Posi Prelim Flashcards

Rationale

1
Q

To best visualize the lower ribs, the exposure should be made ________

a. On normal inspiration
b. On inspiration, second breath
c. On expiration
d. During shallow breathing

A

c. On expiration.

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2
Q

A frontal view of the sternum is best accomplished in which of the following positions?

a. AP
b. PA
c. RAO
d. LAO

A

c. RAO

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3
Q

In the Moore Method of the Sternum, large patients require_______.

a. more than 25-degree angulation
b. less than 25-degree angulation
c. supine position
d. 11 × 14 in IR

A

b. less than 25-degree angulation

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4
Q

Which of the following positions can be used to demonstrate the axillary ribs of the right
thorax?

  1. RAO
  2. LAO
  3. RPO

a. 1 only
b. 1 and 2 only
c. 2 and 3 only

A

c. 2 and 3 only.

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5
Q

The sternal angle is at approximately the same level as the _______

a. T2-3 interspace fifth thoracic vertebra
b. T9-10 interspace
c. T5
d. Costal margin

A

c. T5.

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6
Q

With the patient in the PA position, which of the following tube angle and direction combinations is correct for an axial projection of the clavicle?

a. 5 to 15 degrees caudad
b. 5 to 15 degrees cephalad
c. 15 to 30 degrees cephalad
d. 15 to 30 degrees caudad

A

d. 15 to 30 degrees caudad.

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7
Q
  1. In PA Projection for Sternoclavicular joint, there is a slight rotation on bilateral examinations.

a. True
b. False

A

b. False

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8
Q

Which of the following is/are) part of the bony thorax?

  1. Manubrium
  2. Clavicles
  3. 24 ribs

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

A

c. 1 and 3 only

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9
Q

In Body Rotation Method for Sternoclavicular joint, what joint is most likely to be demonstrated in RAO position?

a. Left SC
b. Right SC
c. Both Joints
d. Clavicular Notch

A

b. Right SC

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10
Q

Which of the following are characteristics of the hypersthenic body type?

  1. Short, wide, transverse heart
  2. High and peripheral large bowel
  3. Diaphragm positioned low

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

A

a. 1 and 2 only

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11
Q

Which of the following is/are true about Central Ray Angulation for Sternoclavicular joints?

  1. Joint is farther to the IR in this projection
  2. Less distortion is obtained than body rotation method
  3. Grid IR placed on the tabletop enables the joint to be projected with minimal distortion

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

A

b. 2 and 3

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12
Q

Which of the following is/are true about Kurzbauer Method?

  1. SC joint free of superimposition with shoulder
  2. SC joint on unaffected side is demonstrated
  3. The central ray is angled 15 degrees and directed to SC joint closest to IR.

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

A

c. 1 and 3

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13
Q

What is the position of the stomach in a hypersthenic patient?

a. High and vertical
b. High and horizontal
c. Low and vertical
d. Low and horizontal

A

b. High and horizontal

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14
Q

In the lateral projection of the scapula, the:

  1. The 2 scapular borders are superimposed
  2. Acromion and coracoid processes are superimposed
  3. Inferior angle is superimposed on the ribs

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

A

a. 1 only

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15
Q

Which of the following positions is obtained with the patient lying supine on the radiographic table with the CR directed horizontally to the iliac crest?

a. Left lateral decubitus position
b. Right lateral decubitus position
c. Ventral decubitus position
d. Dorsal decubitus position

A

d. Dorsal decubitus position

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16
Q

Which of the following should be demonstrated in a true AP projection of the clavicle?

  1. Clavicular body
  2. Acromioclavicular joint
  3. Sternocostal joint

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

A

b. 1 and 2 only

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17
Q

In the x-ray examination of the Coracoid process, the round shouldered patient requires

a. less angulation
b. more angulation
c. no angulation
d. perpendicular CR

A

b. more angulation

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18
Q

For the AP projection of the scapula, the:

  1. Patient’s arm is abducted at right angles to the body
  2. Patient’s elbow is flexed with the hand supinated
  3. Exposure is made using orthostatic breathing technique

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

A

a. 1 and 2 only

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19
Q

Below-diaphragm ribs are better demonstrated when:

a. Respiration is suspended at the end of full exhalation
b. Exposed using shallow breathing technique
c. The patient is in the recumbent position
d. The patient is in the AP erect position

A

c. The patient is in the recumbent position.

