AC Joint Test

Question 1

Which of the following evaluation criteria are demonstrated on the supine abdomen? Choose all that apply.

a.) outline of liver, spleen, kidneys and stomach
b.) bowel segments
c.) symphisis pubis
d.) ischial tuberosity

Answer 1

a.) outling of liver, spleen, kidneys and stomach
b.) bowel segments
c.) symphisis pubis

Question 2

Which of the following evaluation criteria are best demonstrated on the lateral chest projection? Choose all that apply.

a.) entire lungs
b.) sternum anteriorly to posterior ribs and thorax posterior
c.) posterior ribs and costophrenic angle on side away from IR
d.) chin and arms should be down

Answer 2

a.) entire lungs
b.) sternum anteriorly to posterior ribs and thorax posterior
c.) posterior ribs and costophrenic angle on side away from IR

Question 3

What is the correct central ray using the vertebra prominens on a female patient for PA chest projection?

a.) 5’’
b.) 6’’
c.) 7’’
d.) 8’’

Answer 3

c.) 7’’

Question 4

The ___________ should be in the center of the radiograph on a lateral chest xray.

a.) heart
b.) apices
c.) hilum
d.) thoracic vertabrae

Answer 4

c.) hilum

Question 5

Which of the following evaluation criteria are best demonstrated on posterior oblique projection? Choose all that apply.

a.) decreased magnification of anterior diaphragm
b.) lungs appear shorter
c.) heart and great vessels appear larger
d.) increased magnification of anterior diaphragm

Answer 5

b.) lungs appear shorter
c.) heart and great vessels appear larger
d.) Increased magnification of anterior diaphragm

Question 6

On the lateral chest projection the CR and IR should be lowered a minimum of ____________from the PA to prevent clipping angles.

a.) 0’’
b.) 1/2’’
c.) 1’’
d.) 1 1/2’’

Answer 6

c.) 1’’

Question 7

Which of the following is another name for abodomen series? Choose all that apply.

a.) acute abdomen series
b.) two way
c.) three way abodmen
d.) PA chest

Answer 7

a.) acute abdomen series
b.) two way
c.) three way abodmen

Question 8

How far above the shoulders should the IR be placed for the lordotic chest projection?

a.) 1’’
b.) 1 1/2 to 2’’
c.) 3’’
d.) 4’’

Answer 8

c.) 3’’

Question 9

Which of the following evaluation criteria is best demonstrated on PA chest radiograph? Choose all that apply.

a.) chin is elevated to prevent superimposition of apices
b.) both SC joints same distance from center line of spine
c.) minimum of 10 posterior ribs above diaphragm
d.) shoulders rotated forward to place scapula in the lung field
e.) motion on radiograph

Answer 9

a.) chin is elevated to prevent superimposition of apices
b.) both sc joints same distance from center line of spine
c.) minimum of 10 posterior ribs above diaphragm

Question 10

Where is the central ray directed on the supine abodomen projection?

a.) perpendicular to level of iliac crest
b.) 2’’ above iliac crest
c.) 1’’ above iliac crest
d.) 1’’ below iliac crest

Answer 10

a.) Perpendicular to level of iliac crest

Question 11

How much should the cross table lateral hip be elevated?

a.) no elevation is required
b.) 1 to 2’’
c.) 3’’
d.) 4’’

Answer 11

b.) 1 to 2 ‘’

Question 12

What is the main purpose for taking the first image of AP AC joints weights?

a.) rule out fracture of the scapula
b.) rule out fracture of the head of humerus
c.) rule out clavicular fracture
d.) rule out AC joint seperation

Answer 12

d.) rule out AC joint seperation

Question 13

Which of the following best describes the reason lordotic chest radiographs are ordered by a physician?

a.) no special reason
b.) place clavicles well above the apices of the lungs. In order to rule out masses or calcifications under the clavicles
c.) place clavicles down into the lungs
d.) see diaphragm

Answer 13

b.) place clavicles well above the apices of the lungs. In order to rule out masses or calcification under the clavicles

Question 14

What is the degree of rotation used to demonstrate pulmonary disease on the anterior oblique projection?

a.) 5 to 10 degree
b.) 45 degrees
c.) 60 degrees
d.) 15 to 20 degrees

Answer 14

d.) 15 to 20 degrees

Question 15

On the lateral decubitus chest radiograph if the patient has possible pleural effusion how should the patient be positioned?

a.) suspected side up
b.) suspected side down
c.) suspected side should be supine
d.) suspected side should be prone

