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Pos 3 > Clinical Exam 14-1 > Flashcards

Clinical Exam 14-1 Flashcards

1
Q

why should hand be slightly arched (cuffed) for a PA wrist?

A

to reduce OID of carpals

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1
Q

(T/F) X-table lat sternum is usually done when the pt can’t stand for a routine lat XR

A

T

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1
Q

recommended obliquity for RAO sternum for asthenic type pt?

A

20º

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1
Q

term for leakage of contrast media from a vein into the surrounding tissue

A

extravasation

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1
Q

mA technique for large plaster cast

A

+ mAs 100%

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2
Q

which AP XR of shoulder & prox humerus is created by placing affected palm of hand against the thigh?

A

neutral rotation

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2
Q

most common type of aseptic or ischemic necrosis. Lesions typically involve only one hip (head and neck of femur)

A

Legg-Calvé-Perthes disease

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3
Q

why is the RAO sternum preferred to the LAO pos?

A

the RAO projects the sternum over the heart shadow

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4
Q

trapezoid aka

A

lesser multangular

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4
Q

which foot pos will best show the lat (3rd) cuneiform?

A

AP obl w med. rotation

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4
Q

what AP XRs are taken for NT shoulder

A

AP int & AP ext

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4
Q
A

P/C

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5
Q

how long is the small instestines?

A

15-18 ft

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6
Q

a NON vis. post. fat pad on a well-exposed, correctly positioned lat elbow generally suggests

A

neg study for injury

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6
Q

how many total bones in the foot?

A

26

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6
Q

XR of an AP knee shows rotation w almost total superimposition of the fibular head & prox. tib. what must tech do to correct this pos error?

A

rotate knee medially

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6
Q

(T/F) an RPO of the SI joints demonstrates the L SI joint open

A

T

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6
Q

how much of the small intestines is the ileum

A

3/5

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7
Q

CR angle for scapular-Y XR?

A

none

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8
Q

(T/F) xiphoid process located at level of T7/T8

A

F (T9-T10)

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9
Q

when doing a dist. femur XR the knee joint should be ___” above the bottom of the cassette

A

2”

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9
Q

which of the malleoli is part of the dist. tib?

A

med.

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9
Q

AP pelvis shows that the R iliac wing is foreshortened. what pos error occurred?

A

L rotation

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9
Q

(T/F) routine XRs for sternum are the LAO & R/L lat

A

F (RAO)

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9
Q

is a separation of the AC joint is suspected, what is performed to confirm the separation?

A

AP 15º cephalic angle

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9
Q

What is C?

A

coronoid process

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10
Q

min # projections generally required for hand

A

3

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11
Q

which XRs best demonstrates path involving the 1st CMC joint

A

AP thumb, modified Robert’s method

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11
Q

(T/F) a R/L marker may be taped over the area of interest to indicate location of T to ribs

A

F

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11
Q

what anatomical part are you showing if you perform a Grashey view?

A

glenoid cavity

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11
Q

kV technique for fiberglass cast

A

+ 3-4 kV

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11
Q

3 parts of small intestine

A

duodenum, jejunum & ileum

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12
Q

dist. phalynx fx from ball strinking the end of extended finger; DIP partially flexed w avulsion fx

A

Baseball/Mallet fx

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13
Q

when a pt signs a consent form, legally the pt: - must have exam - has no grounds to sue for malpractice - may still claim that they were not properly informed of the risk of procedure - may be able to request another doc to perform the study

A

may still claim that they were not properly informed of the risk of the procedure

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14
Q

pt enters ER w possible R AC joint separation. R clavicle & AC joint exams are ordered, the clavicle is taken 1st, and a small linear fx of the mid shaft of the clavicle is discovered. what should tech do in this situation?

A

consult w ED physician before continuing w AC joint study

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15
Q

preferred SID for finger?

A

40”

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15
Q

which of the following occurs in many pt’s and is defined as an expected outcome to the introduction of contrast? - moderate itching/sneezing - some metallic taste in mouth & temp hot flash - mild condition of urticaria (hives) - all of the above

A

some metallic taste in mouth & temp hot flash

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16
Q

where is CR for PA hand

A

3rd MCP joint

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16
Q

what structure connects the ant. aspect of the ribs to the sternum?

