Chapter Four Flashcards

1
Q

Must include ______ to ______ when performing bone images

A

Joint to joint

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2
Q

When demonstrating lumps/bumps on structures use __1__. To indicate entrance or exit wounds, use __2__.

A
  1. Metallic BBs
  2. Arrows
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3
Q

Do you remove splints or wraps when doing a radiograph?

A

No, unless indicated on orders

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4
Q

When performing finger or toe exams be sure to _____ what digit has been imaged to avoid confusion.

A

Annotate

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5
Q

If multiple digits on the same extremity, you must _________

A

Radiograph each digit individually

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6
Q

MCP

A

Metacarpophalageal

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7
Q

PIP

A

Proximal interphalangeal

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8
Q

J

A

Joint

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9
Q

IP

A

Interphalangeal

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10
Q

General procedure for radio graphing digits 2-5

  1. Film size
  2. SID
  3. Projection
A
  1. 8x10 LW or CW
  2. 40”
  3. PA
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11
Q

When x-raying fingers 2-5

  1. Patient should sit ________
  2. Extend the digit and place ______ surface on IR, as flat as possible
  3. Center the _______ to the IR
  4. CR
  5. Collimation
A
  1. At end of table
  2. Palmer
  3. PIPJ
  4. Perpendicular to IR and directed to PIPJ
  5. Closely, tip of finger to head of metacarpal
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12
Q

Always __1__ orders and only perform the exam that has been ordered.

A

Check *if in doubt contact physician for verification

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13
Q
A
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14
Q

For a PA Oblique Projection (lateral rotation)

  1. seat patient where?
  2. place patients ______ on the table with hand pronated and palm resting on IR
  3. Center IR at level of _______
  4. rotate hand ______
  5. Digits seperated and at a ________ degree angle
  6. CR: perpendicular to IR directed to ______ of the affected digit
A
  1. at end of table
  2. forearm
  3. PIPJ
  4. externally
  5. 45
  6. PIPJ
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15
Q

Lateral Projection
Lateromedial or mediolateral

  • seat patient at end of exam table
  • most comfortable position for pt.
  • extend digit to be radiographed, close the remaining digits into a __1__ and hold them with the __2__
  • CR: perp to IR, directed to __3__ of affected digit
A
  1. fist
  2. thumb
  3. PIPJ
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16
Q

PA Projection Thumb:

-place hand in lateral position with ulnar or medial surface of IR

-place the __1__ portion of thumb parallel with the IR

-central ray perpendicular to the __2__

-magnification due to __3__

A
  1. Dorsal position
  2. MCPJ
  3. OID
17
Q

Lateral projection (thumb)

Mediolateral

  • place __1__ surface on IR (with natural __2__)
  • keep long axis of part to the __3__ of IR
  • CR perp to __4__
A
  1. Palmer
  2. Arch
  3. Long axis
  4. MCPJ
18
Q

PA Oblique Projection (thumb)

  • with thumb __1__ place palmer surface of IR
  • ulnar __2__ the hand slightly
  • long axis of thumb with __3__ of IR
  • CR perpendicular to __4__
A
  1. Abducted
  2. Deviate
  3. Long axis
  4. MCPJ
19
Q

When hand is palm down, the thumb is natrually ______

A

Oblique

20
Q

“Routine Hand” is noramlly what view(s)?

A
  • PA
  • PA Oblique
  • Fan Lateral
21
Q

When doing hand radiographs, the SID should be __1__ on __2__ 8x10 cassettes __3__.

A
  1. 40”
  2. 3
  3. LW (portrait)
22
Q

PA HAND

  1. This surface flat on the table
  2. long axis of hand with _______ of IR
  3. _____ centered to IR
  4. CR __(a)__ and centered to __(b)__
  5. Collimate ______ all around
A
  1. palm
  2. long axis
  3. MCPJ
  4. (A) perpendicular (B) 3rd MCPJ
  5. 1”
23
Q

HAND
PA Oblique Projection
Lateral or External Rotation

  1. Rest pt’s arm on table with hand ______ with the palmer surface on IR
  2. Adjust obliquity of the hand so that the MCPJs form an angle of _____ with the plane of the IR
  3. CR perpendicular to IR centered at ____
A
  1. pronated
  2. 45 Degrees
  3. 3rd MCPJ
24
Q

Medial=

A

Internal

25
Q

Lateral=

A

External

26
Q

Best way to remember lateromedial is _____ side up

A

thumb

27
Q

Plueral form of phalanx

A

phalanges

28
Q

There are how many phalanges in each hand?

A

14

29
Q

There are how many phalanges in the thumb?

A

2

30
Q

How many phalanges are in a finger (with the exception of the tumb)?

A

3

31
Q

The joints between the fingers are called

A

interphalangeal joints

32
Q

The thumb has how many interphalangeal joints?

A

1

33
Q

Pronation

A

Palm down

34
Q

Supination

A

Palm up

35
Q

When doing a lateral finger, sometimes this can be seen on the profile

A

Fingernail

36
Q
A

A. Distal phalanx (middle finger)

B. PIPJ

C. IPJ

D. Metcarpal of the middle finger

E. Scaphoid/Navicular

F. Radius