Answer 15

b.) suspected side down

Question 16

What is the correct SID for all chest radiographs?

a.) 40’’
b.) 48’’
c.) 70’’
d.) 72’’

Answer 16

d.) 72’’

Question 17

Which of the following evaluation criteria are best demonstrated on AP chest projection? Choose all that apply.

a.) heart appears larger due to increased magnification from shorter SID and increased OID
b.) pleural effusion obscures lung markings
c.) without horizontal beam fluid levels may no be seen
d.) inspiration may not be full
e.) only eight or nine ribs are seen above diaphragm
f.) lungs appear more dense

Answer 17

a.) heart appears larger die to increased magnification from shorter SID and increased OID
b.) pleural effusion obscures lung markings
c.) without horizontal beam fluid levels may not be seen
d.) inspiration may not be full
e.) only eight or nine ribs are seen above diaphragm
f.) lungs appear more dense

Question 18

Where is the CR directed on anterior oblique chest projections?

a.) T3
b.) T4
c.) T6
d.) T7

Answer 18

d.) T7

Question 19

Two exposures are commonly made of the AC joints- one without weights and one with weights. How are the weights applied?

a.) affixed to the elbows
b.) held by the fingers
c.) held in the hands
d.) affixed to the wrists

Answer 19

d.) affixed to the wrists

Question 20

Which of the following best describes the part position on the posterior oblique projection of the chest?

a.) top of IR 2’’ above the vertebra prominens
b.) top of IR 1’’ above vertebra prominens
c.) 5’’ above level of jugular notch
d.) 4’’ above level of jugular notch

Answer 20

b.) top of IR 1’’ above vertebra prominens

Question 21

Which of the following evaluation criteria should be demonstrated on AP lordotic chest projection? Choose all that apply.

a.) clavicles should be above apices
b.) medial aspect of clavicles superimposed by first ribs
c.) posterior ribs will appear horizontal
d.) sternal ends of clavicles same distance from vertebral column

Answer 21

a.) clavicles should be above apices
b.) medial aspect of clavicels superimposed by first ribs
c.) posterior ribs will appear horizontal
d.) sternal ends of clavicels same distance from vertebral column

Question 22

What structures should be demonstrated on the cross table lateral hip projection?
1.) entire femoral head and neck
2.) trochanter
3.) acetabulum
4.) greater trochanter

a.) 1 and 2
b.) 2 and 3
c.) 2 and 4
d.) 1, 2 and 3

Answer 22

d.) 1, 2 and 3

Question 23

What is the purpose for performing acute abodmen series? Choose all that apply.

a.) free air
b.) gas
c.) air fluid levels
d.) fecal material

Answer 23

a.) free air
c.) air fluid levels

Question 24

Patient should be placed on radiopaque pad for lateral decubitus chest.

a.) true
b.) false

Answer 24

b.) false

Question 25

What amount of weight should an asthenic patient hold for the AP AC joints?

a.) 5 lbs only
b.) 8 lbs only
c.) 5 to 8 lbs
d.) 8 to 10 lbs

Answer 25

c.) 5 to 8 lbs

Question 26

What SID should be used on the AP projections of the AC joints?

a.) 40’’
b.) 48’’
c.) 70’’
d.) 72’’

Answer 26

d.) 72’’

Question 27

Situation: A study of a prosthetic hip demonstrates that the end of the prosthesis is cut off on the AP projection but the entire device is demonstrated on the lateral projection. What should the technologist do next?

a.) ask another technologist for his or her opinion
b.) ask the radiologist if he or she wants the AP projection repeated
c.) repeat the AP projection only
d.) repeat both the AP and lateral projectons

Answer 27

c.) repeat the AP projection only

Question 28

The right lung has ___________ lobes and the left lung has ___________ lobes.

a.) 3;2
b.) 2;3
c.) 2;1
d.) 2;4

Answer 28

a.) 3;2

Question 29

What is the correct rotation for the oblique chest projection?

a.) 20 degrees
b.) 30 degrees
c.) 40 degrees
d.) 45 degrees

Answer 29

d.) 45 degrees

Question 30

Which of the following best describes the patient position for lordotic chest xray?

a.) patient should be standing 1/2’’ away from IR leaning back
b.) patient should be standing 3’’ away from IR leaning back
c.) patient should be standing 1 foot away from IR leaning back
d.) patient should be standing 3 feet away from IR leaning back

