Lumbar Spine Special View Test

Question 1

What projection is demonstrated by placing the patient torso and legs posterioly as far as possible?

a.) hyperflexion
b.) L5-S1 spot
c.) hyperextension
d.) lateral lumbar spine

Answer 1

c.) hyperextension

Question 2

What is the correct central ray angulation on the AP axial L5-S1 lumbar spine?

a.) 35 degrees for males and 30 degrees for females cephalad
b.) 5 degrees for males and 8 degreees for femals cephalad
c.) 10 degrees for males and 15 degrees for females cephalad
d.) 30 degrees for males and 35 degrees for females cephalad

Answer 2

d.) 30 degrees for males and 35 degrees for females cephalad

Question 3

How much should the femur be abducted for the frog leg lateral femur projection?

a.) 10 degrees
b.) 10 to 15 degrees
c.) 45 degrees
d.) 20 degrees

Answer 3

c.) 45 degrees

Question 4

Where is the central ray directed on the AP proximal femur projection?

a.) 1/2’’ distal to femoral neck
b.) 1’’ distal to mid femur
c.) 1’’ to 2’’ distal to femoral neck
d.) 2’’ distal to greater trochanter

Answer 4

c.) 1’’ to 2’’ distal to femoral neck

Question 5

Which of the following evaluation criteria should be demonstrated on the hyperextension and hyperflexion pf the lumbar spine?

a.) all thoracic and lumbar spine
b.) lumbar spine to sacrum
c.) lumbar spine to coccyx
d.) thoracic spine and lumbar spine including 1 to 2’’ of iliac crest

Answer 5

d.) thoracic spine and lumbar spine including 1 to 2’’ of iliac crest

Question 6

Which of the following evaluation criteria should be demonstrated on the AP axial projection of the lumbar spine?

a.) entire sacrum
b.) L5 S1 joint space
c.) SI joints
d.) L4

Answer 6

b.) L5 S1 joint space
c.) SI joints

Question 7

Which of the following would be considered a trauma radiography guideline?
1.) removed all splints
2.) do not move the patient unless necessary
3.) obtain a minimum of two radiographs of each body part

a.) 1, 2 and 3
b.) 2 and 3
c.) 1 and 2
d.) 1 and 3

Answer 7

b.) 2 and 3

Question 8

When performing a cross table lateral lumbar spine the IR may be placed in the upright bucky tray.

a.) true
b.) false

Answer 8

a.) true

Question 9

What structures should be demonstrated in profile on the frog leg lateral projection of the femur?

a.) greater trochanter
b.) femoral neck
c.) distal femur
d.) femoral condyle

Answer 9

b.) femoral neck

Question 10

Which of the following should always be demonstrated on the AP and lateral projection of the femur?

1.) entire hip joint
2.) entire knee joint
3.) entire orthopedic appliance
4.) only 1/2 of the orthopedic appliance is required

a.) 1 and 2
b.) 1 and 3
c.) 2 and 4
d.) 1, 2 and 3

Answer 10

d.) 1, 2 and 3

Question 11

How is the femoral neck located on the AP proximal projection of the femur?

a.) 1 to 2’’ lateral and 3 to 4’’ distal to ASIS
b.) 2 to 3’’ medial and 2 to 3’’ distal to ASIS
c.) 1 to 2’’ medial 3 to 4’’ distal to ASIS
d.) 1 to 2’’ medial and 3 to 4’’ proximal to ASIS

Answer 11

c.) 1 to 2’’’ medial 3 to 4’’ distal to ASIS

Question 12

What should be demonstrated on the AP distal projection of the femur?

a.) entire fibular head should be superimposed over the tibia
b.) medial half of the fibular should be superimposed over the tibia
c.) lateral half of the fibular head should be superimposed over the tibia
d.) edge of the medial fibular head should be superimposed over the tibia

Answer 12

b.) medial half of the fibular should be superimposed over the tibia

Question 13

Which projection best demonstrates the L5- S1 joint space and SI joints?

a.) AP lumbar projection
b.) LPO projection
c.) L5-S1 spot
d.) AP axial lumbar projection

Answer 13

d.) AP axial lumbar projection

Question 14

Which projection demonstrates the greater trochanter superimposed by the femur?