A

costocartilage

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17
Q

the thumb is naturally in a _______ pos in a PA XR of hand

A

45º obl

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18
Q

pt to ER for possible perf ulcer. what XRs should be done?

A

UGI w gastroview

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18
Q

pos that fills the stomach & C-loop of duodenum w Ba?

A

RAO

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19
Q

which is NOT true about an AP humerus for adult? - use 14 x 17” IR - place epicondyles II to IR - pronate hand - use min of 40” SID

A

pronate hand

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19
Q

XR of ant obl scapular Y reveals that the scapula is slightly rotated (vertebral & axillary borders not superimposed). Axillary border is more lat. compared w vertebral border. what should be done for repeat?

A

+ thorax rotation

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20
Q

XR of lat sternum shows that the pt’s ribs are superimposed over the sternum. what needs to be done to correct this?

A

ensure pt not rotated

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20
Q

routine for IVP?

A

scout KUB, nephrogram, AP KUB, RPO KUB, LPO KUB, & post void

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20
Q

rapid injection of contrast into vascular system called

A

bolus injection

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20
Q

may be used to detect pleural effusion (fluid within pleural space) or for guidance when a needle is inserted to aspirate the fluid (thoracentesis)

A

sonography (U/S)

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20
Q

most common aseptic/ischemic necrosis; lesions typically involve one hip

A

Legg-Calvé-Perthes disease

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21
Q

extending the ankle joint or pointing the foot/toes downward is called?

A

plantar flexion

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22
Q

What is H?

A

Olecranon

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23
Q

who should be asked to help hold an uncooperative pt?

A

family member wearing an apron

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24
Q

when performing routine lat knee, the CR is angled how many ºs?

A

5º cephalic

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25
Q

most commonly fx’ed carpal bone

A

scaphoid

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25
Q

what is the correct course of action for the tech when, during an injection of contrast, a pt experiences a side effect of mild hot flashes & some metallic taste in his mouth?

A

reassure pt & contin injection & imaging sequence, while carefully observing the pt for a possible more severe reaction to follow

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26
Q

where are the 3 possible veins for venipuncture located?

A

in the antecubital fossa

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27
Q

What is A?

A

med. epicondyle

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28
Q

how many carpals in the hand?

A

8

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28
Q

from a pronated pos, which of the following is required for a PA obl XR of the 4th digit of hand

A

45º lat rotation

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28
Q

when ankle is rotated 15-20º internally, this XR is known as the?

A

Mortise

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28
Q

XR of an AP axial clavicle shows that the clavicle is w/in the mid aspect of the lung apices. what should tech do to correct this?

A

increase the cephalic CR angle

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29
Q

min # projections generally required for humerus

A

2

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29
Q

XR of an LPO SI joints shows that the ilium is superimposed over the involved joint. what pos error has occurred?

A

excessive rotation/obliquity

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29
Q

term that describes the act of voiding under voluntary control

A

urination

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29
Q

situation: male pt comes in for a VCUG. which XR/pos would be performed for this procedure? - 30º RPO - erect lat - recumbent lat - erect PA

A

30º RPO

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30
Q

acromion is located on what bone?

A

scapula

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31
Q

kV technique for small plaster cast

A

+ 5-7 kV

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32
Q

routines for ankle?

A

AP, int obl, lat

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33
Q

situation: during single-contrast Ba enema, radiologist suspects a possible defect w/in the R colic flexure. what pos best shows this region of the colon?

A

LPO

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34
Q

(T/F) an LPO of SI joints will show the L SI joint open

A

F (R)

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34
Q

peristalsis describes?

A

normal contractive waves of the digestive system

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34
Q

situation: while attempting to insert an enema tip into the rectum, the tech experiences resistance. what is the tech’s next step?

A

have radiologist insert it using fluoro guidance

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35
Q

(T/F) the tech should rotate the feet inward if a fx or dislocation is suspected to get rid of the lesser trochanters

A

F

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35
Q

chronic inflammation of the intestinal wall that results in bowel obstruction in at least half of affected patients. The cause is unknown

A

Chron’s disease

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35
Q

uses the Salter-Harris classification

A

Epiphyseal fx

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37
Q

when performing axial view of the Calcaneus the CR is angled how many degrees cephalic to the long axis of the foot?