Answer 30

c.) patient should be standing 1 foot away from IR leaning back

Question 31

If patient has suspected amounts of air (pneumothorax) how should the patient be positioned?

a.) affected side should be down
b.) affected side should be up
c.) patient should be prone
d.) patient should be supine

Answer 31

b.) affected side should be up

Question 32

The only difference between PA erect chest and PA stretcher chest is the arms are wrapped around wall/cassette.

a.) true
b.) false

Answer 32

a.) true

Question 33

Which of the following evaluation criteria are best visualized with 60 degree LAO chest projection? Choose all that apply.

a.) air filled trachea
b.) great vessels
c.) heart outline
d.) hilum

Answer 33

a.) air filled trachea
b.) great vessels
c.) heart outline

Question 34

Which of the followign methods demonstrate the hip in an axiolateral projection?

a.) chassard-lapine
b.) lauenstein, hickey
c.) danelius miller
d.) modified cleaves

Answer 34

c.) danelius miller

Question 35

When is a 60 degree oblique chest radiograph required?

a.) studies of the right lung
b.) studies of the left lung
c.) studies of the heart and great vessels
d.) studies of the hilum

Answer 35

c.) studies of the heart and great vessels

Question 36

Which of the followign best describes the central ray direction on the lateral decubitus chest projection? Choose all that apply.

a.) T3
b.) 2 to 3’’ below jugular notch
c.) T7
d.) 3 to 4’’ below the jugular notch

Answer 36

c.) T7
d.) 3 to 4’’ below the jugular notch

Question 37

The central ray should be directed __________ to the midsternum for _________

a.) 5 to 10 degree cephalad; decubitus chest projection
b.) 10 to 15 degrees caudad; oblique chest projection
c.) 15 to 20 degrees caudad; AP supine lordotic chest projection
d.) 15 to 20 degrees cephalad; AP supine lordotic chest projection

Answer 37

d.) 15 to 20 degree cephalad; AP supine lordotic chest projection

Question 38

Which of the following evaluation criteria best demonstrates no rotation of the AC joints?

a.) AC joints slightly rotated
b.) right AC joint higher than left
c.) SC joint symmetric on each side of vertebral column
d.) left AC joint slightly rotated on the vertebral column

Answer 38

c.) SC joint symmetric on each side of vertebral column

Question 39

What is the correct amount of weights used for large adult patients on the AP AC joint projection?

a.) 2 lbs
b.) 5 lbs
c.) 5 to 8 lbs
d.) 8 to 10 lbs

Answer 39

d.) 8 to 10 lbs

Question 40

In order to accurately position the patient for hip images, one has to localize two bony points on the pelvis. These two references points are the:
1.) superior margin of the pubis symphissi
2.) lesser trochanter of the femur
3.) anterior superior iliac spine

a.) 2 and 3
b.) 1 and 3
c.) 1, 2 and 3
d.) 1 and 2

Answer 40

b.) 1 and 3

Question 41

Which of the following is the correct CR level and inches for AP projection of the chest?

a.) CR level T3 and 7’’ below jugular notch
b.) CR level T4 and 3’’ below jugular notch
c.) CR level T7 and 7 to 8’’ below jugular notch
d.) CR level T7 and 3 to 4’’ below jugular notch

Answer 41

d.) CR level T7 and 3 to 4’’ below jugular notch

Question 42

Central ray is directed midway between the _________ and ____________ on the AP pelvis projection.

a.) ASIS; obturator foramen
b.) crest; ASIS
c.) ilium; ASIS
d.) ASIS; symphisis pubis

Answer 42

d.) ASIS; symphisis pubis

Question 43

Which of the following best describes the CR for PA chest projection?

a.) CR is angled caudad
b.) CR is perpendicular to IR
c.) CR is angled cephalad
d.) IR not centered to CR

Answer 43

b.) CR is perpendicular to IR

Question 44

Where is the CR centered for an AC joint projection?

a.) 1’’ above the jugular notch at the level of the AC joints
b.) 2 onches (5cm) below C5 at the level of the AC joints
c.) At the sternal angle at the level of T2
d.) at the affected AC joint

Answer 44

a.) 1’’ above the jugular notch at the level of the AC joints

Question 45

Which of the following evaluation criteria should be demonstrated on anterior oblique chest projection? Choose all that apply.

a.) hilum
b.) outline of diaphragm
c.) heart should appear sharp
d.) no motion

Answer 45

b.) outline of diaphragm
c.) heart should appear sharp
d.) no motion

Question 46

The correct exposure on a chest radiograph should be made at the end of first inspiration.

