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Skull & Sinus positioning

Total questions: 112

Worksheet time: 59mins

Name
Class
Date
1.
  1. In which of these radiographs is the CR directed 15° caudal and exiting at the nasion?

a)

A

b)

B

c)

C

d)

D

2.
  1. In which of these radiographs will the CR be directed 30° caudal when the patient's OML is perpendicular with the plane of the IR?

a)

A

b)

B

c)

C

d)

D

3.
  1. In which of these radiographs will the CR be directed perpendicular 2" superior to the EAM?

a)

A

b)

B

c)

C

d)

D

4.
  1. In which of these radiographs are the petrous ridges completely filling the orbits.

a)

A

b)

B

c)

C

d)

D

5.
  1. In which of these radiographs is the dorsum sellae & posterior clinoid process demonstrated within the foramen magnum?

a)

A

b)

B

c)

C

d)

D

6.

Describe what type of patient is represented in the diagram, then explain how the position of the patient should be adjusted to have the MSP aligned properly with the IR.

a)

Hyposthentic/Asthenic

b)

Hypersthenic

c)

Place cushion under chest area

d)

Place cushion under head

7.

Describe what type of patient is represented in the diagram, then explain how the position of the patient should be adjusted to have the MSP aligned properly with the IR.

a)

Hyposthenic/Asthenic

b)

Hypersthenic

c)

Place cushion under chest area

d)

Place cushion under head

8.
  1. Which of the diagrams shown demonstrates a skull that is short from front to back, wide from side-to-side and shallow from vertex to base (brachycephalic)?

a)

A

b)

B

c)

C

9.
  1. Which of the diagrams shown correctly demonstrates a patient with a dolichocephalic skull?

a)

A

b)

B

c)

C

10.

In order to correctly place the patient's OML perpendicular with the plane of the IR on a hypersthenic patient, which of the following should be implemented?

a)

A

b)

B

c)

C

11.

Which plane of the head is placed PARALLEL to the plane of the IR for a lateral projection of the skull?

a)

Sagittal

b)

Transverse

c)

Midsagittal

d)

Midcoronal

12.

The CR and center of the IR position for a LATERAL projection of the skull is:

a)

1 inch below the EAM

b)

2 inches below the EAM

c)

1 inch above the EAM

d)

2 inches above the EAM

13.

Which of the following is true regarding the lateral projection of the skull?

1.)the midsagittal plane of the head is parallel to the plane of the IR

2.)the interpupillary line is perpendicular to the IR

3) the mentomeatal line is parallel with the bottom edge of the IR

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

14.

Which of the following should be seen superimposed on a lateral projection of the skull?

1.)orbital roofs

2) external acoustic meati

3.) temporomandibular joints

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

15.

Which method of examining the skull will demonstrate the petrous ridges in the orbits, the ethmoid and frontal sinuses, and the crista galli?

a)

Towne

b)

Caldwell

c)

Schuller

d)

Rhese

16.

The CR angle for the PA Axial (Caldwell) projection of the skull is:

a)

5 degrees cephalad

b)

10 degrees cephalad

c)

12 degrees caudad

d)

15 degrees caudad

17.

Which of the following is perpendicular to the plane of the IR for a Caldwell projection of the skull?

a)

Glabellomeatal line

b)

Acanthoeatal line

c)

Orbitomeatal line

d)

Mentomeatal line

18.

Often a patient cannot be turned into the prone position for a PA axial projection of the skull (Caldwell method). What CR angle could be used if the AP axial projection is used instead?

a)

10 degrees caudad

b)

15 degrees cephalad

c)

10-15 degrees caudad

d)

10-15 degrees cephalad

19.

Which of the following lines is placed perpendicular to the plane of the IR for the AP axial (Towne) projection?

a)

Orbitomeatal line

b)

Infraorbitomeatal line

c)

Glabellomeatal line

d)

Acanthiomeatal line

20.

If the patient cannot flex the neck to place the orbitomeatal line perpendicular to the IR for a Towne projection, which line should be placed perpendicular?

a)

Acanthiomeatal line

b)

Infraorbiomeatal line

c)

Glabellomeatal line

d)

Mentomeatal line

21.

Which of the following is true regarding the placement of the IR for a Towne projection of the skull?

1.) its upper margin is at the level of the top of the cranium

  1. 2.)its upper margin is 2 inches above the top of the cranium

  2. 3.)its upper margin is 2 inches below the top of the cranium

a)

1 only

b)

2 only

c)

3 only

d)

1,2, and 3

22.
a)

Haas

b)

Towne

c)

Rheese

d)

Caldwell

23.

If the infraorbitometal line is placed perpendicular to the IR during an AP axial (Towne) projection of the skull, how much is the CR angled?

a)

15 degrees caudad

b)

30 degrees caudad

c)

37 degrees caudad

d)

45 degrees caudad

24.