A

40

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38
Q

mAs technique for fiberglass cast​

A

+ mAs 25%

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39
Q

ideal kV range for a double-contrast Ba enema is

A

90-100

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40
Q

(T/F) post. dislocation of the shoulder occurs more frequently than an ant. dislocation

A

F

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42
Q

a PA scaphoid shows extensive overlap of the dist. scaphoid & adjacent carpals. what lead to this problem?

A

insufficient ulnar flexion

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43
Q

scapula articulates w?

A

clavicle & humerus

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43
Q

air-filled “coiled spring” appearance

A

intussusception

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44
Q

(T/F) avg kVp range for routine elbow is 85-90 kVp

A

F

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46
Q

when performing the lower leg one should include the _____ joint & ______ joint

A

ankle, knee

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46
Q

what CR angle is used for AP obl foot?

A

CR perp to IR

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46
Q

range from sprains to fracture-dislocations of the bases of the first and second metatarsals

A

Lisfranc joint injuries

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46
Q

intra-articular fx of radial styloid process

A

Hutchinson’s/Chauffeur’s fx

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48
Q

which carpal articulates w the radius?

A

scaphoid

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48
Q

where should the CR enter for an AP XR of the 1st toe?

A

IP joint

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48
Q

how should pt be positioned in order to show the glenoid fossa in profile?

A

rotate pt 45º toward affected side

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49
Q

what do you do to technique factors for volvulus?

A

-

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50
Q

the int. prominence/ridge where the trachea bifurcates into the R/L bronchi is called?

A

carina

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51
Q

pt w pneumothorax should have horizontal beam lateral decubitus XR with the affected side ________

A

up

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52
Q

primary disadvantage of AP CXR?

A

+ mag. of heart

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54
Q

which shoulder XR best shows the scapulohumeral joint space?

A

grashey

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55
Q

pt enters ER w T to pelvis. pt’s main complaint is about her L hip. which of the following XRs should be taken 1st to R/O fx/dislocation?

A

axiolateral (inferorsuperior) XR of L hip

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56
Q

involves inflammation of the bone and cartilage of the anterior proximal tibia, is most common in boys 10 to 15 years old

A

Osgood-Schlatter disease

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57
Q

which of the following bony structures CANNOT be palpated? - ischial spine - ASIS - ischial tuberosity - symphysis pubis

A

ischial spine

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58
Q

where would the IP joint be found in the foot?

A

btw the phalanges of the 1st digit

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59
Q

What is E?

A

Capitulum

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60
Q

(T/F) amount of rotation for RAO sternum depends on the size of the thoracic cavity

A

T

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61
Q

CR centering for nephrotomogram

A

midway btw iliac crest & xiphoid process

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63
Q

what are the 2 PA methods of doing the tangential view of the patella?

A

Hughston & Settegast

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64
Q

when performing obl elbows, med/lat rotation should be how many degrees?

A

45

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65
Q

longitudinal fx @ base of 1st MC w fx line entering the CMC

A

Bennett’s fx

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66
Q

which of the following will show the intercondyloid fossa? 1. Beclere 2. Settegast 3. Camp-Coventry

A

1 & 3 only

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67
Q

aka degenterative joint disease (DJD)

A

osteoarthritis

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68
Q

as a general guideline where should the top of the CW imaging plate or cassette be placed for an AP pelvis XR

A

1-3” above the iliac crest

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69
Q

(T/F) when doing a special tangential view of ribs, the tech is interested on the upside from the IR when the pt is obl

A

T

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69
Q

situation: pt comes to rad dept for double-contrast Ba enema. pt cannot lie on her side during the study. which XR should replace the lat rectum XR?

A

ventral decub

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70
Q

lat scapula requires CR to?

A

med. border

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72
Q

an AP elbow shows that there is complete separation of the prox radius/ulna. what pos. error has occurred?

A

excessive lat rotation

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73
Q

situation: a pt enters ER w blunt T to sternum. pt is in great pn and cannot lie prone or stand erect. which routines would be best for the sternum?