a.) true
b.) false

Answer 46

b.false

Question 47

Which of the following must be included on your image when performing AP AC joints? Choose all that apply.

a.) right marker
b.) left marker
c.) without weights marker
d.) with weights marker

Answer 47

a.) right marker
b.) left marker
c.) without weights marker
d.) with weights marker

Question 48

Which of the following respirations is correct for AP chest radiograph?

a.) only one inspiration
b.) double inspiration
c.) expiration
d.) inspiration and expiration

Answer 48

b.) double inspiration

Question 49

How high should the IR be placed above the shoulders for the PA chest projection?

a.) 1/2’’
b.) 1’’
c.) 1 1/2’’ to 2’’
d.) 3’’

Answer 49

c.) 1 1/2’’ to 2’’

Question 50

Rotation should be evident in an AP projection of acromioclavicular joints

a.) true
b.) false

Answer 50

b.) false

Question 51

Which of the following bones connects the upper limb to the trunk?
1.) clavicle
2.) scapula
3.) humerus

a.) 1 and 3
b.) 1 and 2
c.) 2 and 3
d.) 1, 2 and 3

Answer 51

c.) 1 and 2

Question 52

Which of the following best describes the CR on the AP chest projection?

a.) CR perpendicular to long axis of the sternum
b.) CR angled cephalad to chest
c.) CR angled caudad to be perpendicular with long axis of sternum
d.) CR angled caudad to lungs

Answer 52

c.) CR angled caudad to be perpendicular with long axis of sternum

Question 53

Which of the following parts should be checked for no rotation on the supine abdomen?

a.) shoulders
b.) pelvis
c.) bladder
d.) femurs

Answer 53

a.) shoulders
b.) pelvis

Question 54

Which of the following views must be included on acute abodmen series? Choose all that apply.

a.) PA Chest
b.) erect/upright abdomen
c.) supine abdomen
d.) lateral chest

Answer 54

a.) PA chest
b.) erect/upright abdomen
c.) supine abdomen

Question 55

Which of the following criteria are demonstrated on the anterior oblique projections? Choose all that apply.

a.) air filled trachea
b.) great vessels
c.) hilum
d.) costophrenic angles

Answer 55

a.) air filled trachea
b.) great vessels
d.) chostophrenic angles

Question 56

How many degrees is the lower limb and foot rotated internally for an AP hip?

a.) 15 to 20 degrees
b.) 0 degrees
c.) 5 to 7 degrees
d.) 30 to 35 degrees

Answer 56

a.) 15 to 20 degrees

Question 57

Which of the following evaluation criteria should be included on the lordotic chest projection? Choose all that apply.

a.) entire ling fields
b.) only apices should be included
c.) clavicles should not be seen
d.) clavicles should be included

Answer 57

a.) entire lung fields
d.) clavicles should be included

Question 58

Where is the central ray directed on lordotic chest projection? Choose all taht apply.

a.) central is perpendicular to IR
b.) centered to midsternum
c.) centered 3 to 4’’ below jugular notch
d.) CR is centered 2’’ below jugular notch

Answer 58

a.) central is perpendicular to IR
b.) centered to midsternum
c.) centered 3 to 4’’ below jugular notch

Question 59

Which of the following are correct patient position for PA chest projection. Choose all that apply.

a.) patient should be erect
b.) feet spread slightly
c.) hands on hips palm out with elbows flexed
d.) rotate shoulders forward and depress shoulders
e.) chin should be down

Answer 59

a.) patient should be erect
b.) feet spread slightly
c.) hands on hips palm out with elbows flexed
d.) rotate shoulders forward and depress shoulders

Question 60

To evaluate a 45 degree rotation on anterior oblique chest projection. The distance from the outer margin of the ribs to the vertebral column on the side ____________from the IR should be approximately _____________ times the distance of the side closest to the IR.

a.) closest, three
b.) fartherest, two
c.) closest, one
d.) fartherest, three

Answer 60

b.) fartherest, two

Question 61

A left AP hip image of a patient who was rotated toward the right side demonstrates:
1.) a narrowed right obturator foramen
2.) the sacrum and coccyx rotated toward the left hip
3.) a narrowed left iliac wing
4.) the lesser trochanter in profile

a.) 2, 3 and 4 only
b.) 2 and 3 only
c.) 1 only
d.) 1, 2 and 3 only

Answer 61

c.) 1 only

Question 62

Which of the following evaluation criteria are demonstrated on the lateral decubitus chest radiograph? Choose all that apply.