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20
Q

The act of expiration will cause the:

  1. Diaphragm to move inferiofly
  2. Sternum and ribs to move inferiorly
  3. Diaphragm to move superiorly

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

A

c. 2 and 3 only

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21
Q

The following is/are true about the Laquierriere-Pierquin Method, except?

  1. Scapular spine is seen superior to the scapular body
  2. 45-degree caudad angle for obese and round-shouldered patients.
  3. Scapular spine is seen without superimposition except for the medial end of the clavicle

a. 1 and 2
b. 2 and 3
c. 1 and 3

A

b. 2 and 3

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22
Q

Which of the following are true about Tangential Projection (Prone position) for Scapular Spine?

  1. Scapular spine in profile and free of superimposition of the scapular body
  2. Scapular spine above the scapular wing
  3. A decreased SID is recommended for Upright

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

A

a. 1 and 2.

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23
Q

All of the following comprise the bony thorax, EXCEPT for:

a. Sternum
b. 12 pairs of ribs
c. 12 thoracic vertebrae
d. Scapulae

A

d. Scapulae

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24
Q

Where on the sternum is the jugular notch located?

a. Lateral border of the body
b. Lateral border of the manubrium
c. Superior border of the body
d. Superior border of the manubrium

A

d. Superior border of the manubrium

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25
Q

For the oblique position that best demonstrates the sternum, how many degrees should the patient be rotated?

a. 15 to 20 degrees
b. 25 to 30 degrees
c. 30 to 40 degrees
d. 35 to 45 degrees

A

a. 15 to 20 degrees

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26
Q

Which two projections generally compose the typical series demonstrating the sternum?

a. PA and lateral
b. PA and PA oblique, RAO position
c. Lateral and PA oblique, LAO position
d. Lateral and PA oblique, RAO position

A

d. Lateral and PA oblique, RAO position

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27
Q

Which projection best demonstrates the axillary portion of ribs?

a. AP projection
b. PA projection
c. Lateral projection
d. AP oblique projection

A

d. AP oblique projection

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28
Q

Which bony landmark is most easily palpated on the obese patient for sternum and rib projections? (above the diaphragm)

a. Jugular notch
b. Sternal angle
c. Xiphoid process
d. Vertebra prominens

A

a. Jugular notch

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29
Q

What distinguishes a true rib from a false rib?

a. A true rib attaches directly to the sternum with its own costocartilage
b. A true rib possesses a costovertebral and a costotransverse joint
c. A false rib does not possess a head
d. A false rib is composed primarily of Cartilage

A

a. A true rib attaches directly to the sternum with its own costocartilage

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30
Q

In Pearson Method with, how many pounds (Ib) of weights should be given to the patient?

a. 1-2 lb
b. 2-4 lb
c. 4-7 lb
d. 5-8 lb

A

d. 5-8 lb

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31
Q

The following are true in Pearson Method, except:

  1. AC joint space reduces in the upright
  2. Affix weights through hands “thru wrist
  3. AC joint separation is clearly seen with weights attached

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

A

a. 1 and 2

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32
Q

In the AP Axial Alexander Method (Upright Position), the central ray is

a. Directed to the coracoid process
b. Directed to AC joint
c. Directed to the level Of T2 to T3 (jugular notch)
d. Directed to SC joint closest to IR

A

a. Directed to the coracoid process

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33
Q

The following should be asked to patients before taking a radiograph of the ribs, EXCEPT?

a. Can you stand?
b. Is the pain present for too long?
c. Where is the pain located?
d. NOTA

A

d. NOTA

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34
Q

If the rib injury is near the heart, which of the following should be increased?

a. KVp
b. mA
c. Exposure time
d. SID

A

a. KVp

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35
Q

If the upper ribs are the part of interest, it is better to place the patient in a ____ position.

a. LPO
b. Erect
c. Supine
d. RAO

A

b. Erect

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36
Q

The thoracic vertebrae are unique in that they participate in the following articulations:

  1. costovertebral
  2. costotransverse
  3. costochondral

a. 4 Only
b. 1 and 2 only
c. 2 and 3 only
d. 1, 2, and 3

A

b. 1 and 2 only

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37
Q

With the body in the supine position, the diaphragm moves:

a. 2 to 4 inches higher than when erect
b. 2 to 4 inches lower than when erect
c. 2 to 4 inches inferiorly
d. unpredictably