A

LPO & horizontal beam lat XRs

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74
Q

which shoulder XR shows the lesser tubercle?

A

AP int

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75
Q

what would be the best arm pos for a good AP scapula

A

abduction

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76
Q

pt enters ER w multiple injuries. doc concerned about a dislocation of the L prox humerus. pt unable to stand. what routine is advised to best show this condition? (Other than AP Scapular Y)

A

AP & Neer XRs

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77
Q

what 2 bony landmarks are palpated for positioning of the elbow

A

humeral epicondyles

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4
5
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78
Q

(T/F) LAO sternum provides the best frontal image of the sternum w min. amount of distortion

A

F (RAO)

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79
Q

(T/F) for RAO sternum, the CR is directed to the center of the sternum, which is to the R of the midline and midway btw the jugular notch and xiphoid process

A

F (L of midline)

80
Q

situation: pt enters ER w possible transverse fx of patella. which routine would safely provide the best images of the patella?

A

AP & horizontal beam lat, no flexion

82
Q

what are the 2 small bones called that are located at the 1st MTP joint?

A

sesamoid bone

84
Q

when performing obl views of the ribs, pt should be rotated how many degrees?

A

45º

85
Q

how much fluid can avg adult bladder hold?

A

300 - 500 mL

87
Q

how much knee flexion is recommended for lat patella?

A

5-10º or less

89
Q

2 most important landmarks for CXR are?

A

jugular notch & vertebra prominens

90
Q

aka ping-pong fx

A

depressed fx (skull)

91
Q

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

A

II

91
Q

(T/F) when doing an AP pelvis the entire pelvis and dist femurs should be seen

A

F (prox)

93
Q

how is contrast normally introduces during a retrograde cystogram?

A

gravity flow through a catheter

95
Q

AP dist femur XR, leg & foot must be rotated 3-5º ______ (int./ext.) for true AP

A

internally

96
Q

(prox. ulna) 1/2 of the ulna fx’ed w dislocated radial head

A

Monteggia’s fx

97
Q

(T/F) pb shielding should not be placed on the pt for XRs of the ribs & sternum bc it will obscure the area of interest

A

F

99
Q

which bones does the clavicle articulate w?

A

scapula & sternum

101
Q

where should the CR be directed for an AP knee joint?

A

1 cm dist. to apex of patella

102
Q

situation: pt comes in w possible diverticulosis. which study is most diagnostic for detecting this condition?

A

double-contrast enema

103
Q

what angle joins the med. & lat. border of the scapula?

A

inf. angle

104
Q

which will lead to the prox radius crossing over the ulna?

A

hand pronation

106
Q

which pos will best show the axillary portion of the L ribs?

A

LPO

108
Q

common name for XRs showing the intercondyloid fossa

A

tunnel view

108
Q

term used to describe formation of sacs/pouches in the colon

A

diverticulosis

110
Q

which radiographic sign is frequently seen w carcinoma of colon?

A

“napkin ring” or “apple core” sign

110
Q

first effect demonstrated is fusion of the sacroiliac joints. The disease causes extensive calcification of the anterior longitudinal ligament of the spinal column

A

ankylosing spondylitis

111
Q

2 XRs performed for routine clavicle

A

AP & AP 15º cephalic

113
Q

how much CR angle (if any) should be used for AP toes?

A

10-15º towards calcaneus

114
Q

which basic elbow XR best shows the radial head & tuberosity free of superimposition

A

AP lat obl elbow

115
Q

AP upper ribs exposure is made at end of full _______

A

inspiration

115
Q

(T/F) avg kVp range for routine CXR is btw 110-125 kVp

A

T

115
Q

(T/F) there are 2 types of contrast: ionic & non-ionic

A

T

117
Q

smallest carpal

A

pisiform

118
Q

preferred SID for heart/lungs

A

72”

120
Q

condition rather than a disease, in which collapse of all or a portion of a lung occurs as the result of obstruction of the bronchus or puncture or “blowout” of an air passageway

A

Atelectasis

122
Q

What is F?

A

lat. epicondyle

123
Q

common SID for toes?