Which of the following is clearly demonstrated within the foramen magnum during an AP axial (Towne) projection of the skull?

1.)dorsum sellae

2) sella turcica

3.) posterior clinoid processes

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

25.

What is the CR angulation for demonstrationed of the entire foramen magnum during a Towne projection?

a)

37 degrees caudad

b)

40 degrees caudad

c)

60 degrees caudad

d)

40-60 degrees caudad

26.

Which of the following methods will clearly demonstrate the petrous ridges, foramen magnum, dorsum sellae, and posterior clinical processes?

1)Haas (PA axial)

2) Towne (AP axial)

3) Schuller (SMV)

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

27.

What is the average CR angulation for the PA axial (Haas) projection of the skull?

a)

25 degrees caudad

b)

25 degrees cephalad

c)

30 degrees caudad

d)

30 degrees cephalad

28.

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

a)

Acanthiomeatal line

b)

Orbitomeatal line

c)

Infraorbitomeatal line

d)

Mentomeatal line

29.

Radiographic demonstration of the cranial base is performed by which method?

a)

Haas

b)

Rhese

c)

Towne

d)

Schuller

30.

What is the CR angulation for the SMV projection?

a)

0 degrees

b)

5 degrees caudad

c)

5 degrees cephalad

d)

5-7 degrees cephalad

31.

For an SMV projection of the cranial base, the CR should always be perpendicular to the:

a)

Mentomeatal line

b)

Orbitomeatal line

c)

Infrorbitomeatal line

d)

Acanthiomeatal line

32.

Which of the following are clearly demonstrated on an SMV projection of the cranial base?

1)mastoid process

  1. 2)sphenoid sinuses

  2. 3)carotid canals

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

33.

What is the CR entrance point for the lateral projection of the sella turcica?

a)

At the EAM

b)

2 inches above the EAM

c)

2 inches below the EAM

d)

3/4 inch anterior to and superior to the EAM

34.
a)

SMV

b)

VSM

c)

AP Axial

d)

PA Axial

35.

Patients who are having an examination of the paranasal sinuses should always be examined in the upright position to:

1) demonstrate the presence or absence of fluid

2) differentiate between fluid and other pathological conditions

3) make it easier for the radiographer to position the patient

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

36.

For a LATERAL projection of the parental sinuses the CR is directed:

a)

1 inch posterior to the outer canthus

b)

2 inch posterior to the outer canthus

c)

1 inch anterior to EAM

d)

2 inches anterior to EAM

37.

Which of the following should be clearly demonstrated on a lateral projection of the paranasal sinus?

1)all four sinus groups

  1. 2)superimposed orbital roofs

  2. 3)superimposed mandibular rami

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

38.

Which parts of the patient's face touch the table for a PA axial projection (Caldwell method)?

1)forehead

2)nose

3) chin

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

39.

Which of the following are demonstrated on an AP axial (Towne method) projection of the skull?

1) petrous pyramids

2) occipital bone

3) posterior portion of the foramen magnum

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

40.

In which projection of the sinuses will all four sets of sinuses be demonstrated?

a)

Lateral

b)

Pa

c)

Pirie

d)

Waters

41.

In which projection of the sinuses will the petrous pyramids be projected below the floor of the maxillary sinuses?

a)

Waters/ Parietoacanthial

b)

Lateral

c)

PA Caldwell

d)

Pirie

42.

Which sinuses are best demonstrated on the Pirie Method?

a)

Sphenoid

b)

Ethmoid

c)

Maxillary

d)

Frontal

43.

Where does the CR exit for the Waters projection?

a)

Glabella

b)

Nasion

c)

3” superior to nasion

d)

Acanthion

44.

For the Waters method, if the patient's chin is overextended/ underextended the petrosa are projected over the inferior portions of the maxillary sinuses and can obscure underlying pathology.

a)

Overextended

b)

Underextended

45.

Name the projection and the SID which should be employed for preoperative measurement of the sinuses?

a)

Lateral

b)

72” SID

c)

40” SID

d)

Pirie

46.

List the routine projections for the paranasal sinuses routine:

a)

PA Caldwell

b)

Lateral of affected side

c)

Waters

d)

Pirie

e)

PA

47.
  1. Which of the diagrams will best demonstrate the frontal and anterior ethmoid sinuses?

a)

A

b)

B

c)

C

d)

D

48.
  1. Which of the diagrams will best demonstrate all four sets of sinuses?

a)

A

b)

B

c)

C

d)

D

49.
  1. Which of the diagrams will best demonstrate the petrous ridges below the maxillary sinuses?

a)

A

b)

B

c)

C

d)

D

50.
  1. Which of these diagrams should be performed to demonstrate the ethmoid and sphenoid sinuses?

a)

A

b)

B

c)

C

d)

D

51.
  1. In which of these diagrams does the OML form a 37 degree angle with the plane of the IR?

a)

A

b)

B

c)

C

d)

D

52.

