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WorksheetsHESI Procedures Review Assignment
Total questions: 45
Worksheet time: 23mins
Which foramina are demonstrated with a left posterior
oblique (LPO) position of the cervical spine?
The right intervertebral foramina (downside)
The left intervertebral foramina (downside)
The right intervertebral foramina (upside)
The left intervertebral foramina (upside)
What is the relationship of the epicondyles to the IR in an AP projection of the humerus or elbow?
Diagonal
Parallel
Vertical
Perpendicular
The central ray (CR) for an anteroposterior (AP) supine, adult chest projection, should be centered:
to the level of T4
at the xiphoid process
at the vertebra prominens
3 to 4 inches (8 to 10 cm) below the jugular notch.
During an IVU images taken 30 seconds - 1 minute post injection will demonstrate:
kidneys (contrast in collecting tubules)
kidneys (nephrogram phase)
urinary bladder
ureters
A patient cannot flex their head and neck sufficiently to place the OML perpendicular to the IR for the AP axial view. What should the technologist do?
use the IOML and increase the CR angle by 7 degrees
perform a SMV projection in place of the AP axial
use the AML and increase the CR angle by 10 degrees
perform the Caldwell method
Which radiographic landmark is most reliable to evaluate the posteroanterior (PA) projection of the abdomen for rotation?
Symphysis pubis
ASIS
Ala of ilium
Xiphoid process
A broad shouldered patient comes to the radiology department for a routine cervical spine series. The lateral projection demonstrates only the C1-C5 region. The radiologist needs to see C6-T1. What additional projection can be obtained to demonstrate this region?
AP Axial Oblique Projection (Pillars)
LAO
RPO
Cervicothoracic (Swimmer’s) lateral projection
A young child comes to radiology with an elbow injury. The basic elbow projections demonstrate a possible nondisplaced fracture of the coronoid process. Beyond the medial oblique projection, what additional projection(s) can be performed to demonstrate the coronoid process in profile?
Radial head lateral projections
Acute flexion projection
Coyle method with 45-degree CR angle toward shoulder
Coyle method with 45-degree CR angle away from shoulder
Which of the following projections best produces an unobstructed view of the fibular head and neck?
Medial oblique knee
External oblique knee
Medial oblique ankle
Mortise ankle
The hepatic portal vein carries blood from the abdominal digestive track to the:
kidneys
spleen
liver
inferior vena cava
The xiphoid/ensiform process is at what vertebral level?
T9-10
L4
T2-3
S1-2
How many projections are required for the AP-acute flexion study of the elbow?
Three
One
Two
Four
A patient comes to radiology for an evaluation of the longitudinal arch of the foot. Which of the following projections would provide the best information about the arch?
Sesamoid bone series projection
Plantodorsal (axial) projection
Routine foot series
AP and lateral weight-bearing projections of foot
The intervertebral foramina are best demonstrated in which projections of the spine?
Lateral sacrum/coccyx
Lateral thoracic spine
Lateral lumbar spine
Lateral cervical spine
A longitudinal plane that divides the body into equal anterior and posterior parts is the _____ plane
midsagittal
horizontal
oblique
midcoronal
Which of the following is not a standard projection for the wrist?
External oblique
Lateral
PA
AP
How much obliquity of the body is required for posterior oblique (LPO/RPO) positions for the sacroiliac joints?
60 to 70 degrees
25 to 30 degrees
45 degrees
10 to 15 degrees
A radiograph of a plantodorsal (axial) projection of the calcaneus reveals foreshortening. The technologist used 60 kVp, 6 mAs, 40-inch (100-cm) SID, and a 25-degree cephalad CR angle from the long axis of the foot. Which of the following modifications will produce a more diagnostic image of the calcaneus?
Decrease CR angulation
Increase kVp to 70
Plantarflex the foot
Increase CR angulation
Where is the central ray (CR) placed for a PA projection of the third digit?
At the metacarpo-phalangeal joint
At the head of the third metacarpal
At the proximal interphalangeal joint
At the distal interphalangeal joint
Which positioning line should b perpendicular to the IR when performing a PA Axial (Caldwell) projection?
MML
GML
OML
IOML
The appropriate centering point for an AP projection of the lumbosacral region is
2 inches superior to the public symphysis
at the level of the iliac crest
1 inch superior to the iliac crest and 2 inches medial to the ASIS
midpoint between the xiphoid tip and sternal notch
A patient comes to radiology with possible diverticulosis. Which of the following studies is most diagnostic for detecting this condition?