A

40”

123
Q

PA patella is preferred bc: 1. less magnification of patella 2. more OID 3. more distortion of patella 4. less OID

A

1 & 4

124
Q

which bones fuse to form the acetabulum?

A

ischium, pubis, & ilium

125
Q

when doing a routine obl pelvis, the pt should be rotated how many degrees?

A

45º

126
Q

congenital hip dislocations

A

developmental dysplasia of hip (DDH)

127
Q

when performing obl knee, the ext/int rotation should be ____º

A

45º

128
Q

what kV range is recommended for an AP study of ribs found BELOW the diaphragm?

A

75-80 kV

130
Q

what are the routine foot XRs?

A

AP, int obl, & med-lat

132
Q

what pelvis XR has CR 40º caudad

A

pelvic inlet

133
Q

situation: pt experiences a hot flash after injection of iodinated contrast. what should the next action by tech be?

A

comfort pt; this is a common side effect

135
Q

(T/F) nonionic contrast agents may increase the severity of side effects

A

F (ionic)

136
Q

preferred pos for routine SBS

A

prone KUB

138
Q

where is the CR placed for an AP XR of pelvis?

A

midway btw ASIS and pubic symphysis

139
Q

X-table lat knee is usually performed when the pt can’t _________ the knee for a routine lat XR

A

flex

140
Q

name the largest bone in the lower leg

A

tibia

142
Q

situation: pt arrives in rad dept. w metal foreign body in the palm of the hand. which hand routines should be performed on the pt to confirm the location of the foreign body?

A

PA & lat in extension

144
Q

which arm pos shows the lesser tubercle in profile medially?

A

int rotation

145
Q

(T/F) 11th & 12th ribs are considered floating ribs

A

T

147
Q

when doing AP SI joints, the CR is angled how many º for a male?

A

30º

148
Q

primary purpose of premedication before an iodinated contrast study?

A

reduce risk of a contrast reaction

150
Q

how much CR angle is required for the AP axial projection (Ba enema)?

A

30-40º

151
Q

situation: 20 yr olds female is brought into rad dept w possible fx of forearm & elbow. what should tech do regarding gonadal shielding?

A

ask pt regarding pregnancy, cover area of ovaries & uterus w a gonadal shield & document that she is not pregnant

152
Q

most common of inherited diseases, is a condition in which secretions of heavy mucus cause progressive “clogging” of bronchi and bronchioles

A

cystic fibrosis

153
Q

(T/F) ionic contrast are more expensive

A

F (nonionic)

155
Q

the term popliteal refers to which of the following anatomical areas?

A

post. knee

156
Q

which bone of the pelvic girdle forms the ant. inf. aspect?

A

pubis

157
Q

PFR for routine lat heel XR states that the CR is perp to the IR and enters

A

1” inf. to the med. malleolus

159
Q

what type of contrast is desired for pelvis & SI joint XRs?

A

short scale

160
Q

situation: a geriatric pt comes into rad dept for knee study. pt is unsteady/unsure of himself. which intercondyloid fossa XR would provide best results w/o risk of injury to the pt?

A

Camp-Coventry

161
Q

head of humerus articulates w which part of the scapula?

A

glenoid cavity

162
Q

if the routine RAO sternum can’t performed what is the alt?

A

LPO

164
Q

which exposure technique would be preferred for an RAOP sternum? - 60 kVp, 75 mAs @ .25 w insp - 60 kVp, 75 mAs @ .5 s w exp - 60 kVp, 75 mAs @ 1s w insp - 60 kVp, 75 mAs @ 2 s w breathing techn.

A

60 kVp, 75 mAs @ 2 s w breathing techn.

165
Q

which should be done when a pt has a suspected shoulder fx? - AP int/ext - AP neutral - AP w tube angled 15º - grashey

A

AP neutral

166
Q

what stage of resp. should the enema tip be inserted?

A

suspended exp

167
Q

during a VCUG the pt is asked to void while XR is taken to see the?

A

urethra

168
Q

how much of the small intestines is the jejunum

A

2/5

169
Q

(T/F) long scale contrast is desired for XRs of the ribs for better detail

A

F (short scale)

171
Q

XR of AP pelvis shows that the lesser trochanters are NOT visualized. this pelvis XR was performed for NT reasons. what should tech do (if anything) to correct this?

