Procedures Flashcards

1
Q

Thyroid cartilage

A

C4-5

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2
Q

Sternal angle

A

T4-5

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3
Q

Inferior angle of the scapula

A

T7

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4
Q

Xiphoid process

A

T10

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5
Q

Umbilicus

A

L3-4

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6
Q

Iliac crest

A

L4-5

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7
Q

Greater trochanter

A

Level of symphysis pubis

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8
Q

Mesocephalic

A

Petrase pyramids project anteriorly and medially at an angle of 47° from the MSP

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9
Q

Brachycephalic

A

-short from front to back broad from side to side and shallow from vertex to base
-Petras pyramids lie at an average angle of 54°

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10
Q

Dolichocephalic

A

-Long from front to back narrow from side to side and deep from vertex to base
-Petras pyramids form a narrow angle an average of 40°

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11
Q

Lateral skull

A

-IPL perpendicular to IR
-CR 2 inches superior to EAM

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12
Q

PA skull

A

-CR exiting nasion
-symmetry of skull and petrous ridges of the temporal bone fill the orbits

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13
Q

AP axial (Towne)

A

-CR angled 30 caudad through foramen magnum to the OML or 37 to IOML and MSP 2 to 3 inches superior to superciliary ridge
-symmetry of skull and dorsum sellae projected within foramen magnum
-visualize occipital bone

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14
Q

PA axial (Caldwell)

A

-OML perpendicular to IR
-CR 15 caudad to MSP exiting nasion
-symmetry of skull and petrous ridges projected in lower third of orbits
-frontal sinuses visualized and anterior ethmoid sinuses

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15
Q

Submentovertex (SMV) full basal

A

-neck hyperextended until IOML parallel to IR
-CR perpendicular to MSP through sella turcica
-symmetry of mandibular rami of cranium

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16
Q

Lateral facial bone

A

-CR perpendicular to zygoma (midway between EAM and outer canthus
-IOML

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17
Q

Parietoacanthial projection (Waters)

A

-MSP and MML positioned perpendicular to IR neck hyperextended so the OML forms a 37 angle with IR
-CR perpendicular to IR MSP exiting acanthion
-petrous ridges inferior to maxillary sinuses

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18
Q

PA modified parietoacanthial (modified waters)

A

-neck hyperextended, OML placed 55 angles to IR
-MSP exiting acanthion
-shows orbits and possible blow out fracture (inferior rectus muscle)
-petrous ridges in middle of maxillary sinuses
-when doing it with open mouth, you see sphenoid sinuses

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19
Q

Nasal bone parietoacanthial waters

A

-MSP and MML positioned perpendicular to IR neck hyperextended so the OML forms a 37 angle with IR
-demonstrate bony nasal septum

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20
Q

Lateral nasal bone

A

-IPL perpendicular to IR
-CR 2 cm (3/4 inch) below nasion
-shows nasal bone closest to IR and anterior nasal spine

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21
Q

Lateral horizontal beam sinuses

A

-CR 1 inch posterior to outer canthus
-demonstrates all four sinus groups

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22
Q

Paranasal sinuses parietoacanthial waters view

A

-MML positioned perpendicular to IR neck hyperextended so the OML forms a 37 angle with IR
-shows maxillary sinuses free of superimposition
-can also demonstrate sphenoid sinus through open mouth

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23
Q

Submentovertex full basal horizonal beam

A

–neck hyperextended until IOML parallel to IR
-CR perpendicular to MSP through sella turcica 3/4 inch anterior to level of EAM
-demonstrate ethmoid (anterior) and sphenoid (posterior) sinuses

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24
Q

PA axial caldwell paranasal sinuses

A

-demonstrate the frontal and ethmoid sinuses

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25
Q

Middle ear contains what

A

-Malleus, incus, and stapes
-auditory, or eustachian tube, extends from middle ear to nasopharynx

26
Q

Inner ear contains what

A

Cochlea, semicircular canals, and vestibule

27
Q

Hip joint is what

A

Diarthriotic (freely moveable)

28
Q

Sacroiliac joint is what

A

Amphiarthrotic (little to no movement)

29
Q

How many cranial bones

A

8

30
Q

How many facial bones

A

14

31
Q

Bones in calvarium

A

The frontal, two parietal, and occipital

32
Q

Bones that comprise floor of cranium

A

Two temporal, ethmoid, and sphenoid

33
Q

AP axial C spine

A

-CR 15 to 20 cephalic at C4
-intervertebral disk space opened up

34
Q

AP open mouth

A

-if teeth show extend head
-if base of skull on top of odontoid, lower chin

35
Q

Later c spine

A

-shows vertebral bodies, intervertebral joints, articular facets, and the zygopophyseal joints