Which of these diagrams is not part of our routine for the sinus series?

a)

A

b)

B

c)

C

d)

D

53.

In which of these diagrams should the CR exit at the acanthion?

a)

A

b)

B

c)

C

d)

D

54.

Which of the radiographs shown above is underexposed?

a)

A

b)

B

c)

C

55.

Which of the following Radiographs shown above is correctly exposed?

a)

A

b)

B

c)

C

56.

Which of the radiographs shown above is overexposed?

a)

A

b)

B

c)

C

57.
a)

A

b)

B

58.
  1. When positioning for the parietoacanthial projection of the sinuses, if the maxillary sinuses are foreshortened and the antral floors are not demonstrated, the patient's chin was underextended/ overextended.

a)

Underextended

b)

Overextended

59.
  1. True or False
    For the PA Axial transoral projection, the CR should be angled 15° caudal and exit through the open mouth, to best demonstrate the sphenoid sinuses projected in the middle of the open mouth.

a)

True

b)

False

60.

If the patient were unable to stand which of the following positions could be employed in order to demonstrate air/fluid levels in the sinuses?

a)

Lateral recumbent position

b)

Dorsal recumbent position

c)

Dorsal decubitus position

d)

Ventral recumbent position

61.

Name the projection

a)

Waters method

b)

Right Lateral

c)

Pirie

62.

Name the projection:

a)

Right lateral sinuses

b)

Waters method

c)

Left lateral sinuses

63.

List the routine for a skull series

a)

PA

b)

PA Caldwell

c)

Townes

d)

Right Lateral

e)

Left Lateral

64.

For the SMV projection, the OML/IOML SHOULD BE Parallel/Perpendicular to the film?

a)

OML

b)

IOML

c)

Parallel

d)

Perpendicular

65.

List the routine for a partial skull series

a)

Townes

b)

PA Caldwell

c)

Lateral of affected side

d)

PA

e)

AP

66.

List the routine for the Sella Turcica series

a)

Haas (or Townes)

b)

Lateral

c)

PA

d)

PA Caldwell

67.

The degree of difference between the OML and IOML is:

a)

7 degrees

b)

8 degrees

68.

The degree of difference between the OML and GML is

a)

7 degrees

b)

8 degrees

69.
  1. What should the patient be instructed to do in order to place the OML perpendicular with the plane of the IR, when the patient is supine?

a)

Tuck your chin

b)

Bend your head back

70.

& what is the projection called?

a)

A

b)

B

c)

C

d)

PA

e)

PA AXIAL (Caldwell)

71.

& what is the projection called?

a)

A

b)

B

c)

C

d)

PA AXIAL (Caldwell)

e)

PA

72.

& name the projection

a)

A

b)

B

c)

C

d)

Lateral Dorsal Decubitus

e)

RAO

73.

& what is the name of the projection?

a)

A

b)

B

c)

C

d)

AP Reverse Caldwell

e)

PA

74.

1.)

a)

Townes

b)

SMV

c)

Caldwell

d)

Haas

75.

2.)

a)

SMV

b)

Townes

c)

Caldwell

d)

Haas

76.

3.)

a)

Caldwell

b)

Townes

c)

SMV

d)

Haas

77.

4.)

a)

Haas

b)

Townes

c)

SMV

d)

Caldwell

78.

Which of these positioning diagrams is not included in the routine for Skull?

a)

A

b)

B

c)

C

d)

D

79.
  1. In which of these positioning diagrams should the patient's IPL be perpendicular with the plane of the IR?

a)

A

b)

B

c)

C

d)

D

80.
  1. In which of these positioning diagrams is the patient's IOML placed parallel with the plane of the IR and perpendicular with the CR?

a)

A

b)

B

c)

C

d)

D

81.
  1. In which of these diagrams would the central ray be angled 37° if the OML cannot be perpendicular with the plane of the IR?

a)

A

b)

B

c)

C

d)

D

82.
  1. In which of these diagrams is the patient's MSP parallel w/ the IR, IPL perpendicular w/ thejR & the IOML parallel w/the bottom of the IR?

a)

A

b)

B

c)

C

d)

D

e)

E

83.
  1. In which of these diagrams is the CR parallel to the patient's OML?

a)

A

b)

B

c)

C

d)

D

e)

E

84.
  1. Which of the diagrams best demonstrates the frontal bone as well as the anterior ethmoid air cells?

a)

A

b)

B

c)

C

d)

D

e)

E

85.
  1. In which of these diagrams will the petrous ridges be projected in the orbits?

a)

A

b)

B

c)

C

d)

D

e)

E

86.
  1. In which of these diagrams will the petrous ridges be projected in the lower 1/3 or the orbits?

a)

A

b)

B

c)

C

d)

D

e)

E

87.
  1. In which of the diagrams will the mandibular condyles be placed anterior to the petrous ridges?

a)

A

b)

B

c)

C

d)

D

e)

E

88.
a)

Left

b)

Right

89.

