertebrae does not demonstrate:
T1 to T3
T6 to T7
T11 to T12
the intervertebral spaces
What CR angulation is recommended for an AP projection of the knee on a patient with an ASIS to tabletop measurement of 18 cm?
3 to 5 degree caudad
CR perpendicular to the IR
3 to 5 degree cephalad
10 to 15 degree cephalad
In order to obliterate the rib shadows and vascular markings when examining the thoracic vertebrae in the lateral position:
1. use a short SID
2. utilize the breathing method
3. use a long SID
4. use the angulation method
only numbers 1 & 2 are correct
only number 2 is correct
only numbers 1,2, & 4 are correct
none of the statements are correct
For the anteroposterior projection of the thoracic vertebrae the central ray is directed to the level of:
T1
T3
T7
T12
If the patient is supine, the midsagittal plane and the orbitomeatal line are perpendicular to the plane of the IR, and the central ray directed at a 30o caudad angle and is centered to the hairline ( 2.5 inches above Glabella). The projection obtained is:
1. P.A. Hass
2. axial
3. Lateral
4. Verticosubmental
5. Townes
Only number 1 is correct
Only number 2 is correct
Only number 3 is correct
Only numbers 2 & 5 are correct
None of the statements are correct
To demonstrate the intervertebral disk spaces when radiographing the cervical spine in the anteroposterior projection:
direct the CR perpendicular to the plane of the IR
direct the CR 15 to 20 degrees cephalad
direct the CR 15 to 20 degrees caudad
take flexion-extension views
To obtain an anteroposterior projection of the atlas and axis free of superimposition:
direct the CR 15 degrees cephalad
use the otivag method
use the open-mouth projection
direct the CR 15 degrees caudad
How much rotation from an AP position of the ankle will typically produce an AP mortise porjection?
No rotation is necessary
15 to 20 degree medial
45 to 60 degrees lateral
25 to 30 degree medial
Scoliosis is defined as an abnormal or exaggerated ___ curvature.
Concave
convex
lateral
"swayback" lumbar
Which position or projection of the cervical spine will best demonstrate the zygapophyseal joint spaces between C1 and C2?
Anteroposterior (AP) axial
Lateral
45 Degree posterior or anterior oblique
AP open mouth
The patient is prone with the midsagittal plane perpendicular to the table top, the orbitomeatal line perpendicular to the plane of the IR and the central ray directed perpendicularly to the nasion. This projection will demonstrate__________________ best.
1. Frontal bone 3. Frontal Sinuses
2. Occipital bone 4. Parietal bone
Number 1 only is correct
Number 2 only is correct
Number 3 only is correct
Only numbers 1 & 4 are correct
Only number 4 is correct
The position in which the intervertebral disk spaces of the cervical vertebrae are best demonstrated is the:
anteroposterior
lateral
oblique
posteroanterior
On average, how many separate bones make up the adult vertebral column?
28
46
33
26
For the axial projection of the clavicle the CR angle is determined by
The person who first described the projection
The size of the patient
The type of equipment used
None of the above are correct
A patient enters the ER in severe pain with a possible dislocation of the elbow. The patient has the elbow flexed more than 90 degrees. Which one of the following routines should be performed to confirm the diagnosis?
Partially flexed AP of humerus & AP Radius; lateral elbow
One AP projection and limited lateral
Coyle mehod and limited lateral
Which of the following projections of the elbow demonstrates the Olecranon process best?
PA projection
Medial Lateral projection
Lateral Projection
AP projection
Which basic projection of the elbow best demonstrates the trochlear sulcus in profile?
AP
Medial Rotation Oblique
Lateral
Lateral rotation Oblique
Which carpal bone is found between the Scaphoid and the Triquetrum
Lunate
Pisiform
Trapezoid
Capitate
Which of the following has/have a styloid process?
Both the Radis and Ulna have a styloid process
Only the radius has a styloid process
Only the Ulna has a styloid process
The styloid process is found in the Humerus
Which specific anatomy is better visualized with a fan lateral as compared with the other lateral projections of the hand?
Sesamoid bones
Phalanges
Carpals
Carpometacarpal joints
Which routine projection of the elbow demonstrates the radial head and tuberosity free of superimposition?
AP Oblique with lateral rotation
AP oblique with medial rotation
Lateral
AP
For the PA projection of the index finger the CR is centered to:
The distal interphalangeal joint
The proximal interphalangeal joint
The middle Phalanx
The base of the metacarpophalangeal joint
Which of the following is used to control the amount of scatter radiation reaching the IR?
the cassette
the bucky/grid
the SID
None of the above control scatter radiation
Which of the following radiographic factors is/are considered "quantitative":
1. mA
2. kVp
3. Time
4. mAs
Only number 1 is correct
Only number 4 is correct
Numbers 1,3 & 4 are correct
Only number 2 is correct
When would it be safer to x-ray a female (child bearing age)
During the first half of the menstrual cycle
during the second half of the menstrual cycle
during the last quarter of the menstrual cycle
none of the above are correct
On the lateral view of the elbow the coronoid process is partially superimposed on:
the Olecronon fossa
the Radial head
the radial tuberosity
none of the above are correct
When doing an internal rotation exam of the shoulder which of the following is/are correct?