36
Q

C spine AP and PA axial obliques

A

-shows intervertebral foramina
-pt rotated 45 degrees
-anterior oblique = 15 to 20 caudad CR to C4
-posterior oblique = 15 to 20 cephalic (shows foramina farthest from IR)

37
Q

Lateral swimmers

A

-elevate arm adjacent to grid
-depress shoulder furthest from IR
-Demonstrates lateral projection of the lower cervical and upper thoracic vertebrae

38
Q

AP dens (fuchs)

A

-dens lying in foramen magnum

39
Q

Breathing technique required for which views

A

-RAO sternum
-AP scapula
-lateral T spine
-lawrence method
-soft tissue later neck

40
Q

AP t spine

A

-demonstrate thoracic vertebral bodies and intervertebral joints

41
Q

Lateral t spine

A

-demonstrate vertebral bodies, intervertebral joints, and intervertebral foramine

42
Q

Lumbar spine AP or PA

A

-AP, pt supine with hips and knees flexed to reduce lordotic curve
-CR to level of iliac crest (L4-L5)
-demonstrate lumbar vertebral bodies and intervertebral joint spaces

43
Q

Later L spine

A

-demonstrate vertebral bodies, intervertebral joint spaces, and intervertebral foramina
-can show spondylolisthesis, forward slipping of lumbar vertebrae at level of L5-S1

44
Q

L5-S1 spot lateral

A

-demonstrate spondylolisthesis
-angle 5 degrees caudal for males and 8 degrees caudal for females

45
Q

L spine posterior and anterior oblique

A

-pt 45 deg
-CR level of L3 and 2 inches medial to ASIS furthest from IR
-posterior obliques demonstrate the articular facet and zygapophyseal joints closest to the IR- scotty dog

46
Q

AP axial sacrum

A

-CR 15 cephalic between ASIS and symphysis pubis

47
Q

AP axial coccyx

A

-CR 10 caudad 2 inches superior to symphysis pubis

48
Q

Myelogram

A

-inject contrast media in subarachnoid space (intrathecal injection) at L3-L4

49
Q

SI joints

A

-30 cephalic for males 35 cephalic for females
-2 inches above symphysis pubis

50
Q

SI posterior and anterior oblique

A

-posterior oblique, side of interest elevated 25 to 30 degrees
-CR 1 inch medial and 1 1/2 inches distal from ASIS farthest from IR
-posterior oblique: dem. SI joint farthest from IR
-anterior: side closes to IR

51
Q

AP Hip

A

-pt supine affected foot rotated 15 deg internal (places femoral neck and hip in true AP)
-CR 2 1/2 inches distal to midpoint of line b/w symphysis pubis and ASIS

52
Q

Axiolateral inferosuperior trauma (Clements-Nakayama)

A

-in cases of possible bilateral hip fractures
-grid parallel to femoral neck tilted back 15 degrees
-CR 15 posteriorly and perpendicular to femoral neck

53
Q

AP pelvis

A

-both legs internally rotated 15 to 20 to overcome anteversion of femoral necks
- CR 2 inches superior to symphysis pubis

54
Q

AP pelvis bilateral frog leg

A

-both hips abducted 40 to 45 deg from vertical
-CR 1 inch superior to symphysis pubis

55
Q

AP pelvis axial anterior pelvic bones (outlet)

A

-males 20 to 35 cephalic 2 inches distal to superior border to symphysis pubis
-females 30 to 45 cephalic 2 inches distal to superior border to symphysis pubis

56
Q

AP pelvis axial anterior pelvic bones (inlet)

A

-CR directed 40 caudad at level of ASIS
-demonstrate anterior pubic and ishcial bones

57
Q

At what level do the carotid arteries bifurcate

A

Layngopharynx

58
Q

Posterior oblique pelvis, acetabulum (judet)
-effective side down, what shows

A

Anterior rim of acetabulum

59
Q

Posterior oblique pelvis, acetabulum (judet)
-effective side up, what shows

A

Poster rim of acetabulum

60
Q

What position to see TB

A

AP lordotic

61
Q

What do u enter for ERCP

A

Duodenal papilla

62
Q

VCUG position for males

A

30 deg RPO while voiding