A

do nothing. accept XR

172
Q

XR of RAO sternum shows that it is parially superimposed over the spine. what must be done to eliminate this problem?

A

+ obliquity of the body

174
Q

(T/F) scapular Y lat is becoming more common as a 2nd basic XR of the shoulder rather than the transthoracic lat in both the US & Canada

A

T

175
Q

AP scout KUB for Ba enema, CR is at level of?

A

iliac crest

175
Q

common chronic skeletal disease; it is characterized by bone destruction followed by a reparative process of overproduction of very dense yet soft bones that tend to fracture easily. It is most common in men older than age 40

A

Paget’s disease

176
Q

which carpal articulates w both the 4th & 5th MC’s?

A

hamate

177
Q

which following arm pos’s best shows the greater tubercle in profile medially?

A

none (greater tubercle only in profile LATERALLY)

178
Q

when performing a _______ degree obl of the foot the CR is perp. and enters through the ______

A

30-40, base of 3rd MT

179
Q

which humeral rotation will result in lat pos of prox humerus?

A

int rotation (epicondyles perp to IR)

180
Q

ASIS stands for

A

ant. sup. iliac spine

181
Q

situation: pt comes in for arthritic condition of R shoulder. Doc orders AP int/ext rotation XRs as well as an inferosuperior axiolateral XR or scapulohumeral joint. however, pt can’t abduct arm for that XR, which other XR will best show the scapulohumeral joint space? - AP obl - Scapular Y - transthoracic lat - AP neutral

A

Scapular Y

182
Q

name the joint btw the 2 pelvic bones

A

symphysis pubis

183
Q

which body habits would present the stomach in a transverse pos?

A

hypersthenic

184
Q

(T/F) jugular notch is commonly referred to as the supersternal notch and part of T-12

A

F (T2-T3)

185
Q

what shoulder XR requires that the pt be rotated 45-60º toward the IR from a PA pos?

A

lat scapula

186
Q

(T/F) when doing lower rib XRs the exposure is made on expiration to move the diaphragm down and out of the way

A

F (up and out of way)

187
Q

3 possible veins for venipuncture

A

cubital, cephalic & basilic

189
Q

which is T w NONIONIC type contrast? - low osmolality - inability to dissociate into 2 separate ions - less chance of reaction - all of the above

A

all of the above

190
Q

What is B?

A

trochlea

191
Q

pt enters ER w dislocated shoulder. the tech attempts to pos the pt into the transthoracic lat XR, but pt unable to raise unaffected arm over his head completely. what can tech do to compensate?

A

angle CR 10-15º cephalic

192
Q

which set of factors will produce the longest scale of contrast? - 7.5 mAs & 93 kVp - 15 mAs & 84 kVp - 30 mAs & 74 kVp - 60 mAs & 63 kVp

A

7.5 mAs & 93 kVp

193
Q

term used when fingers go away from thumb to perform special scaphoid/navicular view

A

ulnar deviation

194
Q

(T/F) an erect CXR is performed w rib XRs to eval or R/O pneumothorax, hemothorax, &/or pulmonary contusion

A

T

195
Q

fx of the base of the first metacarpal bone, extending into the carpometacarpal joint, complicated by subluxation with some posterior displacement

A

Bennett’s fx

196
Q

how much obliquity for PA obl hand?

A

45º

196
Q

the PFR for obl SI joints states that: the top of the film is 1” above the iliac crest and CR is perp to a point _______ to the center of the film

A

1” med. to raised ASIS

198
Q

XR of an LPO pos taken during an IVU shows that the R kidney is foreshortened & superimposed over the spine. what must tech do to correct?

A
  • rotation
199
Q

recommended treatment for extravasation?

A

place warm towel over injection site

200
Q

What is D?

A

radial head

202
Q

technical factor for pleural effusion

A

+

203
Q

elbow XR shows radius directly superimposed over ulna and & coronoid process in profile . which projection was performed?

A

med. obl. elbow

204
Q

when doing AP SI joints, the CR is angles how many degrees for a female?

