Lateral/Longitudinal Flashcards

1
Q

Why is the projection name longitudinal?

A

b/c the central ray is directed along the longitudinal axis of atlas.

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2
Q

What is the primary purpose of this film?

A

Obtain second letter of listing (AS/AI)

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3
Q

What is the secondary purpose of this film?

A

Evaluate C1/C2 relationship, anomalies, look at cervical curve.

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4
Q

What four things should you check for before analyzing lateral film?

A
  1. Flex/ext. malpostion
  2. Rotational malposition
  3. Check typical lordotic curve
  4. Visual impression of AS/AI
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5
Q

How do you check for flexion/extension malposition?

A

Comparing hard palate to the top of the film. They should be parallel.

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6
Q

How do you evaluate rotation malposition?

A

Posterior lines of mandible should be superimposed on each other.

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7
Q

A military or kyphotic neck may tend to show and __ listing?

A

AI

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8
Q

What are the three lines of the lateral film?

A

OCL - occipital condyle line
APL - atlas plane line
LL - Listing line

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9
Q

Where do you place dots for occipital condyle line?

A

Anterior and posterior aspect of occipital condyle and level of floor of skull.

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10
Q

Where do you place dots for APL/atlas plane line?

A

Base of anterior tubercle and narrowest portion of anterior arch.

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11
Q

How do you make the listing line?

A

Place parallel on OCL and scroll down to posterior arch dot and draw line.

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12
Q

Where do you measure angle for listing?

A

Measure angle between the APL and LL

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13
Q

What is the normal degree for the atlas plane line?

A

4 degrees above the LL

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14
Q

How do we describe a normal listing?

A

AS0

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15
Q

AS listing would be what?

A

Any measurement above the normal 4 degrees.

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16
Q

AI listing would be what?

A

Any measurement below the normal 4 degrees

17
Q

If the APL is ABOVE the LL by more than 4 degrees what do you do?

A

Subtract 4 from measured angle

18
Q

If the APL is BELOW the LL what do you do?

A

Add the 4 degrees to the measured angle.

19
Q

If the APL line is above the LL be LESS than 4 degrees what listing is it? How do you measure it?

A

AI

Subtract measured angle from 4.

20
Q

The patient is place ________ to tube for this film.

A

perpendicular

21
Q

The central ray of this film is directed through what?

A

The transverse process

22
Q

What is the film distance for lateral x-ray?

A

72 inches

23
Q

Breathing is ?

A

suspended