a.) AP proximal femur
b.) frog leg lateral
c.) AP distal femur
d.) lateral distal femur

Answer 14

b.) frog leg lateral

Question 15

Which of the following demonstrates no rotation on the hyperextension and hyperflexion projections on the lumbar spine?

a.) rotation in sciatic notch
b.) closed intervertebral foramina
c.) closed joint spaces
d.) superimposed greater sciatic notch and posterior vertebral bodies

Answer 15

d.) superimposed greater sciatic notch and posterior vertebral bodies

Question 16

WHich of the following evaluation criteria should be demonstrated on AP proximal femur?

a.) lesser trochanter should not be projected beyond the medial border of the femur
b.) lesser trochanter should be projected beyond the medial border of the femur
c.) lesser trochanter should not be seen at all
d.) lesser trochanter in profile

Answer 16

a.) lesser trochanter should not be projected beyond the medial border of the femur

Question 17

What structures should be symmetric in size and shape on the distal AP projection of the femur?

a.) femur
b.) femoral and tibial condyles
c.) patella
d.) greater trochanter

Answer 17

b.) femoral and tibial condyles

Question 18

Which of the following evaluation criteria should be demonstrated on the AP proximal projection of the femur?
1.) greater trochanter
2.) femoral head
3.) femoral neck
4.) lesser trochanter in profile

a.) 1 and 2
b.) 1 and 3
c.) 1, 2 and 4
d.) 1, 2 and 3

Answer 18

d.) 1, 2 and 3

Question 19

Where is the central ray deirected on the AP axial lumbar spine projection?

a.) ASIS at midline of body
b.) iliac crest at the midline of the body
c.) mid sacrum
d.) anterior inferrior iliac spine

Answer 19

a.) ASIS at midline of body

Question 20

Why should the patient be built up for the cross table lateral lumbar spine?

a.) to place the lumbar spine parallel
b.) to immobilize the patient
c.) to place the lumbar spine in the center of the IR
d.) to place the lumbar spine on the edge of the IR

Answer 20

c.) to place the lumbar spine in the center of the IR

Question 21

What is right and left bending used for on a lumbar spine?

a.) strength of the spine
b.) degree of mobility of the vertebra
c.) height of the patient
d.) curvature of the spine

Answer 21

b.) degree of mobility of the vertebra

Question 22

Which part position places the patient in the fetal position (bend forward) and draw legs up as much as possible?

a.) hyperextention
b.) hyperflexion
c.) lateral
d.) spot

Answer 22

b.) hyperflexion

Question 23

WHere is the CR directed on the flexion and extension lumbar spine?

a.) 1 to 2’’ above iliac crest
b.) 1/2’’ above iliac crest
c.) site of fusion if known
d.) top of iliac crest

Answer 23

c.) site of fusion if known

Question 24

For trauma AP lumbar spine where should the IR be placed?

a.) in wallboard
b.) in bucky, under slide board or under the patient
c.) on patient left side
d.) behind the patient head

Answer 24

b.) in bucky, under slide board or under the patient

Question 25

How much should the leg be rotated for true AP projection of the knee?

a.) 0 degrees
b.) 5 degrees
c.) 10 degrees
d.) 10-20 degrees

Answer 25

b.) 5 degrees

Question 26

FOr the entire knee joint to be included on the proximal AP projection of the femur. HOw far shold the lower margin of the IR be?

a.) 2’’ above knee joint
b.) mid patella
c.) 2’’ below knee joint
d.) mid knee

Answer 26

c.) 2’’ below knee joint

Question 27

When performing a cross table lateral lumbar position the CR should be perpendicular to:

a.) L3
b.) T2
c.) T12
d.) L4-L5

Answer 27

d.) L4-L5

Question 28

How many degrees should the leg be internally rotated on the AP proximal projection of the femur?

a.) 10 degrees
b.) 15 to 20 degrees
c.) 30 degrees
d.) 45 degrees

Answer 28

b.) 15 to 20 degrees

Question 29

WHich of the following projections best demonstrates thoracic and lumbar vertebra, including 1 to 2’’ of the iliac crest?

a.) AP axial lumbar
b.) LPO
c.) right and left bending
d.) hyperflexion and hyperextension

Answer 29

d.) hyperflexion and hyperextension