1. The lesser tubercle is demonstrated in profile
2. the greater tubercle is demonstrated in profile
3. the tubercle demonstrated in profile is projected on the scapula
4. The arm could be abducted a little
5. The coronal plane between the epicondyles is perpendicular to IR
only number 2 is correct
only number 1 is correct
Only numbers 1 and 5 are correct
Only numbers 1,2,4 and 5 are correct
Which of the following is correct about the axial projection of the shoulder?
1. This requires an inferior superior projection
2. The patient is supine
3. This is done when the humerus is fractured to rule out a dislocation
4. This exam is done to rule out a possible dislocation
Only number 1 is correct
Only number 2 is correct
Only number 1 and 2 are correct
Only numbers 1, 2 and 4 are correct
All of the above are correct
The posteroanterior projection, Caldwell position, is used to demonstrate the:
frontal and anterior ethmoid sinuses
maxillary sinuses
sphenoid sinuses
mastoid sinuses
Which of the following would indicate that an exact axial projection of the Clavicle was done?
1. Clavicle is projected above apex
2. The anterior part of the first rib is superimposed on the posterior part
3. Most of the clavicle is projected above the ribs and scapula
4. If you angle the tube 15 degrees you always get an exact axial view
Only number 1 is correct
only number 2 is correct
Numbers 1 and 2 are correct
Only number 3 is correct
Only number 4 is correct
Which of the following is correct when doing an x-ray exam of the AC joints?
the SID is 36''
the patient is recumbent
It's a bilateral exam of the AC articulations
None of the above are correct
All of the above are correct
Which of the following is correct for an AP projection of the scapula?
1. Rotate the body anteriorly
2. CR is angled toward the head
3. Abducted the arm to form a 45 degree angle with the body
4. The coronoid process is demonstrated
Only numbers 2 and 3 are correct
only number 4 is correct
only numbers 3 and 4 are correct
All of the above correct
None of the above are correct
If the patient is in RAO position, which of the following is/are true of a radiographic examination of the scapula?
1. this would demonstrate a lateral view of the right scapula
2. this would demonstrate a lateral view of the left scapula
3. the CR would be directed to the vertebral border
4. the CR would be directed to the axillary border
Only number 1 is correct
Only number 2 is correct
Number 2 and 4 are correct
Numbers 1 and 3 are correct
A general positioning rule is to place the anatomical part of interest __ to the image receptor.
Perpendicular
remote
Axial
Adjacent
Which of the following structures is/are demonstrated in a transthoracic Humerus radiograph?
Hairline Fracture
Lateral projection of upper Humerus
Humeral Head
a,b,c are well demonstrated
b and c are demonstrated
Select the answer which would utilize the following position:
Patient prone, left side elevated away from the table with the right anterior portion of the body in contact with the tabletop.
Lateral right scapula
lateral left scapula
oblique view of right shoulder
Lateral view of shoulder
What two bony landmarks are palpated for positioning of the elbow?
Radial and ulnar styloid process
Humeral epicondyles
Humeral condyles
Trochlea and capitulum
In the lateral projection of the wrist, it is important to:
Hyper extend the hand
superimpose the radius and ulna
supinate the wrist
flex the fingers
Another name for scaphoid is:
Calcaneus
Cuboid
Navicular
Os calcis
A patient is said to be in the Recumbent position when he/she is:
Laying face down
Laying on his back
Laying on his right side
Laying on his left side
All of the above describe the recumbent position
A radiograph of the inferosuperior axial projection of the shoulder will project the lesser tubercle:
Anteriorly
Posteriorly
Laterally
Medially
The term extension, as used to describe the position of a joint to be radiographed, means that the joint is:
Straightened
Bent
Turned on the side
Rotated Outward
To show subluxation of the AC joints, which of the following views should be done:
Transthoracic of both shoulders
Axial of both shoulders
Anteroposterior of both shoulders with weight bearing
Open and closed mouth views
A lateral elbow radiograph demonstrates about 1/3 of the radial head superimposed by the coronoid process of the ulna. Which of the following occured?
The hand was pronated rather than in a true lateral
The hand and wrist were rotated laterally and not in a true lateral position
The shoulder was not dropped sufficiently to the tabletop level
No positioning errors occurred
What is the name of the joint found between the proximal and distal phalanges of the first digit?
