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Worksheets

Skull and Facial

Total questions: 52

Worksheet time: 26mins

Name
Class
Date
1.

On recumbent patients (lateral projection), a pillow may be placed underneath the head for patients that are

a)

asthenic

b)

hyposthenic

c)

yousthenic

d)

hypersthenic

2.

Well demonstrated sella turcica, dorsum sellae, anterior and posterior clinoid processes means the patient is in

a)

PA projection

b)

AP Projection

c)

Superoinferior Projection

d)

Lateral projection

3.

Which is not in profile on a PA caldwell method skull?

a)

orbits filled by petrous ridges

b)

crista galli

c)

ethmoid sinus

d)

sella turcica

4.

Petrous ridges are in upper third of orbit on PA Axial skull

a)

True

b)

False

5.

Which projection requires a 15 degree cephalic CR that enters the nasion

a)

AP

b)

Townes

c)

Reverse Caldwell

d)

Caldwell

6.

Which projection puts the occipital bone in profile?

a)

Reverse Caldwell

b)

Caldwell

c)

Towne

d)

PA

7.

Which projection has the dens in profile?

a)

SMV

b)

Towne

c)

Caldwell

d)

Reverse Caldwell

8.

Which projection has the MML perpendicular to the IR?

a)

Modified waters

b)

Waters

c)

Towne

d)

SMV

9.

Which projection has the petrous ridges completely outside the maxillary sinuses?

a)

Modified waters

b)

Waters

c)

Caldwell

d)

PA

10.

Which projection sees the orbital floor perpendicular to the IR and parallel to the CR?

a)

Modified waters

b)

Waters

c)

Caldwell

d)

SMV

11.

Which projection rounds out the orbits?

a)

Caldwell

b)

Towne

c)

SMV

d)

Lateral

12.

For a lateral facial bone the MSP is parallel with the IR and the OML is perpendicular to the front edge of the IR

a)

True

b)

False

13.

There should be some slight superimposition of the gonion and cervical spine on a lateral facial bone

a)

True

b)

False

14.

The CR enters the EAM for a lateral facial bone

a)

True

b)

False

15.

Select the 2 that apply for a PA (Caldwell Method):

a)

OML perpendicular to IR

b)

IR centered to nasion

c)

CR enters the EAM

d)

CR enters midway between the EAM and outer canthus

16.

The CR enters midway between the EAM and outer canthus for a lateral facial bone.

a)

The CR enters midway between the EAM and outer canthus for a lateral facial bone.

b)

The CR enters at the glabella for a lateral facial bone.

c)

The CR enters at the nasion for a lateral facial bone.

d)

The CR enters at the mental point for a lateral facial bone.

17.

True

a)

True

b)

False

18.

Which projection rounds out the orbits?

a)

Caldwell

b)

Waters

c)

AP

d)

SMV

19.

Well demonstrated sella turcica, dorsum sellae, anterior and posterior clinoid processes means the patient is in

a)

Lateral projection

b)

PA projection

c)

AP axial projection

d)

Towne's projection

20.

All of the following should be seen on a lateral image of the skull, except

a)

Mandible overlapping cervical spine

b)

Sella turcica

c)

Frontal sinus

d)

Occipital bone

21.

There should be some slight superimposition of the gonion and cervical spine on a lateral facial bone

a)

True

b)

False

22.

Which of the following line is placed perpendicular to the IR plane for the AP Axial (Towne) projection when using a 30 degree caudal angle?

a)

IOML

b)

OML

23.

Which projection requires a 15 degree cephalic CR that enters the nasion

a)

Reverse Caldwell

b)

Waters

c)

SMV

d)

PA

24.

Petrous ridges are in upper third of orbit on PA Axial skull

a)

True

b)

False

25.

For a lateral facial bone the MSP is parallel with the IR and the OML is perpendicular to the front edge of the IR

a)

True

b)

False

26.

Which projection has the petrous ridges completely outside the maxillary sinuses?

a)

Waters

b)

Modified Waters

27.

On a lateral skull projection, which of the following should be perpendicular to the IR?

a)

IPL

b)

OML

c)

IOML

d)

MML

28.

Which is not in profile on a PA caldwell method skull?

a)

Petrous ridges

b)

Frontal sinus

c)

Nasal septum

d)

Zygomatic arch

29.

What is the anatomical structure referred to as 'sella turcica'?

a)

sella turcica

b)

optic chiasm

c)

foramen magnum

d)

crista galli

e)

petrous part of temporal bone

30.

