Chapter Four

Question 1

Must include ______ to ______ when performing bone images

Answer 1

Joint to joint

Question 2

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

Answer 2

1. Metallic BBs
2. Arrows

Question 3

Do you remove splints or wraps when doing a radiograph?

Answer 3

No, unless indicated on orders

Question 4

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

Answer 4

Annotate

Question 5

If multiple digits on the same extremity, you must _________

Answer 5

Radiograph each digit individually

Question 6

MCP

Answer 6

Metacarpophalageal

Question 7

PIP

Answer 7

Proximal interphalangeal

Question 8

J

Answer 8

Joint

Question 9

IP

Answer 9

Interphalangeal

Question 10

General procedure for radio graphing digits 2-5

1. Film size
2. SID
3. Projection

Answer 10

1. 8x10 LW or CW
2. 40”
3. PA

Question 11

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

Answer 11

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

Question 12

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

Answer 12

Check *if in doubt contact physician for verification

Question 13

Answer 13

Question 14

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

Answer 14

1. at end of table
2. forearm
3. PIPJ
4. externally
5. 45
6. PIPJ

Question 15

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

Answer 15

1. fist
2. thumb
3. PIPJ

Question 16

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__

Answer 16

1. Dorsal position
2. MCPJ
3. OID

Question 17

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__

Answer 17

1. Palmer
2. Arch
3. Long axis
4. MCPJ

Question 18

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__

Answer 18

1. Abducted
2. Deviate
3. Long axis
4. MCPJ

Question 19

When hand is palm down, the thumb is natrually ______

Answer 19

Oblique

Question 20

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

Answer 20

• PA
• PA Oblique
• Fan Lateral

Question 21

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

Answer 21

1. 40”
2. 3
3. LW (portrait)

Question 22

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

Answer 22

1. palm
2. long axis
3. MCPJ
4. (A) perpendicular (B) 3rd MCPJ
5. 1”

Question 23

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 ____

Answer 23

1. pronated
2. 45 Degrees
3. 3rd MCPJ

Question 24

Medial=

Answer 24

Internal

Question 25

Lateral=

Answer 25

External

Question 26

Best way to remember lateromedial is _____ side up

Answer 26

thumb

Question 27

Plueral form of phalanx

Answer 27

phalanges

Question 28

There are how many phalanges in each hand?

Answer 28

14

Question 29

There are how many phalanges in the thumb?

Answer 29

2

Question 30

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

Answer 30

3

Question 31

The joints between the fingers are called

Answer 31

interphalangeal joints

Question 32

The thumb has how many interphalangeal joints?

Answer 32

1

Question 33

Pronation

Answer 33

Palm down

Question 34

Supination

Answer 34

Palm up

Question 35

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

Answer 35

Fingernail

Question 36

Answer 36

A. Distal phalanx (middle finger) B. PIPJ C. IPJ D. Metcarpal of the middle finger E. Scaphoid/Navicular F. Radius