Proximal interphalangeal
Distal interphalangeal
Metacarpophalangeal
Interphalangeal
In order to obtain a proper lateral view of the humerus:
The hand must be in the lateral position
The coronal plane between the humeral epicondyle must be perpendicular to the plane of the IR
If possible, the elbow should be flexed 90 degrees
All of the above
What position would the patient be in if he were facing the IR with the x-ray tube behind him, turned slightly, with his right shoulder against the IR?
RAO
LPO
LAO
RPO
If a patient is supine on the table with the IR against the patient's left side and the x-ray tube is horizontal and perpendicular to the IR.
This is called a left lateral
This is called a right lateral
This is called a dorsal decubitus
This is called a left lateral decubitus
On which view of the elbow is the coronoid process of the ulna projected free of superimposition?
Partial flexion
Anteroposterior
Lateral oblique
Medial oblique
A radiograph of an AP projection of the elbow reveals that there is complete separation of the proximal radius and ulna. What positing error has been committed?
Excessive medial rotation
Partial flexion of the joint
Excessive lateral rotation
Incorrect CR location and angle
In positioning the second finger for a lateral projection, in order to keep the distortion to a minimum the ___ surface must be nearest the IR.
Anterior
Posterior
Medial
Lateral
A patient enters ER with a midshaft humeral fracture. The AP projection taken on the bed demonstrates another fracture near the surgical neck of the humerus. The patient is unable to stand or rotate the humerus due to the extent of trauma. What other projection should be take of the patient?
a Scapular Y lateral - AP oblique
Axial projection
Inferior superior projection
Horizontal beam transthoracic lateral
A radiograph of a PA oblique of the hand reveals that the mid-aspect of the fourth and fifth metacarpals are superimposed. Which error has been committed?
1
Excessive rotation of the hand and/ or wrist
Incorrect CR angulation
Insufficient rotation of the hand and/or wrist
A radiograph of the elbow demonstrates the radius directly superimposed over the ulna and the coronoid process in profile. Which projection of the elbow has been performed?
AP
Lateral
Lateral rotation oblique
Medial rotation oblique
A radiograph of an AP axial projection of the clavicle demonstrates that the clavicle is within the mid-aspect of the lung apices. What should the technologist do to correct the error?
Do nothing; this is an acceptable AP clavicle projection
Increase the cephalic CR angle during the repeat exposure
Make exposure upon complete inspiration
No positioning errors occurred
Which of the following carpals articulates with the radius?
Triquetrum
Scaphoid
Pisiform
Hamate
The joint found between the base of the third metacarpal and carpal bone is the:
Intercarpal
Interphalangeal
Carpometacarpal
Proximal Metacarpophalangeal
Which of the following structures is not part of the proximal Humerus?
Lesser tubercle
Glenoid Fossa
Interubecular grove
Anatomic neck
The two most common landmarks for chest positioning are the:
jugular notch and vertebra prominens
lower margin of thyroid cartilage
top of shoulders and xiphoid process
Jugular notch and top of shoulders
The vertebra prominens corresponds to the level of:
C5
C7
C4 - 5
T2
Air or gas that escapes from the lungs into the pleural cavity results in a condition known as:
Hemothorax
air bronchogram
hemidiaphragm
pneumothorax
The CR for an AP supine, adult chest projection, should be centered:
to the level of T4
At the vertebra prominens
3 to 4 inches (8 to 10 cm) below the jugular notch
at the xiphoid process
For an AP portable chest on an older or hypersthenic male patient, which of the following should occur?
The CR should be centered 3 inches (8cm) below the jugular notch
The IR generally should be placed portrait
The CR should be centered to the mammillary (nipple) line
none of the above
Which type of body habitus typically requires that the IR be placed landscaped rather than portrait for a posteroanterior (PA) chest?
Hyposthenic
Hypersthenic
Asthenic
Sthenic
A well inspired healthy adult chest PA projection will have a minimum of ___ posterior ribs seen above the diaphragm.
12
10
8
7
Which of the following objects does NOT have to be removed or moved before a chest radiography?
Hearing aids
Bra
T-shit
Necklace
What is the primary disadvantage of performing an AP projection of the chest rather than a PA?
Increased magnification of the heart
AP projection requires more kVp as compared with the PA projection
Mode radiation exposure to the lungs
Distortion of the ribs
Of the following factors, which one is most crucial to demonstrate possible air and fluid level in the chest?
Patient in erect or decubitus position
High kVp technique
Using high mA and short exposure time
72 inch SID
A PA chest radiograph reveals that the left sternoclavicular joint is closer to the spine than the right joint. What specific positioning error has been committed?
