Radiography

Question 1

SAR01
A large breed dog has been admitted to the surgery for an x-ray of the thorax.

The veterinary surgeon has requested that you set up the equipment and position the
dog to obtain a X lateral radiograph of this dog’s thorax.

The dog is lightly sedated and therefore conscious.

Note: you are not expected to set exposure factors, change the focal film distance, or to
make an exposure.

Please tell the examiner when you are ready to take the exposure

Answer 1

1. Using the patient screen record patient details provided
2. Record species and patient size
3. Select correct view
4. Select correct application of grid (on)
5. Patient placed in correct lateral recumbency
6. Place small foam wedge under the sternum to prevent rotation of the thorax
7. Extend forelimbs cranially
8. Limbs appropriately positioned and secured
9. Place sandbag over neck (mid-cervical region) to secure
10. Tube head lined up so that the primary beam is positioned over thorax
11. Primary beam centred over mid-thorax
12. Primary beam collimated to include manubrium/thoracic inlet
13. Primary beam collimated to include last rib
14. Primary beam collimated to include dorsal skin surface
15. Primary beam collimated to include ventral skin surface
16. Correct positioning, settings and labelling for X lateral radiograph of thorax
17. Correct centring and collimation

Question 2

SAR02
The owners of this German Shepherd dog have requested a radiograph of her hips to be submitted to the BVA Kennel Club Hip Dysplasia Scheme for scoring.

The veterinary surgeon has asked you to set up the equipment and position the dog to achieve this.

The dog is anaesthetised and being monitored.

Note: You are not expected to set exposure factors, change the focal film distance, or to
make an exposure.

Please tell the examiner when you are ready to take the exposure.

Answer 2

1. Using the patient screen record patient details provided
2. Record species and patient size
3. Select correct view
4. Select correct application of grid
5. Patient placed in correct recumbency
6. Sandbags or trough used to prevent rotation of the body
7. Limbs appropriately positioned and secured
8. Hind limbs rotated medially to bring femora parallel to each other (with patellae facing upwards) and secured into this position (using ties, tapes or Velcro)
9. Tail lying directly in midline
10. No rotation about the longitudinal axis of the body
11. Tube head lined up so that the primary beam is positioned over hips
12. Label with KC registration number, date, microchip number and L/R marker
13. Primary beam centred over pubic symphysis
14. Primary beam collimated to include: Wing of ilium
15. Primary beam collimated to include: Mid-shaft femurs (may extend to
    patellae)
16. Primary beam collimated to include: Lateral skin surfaces
17. Correct positioning for BVA Kennel Club Hip Dysplasia (to include
    necessary equipment and labelling)
18. Correct centring and collimation

Question 3

SAR03
This Labrador has been admitted to the surgery with recurrent cystitis.

The veterinary surgeon has requested that you set up the equipment and position the
dog to obtain a X lateral cystogram.

The dog is anaesthetised and being monitored.

Note: you are not expected to set exposure factors, change the focal film distance, or to
make an exposure.

Please tell the examiner when you are ready to take the exposure

Answer 3

1. Using the patient screen record patient details provided
2. Record species and patient size
3. Select correct view
4. Select correct application of grid
5. Patient placed in correct lateral recumbency
6. Place small foam wedge under the sternum to ensure that median
   plane of the body is parallel to the table
7. Extend hind limbs caudally
8. Limbs appropriately positioned and secured
9. Place small foam wedge in between stifles to ensure that the median plane of the body is parallel to the table
10. Tube head lined up so that the primary beam is positioned over caudal abdomen
11. Primary beam centred over caudal abdomen
12. Primary beam collimated to include: Umbilicus
13. Primary beam collimated to include: Ischium
14. Primary beam collimated to include: Dorsal skin surface
15. Primary beam collimated to include: Ventral skin surface
16. Correct positioning, settings and labelling for X lateral cystogram
17. Correct centring and collimation

Question 4

SAR04
This patient has been admitted to the surgery with a suspected fracture of the X tibia.

The veterinary surgeon has requested that you set up the equipment and position the
dog to obtain a medio-lateral radiograph of the X tibia and fibula.