A

a. 2 to 4 inches higher than when erect

38
Q

In the PA Axial Oblique- Alexander Method, the central ray is

a. Directed to the coracoid process
b. Directed to AC joint
c. Directed to the level Of T2 to T3 (jugular notch)
d. Directed to SC joint closest to IR

A

b. Directed to AC joint

39
Q

The suggested examination for a patient with suspected rib fracture:

a. Chest bucky
b. Chest both oblique
c. Chest PA
d. Chest AP

A

a. Chest bucky

40
Q

An x-ray beam entering the right side and exits to the left side is called as?

a. Mediolateral projection
b. Lateromedial projection
c. Lateral projection
d. NOTA

A

c. Lateral projection

41
Q

When the clavicular bones are projected above the apices of the lungs, this view is

a. Kyphotic
b. Lordotic
C. PA
d. AP

A

b. Lordotic

42
Q

The Y in the scapular Y is formed by:

a. The glenoid fossa and the clavicle
b. The glenoid fossa and the scapula
c. The scapula only
d. NOTA

A

c. The scapula only

43
Q

To demonstrate sufficient inspiratory effort, the following numbers of posterior ribs

a. 5
b. 6
c. 7
d. 8

A

d. 8

44
Q

The suprasternal notch corresponds to the level of?

a. T1-T2
b. C7-T1
c. C2-C3
d. T2-T3

A

a. T1-T2

45
Q

The type dislocation described when the humeral head is beneath the coracoid process is:

a. Posterior Dislocation
b. Anterior Dislocation
c. Lateral Dislocation
d. Inferior Dislocation

A

b. Anterior Dislocation

46
Q

This structure can be vaguely seen in the frontal view of the

a. Scapula
b. Sternum
C. Anterior rib cage
d. Clavicle

A

b. Sternum

47
Q

An AP Axial view of the clavicle will project this structure:

a. Medial to the apices
b. Lateral to the apices
c. Superior to the apices
d. Inferior to the apices

A

c. Superior to the apices

48
Q

The type dislocation described when the humeral head is projected beneath the acromion process is:

a. Posterior Dislocation
b. Anterior Dislocation
c. Lateral Dislocation
d. Inferior Dislocation

A

a. Posterior Dislocation

49
Q

The axillary portion of the ribs is best shown in what position?

a. PA
b. AP
c. Lateral
d. Oblique

A

d. Oblique

50
Q

In Shoulder Joint x-ray (Scapular Y Lateral) PA Oblique Projection, the body is rotated to how many degrees?

a. 15-20 degrees
b. 35-50 degrees
c. 45-60 degrees
d. 90 degrees

A

c. 45-60 degrees

51
Q

These joints connect the ribs directly to the vertebral body.

a. Costotransverse
b. Costovertebral
c. Interchondral
d. costochondral

A

b. Costovertebral

52
Q

In Neer Method, the central ray is angulated _____ entering the superior aspect of the humeral head.

a. 0-15 degrees cephalad
b. 10-15 degrees caudad
c. 15-45 degrees cephalad
d. 45 degrees caudad

A

b. 10-15 degrees caudad

53
Q

When imaging heavily hyperthenic patients, this landmark is almost readily palpable for TBC studies.

a. T7
b. Vertebra prominens
c. Suprasternal notch
d. NOTA

A

c. Suprasternal notch

54
Q

The following can be an alternative for the sternum RAO position, EXCEPT?

a. Use an LPO position instead
b. Angle the CR instead of angling the body of the patient
c. Use a lateral position
d. NOTA

A

c. Use a lateral position

55
Q

For a lateral projection of the sternum, what SID is utilized?|

a. 40 in
b. 44 in
c. 72 in
d. 78 in

A

c. 72 in

56
Q

Which of the following ribs would be better visualized in a PA projection?

a. Posterior
b. Anterior
c. Axillary
d. NOTA

A

b. Anterior

57
Q

Which of the following projections is more favorable when imaging the clavicle?

a. AP
b. PA
c. Lateral
d. Oblique

A

b. PA

58
Q

In what projection is the clavicle seen free from the chest wall?