Evacuative proctogram
Double-contrast barium enema
Small bowel series
Single-contrast barium enema
In which of the four major quadrants of the abdomen would the cecum be found?
Right lower quadrant
Left upper quadrant
Right upper quadrant
Left lower quadrant
When examining the contrast-filled bladder, how many degrees caudad is the X-ray tube angled in order to project the symphysis pubis inferior to the urinary bladder?
40 to 45
10 to 15
20 to 25
30 to 35
An AP projection of the foot should have a central ray angle of
10 degrees posterior
5 degrees anterior
15 degrees posterior
15 degrees anterior
How much rotation of the body is required for an LAO projection of the thoracic spine (from the plane of the table)?
45 degrees
20 degrees
50 to 60 degrees
70 degrees
Which of the following arteries is found at the level of the knee?
Anterior
Popliteal
Deep femoral
Dorsalis pedis
In an AP external rotation projection of the shoulder, the __________ should be seen in profile laterally
greater tubercle
humeral head
lesser tubercle
glenoid fossa
All the following statements regarding hand hygiene and skin care are correct except:
any cracks or abrasions should be left uncovered to facilitate healing
hands should be smooth and free from chapping
hands should be cleansed before and after each patient examination
faucets should be opened and closed with paper towels
Where should the petrous pyramids be projected in the PA axial projection (Caldwell method) of the skull using a 15° caudal tube angle?
Filling the orbits
In the lower one third of the orbits
In the upper two-third of the orbits
Below the maxillary sinuses
Which of the following projections of the elbow will show the radial head, neck, and tuberosity free of superimposition by the ulna?
Acute flexion projection
AP medial oblique (internal rotation)
AP lateral oblique (external rotation)
Lateral projection (lateromedial)
What must be done after contrast is injected into a joint during arthrography?
Patient must remain as still as possible to prevent contrast displacement
Patient must put the joint through range of motion to distribute the contrast
Patient must return the following day for advanced imaging
Patient must have the contrast removed using a spinal needle following fluoroscopy
Which of the following is true regarding the Towne method?
The petrous ridges are projected in the lower 1/3 of the orbits
The zygomatic arches are free of superimposition
The dorsum sellae is projected within the foramen magnum
The anatomy of interest is the frontal bone and maxilla
The AP axial projection of the sacrum requires tube angulation in the cephalad direction of how many degrees?
20°
25°
15°
10°
How much rotation from an AP position of the ankle will typically produce an AP mortise projection?
15- to 20-degree medial
25- to 30-degree medial
45- to 60-degree lateral
No rotation is necessary
Why is the supine AP projection rarely taken during a thoracic spine myelogram?
Patient discomfort at puncture site
Excessive radiation exposure to anterior chest structures
Contrast media may leak from puncture site
Contrast media tend to pool near the midthoracic region
Which of the following muscles should be demonstrated on a properly exposed abdomen projection on an average-size patient?
Erector spinae
Quadratus lumborum
Psoas major
Latissimus dorsi
Which of the following is the most distal portion of the bronchial tree?
Primary bronchus
Alveoli
Bronchioles
Tertiary bronchi
Why is the right kidney usually lower in the abdomen than the left kidney?
Presence of the stomach
Presence of right suprarenal gland
Presence of the liver
Presence of right colic flexure
How many posterior ribs should be visualized above the diaphragm in order for a PA chest to be evaluated for adequate inspiration?
6
10
12
9
Which part of the large intestine is located between the rectum and the descending colon?
Sigmoid colon
Right colic flexure
Left colic flexure
Cecum
Projections that are generally included in an acute abdomen survey include which of the following?
Erect or lateral decubitus abdomen
AP supine abdomen
Dorsal decubitus abdomen
PA chest
Ventral decubitus abdomen
What type of CR angle is required for the AP lordotic projection for the lung apices?
15- to 20-degree cephalad
10- to 15-degree caudad
None. CR is perpendicular to IR
25- to 35-degree caudad
At what level should the central ray (CR) be placed for a left lateral decubitus projection of the abdomen?
2 inches (5 cm) above iliac crest
Iliac crest
ASIS
Umbilicus
Which of the following is the usual way of obtaining a lateral projection of the proximal humerus in cases of trauma?
Grashey method
Transthoracic or Lawrence method
Lateromedial recumbent
Stetcher method
