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100 Cards in this Set

  • Front
  • Back
A general positioning rule is to place the long axis of the part _____ to the long axis of the IR

parallel

A patient arrives in radiology with a metal foreign body in the palm of the hand. Which of the following hand routines should be performed on this patient to confirm the location of the foreign body?


A. PA and Lateral in extension projections


B. PA and lateral flexion projections


C. PA and fan lateral projections


D. PA and Gaynor-Hart Method

A. PA and Lateral in extension projections

A patient enters the ED with a possible Bennett's fracture. Which of the following should be performed to confirm this diagnosis?


A. Finger


B. Wrist


C. Thumb


D. Forearm

C. Thumb

A patient enters the ED with a possible Scaphoid fracture. The patient is unable to assume the ulnar deviation position. Which of the following positions should be performed to confirm the diagnosis?


A. Modified Stetcher


B. Coyle


C. Jones


D. Gaynor-Hart

A. Modified Stetcher

A patient enters the ED with a Smith Fracture. Which region of the upper limb must be radiographed to demonstrate this injury?


A. Trapezium


B. Hand


C. Elbow


D. Wrist and forearm

D. Wrist and forearm

A patient with a history of Carpal Tunnel syndrome comes into radiology. The physician wants to rule out abnormal calcifications in the carpal sulcus. Which of the following projections would best demonstrate this region?


A. Jones Method


B. Coyle Method


C. Carpal Bridge


D. Gaynor-Hart Method

D. Gaynor-Hart Method

A radiograph of a PA projection of the hand reveals that the distal radius and ulna and the carpals were cut off. What should the technologist do to correct this problem?

Repeat the PA projection to include all the carpals and about 1 inch of the distal radius and ulna.
The bending or forcing of the hand laterally with the hand pronated in a posteroanterior (PA) projections is known as:
Ulnar Deviation
The AP oblique bilateral hands projection ("ball-catcher's position") is performed to evaluate early signs of:

Rheumatoid Arthritis

Bennett's Fracture

fracture of the base of the 1st metacarpal

Colles' Fracture

fracture of distal radius with posterior displacement
Boxer's Fracture

transverse fracture through the 5th metacarpal neck
Barton Fracture

fracture and dislocation of posterior lip of distal radius

Smith Fracture

fracture of distal radius with anterior displacement

How should the original kV range be changed with a fiberglass cast applied for a wrist or forearm radiographic procedure?

inc. 3-4 kV

How much rotation of the hands is required for the AP oblique bilateral (Norgaard method) hand projection?

45 degrees

Grids are generally not required unless the anatomy measures greater than _____ cm in thickness.
10cm
What is the name of the joint found between the proximal and distal phalanges of the first digit?

Interphalangeal

Where is the CR centered for a PA projection of the hand?

at the 3rd metacarpophalangeal joint

Which of the following actions will lead to the proximal radius crossing over the ulna?


A. External rotation of elbow


B. Placing epicondyles parallel to image receptor


C. Supination of the hand


D. Pronation of the hand


D. Pronation of the hand
Why is it important to keep the phalanges parallel to the IR for a PA oblique projection of the hand?

prevents foreshortening of the phalanges and obscuring of interphalangeal joints

Which specific anatomy is better visualized with a fan lateral as compared with the other lateral projections of the hand?

Phalanges

Which special projection of the wrist will open up the interspaces on the ulnar side of the wrist?

Radial Deviation
For a PA oblique projection of the 1st digit (thumb) the hand is placed in the:

Prone position


Flexing the fingers for a PA projection of the wrist causes which of the following:


A. Placement of the carpal bones farther form the IR


B. Greater resolution of the carpal interspaces


C. Less pain for the patient when the wrist is broken


D. Placement of the carpal bones closer to the IR

D. Placement of the carpal bones closer to the IR

For the lateral projection of the forearm, the elbow should be flexed:

90 degrees

Be able to label


Radial tuberosity


Distal radio-ulnar joint


Ulnar styloid process


Proximal radio-ulnar joint


Carpal Bridge

sngj

Carpal Canal

oioeng

Radial Deviation

suodbgub

Ulnar Deviation

dbgkbg

Which term describes an abnormal accumulation of fluid in the peritoneal cavity of the abdomen?

Acites

A 3-year old patient comes to radiology for an abdominal study. Even with careful instructions and immobilization, the patient is having difficulty holding still. Which of the following should be done to minimize motion on the radiograph?

use a shorter exposure time

In what quadrant of the abdomen is the appendix located?

right lower quadrant (RLQ)

Why is it important to keep the phalanges parallel to the IR for a PA oblique projection of the hand?

prevents foreshortening of phalanges and obscuring of interphalangeal joints

The prominent protuberance found the anterior aspect of the ilium is the:

Anterior Superior Iliac Spine (ASIS)

A patient enters the ED with a Smith Fracture. Which region of the upper limb must be radiographed to demonstrate this injury?

