procedures exam review-upper extremity

Question 1

which bony structure is found on the distal aspect of the Ulna

Answer 1

The head of the ulna

Question 2

A general positioning rule is to place the long axis of the part ________to the long axis of the image receptor

Answer 2

parallel

Question 3

which carpal bone articulates with the radius?

Answer 3

scaphoid

Question 4

what is the most common primary malignant bone tumor?

Answer 4

multiple myeloma

Question 5

how much obliquity is required for a PA oblique projection of the hand

Answer 5

45

Question 6

how much rotation of the distal humerus is required for the AP medial oblique projection of the elbow

Answer 6

45

Question 7

how should the humeral epicondyles be positioned for a lateral projection of the elbow

Answer 7

perpendicular to the IR

Question 8

which position of the elbow will demonstrate an elevated or visible posterior fat pad?

Answer 8

lateral with 90° flexion

Question 9

A patient comes to the emergency department with a possible Bennett’s fracture. Which routine should be performed to confirm the diagnosis?

Answer 9

thumb routine. Roberts

Question 10

for a possible scaphoid fracture with a patient who is unable to assume the ulnar deviation position which position should be done to confirm the diagnosis?

Answer 10

modified stecher

Question 11

A radiograph of the PA scaphoid projection shows extensive overlap of the distal scaphoid and adjacent carpals. what can cause this problem?

Answer 11

insufficient ulnar flexion

Question 12

which carpal bone articulates with the fourth and fifth metacarpal’s?

Answer 12

hamate

Question 13

what is the name of the joint found between the proximal and distal Phalanges of the first digit?

Answer 13

inter-phalangeal

Question 14

what 2 bony landmarks are palpated for positioning the elbow ?

Answer 14

humeral epicondyles

Question 15

what are the two fat stripes of the wrist?

Answer 15

scaphoid and pronator

Question 16

in what case what a posterior fat pad be visible?

Answer 16

an injury

Question 17

A radiograph of an AP oblique elbow with medial rotation reveals that the Radial head is superimposed over part of the coronoid process what positioning error has occurred

Answer 17

excessive medial rotation

Question 18

how many bones are in the hand

Answer 18

27

Question 19

The third metacarpal of the hand articulates with the ________

Answer 19

capitate

Question 20

what is the most common oblique projection for the second through fifth digits

Answer 20

PA with lateral rotation

Question 21

which carpal bones are well demonstrated In a pa externally rotated oblique projection of the wrist?

Answer 21

trapezium and scaphoid

Question 22

what is in profile on a lateral projection of the elbow?

Answer 22

The olecranon process

Question 23

what is the best position to demonstrate a pisiform fracture?

Answer 23

AP oblique wrist with internal rotation

Question 24

which is the most lateral distal carpal bone?

Answer 24

trapezium

Question 25

name the three concentric arcs:

Answer 25

Trochlear sulcus, Trochlear notch, double ridges of capitulum and trochlea

Question 26

fracture of the distal radius with posterior displacement:

Answer 26

Colles’ fx

Question 27

transverse fracture through fifth metacarpal neck

Answer 27

boxers fracture

Question 28

fracture of the distal radius with anterior displacement

Answer 28

smith’s fracture

Question 29

fracture and dislocation of posterior lip of distal radius

Answer 29

Barton’s

Question 30

fracture of base of first metacarpal extending into wrist joint

Answer 30

bennett’s

Question 31

what 4 parts of the body make up the upper limb

Answer 31

The hand and wrist, forearm, arm, shoulder girdle

Question 32

name all the joints of the hand

Answer 32

dip, pip, MCP, IP

Question 33

name the carpals of the wrist:

Answer 33

scaphoid lunate triquetrum pisiform trapezium trapezoid capitate hamate

Question 34

which bone of the forearm is longer and involved with the elbow joint movement?

Answer 34

ulna

Question 35

TAUM

Answer 35

The trochlea articulates with the ulna medially

Question 36

where is the head of the radius located?

Answer 36

at the proximal end of the radius near the elbow joint

Question 37

what are the two processes of the Ulna?

Answer 37

olecranon process and coronoid process

Question 38

where is the coronoid tubercle?

Answer 38

it is the medial part of the coronoid process

Question 39

at the distal end of the humerus is the humeral condyle what are the two parts?

Answer 39

Trochlea and capitulum

Question 40

in a lateral epicondyles of the humerus are _______

Answer 40

superimposed

Question 41

name the anterior and posterior depressions or fossas of the humerus:

Answer 41

anterior : coronoid and radial.

posterior: olecranon

Question 42

for a forearm radiograph why do we usually not do PA?

Answer 42

due to crossover of the radius and Ulna

Question 43

if we want to see fat pads in surrounding tissues what scale of contrast is needed

Answer 43

Long scale

Question 44

what fat pad of the elbow is seen in a true lateral flexion 90°

Answer 44

anterior fat pad

Question 45

The appearance of this fat stripe on the proximal radius may indicate a radial head or neck fracture

Answer 45

supinator fat stripe

Question 46

when doing a PA axial scaphoid with ulnar deviation how much do you angle your CR?

Answer 46

10 to 15° proximally

Question 47

in a lateral forearm when the hand and wrist are in a true lateral position the ______and _______are _______completely

Answer 47

radius and Ulna, superimposed