S-Upperlimbs

Front 1

True/False: Humerus should be superimposed over the scapula

Back 1

FALSE

Front 2

Routine positions for the Humerus are:

Back 2

AP and Lateral

Front 3

Trauma positions for the Humerus are:

Back 3

Lateral for distal Humerus, Transthoracic lateral for proximal Humerus, Y-view for proximal Humerus

Front 4

Criteria for good AP Humerus

Back 4

entire Humerus, Greater tubercle in profile, epicondyles in profile, exposure factors.

Front 5

Criteria for good Lateral Humerus

Back 5

entire Humerus, Lesser tubercle in profile, epicondyles are superimposed, exp. factors.

Front 6

Where is the Coranoid Process?

Back 6

The proximal end of the Ulna, articulates with the Trochlea of the Humerus

Front 7

Where is the Coracoid Process?

Back 7

Superior border of Scapula and inferior to the Distal end of the Clavicle

Front 8

What carpal bone articulates with the radius?

Back 8

Scaphoid

Front 9

What carpal bone articulates with the radius and the capitate?

Back 9

Lunate

Front 10

Which carpal bone is proximal to the first metacarpal (thumb)?

Back 10

Trapezium

Front 11

Which carpal bone is proximal to the 2nd metacarpal?

Back 11

Trapezoid

Front 12

Which carpal bone is proximal to the 3rd metacarpal?

Back 12

Capitate

Front 13

Which carpal bone is proximal to the 4th and 5th metacarpal?

Back 13

Hamate

Front 14

The metacarpals are concave on the anterior and convex on the posterior.

Back 14

True

Front 15

The wrist joint is an ellipsoidal joint which is the most freely moveable of synovial joints.

Back 15

True

Front 16

What is the joint called where the radius articulates with the scaphoid and the lunate?

Back 16

radiocarpal joint

Front 17

What is the average range of kV for the fingers hand and wrist?

Back 17

50-65 kV

Front 18

Where do you center for a PA hand and an oblique hand?

Back 18

3rd MCP

Front 19

Where do you center for a lateral of the hand?

Back 19

2nd MCP

Front 20

What is another name for the Norgaard Method and what is it used to diagnose?

Back 20

Ball Catcher's Position - diagnoses rheumatoid arthritis

Front 21

Where do you center for a PA and oblique wrist?

Back 21

mid carpal area

Front 22

WHere do you center for a lateral wrist?

Back 22

Perpendicular to wrist joint

Front 23

How much of a CR angle is used for the Stecher Method (Scaphoid)?

Back 23

20 degrees up hand centered over the scaphoid

Front 24

Where do you ceneter on the thumb?

Back 24

At 1st MCP joint

Front 25

What position is used for an oblique of the thumb?

Back 25

PA hand

Front 26

WHat needs to be demonstrated on an exam of the thumb?

Back 26

Entire thumb including the 1st MCP

Front 27

Where do you center for the 2nd-5th digits?

Back 27

PIP joint

Front 28

The radial head is proximal/near the elbow on the lateral or thumb side.

Back 28

True

Front 29

The ulnar head is distal/near the wrist on the medial side.

Back 29

True

Front 30

When does the radius cross over the ulna?

Back 30

during pronation

Front 31

When do the radius and ulna show no superimposition?

Back 31

external rotation (oblique with lateral rotation)

Front 32

What does a true lateral of the forearm show?

Back 32

THe proximal head and neck of the radius, the radial tuberosity, and the trochlear notch.

Front 33

Does the forearm need to show both joints?

Back 33

YES

Front 34

What exam shows the coronoid process free of superimposition?

Back 34

AP oblique (medial rotation)

Front 35

Acute flexion is also called?

Back 35

Jones method

Front 36

Why are the fingers parallel to the IR and not bent in a hand exam?

Back 36

to show joint spaces

Front 37

What should you do with the fingers in a wrist projection?

Back 37

curl them, to move the carpals closer to the IR

Front 38

What is the name of the furthest lateral carpal on the proximal row?

Back 38

Schapoid

Front 39

Name the carpals in order, proximal row first.

Back 39

Schaphoid, Lunate, Triquetrium, Pisiform, Trapezium, Trapazoid, Capitate, Hamate

Front 40

Ok Hotshot, what are the OLD names the carpals in order ?

Back 40

Navicular, Semilunar, Triangular, Pisiform, Greater Multiangular, Lesser Multiangular, Os magnum, Unciform

Front 41

In the anatomical position, what is it called when the hand is moved medially, but the arm is kept straight?

Back 41

Ulnar deviation

Front 42

R______ A_______ is a common pathology that hand and wrist exams are ordered for.

Back 42

Rhumatoid Artharitis

Front 43

How many bones are in the hand?

Back 43

27

Front 44

How many bones in the Phalanges?

Back 44

14

Front 45

How many carpals?

Back 45

8

Front 46

What kind of joint is the 1st MCP?

Back 46

Sellar (saddle)

Front 47

What kind of joint is the DIP?

Back 47

Ginglymus (hinge)

Front 48

What kind of joint are the intercarpals?

Back 48

Plane (Gliding)

Front 49

What kind of joint is the Wrist (carpal to ulna and radius)?

Back 49

Ellipsoid (condyloid)

Front 50

What ind of joint is the proximal and distal radioulnar joints?

