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Sinus and Nasal bones

Total questions: 65

Worksheet time: 33mins

Name
Class
Date
1.

There are 5 pairs of sinuses.

a)

True

b)

False

2.

Which structure must be in profile on a true lateral sinus?

a)

sella turcica

b)

optic chiasm

c)

mastoid process

d)

ethmoid air cells

3.

Which of the following is true regarding the lateral projection of the nasal bones?

a)

1 only

b)

2 only

c)

3 only

d)

1 and 2

e)

1, 2, and 3

4.

In the Caldwell (PA axial) projection, the petrous ridges should lie:

a)

In the lower third of the orbits.

b)

In the upper third of the orbits.

c)

At the level of the supraorbital margin.

d)

Completely below the orbits.

5.

In the lateral sinus projection, which structure must be superimposed to confirm no rotation?

a)

A) Orbital roofs

b)

B) Petrous ridges

c)

C) Ethmoidal sinuses

d)

D) Frontal sinuses

6.

All of these projections will demonstrate the ethmoidal sinuses, except

a)

PA Axial (Caldwell)

b)

Parietoacanthial (Waters)

c)

Lateral

d)

AP Axial (Towne)

7.

Sinuses plays a part in how our voices resonate.

a)

True

b)

False

8.

True or False: The acanthion corresponds anatomically to the nasal spine.

a)

True

b)

False

9.

The acanthion corresponds anatomically to the: ________

a)

nasal spine

b)

zygomatic arch

c)

mastoid process

d)

mental protuberance

10.

For a lateral projection of the paranasal sinuses, the central ray is directed ________

a)

1 inch posterior to the outer canthus

b)

at the nasion

c)

to the glabella

d)

2 inches above the EAM

11.

Which sinus is most likely to be completely absent in some individuals?

a)

Sphenoid sinus

b)

Frontal sinus

12.

When using the angled grid technique for the PA axial (Caldwell method) projection of the sinuses, the vertical grid device must be angled ____ degrees.

a)

15

b)

10

c)

20

d)

30

13.

In an SMV projection, what confirms that the IOML is properly positioned parallel to the IR?

a)

Petrous ridges overlapping the maxillary sinuses

b)

Mandibular condyles anterior to the petrous pyramids

14.

What is the radiographic appearance if the neck is extended too little for the Waters method of the sinuses?

a)

Petrosae are projected over the inferior portions of the maxillary sinuses

b)

Maxillary sinuses appear elongated and distorted

c)

Frontal sinuses are completely obscured

d)

Orbits are projected above the maxillary sinuses

15.

Which projection will best demonstrate the frontal and anterior ethmoidal sinuses?

a)

PA Axial (Caldwell)

b)

Waters (Parietoacanthial)

c)

Lateral

d)

Submentovertex (SMV)

16.

Which projection best demonstrates the maxillary sinuses?

a)

Waters

b)

Caldwell

c)

Towne

d)

Lateral

17.

Which sinus is projected through the mouth on the open-mouth modification of the Waters method?

a)

Sphenoid sinus

b)

Frontal sinus

c)

Maxillary sinus

d)

Ethmoid sinus

18.

Which of the following must be projected below the maxillary sinuses for the parietoacanthial projection (Waters method) of the sinuses?

a)

petrous ridges

b)

nasal septum

c)

zygomatic arches

d)

orbital roofs

19.

Which line must be horizontal in a true lateral sinus projection?

a)

IOML

b)

OML

c)

AML

d)

MML

20.

The parietoacanthial projection (Waters method) of the sinuses requires the orbitomeatal line to be placed how many degrees from the plane of the image receptor?

a)

37 degrees

b)

45 degrees

c)

20 degrees

d)

10 degrees

21.

Which sinus group is most posterior?

a)

Sphenoid

b)

Frontal

c)

Maxillary

d)

Ethmoid

22.

Insufficient neck extension on an SMV causes:

a)

mandible superimposed over ethmoid sinuses

b)

ethmoid sinuses superimposed over sphenoid sinuses

c)

mandible projected below the occipital bone

d)

maxillary sinuses obscured by the zygomatic arch

23.

The OML and CR maintain a 15-degree relationship in which projection?

a)

Caldwell

b)

Waters

c)

Towne

d)

Lateral

24.

What is the primary projection used to evaluate airfluid levels in the maxillary sinuses?

a)

Waters method

b)

Caldwell method

c)

Towne method

d)

Lateral projection

25.

A technologist notices airfluid levels in multiple sinuses on a patient's radiograph. What condition is most likely responsible?

a)

Sinusitis

b)

Asthma

c)

Pneumothorax

d)

Bronchitis

26.

Where is the CR directed on a lateral nasal bones?

a)

1 inch distal to the nasion

b)

At the glabella

c)

2 cm above the nasion

d)

Midway between the orbits

27.

What positioning error causes the petrous ridges to appear within the maxillary sinuses on a Waters projection?

a)

insufficient neck extension

b)

excessive neck extension

c)

incorrect central ray angulation

d)

patient rotation

28.

All of the following should be clearly demonstrated on a lateral projection of paranasal sinus, except _______.

a)

petrous ridge in the lower third of the orbits

b)

sphenoidal sinus

c)

frontal sinus

d)

maxillary sinus

29.

When the maxillary sinuses are foreshortened, and anthral floors are not shown, it means _______.

a)

There is over extension of the neck

b)

The patient is biting too hard

c)

The X-ray exposure is too short

d)

The film is placed upside down

30.

A patient presents with head trauma involving the nasal septum. Which component of the ethmoid bone should the technologist evaluate for potential fractures or a deviated septum?

a)

Vertical plate

b)

Crista galli

c)

Orbital plate

d)

Perpendicular plate

31.