A

35º cephalic

205
Q

(T/F) Ap w 0º CR angle & Ap axial w 15-30º CR angle are both common basic/routine XRs for the clavicles in a majority of US & Canadian hospitals

A

T

206
Q

aka “bamboo spine”

A

ankylosing spondylitis

207
Q

most ant. aspect of scapula

A

coracoid

209
Q

where is CR for a PA 3rd digit?

A

at PIP

211
Q

fx and dislocation of the posterior lip of the distal radius involving the wrist joint

A

Barton’s fx

212
Q

how many tarsal bones in the foot?

A

7

213
Q

which of the following should be performed to properly pos for AP ankle? 1. plantar surface touching the IR 2. tube angled 10º cephalic 3. ankle joint flexed

A

3 only

214
Q

what pos best shows the greater tuberosity of humerus?

A

AP ext rotation

215
Q

approx centering point for an AP shoulder?

A

coracoid process

216
Q

when doing an RAO sternum the pt is rotated how many degrees?

A

15-20º

218
Q

which of the following would require a lat (ext) rotation for its obl pos? - knee - ankle - 5th toe - hip

A

5th toe

219
Q

term for the top of the foot

A

dorsal

220
Q

which basic elbow XR will best demonstrate an elevated/vis. post. fat pad?

A

lat w 90º flexion

221
Q

(T/F) if pt is rotated for an AP pelvis, both obturator foramina should be clearly demonstrated

A

F (one will be more narrow)

222
Q

what is most inf. part of pelvis called?

A

ischial tuberosity

223
Q

(T/F)when performing lat elbow, shoulder must be dropped to a place entire upper limb on same vertical plane

A

F. (horizontal plane)

224
Q

what is the purpose of a partially flexed elbow XRs?

A

to provide an AP perspective if pt cannot fully extend elbow

225
Q

(T/F) recommended SID for AC joints is 72”

A

T

227
Q

acetabulum articulates w what?

A

femoral head

228
Q

what is the best way to reduce production of scatter rad?

A

use grid

230
Q

what pelvis XR has CR 20-45º cephalic?

A

pelvic outlet

231
Q

during routine SBS, pt is typically given how many cups of Ba?

A

2 cups

233
Q

AP forearm. hand must be _______

A

supinated

234
Q

(T/F) arm should be abducted about 45º for an AP scapula

A

F

235
Q

(T/F) preferred SID for lat sternum is 44”

A

F (72”)

236
Q

an XR of an RAO sternum shows excessive lung markings obscuring sternum. A 1-s exposure T & a breathing technique were used. what will produce a more diagnostic image of sternum?

A

increase exposure T, decrease the mA

237
Q

CR point for AC joints on a single 14 x17” IR

A

@ or 1” above the jugular notch

238
Q

Which letter is the ASIS?

A

J

239
Q

the tech should rotate feet ___ to __ degrees to get rid of the lesser trochanters when doing routine pelvis

A

15-20º

240
Q

breathing for upper ribs?

A

suspend on INSPIRATION

242
Q

misrepresentation of object size/shape as projected onto radiographic recording media is the general definition for

A

distortion

244
Q

situation: pt comes in for an IVU. his lab report indicates a w/in normal range creatinine and BUN level. what is the tech’s next step?

A

proceed w study

245
Q

XR of AP pelvis shows that the L obturator foramen is more open/elongated as compared w R. what pos error is present?

A

R rotation

246
Q

carelessness in positioning & ____ are the most common reasons for repeats

A

select incorrect exposure factors

247
Q

mAs technique for small plaster cast

A

+ mAs 50%

248
Q

the use of the 80 kV technique (as opposed to 90) w a corresponding mAs change for an AP pelvis XR will result in higher contrast but will have what effect on the gonadal dose?

A

increase dose by 20-30%

250
Q

(T/F) when critiquing a PA CXR the sternal ends of clavicles should be = D, the scapula should be out of the lung fields, & you should only see 9 ribs w good inspiration

A

F (at least 10)

251
Q

(T/F) when doing a humerus XR the tech should include the elbow joint & the wrist joint

A

F (shoulder joint, not wrist)

252
Q

what do you do to technique factors for intussusception?

