Bontrager Chapter 5

Front 1

What terms correctly describe the shoulder joint?

Back 1

Scapulohumeral & glenohumeral

Front 2

Which specific joint is found on the lateral end of the clavicle?

Back 2

Acromionclavicular

Front 3

Which of the following structure of the scapula extends most anteriorly?

Glenoid cavity
Acromion
Scapulae spine
Coracoid process

Back 3

Coracoid process

Front 4

T/F : the male clavicle is shorter and less curved than the female clavicle

Back 4

False

Front 5

Which bony structure separates the supraspinous and infraspinous fossae?

Back 5

Scapular Spine

Front 6

Which of the following structures is considered most posterior?

Scapular notch
Coracoid process
Acromion
Superior border of scapula

Back 6

Acromion

Front 7

What type of movement is the scapulohumeral joint?

Back 7

Spheroidal

Front 8

Which one of the following technical considerations does not apply for adult shoulder radiography?

A: Center and AEC chamber activated
B: High-speed IR
C: 40-44 in (100 to 110cm) SID
D: 70 to 80 kV (with grid)

Back 8

A: Center and right automatic exposure control (AEC) chamber activated

Front 9

T/F : Even though the amount of radiation exposure is minimal for most shoulder projections, gonadal shielding should be used for children and adults of child bearing age

Back 9

True

Front 10

T/F: the greatest technical concern during a pediatric shoulder study is voluntary movement.

Back 10

True

Front 11

Which imaging modality or procedures best demonstrates osteomyelitis.

Back 11

NM

Front 12

Which imaging modality or procedure provides a functional, or dynamic, study of the shoulder?

Back 12

US

Front 13

Which Projection and/or position best demonstrates signs of impigement syndrome?

Back 13

Scapular Y method

Neer method

Front 14

Which pathologic condition often produces narrowing of the joint space?

Back 14

Rheumatoid arthritis

Front 15

Which basic projection of the shoulder requires that the humeral epicondyles be parallel to the IR?

Back 15

External rotation

Front 16

Which pathologic conditions may require a reduction in manual exposure factors?

Back 16

Rheumatoid arthritis

Osteoporosis

Front 17

Where is the central ray centered for a AP projection of the shoulder?

Back 17

1' inferior to coracoid process

Front 18

Which position of the shoulder and proximal humerus projects the lesser tubercle in profile medially?

Back 18

Internal rotation

Front 19

What central ray angle should be used for the inferosuperior axial projection for the glenohumeral joint space?

Back 19

25-30 degrees medially

Front 20

To best demonstrate the Hill-Sachs defect on the inferosuperior axial projection, which additional positioning maneuver must be used?

Back 20

Exaggerated external rotation

Front 21

How are the humeral epicondyles aligned for a rotational lateromedial projection of the humerus ?

Back 21

Perpendicular to IR

Front 22

Which special projection of the shoulder places the glenoid cavity in profile for an open scapulohumeral joint?

Back 22

Grashy method

Front 23

For the erect version of the tangential projection for the intertubercular groove, the patient lens forward ______ from vertical .

Back 23

10 - 15 degrees

Front 24

What is the major advantage of the supine, tangential version of the intertubercular groove projection over the erect version ?

Back 24

Reduced OID

Front 25

Which projection best demonstrates the supraspinatus outlet region?

Back 25

Scapular Y lateral

Neer method

Front 26

With which of the following projections is a breathing technique recommended ?

Grashey method

Transthoracic lateral

Scapular Y lateral

Garth method

Back 26

Grashey method

Transthoracic lateral

Garth method

Front 27

What central ray angulation is required for the supraspinatus outlet tangential projection (Neer method)?

Back 27

10 - 15 degrees caudad

Front 28

Which pathologic feature is best demonstrated with the Garth method?

Bursitis

Rheumatoid arthritis

Scapulohumeral dislocations

Shoulder impingement

Back 28

Scapulohumeral dislocations1

Front 29

Which anatomy of the shoulder is best demonstrated with a superoinferior axial projection (Hobbs modification)?

Scapulohumeral joint spaces

Coracoacromial arch

Coracoid process

Scapula in profile

Back 29

Scapulohumeral joint spaces

Front 30

If the patient cannot fully abduct the arm 90 for the inferosuperior axial projection (Clements modification), the technologist can angle the CR _____ degrees toward the axillara.

Back 30

5 - 15 degrees

Front 31

Which of the following projections requires the CR to be centered 2" inferior and medial from the superolateral border of the shoulder?

Tangential projection

Inferosuperior axial

Posterior oblique

Scapula Y lateral

Back 31

Posterior oblique (Grashey method)

Front 32

Which anatomy best demonstrated with the Alexander method?

Back 32

AC joints

Front 33

Which type of injury should be ruled out before the weight-bearing phase of an AC joint study?

Back 33

Fractured clavicle

Front 34

What is the minimum amount of weight a large adult should have strapped to each wrist for the weight-bearing phase of an AC joint study?

Back 34

8-10 lbs

Front 35

T/F:

A posteroanterior PA axial projection of the clavicle requires a 35-34 degree caudal central ray angle.

Back 35

False

Front 36

T/F:

A 72" SID is recommended for acromioclavicular joint study.

Back 36

True

Front 37

Situation:

A radiograph of a posterior oblique (Grashey method) reveals that the anterior and posterior glenoid rims are not superimposed. The following positioning factors were used: erect position, body rotated 35 degrees toward the affected side, central ray perpendicular to scapulohumeral joint space, and affected arm slightly abducted in neutral rotation. Which one of the following modification will superimpose the glenoid rims during the repeat exposure?

Back 37

Rotate body more toward affected side

Front 38

Situation:

A patient with a possible shoulder dislocation enters the emergency room. A neutral, AP projection of the shoulder has been taken, confirming a dislocation, Which additional projection should be taken?

Back 38

Garth method

Front 39

Situation:

A radiograph of an AP axial clavicle taken on an asthenic type patient reveals that the clavicle is projected in the lung field below the top of the shoulder. Patient was erect position, central ray angled 15 degree cephalad, 40" SID, and respiration suspended at the of expiration, What should be modified?

Back 39

Increase central ray angulation

Front 40

Situation:

Patient has a history of tendonitis of the biceps tendon. Which projection will best demonstrate calcification of the tendon within the intertubercular groove?

Back 40

Tangential projection

Fisk Modification

Front 41

Situation:

Patient with possible acromioclavicular separation enters the emergency room. Which routine should be used?

Back 41

Acromioclavicular joint series: non-weight bearing projections

Front 42

Situation:

An AP apical oblique axial radiographic image shows poor visibility of the shoulder joint. Patient was erect, facing the x-ray tube, 45 degree of rotation of affected shoulder toward the IR, 45 degree cephalad angle, and the CR centered to the scapulohumeral joint. What would have contributed to the poor Garth position?

Back 42

Wrong direction of CR angle

Front 43

Situation:

Patient is referred to radiology for a nontrauma shoulder series. Routine calls for superoinferior axial projection (Hobbs modification). But the patient is unable to stand and is confined to a wheelchair. What should the technologist do?

Back 43

Perform the projection with the patient's upper chest prone on the table

Front 44

SituationA patient enters the ER with a proximal and mid-humeral fracture. The patient is in extreme pain. Which position routine would demonstrate the entire humerus without excessive movement of the limb

Back 44

AP and transthoracic lateral of humerus