Wrist and Forearm

T or F: The most common type of involuntary motion in the abdomen is peristalsis.

TRUE

Which of the following muscles should be demonstrated on a well-exposed abdomen projection on an average size patient?


A. Erector Spinae


B. Psoas Major


C. Quadratus Lumborum


D. Latissimus Dorsi

B. Psoas Major

A 16p year old female patient enters the ED with a possible kidney stone. She complains of pain in the right lower pelvis region. Which of the following options should be taken in regard to gonadal shielding?


A. Use it on the preliminary projection only


B. Do not use it


C. Ask the patient or her parents for their permission to no shield the gonads


D. Use it on all projections if correctly placed

B. Do not use it

Which of the following is an alternate name for the scaphoid bone?


A. Multangular


B. Cunieform


C. Navicular


D.Os Calcis

C. Navicular

The bending or forcing of the hand laterally with the hand pronated in a posteroanterior (PA) projection is known as:

Ulnar Deviation

How much rotation of the hands is required for the AP oblique bilateral (Norgaard method) hand projection?

45 degrees

A patient with a fractured forearm had the fracture reduced and a fiberglass cast placed on the extremity. The orthopedic surgeon orders a postreduction study. The original kV was 60 kV. Which one of the following kV factors should be selected for the postreduction study?


A. 70kV


B. 75 kV


C. 63 kV


D. 67 KV

C. 63 kV

There are how many phalanges in the first digit of the hand?

2

To ensure that the diaphragm is included on the erect abdomen projection, the top of the image receptor should be at the approximate level of the:

Axilla

Which of the following manual exposure factors would produce the desired qualities for an abnormal projection on an average sized adult?


A. 75 kV, 400 mA, 1/15 sec,grid, 60-inch SID


B. 75 kV, 400 mA, 1/20 sec, nongrid, 40 inch SID


C. 90 kV, 600 mA, 1/20 sec, grid, 40 inch SID


D. 75 kV, 600 mA, 1/30 sec, grid 40 inch SID

D. 75 kV, 600 mA, 1/30 sec, grid 40 inch SID

What is the name of the joint found between the proximal and distal phalanges of the first digit?

Interphalangeal

To ensure that the inferior margin of the abdomen is included on a KUB radiograph, the technologist should palpate the:

Greater Trochanter or Pubis Symphysis

A general positioning rule is to place the long axis of the part _____ to the long axis of the IR

parallel

A patient comes to radiology with a clinical history of pneumoperitoneum. The patient is able to stand and lie recumbent. Which of the following projections will best demonstrate the severity of this condition?


A. Dorsal Decub


B. AP erect abdomen


C. AP KUB


D. Right Lateral Decub

B. AP erect abdomen

A radiograph of a PA projection of the hand reveals that the distal radius and ulna and the carpals were cut off. What should the technologist do to correct this problem?

Repeat the PA projection to include all the carpals and about 1 inch (2.5 cm) of the distal radius and ulna

Which of the following structures is considered to be the most distal?


A. Radial Head


B. Capitulum


C. Styloid Process


D. Radial Tuberosity

C. Styloid Process

The technologist must _____ manual exposure factors for a patient with severe ascites.

Increase

Which of the following structures is considered to be most proximal?


A. Olecranon Process


B. Head of Ulna


C. Radial Tuberosity


D. Coronoid Process

A. Olecranon Process

Why is the Left Lat Decub preferred over the Right Lateral Decub abdomen for an acute abdomen series?

Any intraperitoneal air will be visualized along the lower liver margin

The correct order of the carpal bones as discussed from lateral to medial, proximal row first, is:

Scaphoid, Lunate, Triquetrum, Pisiform, Trapezium, Trapezoid, Capitate, Hamate

T or F: For a forearm study, you must only include the joint closest to the injury.

FALSE

A patient comes to radiology with possible bleeding within the abdomen. The patient is unable to stand or sit for any projections. Which of the following projections would be most effective in demonstrating fluid within the abdomen for this patient?


A. AP KUB


B. R Lat dorsal Decub


C. AP supine chest


D. L Lat decub

D. L Lat decub

What type of respiration should be employed for abdominal radiography?

Expiration

What is the most obvious positioning error?

What is the most obvious positioning error?

Lateral Decub of the Abdomen


has the same requirements as an upright abdomen.