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

a)

Nasion

b)

glabella

c)

Acanthion

d)

Open Mouth

90.

To successfully demonstrate the ethmoidal and sphenoidal sinuses on the SMV projection, which of the following must occur?

1) the patient must be recumbent

2) the infraorbitomeatal line must be parallel with the IR

3)the CR must be perpendicular to the infraorbitomeatal line and horizontal

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

91.

At which level should the CR enter the base of the skull for the SMV projection of the sinuses?

a)

3/4 inch posterior to the level of the EAM

b)

3/4 inch anterior to the level of the EAM

c)

3/4 inch below the mental protuberance

d)

1 inch below the mental protuberance

92.

Which projections will demonstrate the ethmoidal sinuses?

1.)PA

2) PA axial (Caldwell)

3) SMV

a)

1 & 2

b)

2 & 3

c)

1 & 3

d)

1,2, and 3

93.

The PA projections of the sinuses can demonstrate which sinuses?

1) ethmoidal

2) sphenoidal

3) maxillary

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

94.

Which line is placed perpendicular to the plane of the IR for the PA projection of the sinuses?

a)

Glabellomeatal

b)

Orbitomeatal

c)

Acanthiomeatal

d)

Infraorbitomeatal

95.

The respiration phase for all projections of the facial bones and sinuses is:

a)

Suspended

b)

Inspiration

c)

Expiration

d)

Shallow breathing

96.

To demonstrate the sphenoidal sinuses on the PA projection, the CR should be angled:

a)

10 degrees caudad

b)

10 degrees cephalad

c)

15 degrees caudad

d)

15 degrees cephalad

97.

Which of the following should be clearly demonstrated on the PA projection for specific demonstration of the maxillary sinuses?

1)maxillary sinuses below the petrous ridges

2) sphenoidal sinuses visible through the frontal bone

3.) close beam restriction of the sinus area

a)

1 & 2

b)

1 & 3

c)

2 & 3

d)

1,2, and 3

98.

Which reference line is positioned horizontal to ensure proper extension of the head during a lateral projection of the sinuses?

a)

AML

b)

OML

c)

IOML

d)

MML

99.

Which reference line is positioned perpendicular to the angled IR for the PA axial (Caldwell method) projection of the sinuses?

a)

AML

b)

OML

c)

MML

d)

IOML

100.

The central ray forms an angle of how many degrees with the OML for the PA axial (Caldwell) projection of the sinuses?

a)

5 degrees

b)

12 degrees

c)

15 degrees

d)

20 degrees

101.

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

a)

MML

b)

OML

c)

AML

d)

IOML

102.

Where is the IR centered for the parietoacanthial (Waters method) projection of the sinuses?

a)

Nasion

b)

Inion

c)

Glabella

d)

Acanthion

103.

Where are the petrous ridges seen on a parietoacanthial (Waters method) radiograph?

a)

I’m the middle of the maxillary sinuses

b)

Superior to the maxillary sinuses

c)

Inferior to the floor of the maxillary sinuses

d)

In the lower 2/3rds of the maxillary sinuses

104.

The OML forms an angle of how many degrees from the plane of the IR for an open-mouth parietoacanthial (Waters method) projection?

a)

25 degrees

b)

37 degrees

c)

45 degrees

105.

Which of the following foramina will be demonstrated in the orbit on a parietoacanthial (Waters method) radiograph?

a)

Ovale

b)

Jugular

c)

Spinosum

d)

Rotundum

106.

The CR is directed perpendicular to which reference line for the SMV projection of the sinuses?

a)

OML

b)

AML

c)

MML

d)

OIML

107.

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

1) PA

2) parietoacanthial (Waters)

3) PA axial (Caldwell)

a)

1 only

b)

2 only

c)

3 only

d)

1,2, and 3

108.

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

a)

7 degrees

b)

10 degrees

c)

15 degrees

d)

20 degrees

109.

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

a)

Zygomatic bones

b)

Petrous pyramids

c)

Inferior orbital margin

d)

Sphenoidal sinuses

110.

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

a)

20 degrees

b)

27 degrees

c)

30 degrees

d)

37 degrees

111.

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

a)

Frontal

b)

Ethmoidal

c)

Sphenoidal

d)

Maxillary

112.

Which of the following projections will best demonstrate the maxillary sinuses?

1) parietoacanthial (Waters)

2) PA axial (Caldwell)

3) submentovertical

a)

1 only

b)

2 only

c)

3 only

d)

1,2, and 3