Which of the following reference lines is placed perpendicular to the image receptor for a parietoacanthial (Waters method) projection?

a)

Orbitomeatal line (OML)

b)

Acanthiomeatal line (AML)

c)

Mentomeatal line (MML)

d)

Infraorbitomeatal line (IOML)

32.

The nasal bone is one thin bone

a)

True

b)

False

33.

Which sinus is located immediately below the sella turcia?

a)

sphenoidal

b)

frontal

c)

maxillary

d)

ethmoidal

34.

Which sinuses are located within the lateral masses of the ethmoid bone?

a)

Ethmoid sinuses

b)

Maxillary sinuses

c)

Frontal sinuses

d)

Sphenoid sinuses

35.

For the open-mouth modification of the Waters method, the central ray should exit the:

a)

nasion

b)

glabella

c)

acanthion

d)

mental point

36.

Which sinus group is best visualized on the open-mouth Waters projection?

a)

sphenoid

b)

maxillary

c)

ethmoid

d)

frontal

37.

Insufficient neck extension on the standard Waters will cause the petrous ridges to:

a)

appear above the frontal sinus

b)

superimpose the inferior maxillary sinuses

c)

project into the ethmoid sinus

d)

not be visible at all

38.

In the Caldwell (PA axial) projection, the petrous ridges should lie:

a)

In the upper third of the orbits

b)

In the lower thirds of the orbits

c)

immediately inferior to the maxillary floors

d)

completely below the maxillary sinuses

39.

Which landmark forms a line from the acanthion to the EAM?

a)

GML

b)

OML

c)

AML

d)

OML

40.

The SMV projection primarily demonstrates which structures?

a)

maxillary and sphenoid sinuses

b)

frontal and ethmoid sinuses

c)

frontal and maxillary sinuses

d)

sphenoid and ethmoid sinuses

41.

In the lateral sinus projection, which structure must be superimposed to confirm no rotation?

a)

Orbital roofs

b)

petrous pyramids

c)

Occlusal plane

d)

Hard palate of the mouth

42.

Which projection best demonstrates all four sinus groups?

a)

lateral

b)

waters

c)

SMV

d)

Caldwell

43.

The OML and CR maintain a 15-degree relationship in which projection?

a)

Lateral

b)

SMV

c)

Waters

d)

PA

44.

Which sinus group is most posterior?

a)

Maxillary

b)

Sphenoid

c)

Frontal

d)

Ethmoid

45.

The acanthion corresponds anatomically to the:

a)

Inferior orbital rim

b)

Superior orbital rim

c)

Nasal spine

d)

Glabella

46.

Overextension during a Waters projection results in:

a)

Maxillary sinuses foreshortened

b)

Sphenoid sinuses overpenetrated

c)

Ethmoid sinuses superimposed

d)

Petrous pyramid in mid-orbits

47.

Which line must be horizontal in a true lateral sinus projection?

a)

OML

b)

IOML

c)

AML

d)

MML

48.

Which sinuses lie above the frontonasal suture on a proper Caldwell?

a)

Frontal

b)

Ethmoid

c)

Sphenoid

d)

All sinuses

49.

Insufficient neck extension on an SMV causes:

a)

Sphenoid sinus distortion

b)

Petrous pyramids in orbits

c)

Maxillary sinuses elongated

d)

Mandible superimposed over ethmoid sinuses

50.

Which line must be parallel to the IR in an SMV?

a)

IOML

b)

AML

c)

OML

d)

GML

51.

Which sinus is best demonstrated on the standard Waters projection?

a)

Frontal

b)

Maxillary

c)

Ethmoid

d)

Sphenoid

52.

Which projection uses a 3×3-inch collimated field?

a)

SMV

b)

Open Mouth Waters

c)

Lateral Nasal Bones

d)

Caldwell

53.

Which structure must be in profile on a true lateral sinus?

a)

Crista Galli

b)

Sella Turcica

c)

Foramen Magnum

d)

Petrous Ridge

54.

The anterior ethmoid air cells are best demonstrated on which projection?

a)

Caldwell

b)

Waters

c)

Lateral

d)

SMV

55.

What positioning error causes the petrous ridges to appear within the maxillary sinuses on a Waters projection?

a)

Insufficient neck extension

b)

Excessive neck flexion

c)

CR angled 15 degrees caudad

d)

Patient rotated toward the IR

56.

What is A?

a)

Frontal

b)

maxillary

c)

ethmoid

d)

sphenoid

57.

What is B?

a)

Frontal

b)

maxillary

c)

Ethmoid

d)

sphenoid

58.

What is C?

a)

Frontal

b)

ethmoid

c)

spehnoid

d)

maxillary

59.

What is D?

a)

Frontal

b)

maxillary

c)

ethmoid

d)

sphenoid

60.

Which drawing in the figure below demonstrates the correct head position for the Waters method?

a)

A

b)

B

c)

C

d)

D

61.

What is the pathology?

a)

Right frontal osteoma

b)

left antrum fracture

c)

Left frontal sinus osteoma

d)

left maxillary sinusitis

62.

What is the pathology?

a)

Right frontal osteoma

b)

left antrum fracture

c)

Left frontal sinus osteoma

d)

left maxillary sinusitis

63.

What is the pathology?

a)

Right frontal osteoma

b)

left antrum fracture

c)

bi-lateral frontal  and maxillary sinusitis

d)

left maxillary sinusitis

64.

What is the pathology?

a)

Right frontal osteoma

b)

Bi-lateral maxillary sinusitis seen on an open mouth waters projection 

c)

bi-lateral frontal  and maxillary sinusitis

d)

left maxillary sinusitis

65.

What is the pathology?

a)

Right frontal osteoma

b)

Nasal bone fracture

c)

right maxillary sinusitis

d)

left maxillary sinusitis