This picture is missing the DIAPHRAGM and has no marker

What is the most obvious repeatable error?

What is the most obvious repeatable error?

the metal zipper is in the way

What is the most obvious repeatable positioning error?

What is the most obvious repeatable positioning error?

KUB Abdomen


Pubic Symphysis is cut off- may have to go back and do just a bladder shot which is done with an 8 X 10

What are the positioning errors? Repeatable?

What are the positioning errors? Repeatable?

Upright Abdomen


Too much Pubic Symphysis


No diaphragm


Sides are cut off


Would have to repeat

Apathologic condition in which twisting of a loop of intestine creates anobstruction is termed

Volvulus

Intussusception

When bowel loops into itself and you have to pop it back out


-common in children

Whatis the preferred length of time a patient should lie on his or her side priorto a lateral decubitus projection?

5 minutes

Whereis the CR centered for an AP erect abdomen projection as part of an acuteabdomen series?

By the Book: 1 to2 inches (5 cm) above iliac crest




Practicality: top of Axilla to give as much abdomen as you can

Whichof the following projections will best demonstrate intraperitoneal free air?


A. KUB


B.Dorsal decubitus


C. Leftlateral decubitus


D. PAchest

PA or LLDecub


KUB WILL NOT SHOW FREE AIR

What does this picture demonstrate?

What does this picture demonstrate?

Pneumoperitoneum

What does this picture demonstrate?

What does this picture demonstrate?

Large Bowel Obstruction

What does this picture demonstrate?

What does this picture demonstrate?

Small Bowel Obstruction

Is this image acceptable?

Is this image acceptable?

No, the diaphragm is cut off

Tortion

the action of twisting or the state of being twisted, especially of one end of an object relative to the other.

Bennett's Fracture

fracture at base of 1st metacarpal


results of fist fights

Boxer's Fracture

fracture of 5th metacarpal


caused by direct force to closed fist

What is this a picture of?

What is this a picture of?

Bennett's Fracture

What is this a picture of?

What is this a picture of?

Boxer's Fracture

What is this a picture of?

What is this a picture of?

A distal metacarpal fracture

Colles' Fracture

Fractureof distal radius and ulnar styloid with posterior displacement


-hand bent backward


Morefrequent in older adults who fall on an outstretched hand

Smith's Fracture

Fractureof distal radius and ulnar styloid with anterior displacement


-hand bent forward


Oftenreferred to as a reverse Colles'

Common Wrist Fractures



Torus or Buckle Fracture

Impactedfracture with a bulging of the periosteum


Mostcommon fracture of the distal radius and ulna in young children

Osteochondroma

osteo- bone


chondro- cartilaginous in origin


oma- tumor


grow out from bone and then parallel


not cancerous but destroys the bone


knee, elbow, wrist, ankle

Acromegaly

pituitary tumor/abnormality that causes abnormal bone growth

Enchondroma

en- within


chondro- cartilaginous in origin


oma- tumor


starts within bone and grows out


spreads out until it completely destroys the bone

Anatomy within RUQ

Liver


Galbladder


Right Colic Flexure


Duodenum


Head of Pancreas


R Kidney


R Suprarenal Gland

Anatomy within LUQ

Spleen


Stomach


Left Colic Flexure


Tail of Pancreas


L Kidney


L Suprarenal Gland

Anatomy within RLQ

Ascending colon


Appendix


Cecum


2/3 of Ileum


Ileocecal Valve

Anatomy within LLQ

Descending Colon


Sigmoid colon


2/3 of Jejunum

Nine Regions of the Abdomen from R to L from Top to Bottom

1. R Hypochondriac


2. Epigastric


3. L Hypochondriac


4. R Lateral (lumbar)


5. Umbilical


6. L Lateral (lumbar)


7. R inguinal (iliac)


8. Pubic (hypogastric)


9. L Inguinal (iliac)

Topographic landmarks of pelvis

Symphysis Pubis


Greater Trochanter


Crest of Ilium


ASIS


Ischial Tuberosity

What 2 large abdominal muscles extend next to the lumbar spine and are indicators of a well-exposed KUB?

psoas major

Which of the following is NOT one of the accessory organs for digestion?


1. Spleen


2. Pancreas


3. Liver


4. Galbladder

1. Spleen

The sigmoid colon is located in the ______ quadrant

LLQ

What are the normal positions for a KUB?

AP and Supine

What are the positions in an acute abdomen series? (FUA)

AP Supine


AP erect


PA erect chest

WHat are the Decubitus positions for an abdomen?

LAteral decub


Dorsal decub

Patients with severe retained gas will require a _________ in technique

reduction

Patients with Ascites will require a __________ in technique

increase