Mixed Review Deck 10

Question 1

A posterior oblique t spine will demonstrate which zygapophyseal joints? (Upside or down)?

Answer 1

Upside! And the anterior oblique will show the downside.

Question 2

To visualize thoracic zygapophyseal joints, the patient is obliqued… degrees

Answer 2

70 to 75

Question 3

For a lateral t spine, to take advantage of the anode heel effect, what should be under the tube’s cathode end?

Answer 3

Shoulders

Question 4

Primary pathology seen in a lumbar flexion/extension view?

Answer 4

Spondylolisthesis

Question 5

Where is the CR centered for AP axial SI joints?

Answer 5

2 inches below ASIS, MSP centered, (midway between symphysis and ASIS), 30 to 35 cephalad

Question 6

The CR for oblique SI joints

Answer 6

1 inch medial to ASIS of interest

Question 7

What method for scoliosis imaging uses a block to elevate the hip on the convex side

Answer 7

Ferguson method

Question 8

The ___ angle is a measurement tool for radiologists to determine severity of scoliosis.

Answer 8

Cobb

Question 9

How is a lateral hip obtained if both hips are fractured?

Answer 9

Clements Nakayama method

Question 10

For the frog lateral hip, thr leg is abducted ___ degrees from vertical

Answer 10

40

Question 11

CR for a swimmers view

Answer 11

C7-T1, some say T2

Question 12

Myelography: the injection MUST be made lower than the level of the _____

Answer 12

Conus medullaris (level of lower border of L1)

Question 13

Hysterosalpingogram demonstrates ___ of the fallopian tubes. Its primary indication is _____.

Answer 13

Patency. Infertility.

Question 14

Oblique L spine: z joints of L1-2 are best seen at ___ degrees, while L5-S1 are best seen at ____.

Answer 14

Higher (L1, 2) closer to 45-50
L5-S1, more like 30 to 35

Question 15

Right and left bending views of L spine are done to differentiate…

Answer 15

Primary vs compensatory curves (usually with scoliosis)

Question 16

An AP lordotic chest is often done to look for what pathology?

Answer 16

Tuberculosis

Question 17

Upright abdomen centers where, vs supine (KUB)?

Answer 17

Upright, 2 inches above crest
Supine is at the crest bc u don’t need diaphragm on a KUB

Question 18

If you do an AP supine chest for ET tube insertion, where should u visualize the tube?

Answer 18

2 inches (5 cm) above the carina (T5 or sternal angle)

Question 19

To dx pneumoperironeum, which side decubitus is performed?

Answer 19

Left lateral decub

Question 20

For rib xrays, upper ribs are which ribs? Lower?

Answer 20

Upper is 1-7
Lower, 8-12

Question 21

Best single projection of a barium filled esophagus

Answer 21

RAO.

Question 22

RAO esophagus shows the esophagus between what 2 structures?

Answer 22

Vertebrae and heart

Question 23

In what position of an upper GI study will we see a barium filled pyloric canal and duodenal bulb?

Answer 23

RAO

Question 24

Which portion of the small bowel has a feathery appearance?

Answer 24

Jejunum

Question 25

To obtain a PA of the stomach of a hypersthenic patient, how can you angle the CR to open the high and transverse stomach?

Answer 25

Angle CR 35 to 45 degrees cephalad

Question 26

What projection cam be taken during a BE to open the sigmoid colon?

Answer 26

PA axial, 35 degree caudal CR to midline at ASIS level (or AP, 35 degree cephalad)

Question 27

Barium enema: will lateral decubitus projections be taken during single or double contrast? What about RAO and LAO?

Answer 27

Decubitus will be done with double contrast to see air/fluid. Not single . Obliques are done with single only

Question 28

Name for the large articular cavity formed by the olecranon process and coronoid process of the proximal ulna.

Answer 28

Trochlear (semilunar) notch

Question 29

A Smith fracture is different than a Colles fracture because it displaces the distal radius...

Answer 29

Anteriorly

Question 30

Monteggia fracture

Answer 30

Fracture of the proximal third of the ulnar shaft with anterior dislocation of the radial head

Question 31

Jones fracture

Answer 31

Fx to base of 5th metatarsal

Question 32

Vertebrochondral ribs

Answer 32

False ribs (8 to 10)

Question 33

Vertebrosternal ribs

Answer 33

Ribs 1-7

Question 34

CR for lateral L5-S1 spot

Answer 34

1.5 inches inferior to crest and 2 inches posterior to ASIS 5 to 8 degrees caudal if space not open or MSP not parallel to tabletop

Question 35

Textbook CR for lateral t spine (specifically recumbent) to open joint spaces

Answer 35

5 to 15 cephalad (perpendicular to long axis of spine)

Question 36

Tabletop lateral lateral L spine option for tube angle if MSP not parallel to tabletop

Answer 36

5 to 8 caudal

Question 37

The fused transverse processes of the sacrum form the...

Answer 37

Sacral alae

Question 38

Lateral coccyx cr

Answer 38

3.5 inches posterior and 2 inches inferior to ASIS

Question 39

Lateral sacrum cr

Answer 39

3.5 inches posterior to ASIS

Question 40

Majority of shoulder dislocations: anterior or posterior?

Answer 40

Anterior

Question 41

What is a SLAP tear and what usually causes it

Answer 41

Shoulder tear of labrum: Superior labrum anterior to posterior Throwing injury

Question 42

Each innominate bone consists of..

Answer 42

Fused ilium, ischium and pubis

Question 43

The ischial spine separates the...

Answer 43

Greater and lesser sciatic notches

Question 44

AP axial SI joints: symphysis should superimpose...

Answer 44

The 5th sacral segment

Question 45

The knee is what type of joint? What other joint may be classified this way?

Answer 45

Bicondylar (biaxial)... like a hinge joint but allows limited rotation. TMJ also, aka ginglymoarthrodial

Question 46

What joint of the hand is a saddle joint? It allows most any type of movement except...

Answer 46

1st carpometacarpal joint of thumb. All except rotation

Question 47

Is osteoarthritis considered a normal part of aging?

Answer 47

No. Incidence increases with age but not normal.

Question 48

What are the primary and secondary ossification centers of long bones

Answer 48

Primary: shaft (diaphysis) Secondary: epiphysis

Question 49

Greater and lesser multangular bones more common names

Answer 49

Greater: trapezium Lesser: trapezoid

Question 50

Os magnum

Answer 50

Capitate

Question 51

Hamate is aka

Answer 51

Unciform