a.) entire lungs
b.) apices
c.) only one costophrenic angle
d.) both lateral borders of ribs

Answer 62

a.) entire lungs
b.) apices
d.) both lateral borders of ribs

Question 63

A radiograph of an axiolateral (inferosuperior) projection of the hip reveals a soft tissue artifact seen across the affected hip. This artifact prevents a clear view of the femoral head and neck. What must the technologist do to eliminate this artifact or its effect during the repeat exposure?

a.) slightly rotate the patient toward the affected side and angle 5 degrees caudad
b.) increase the elevation and flexion of the patients unaffected leg
c.) increase the KV
d.) ensure that the CR is centered to the grid to prevent grid cutoff

Answer 63

b.) increase the elevation and flexion of the pateints unaffected leg

Question 64

What is the central ray using the vertebra prominens on a male patient for PA chest projection?

a.) 5’’
b.) 6’’
c.) 7’’
d.) 8’’

Answer 64

d.) 8’’

Question 65

Which of the following is correct regarding part position for PA chest projection? Choose all that apply.

a.) center to level of T7
b.) alighn midsagital plane with CR
c.) ensure rotation
d.) top of IR should be 1’’ above top of shoulders

Answer 65

a.) center to level of T7
b.) align midsagital plane with CR

Question 66

Which of the following are best demonstrated on the lateral projection of the chest? Choose all that apply.

a.) patient erect, left side against IR
b.) arms raised above head
c.) chin up
d.) central ray is centered to midthorax at T7

Answer 66

a.) patient erect, left side against IR
b.) arms raised above head
c.) chin up
d.) central ray is centered to midthorax at T7

Question 67

Situation: patients condition requires AC joints to be radiographed supine. Therefore, anyone is allowed to gently pull down on the patients shoulder and arms

a.) true
b.) false

Answer 67

b.) false

Question 68

A nonrotated AP pelvis image demonstrates:
1.) the sacrum and coccyx aligned with the symphsis pubis
2.) the ischial spines aligned with the pelvic brim
3.) a narrow right iliac wing and wider left iliac wing
4.) symmetrically appearing obturator foramen

a.) 1, 2 and 4 only
b.) 1, 3 and 4 only
c.) 3 and 4 only
d.) 1 only

Answer 68

a.) 1, 2 and 4 only

Question 69

What is the maximum amount of rotation on a lateral chest xray?

a.) 1/4 to 1/2 inch
b.) 1/3 to 1/2 inch
c.) 2 inches
d.) 3 inches

Answer 69

a.) 1/4 to 1/2 inch

Question 70

Which of the following structures should be demonstrated on the cross table lateral projection?
1.) femoral head and neck
2.) trochanter
3.) acetabulum
4.) distal femoral neck should be superimposed by greater trochanter
5.) soft tissue of unaffected leg is not superimposed over affected hip

a.) 1 only
b.) 2 and 3
c.) 4 and 5
d.) 1, 2, 3, 4 and 5

Answer 70

d.) 1, 2, 3, 4 and 5

Question 71

Which of the following is the correct sid for decubitus chest radiograph?

a.) 36’’
b.) 40 ‘’
c.) 72’’
d.) 70’’

Answer 71

c.) 72’’

Question 72

An AP hip image with accurate positioning demonstrates the:
1.) lesser trochanter in profile
2.) greater trochanter in profile
3.) femoral neck without foreshortening
4.) sacrum rotated toward the affected hip

a.) 1, 2 and 3 only
b.) 2 and 3 only
c.) 1 only
d.) 2, 3 and 4 only

Answer 72

b.) 2 and 3 only

Question 73

Which of the following evaluation criteria is demonstrated on PA chest projection? Choose all that apply.

a.) both lungs from apices to costophrenic angles
b.) air filled trachea
c.) hilum markings
d.) heart

Answer 73

a.) both lungs from apices to costophrenic angles
b.) air filled trachea
c.) hilum markings
d.) heart

Question 74

Which of the following evaluation criteria should be demonstrated on the AP AC joints? Choose all that apply.

a.) right AC joint
b.) left AC joint
c.) entire clavicles
d.) SC joints
e.) AC joints should not be in same plane

Answer 74

a.) right AC joint
b.) left AC joint
c.) entire clavicles
d.) SC joints