Procedures 2 Grids

Question 1

Describe the AP proximal femur projections.

Answer 1

Patient in supine position with heels evenly spaced apart and pigeon toed. CR Perp to mid femur.top of the IR at level of ASIS.

Question 2

What are the technical factors for proximal femur projections?

Answer 2

80 kVp with a 25 mAs

Question 3

Describe the lateral proximal femur projection?

Answer 3

Patient is supine and rolled Slightly towards the affected side.top of IR to the level of the ASIS
, CR Perp to mid femur

Question 4

What are the technical factors for distalfemur projections?

Answer 4

75Kvp and 10 mAs

Question 5

Describe the AP distal femur projection

Answer 5

Patient supine, heels evenly spaced apart and pigeon toed. Bottom of IR 2” below the knee joint. CR Perp to mid femur on MSP.

Question 6

Describe the lateral distal femur projection.

Answer 6

patient lateral on affected side with non affected leg crossed over affected leg to clear from imposition . Bottom of IR to 2” below the knee joint. CR to mid femur.

Question 7

What are the technical factor for stand hip and pelvis projections?

Answer 7

80 kVp at 25mas LFS with suspended respiration

Question 8

Describe the AP pelvis projection.

Answer 8

Patient supine, heels evenly apart and pigeon toed.top of the IR 1- 11/2” above the iliac crest. IR midline level w/ the greater trochanter. CR on the MSP 2” below the ASIS. SUSPEND RESPIRATION DURING EXPOSURE.

Question 9

Describe the APO pelvis (frog-leg) position

Answer 9

Patient in a supine position, pelvis flat to the table. Have patient bring their knees together, with feet flat on the table. Allow legs to fall out naturally, bringing the feet soles together. Place the top of the IR 11/2” superior to the iliac crest’ with the center of the IR 1” above the pubic symphis . CR to IR midline at 1” above the P.S expose on suspended respiration.

Question 10

What are the technical factors for axial pelvic and Judet hip projections?

Answer 10

80kvp at mAs on suspended respirations.

Question 11

Describe the outlet pelvic Taylor method projection.

Answer 11

Patient fully supine on the table, knees elevated slightly ( use support sponge if needed). CR angled 35° cephalic to a spot 2 “ distal to the pubic symphysis. Expose on suspended respiration.

Question 12

Describe the inlet bridgeman method pelvic projection.

Answer 12

Patient supine on the table, legs slightly elevated (use sponge if needed). CR angled 40° caudal to the MSP at the level of the ASIS.

Question 13

Describe the AP unilateral hip projection.

Answer 13

Patient supine on the table, affected limb medially rotated 15-20 degrees to place the femoral neck parallel to the IR. CR perpendicular to the femoral neck (2 inches medial to the ASIS, and 3 to 4 inches distal to the ASIS ), with , suspended respirations.

Question 14

Describe the AP modified Cleaves frog leg hip projection.

Answer 14

Patient supine on the table, flex affected leg to place the sole of the foot against the opposite knee. Abduct the knee to 45°. CR Perp to femoral neck (2” medial and 3-4” distal from the ASIS). Suspended respirations.

Question 15

What are the technical factors for the daneillius miller cross table lateral trip projection?

Answer 15

80 kVp at 63 mAs large focal spot suspended respiration.

Question 16

Describe the Danielius Miller Hip projection.

Answer 16

Patient supine on the table, affected leg straight with ‘ foot dorsiflexed medially rotated 10-15 degrees. Non affected leg raised from imposition with foot supported on a chair. CR to affected femoral neck horizontally and perp by rotating tube telescope. IR placed in holder behind the affected hip in a decub type position. With suspended respirations.

Question 17

Describe the Judet acetabulum projection.

Answer 17

Patient supine on table top with body a on 45° sponge. With suspended respirations.

Internal ; side of interest is the elevated side. CR Perp to 2” inferior to the ASIS.

External; side of interest is the side down. CR Perp to the pubic symphysis,( 2” medial and 2” distal from the ASIS.)

Question 18

What are the technical factors for SI joint projections?

Answer 18

80 kVp at 40 mAs with a large focal spot and suspended respirations.

Question 19

Describe the AP axial Ferguson SI joint projection.

Answer 19

Patient supine , feet evenly spaced apart. CR angled 30° for males and 35° for females cephalic to a point 2” below the ASIS on the MSP. Expose on suspended respiration.

Question 20

Describe the APO SI joint projection.

Answer 20

Patient supine on the table, oblique the patient 25° - 30° elevating the affected side. Center the patient so that a sagittal plane 1” medial to the elevated affected ASIS is centered to the IR. CR to IRM ( 1” medial al to the elevated ASIS. Collimate to 6” by 8”.

Question 21

What are the technical factors for sacrum and coccyx projections?

Answer 21

80 kVp and 40 mAs with a large focal spot and suspended respiration.

Question 22

Describe the AP axial sacrum projection

Answer 22

Patient supine on the table, legs extended with a support sponge under the knees. CR 15° cephalic to a spot 11/2” ‘2” inferior to the ASIS on the MSP. Expose on suspended respiration.

Question 23

Describe the AP axial coccyx projection

Answer 23

Patient supine on table, legs extended with support sponge under the knees. CR to 1” inferior to the ASIS on the MSP, with a 10° caudal angle. Collimate 7” by 7’ expose on suspend respiration

Question 24

What are the technical factors for the lateral sacrum and coccyx projections?

Answer 24

90 kVp at 50 mAs with a large focal spot and suspended respiration.

Question 25

Describe the lateral sacrum coccyx projection.

Answer 25

Patient in a lateral table top position, build up so that the spine is straight. Support sponge placed between knees and ankles. Flex the knees but not the hips. Place the lead strip behind the patients back. CR Perp to 3 1/2” posterior and 2” distal to the elevated ASIS collimate 8” by 12”.

Question 26

What patient position is used for anterior rib pain?

Answer 26

PA wall Bucky.

Question 27

What patient position is used for posterior rib pain?

Answer 27

AP wall Bucky.

Question 28

What are technical factors for AP and PA above diaphragm rib projections?

Answer 28

70 kVp at 63mAs, 40” SID suspended on full inspiration. With a large focal.