The CR enters approximately __ inch(es) above the glabella on an AP Axial (Towne Method).

a)

2 1/2

b)

1

c)

3

d)

4

31.

What are the CR angles for the following positioning lines in an AP Axial (Towne Method) projection?

a)

A: 30 B: 37

b)

A: 20 B: 27

c)

A: 25 B: 32

d)

A: 15 B: 22

32.

Which line should be placed parallel to the plane of the IR for the SMV projection?

a)

IOML

b)

OML

c)

MML

d)

AML

33.

Which projection has the dens in profile?

a)

SMV

b)

AP Open Mouth

c)

Lateral Cervical

d)

Oblique Cervical

34.

Often a patient cannot be turned into the prone position for a Caldwell method. What CR angle would be used if an AP projection is used instead?

a)

15 degrees cephalad

b)

30 degrees caudad

c)

0 degrees (perpendicular)

d)

45 degrees cephalad

35.

For a PA Axial (Caldwell Method) projection, the CR is angled

a)

15 degrees caudad

b)

30 degrees cephalad

c)

10 degrees cephalad

d)

20 degrees caudad

36.

Which projection will be used to rule out an occipital bone fracture? Spelling counts.

a)

IOML

b)

OML

c)

AP Axial

d)

Lateral

37.

Which projection sees the orbital floor perpendicular to the IR and parallel to the CR?

a)

Waters

b)

Modified Waters

38.

A patient came into the ER via ambulance after a motor vehicle accident. The patient is on a backboard. The patient is able to flex and extend their neck but has lower back pain and isn't allowed to get up until cleared by the ER from any back injuries. The patient has swelling around their left orbit. The doctor is worried about a blow out fracture. The exam will use an ______[a] projection with the ______[b] Line, ______[c] degrees to the IR. To ensure a good image to rule out a fracture.

a)

Modified Waters projection, OML (Orbitomeatal Line), 50 degrees

b)

Caldwell projection, IOML (Infraorbitomeatal Line), 30 degrees

c)

Townes projection, AML (Acanthiomeatal Line), 45 degrees

d)

Lateral projection, MML (Mentomeatal Line), 90 degrees

39.

In the context of a blow out fracture, the petrous ridges should be at the level midway through the ___ [a].

a)

Modified Waters

b)

Caldwell

c)

Townes

d)

Lateral

40.

In the context of a blow out fracture, the petrous ridges should be at the level midway through the ___ [b].

a)

OML

b)

IOML

c)

AML

d)

MML

41.

In the context of a blow out fracture, the petrous ridges should be at the level midway through the ___ [c].

a)

55

b)

orbit

c)

maxilla

d)

sphenoid

42.

In the context of a blow out fracture, the petrous ridges should be at the level midway through the ___ [d].

a)

nasion

b)

sella turcica

c)

foramen magnum

d)

external occipital protuberance

43.

A clinical sign the radiologist will look for to help determine if there is an orbital floor fracture will be a ______ [e] sign.

a)

teardrop

b)

butterfly

c)

starburst

d)

crescent

44.

What is the meaning of the term 'orbitomeatal'?

a)

Relating to the orbit and the external auditory meatus.

b)

Relating to the eye and nasal cavity.

c)

Relating to the mouth and ear canal.

d)

Relating to the orbit and the jaw.

45.

Which projection puts the occipital bone in profile?

a)

Towne

b)

Waters

c)

Caldwell

d)

Lateral

46.

On recumbent patients (lateral projection), a pillow may be placed underneath the head for patients that are:

a)

Asthenic

b)

Hypersthenic

c)

Sthenic

d)

Hyposthenic

47.

Which projection has the MML perpendicular to the IR?

a)

Waters

b)

Modified Waters

c)

Towne

d)

Caldwell

48.

What is the pathology?

a)

Left zygomatic arch fracture

b)

Right skull fracture 

c)

Left parietal bone fracture

d)

Parietal bone fracture

49.

What is the pathology?

a)

Parietal bone fracture

b)

Left zygoma fracture

c)

Right skull fracture 

d)

zygomatic arch fracture

50.

What is the pathology?

a)

Nasal bone fracture

b)

Left zygoma fracture 

c)

Left parietal bone fracture

d)

Right skull fracture

51.

What is the pathology?

a)

Skull fracture

b)

Right skull fracture 

c)

Parietal bone fracture

d)

Left zygomatic arch fracture

52.
a)

Left zygoma fracture

b)

Right skull fracture

c)

Parietal bone fracture

d)

Nasal bone fracture