Back 50

Trochoid (pivot)

Front 51

What kinda of joint is the elbow?

Back 51

Ginglymus (hinge)

Front 52

kV AP hand?

Back 52

50-60

Front 53

kV Lateral hand?

Back 53

55

Front 54

kV Oblique hand

Back 54

55-65

Front 55

kV wrist and trauma wrist?

Back 55

55-65 and 50-70

Front 56

Define Subluxion

Back 56

partial dislocation

Front 57

Define Sprain

Back 57

rupture or tearing of ligaments

Front 58

Define Contusion

Back 58

bruise without fracture

Front 59

Define Greenstick

Back 59

incomplete fracture

Front 60

fx means?

Back 60

fracture

Front 61

Baseball mallet fx is?

Back 61

fx of distal phalynx

Front 62

Boxer's fx is?

Back 62

broken knuckle

Front 63

Name the fat pads of the elbow

Back 63

anterior fat pad, posterior fat pad, supinator fat stripe.

Front 64

To obtain a lateral forearm:

Back 64

Thumb side must be up & forearm & humerus must be in the same plane

Front 65

To clearly see the olecranon process in profile, which position should be used? rotation

Back 65

AP Oblique w/medial

Front 66

For some soft tissue injuries the lateral elbow is only flexed:

Back 66

30-35 degrees

Front 67

The proximal radioulnar joint is considered a:

Back 67

pivot joint and is diarthrodial

Front 68

For a lateral view of the elbow to be accurate, what should be superimposed?

Back 68

epicondyles of the humerus

Front 69

For a trauma elbow, how many AP projections should be taken

Back 69

2

Front 70

Which projection of the elbow superimposes the forearm and the humerus? flexion

Back 70

AP projection;acute

Front 71

Are both joints usually visualized when taking a forearm on an 11 x 14?

Back 71

YES

Front 72

Which ligament of the wrist extends from the styloid process of the radius to the lateral aspect of the scaphoid & trapezium bones? collateral ligament

Back 72

radial

Front 73

The two important fat stripes around the wrist joint are:

Back 73

scaphoid fat stripe & pronator fat stripe

Front 74

Pathology revealed in a AP forearm?

Back 74

Fractures, dislocations,and pathologic processes such as osteomyelitis or arthritis.

Front 75

Describe Positioning for an AP forearm

Back 75

Entire limb in the same planeShoulder at table levelAlign and centre forearm to long axis of IRSupinate hand (2nd to 5th metacarpal heads against IR)Elbow fully extendedCheck the humeral epicondyles are equidistant from the IR

Front 76

A forearm film is hung from which end?

Back 76

from the fingers...or wrist end.

Front 77

A shoulder is hung from which end?

Back 77

from the shoulder.

Front 78

Rotation of the forearm is shown by ?

Back 78

separation of ulna and radius(lat. rot.) or MORE THAN SLIGHT superimposition (med. rot.) or pronation- if radius is rotated across ulna (hand not supinated)

Front 79

Name wrist fat pads?

Back 79

scaphoid fat stripe and pronator fat stripe

Front 80

Name Elbow fat pads?

Back 80

Anterior fat pad, posterior fat pad, supinator fat stripe.

Front 81

Define Bursitis

Back 81

Inflammation of the bursae (fluid filled sacs that enclose joints)

Front 82

Define Osteroarthritis

Back 82

degenerative joint disease

Front 83

Define Osteoporosis

Back 83

reduction in quantity of bone or atrophy of skeletal tissue

Front 84

Define Rheumatoid Arthritis

Back 84

systemic chronic inflammation of connective tissue.

Front 85

Detect rotation on AP thumb or fingers by?

Back 85

should be symmetric concave sides of phalanges and equal soft tissue.

Front 86

Detect rotation of AP hand.

Back 86

should be symmetric concavity of sides of metacarpals and phalanges 2 thru 5.

Front 87

Detect rotation of Oblique hand

Back 87

true 45degree oblique will have some overlap of 3rd, 4th, and 5th metacarpal head only.

Front 88

Detect rotation for lateral hand

Back 88

radius and ulna should be superimposed. metacarpals should also be superimposed.

Front 89

Detect rotation AP wrist

Back 89

should be equal concavity of proximal metacarpals and near equal distance between proximal carpals.

Front 90

Detect rotation of Lateral wrist

Back 90

true lateral ulnar head will be superimposed over distal radius 2-5 metacarpals aligned and superimposed.

Front 91

Detect rotation for AP Forearm

Back 91

should be humeral epicondyles in profile. radial head, neck, and tuberosity slightly superimposed by ulna.

Front 92

Detect rotation for Lateral Forearm

Back 92

head of ulna and radius SHOULD be superimposed and humeral epicondyles should be superimposed.

Front 93

the wrist joint is also called the

Back 93

radiocarpal joint

Front 94

ellipsoidal joints move in how many directions

Back 94

4

Front 95

cast conversions

Back 95

fiberglass-^25-30%ma or kV^3-4, sm to dry- ^mas 50-60% or kV^5-7, heavy or wet- ^mas 100% or kV ^8-10

Front 96

CR for carpal canal-tangential inferiorsuperior projection for carpal tunnel syndrome inch distal to base of third metacarpal

Back 96

25-30 deg 1