Rotation into the left anterior oblique (LAO) position
Rotation into the right anterior oblique (RAO) position
Right tilt
Left tilt
Which of the following factors must be applied to minimize distortion of the heart?
High kVp technique
using high mA and short exposure time
72 inch SID
Performing study recumbent
Of the following positing actions, which one will remove most of the scapulae from the lung fields?
Depress shoulders
Roll shoulders forward
None of the options.
Elevate chin.
For an average-size female patient, where is the CR placed for a PA projection of the chest?
8 inches (20 cm) below the vertebra prominens
2 inches (5 cm) above the shoulders
3 inches (7.6 cm) below the jugular notch
7 inches (18 cm) below the vertebra prominens
A patient is in the intensive care unit with multiple injuries. The attending physician is concerned about a pleural effusion in the left lung. The patient cannot stand or sit erect due to age. Which position/projection would be best to rule out the pleural effusion.
Right lateral decubitus
Apical lordotic
AP spine
Left Lateral Decubitus
Situs inversus is a condition in which:
the thymus gland is absent
the liver is in the left abdomen
all major organs are in the opposite side of the body
the heart is located in the left thorax
Top of the IR placed approximately 3 inches (7.6 cm) above the shoulders is a recommended centering technique for adult chest radiography.
True
False
Which of the following structures connects the anterior aspect of the ribs to the sternum?
Costovertebral joints
Sternal tendons
Costocartilage
Costotransverse joints
Which ribs are considered to be true ribs?
First through seventh ribs
First only
First through ninth ribs
Eleventh and twelfth ribs
What is RAO sternum preferred to the LAO position?
The RAO projects the sternum away from the hilum and heart
The RAO produces less magnification of the sternum
The RAO reduces dose to the thyroid gland
The RAO projects the sternum over the shadow of the heart.
Which of the following statements is true about radiography of ribs located above the diaphragm?
Suspend breathing upon inspiration
Use a kVp range of 90 to 100
Perform the study with the patient recumbent
Always inlude an AP projection as part of the routine
Which of the following positions will best demonstrate the axillary portion of the left ribs?
PA
LPO
AP
LAO
What is the recommended degree of obliquity for an RAO projection of the sternum for an asthenic (thin chested) type of patient?
10 degrees
30 degrees
20 degrees
5 degrees
Which position can replace the RAO of the sternum if the patient cannot lie prone?
LAO
Left lateral Decubitus
LPO
RPO
Which two projection must be taken for an injury to the left posterior lower ribs?
PA and RAO
AP and RAP
AP and LPO
PA and LPO
A radiograph of an RAO sternum reveals that it is partially superimposed over the spine. What must be cone to eliminate this problem during the repeat exposure?
Increase obliquity of the body
Increase kVp
Perform an LPO projection instead of an RAO
Angle the CR 5 to 10 degrees laterally to the sternum
Which of the following routines should be performed for a study of the second toe?
AP, AP oblique with lateral rotation, mediolateral projection
AP, AP oblique with medial rotation, lateromedial projection
AP, AP oblique with lateral rotation, lateromedial projection
AP, AP oblique with medial rotation, mediolateral projection.
A radiograph of a lateral projection of the sternum reveals that the patient's ribs are superimposed over the sternum. What needs to be done to correct this problem during the repeat exposure?
Angle the CR 5 degree anterior
Ensure that the patient is not rotated
Increase kVp
Increase SID
Which term describes the small flap of cartilage covering the opening to the ear?
EAM
Acanthion
Tragus
Pinna
None of the statements are correct
A young female patient from the ED is brought to radiology for a rib exam. She is able to sit up or stand for the procedure. She indicates that the region of pain is to the right anterior-to-mid axillary region. Which rib projection should be performed to minimize the effective dose to this patient?
AP and RPO
PA and LAO
PA and RAO
PA and RPO
Gonadal shielding should be used on both males and females of childbearing age for AP hip projections, if correctly placed.
True
False
The S.M.V. method could be used to demonstrate which of the following:
1. zygomatic arches
2. base of the skull
3. foramen magnum
4. profile view of sella turcica
Only number 1 is correct
only numbers 1 and 2 are correct
Only number 4 is correct
The S.M.V does not demonstrate any of the choices listed
Only numbers 1,2 and 3 are correct
A radiograph of an RAO projection of the ribs demonstrates the left axillary ribs are foreshortened, whereas the right side is elongated. Which of the following is the most likely reason for this radiographic outcome?
The technologist should have performed a PA projection to demonstrate the left axillary ribs, not an RAO
The patient requires more rotation to the right
CR angulation was incorrect
An LAO was performed rather than the RAO position
It is a safe practice to decrease the SID to 30 inches (75 cm) for the oblique sternum projection.
True
False