A

-

254
Q

ACR recommends that Metformin (Glucophage, a drug tested for diabetes) be withheld for ___ following a contrast procedure

A

48 hr

255
Q

transverse fracture of the distal radius in which the distal fragment is displaced posteriorly; an associ- ated ulnar styloid fracture seen in 50% to 60% of cases

A

Colle’s fx

256
Q

(T/F) when performing a lat knee, the CR is angled 5-7º caudad so the med. condyle & lat. condyles are superimposed

A

F (cephalic)

257
Q

which of the following is the most dist.? - radial head - styloid process - radial tuberosity - capitulum

A

styloid process

258
Q

kV technique for large paster cast

A

+ 8-10 kV

259
Q

short scale contrast is the result of?

A

low kV

261
Q

(T/F) for a Grashey, CR is centered to the scapulohumeral joint

A

T

263
Q

(T/F) when doing a routine pelvis, if the pt has one leg shorter and leg is ext. rotated this is probably a good indication that the pt has a hip fx and the legs should be rotated internally

A

F

265
Q

which ribs are considered true ribs?

A

1st - 7th ribs

267
Q

what quadrant is gallbladder located?

A

RUQ

268
Q

(T/F) NPSGs are to protect the healthcare staff?

A

F (pt)

269
Q

situation: nephrogram taken during an IVU demonstrates that the renal parenchyma is poorly visualized but the calyces are contrast enhanced. what is most likely reason for this outcome?

A

exposure was not taken soon enough following injection

270
Q

(T/F) using a table bucky will + magnification of the anatomy as compared to doing the same study on table-top

A

T

272
Q

pt w pleural effusion should have horizontal beam lateral decubitus XR with the affected side ________

A

down

273
Q

(T/F) when doing a lat ankle one should include the base of the 5th MT and the prox. tib/fib on the XR

A

F (dist.)

275
Q

(T/F) 3 main parts of sternum are supersternal notch, body, & xiphoid

A

F (manubrium)

276
Q

a PA hand shows that the dist. radius & ulna & the carpals were cut off. what should tech do to correct?

A

repeat PA XR to include all the carpals and about 1” of the dist. radius/ulna

277
Q

CR & IR centering for a 1-hr SBS XR should be?

A

level of iliac crest

278
Q

PA hand XR shows that the mid aspect of the 4th & 5th MC’s is partially superimposed. what specific error was committed?

A

excessive lat rotation

279
Q

what type of contrast is desired for a lower extrem XR when using low kVp?

A

high contrast/short scale

280
Q

what is preferred breathing technique for SI joints?

A

suspend

281
Q

to ensure that both joints are included on an AP tib/fib on an adult. tech should:

A

turn IR diagonally

282
Q

arthritis w excessive uric acid in blood (commonly attacks the 1st MTP of foot)

A

Gout

283
Q

(T/F) avg adult has 24 true ribs

A

F

284
Q

routines for tib/fib

A

AP & lat

285
Q

(T/F) “pelvic girdle” refers to the total pelvis including the sacrum & coccyx

A

F

287
Q

which of the following conditions of the pelvis produces numerous small lytic lesions in the bony pelvis? - Legg-Calvé-Perthes disease - Ankylosing spondylitis - Metastatic carcinoma - osteoarthritis

A

Metastatic carcinoma

288
Q

during routine AP pelvis, feet should be _____ rotated

A

internally

289
Q

(T/F) the med. lat. XR is the preferred lat routine for a foot

A

T

290
Q

lat border of scapula aka?

A

axillary

291
Q

which specific anatomy is better seen w a fan lat as compared w other lat XRs of hand

A

phalanges

292
Q

med. end of clavicle aka?

A

sternal extrem

293
Q

what view of patella will be obtained w the pt PA and affected knew flexed 90º?

A

Settegast

294
Q

preferred SID for AP pelvis & SI joints?

A

40”

295
Q

how many º should tech obl pt when doing an LPO/RPO of SI joints?

A

25º

296
Q

which of the following is often given before an IVU to reduce risk of a contrast reaction? - diazepam - prednisone - fluoxetine - verapamil

A

prednisone

297
Q

intra-articular fx of post. lip of dist. radius

A

Barton’s fx

Pos 3 (6 decks)

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