a. AP Axial/PA Axial
b. Lordotic
c. Tangential
d. Lateral

A

c. Tangential

59
Q

A specific projection of the foot in which the central ray enters the anterior surface and exits the posterior surface is termed:

a. Dorsoplantar
b. Plantodorsal
c. Axioplantar
d. Posteroanterior

A

a. Dorsoplantar

60
Q

patient is placed in a recumbent position with the body tilted so that the head is higher than the feet. The image receptor is under the patient and the x-ray tube is above the patient. Which is the general position of the patient?

a. Trendelenburg
b. Reid
c. Sims
d. Fowler

A

d. Fowler

61
Q

What is the name of the position that provides remedy for patients who passed out?

a. Lithotomy
b. Decubitus
C. Fowlers
d. Trendelenburg

A

d. Trendelenburg

62
Q

Which of the following is an example of an axial projection?

a.Transthoracic lateral
b. Mediolateral ankle
c. AP chest with 20-degree cephalic angle
d. AP abdomen with 30-degree rotation to the left

A

c. AP chest with 20-degree cephalic angle

63
Q

In Steeper AP Oblique Projection of the Scapula, the patient extends the arm and rotate the affected side away by how many degrees?

a. 10-15 degrees
b. 15-25 degrees
c. 25-35 degrees
d. 45-60 degrees

A

c. 25-35 degrees

64
Q

In Lateral Projection of the Scapula (RAO or LAO position), a ____ can be applied for trauma patients.

a. RPO or LPO
b. Lateral Position
c. Kurzbauer Method
d. Moore Method

A

a. RPO or LPO

65
Q

These are types of questions that CANNOT be answered by yes or no.

a. Open-ended
b. Close-ended
c. Funnel
d. NOTA

A

a. Open-ended

66
Q
A
67
Q

In imaging the lower ribs of hypersthenic patient, what landmark should be palpated

A

Iliac crest / Inferior costal margin / lower margin of the ribs

68
Q

Alternative patient position when
patient cannot be placed for RAO
when imaging the sternum

A

LPO

69
Q

In order to check for posteriorly
displaced sternal fractures, what
position should be utilized?

A

Lateral (keyword: displaced / disloc)

70
Q

In imaging the ribs, the
technologists used 72 in SID, hat
IR size should be used

A

14x17 in

71
Q

This position allows visualization
of air fluid levels in the chest when
there is trauma in the ribs

A

Upright / erect

72
Q

What IR size is used when only 1 side
or the ribs are imaged

A

11x14 in

73
Q

In the AP proj of the ribs, the ribs in the
__ side are presented with great detail

A

posterior

74
Q

The medial aspect of the clavicle is
attached to the __ of the sternum

A

Manubrium / clavicular notch

75
Q

What CR proj is preferred when imaging the clavicle, to obtain optimal
recorded detail

A

PA

76
Q

In what position is the patient places
when in the AP Axial proj of the clavicle

A

Lordotic or supine

77
Q

In what position is the patient places
when in the AP Axial proj of the clavicle

A

Lordotic or supine

78
Q

Lordotic or supine

A

Tangential

79
Q

This PA onlique method of the
scapula places the arm obliquely upward

A

Liliendfeld Method

80
Q

In this PA oblique method of the
scapula, the affected arm is positioned at a 90 degree angle

A

Lorenz Method

81
Q

A steeper scapular AP oblique proj is achieved when the patient is rotated ___ degrees away from the affected side

A

25-35 degrees

82
Q

This projection places the scapula
nearly free of thoracic superimposition

A

Lateral or AP Oblique

83
Q

The lateral portion of the bony cage
can be obtained via what projection

A

AP / PA Ob. Proj

84
Q

What is term for the long, middle
aspect of the sternum

A

Body / Gladiolus / Corpus

85
Q

What part of the clavicle attaches to
the sternum

A

Sternal extremity / sternal end

86
Q

The heart, trachea, and esophagus
are all found in this part of the chest

A

Mediastinum

87
Q

These are ribs that do not have an
anterior attachment

A

Floating ribs

88
Q

Joints found in the TBC that are
connected by two cartilages are called

A

Interchondral joints

89
Q

Since obese patients have wider
thoracic cages than sthenic patients, the orientation of the IR must be?

A

crosswise

90
Q

The lower ribs will be more detailed if
the patient performs what breathing
movement

A

Suspended respiration or expiration

91
Q

The medial and lateral borders of
the scapula are termed as _______ and
________

A

Axillary border
Medial / vertebral border