Cervicals

Question 1

What are the views for the cervical trauma series in order?

Answer 1

1 lateral 2 APOM 3 AP 4 anterior obliques 5 flexion and extension laterals

Question 2

What views make up the non-trauma sectional cervical series?

Answer 2

1 lateral 2 APOM 3 AP (in any order)

Question 3

What is the SID for a lateral cervical view?

Answer 3

72

Question 4

What is the CR landmark for a lateral cervical view?

Answer 4

C4 (thyroid cartilage)

Question 5

What anatomy must be included in a lateral cervical?

Answer 5

Occipital base to T1

Question 6

What is the collimation for a lateral cervical?

Answer 6

8x10

Question 7

Where does the CR go for an APOM?

Answer 7

Center of mouth (open)

Question 8

What is the collimation for an APOM?

Answer 8

Vertically to below the lens of the eyes and horizontally to mastoids

Question 9

What anatomy must be present for an APOM?

Answer 9

All of C1 and C2

Question 10

Where does the ID blocker go for an AP cervical?

Answer 10

UP

Question 11

What is the tube tilt for an AP cervical?

Answer 11

15 degrees cephalic

Question 12

Where does the CR go for an AP cervical?

Answer 12

C4 (thyroid cartilage)

Question 13

What is the collimation for an AP cervical?

Answer 13

8x10

Question 14

What anatomy must be present for an AP cervical?

Answer 14

C3 to T1 and lung apices

Question 15

What bony feature is superimposed over the base of the occiput in an AP cervical?

Answer 15

Bottom of mandible

Question 16

What is at the center of an AP cervical film?

Answer 16

C4

Question 17

What imaging study is considered the best choice to exclude fracture according to ACR?

Answer 17

High-resolution CT

Question 18

What is the SID for anterior cervical obliques?

Answer 18

72

Question 19

What is the SID for all cervical views except APOM and AP cervical?

Answer 19

72

Question 20

What is the SID for APOM and AP cervical?

Answer 20

40

Question 21

For an anterior cervical oblique, the patient must be rotated how many degrees away from the PA position?

Answer 21

45

Question 22

What is the tube tilt for anterior cervical obliques?

Answer 22

15 degrees caudal

Question 23

What is the collimation for anterior cervical obliques?

Answer 23

8x10

Question 24

What two cervical films don’t have an 8x10 collimation?

Answer 24

APOM, flexion/extension lateral

Question 25

Which cervical series have tube tilts?

Answer 25

Anterior obliques = 15 caudal Posterior obliques = 15 cephalic AP cervical - 15 cephalic

Question 26

What are the breathing exercises for all cervical views?

Answer 26

Exhale and hold (for AP and APOM, you can also use "don't breathe and don't move")

Question 27

Which IVFs are visible with right anterior cervical obliques?

Answer 27

Right

Question 28

Which IVFs are visible with left anterior cervical obliques?

Answer 28

Left

Question 29

What anatomy must be present for anterior cervical obliques?

Answer 29

Base of occiput to T1

Question 30

What is the purpose of flexion/extension lateral views?

Answer 30

Demonstrate ligament instability and range of motion

Question 31

What is the collimation for flexion/extension lateral views?

Answer 31

Leave open at 10x12

Question 32

Where do we measure calipers for the swimmer's view?

Answer 32

Under the arms, axilla to axilla

Question 33

Which arm is raised for a swimmer's view?

Answer 33

One closest to film

Question 34

Where is the CR for a swimmer's view?

Answer 34

T1

Question 35

What is the breathing instruction for the swimmer's view?

Answer 35

Exhale and hold

Question 36

What is the purpose for the raised arm with swimmer's?

Answer 36

Acts as a natural filter for cervical spine

Question 37

A tube tilt of how many degrees and in which direction MAY be used for swimmer's?

Answer 37

5 degree caudal

Question 38

For a right swimmer's view, which humerus is visible on the inferior aspect of the film?

Answer 38

Left

Question 39

Seating during the cervical series helps to avoid what kind of posture?

Answer 39

Military neck

Question 40

Which is preferred: anterior or posterior cervical obliques and why?

Answer 40

Anterior; radiation protection and shoots into concavity

Question 41

What 5 set ups are all done at 72 SID?

Answer 41

All lateral cervicals, all cervical obliques, PA chest, lateral chest, AP full spine