The dog is anaesthetised and being monitored.

Note: you are not expected to set exposure factors, change the focal film distance, or to
make an exposure.

Please tell the examiner when you are ready to take the exposure.

Answer 4

1. Using the patient screen record patient details provided
2. Record species and patient size
3. Select correct view
4. Select correct application of grid
5. Patient placed in correct lateral recumbency
6. Small foam wedge placed under stifle or under hock to correct
   rotation of the tibia/fibula
7. Sandbag placed over foot to stabilise hind limb on the table
8. Limbs appropriately positioned and secured
9. Tube head lined up so that the primary beam is positioned over the
   tibia/fibula and the cassette
10. Primary beam centred over mid tibia/fibula
11. Primary beam collimated to include Stifle joint
12. Primary beam collimated to include tarsal joint
13. Primary beam collimated to include skin surfaces cranially
14. Primary beam collimated to include skin surfaces caudally
15. Correct positioning, settings and labelling for medio-lateral
    radiograph of the right tibia and fibula
16. Correct centring and collimation

Question 5

SAR05
This patient has been admitted to the surgery with suspected distal oesophageal foreign body.

The veterinary surgeon has requested that you set up the equipment and position the
patient to obtain a ventro-dorsal radiograph of the thorax.

The patient has been anaesthetised and is being monitored.

Note: you are not expected to set exposure factors, change the focal film distance, or to
make an exposure.

Please tell the examiner when you are ready to take the exposure.

Answer 5

1. Using the patient screen record patient details provided
2. Record species and patient size
3. Select correct view
4. Select correct application of grid
5. Patient placed in correct recumbency
6. Sandbags or radiolucent trough placed to prevent lateral rotation of the body
7. Limbs appropriately positioned and secured
8. Tube head lined up so that the primary beam is positioned over thorax
9. Primary beam centred over mid-thorax
10. Primary beam collimated to include: Manubrium/Thoracic inlet
11. Primary beam collimated to include: Last rib
12. Primary beam collimated to include: Lateral skin surfaces
13. Correct positioning, settings and labelling for ventro-dorsal radiograph of the thorax
14. Correct centring and collimation

Question 6

SAR06
This quadriplegic German Shepherd dog requires radiography of the spine.

The veterinary surgeon has asked you to set up the equipment and position the dog to obtain a X lateral survey view of the cervical vertebrae.

The dog is anaesthetised and is being monitored.

Note: you are not expected to set exposure factors, change the focal film distance, or to
make an exposure.

Please tell the examiner when you are ready to take the exposure.

Answer 6

1. Using the patient screen record patient details provided
2. Record species and patient size
3. Select correct view
4. Select correct application of grid
5. Patient placed in correct lateral recumbency
6. Small foam wedge placed under the nose to correct rotation of the head
7. Small foam support positioned under neck to correct sagging of the neck
8. Limbs appropriately positioned and secured
9. Small foam support positioned between forelimbs to ensure that the
   median plane is parallel to the table
10. Tube head lined up so that the primary beam is positioned over cervical spine
11. Primary beam centred over mid neck region
12. Primary beam collimated to include: Occipital crest
13. Primary beam collimated to include: Level of first rib
14. Primary beam collimated to include: Dorsal skin surface
15. Primary beam collimated to include: Ventral neck region
16. Correct positioning for X lateral radiograph of the cervical vertebrae
17. Correct centring and collimation

Question 7

SAR07
This Labrador Retriever has been admitted to the surgery.

The veterinary surgeon has requested that you set up the equipment and position the
dog to obtain a X lateral lumbar spine radiograph.

The dog is anaesthetised and being monitored.

Note: you are not expected to set exposure factors, change the focal film distance, or to
make an exposure.

Please tell the examiner when you are ready to take the exposure

Answer 7

1. Using the patient screen record patient details provided
2. Record species and patient size
3. Select correct view
4. Select correct application of grid
5. Patient placed in correct lateral recumbency
6. Place small foam wedge under the sternum to ensure that median
   plane of the body is parallel to the table
7. Place small foam wedge under mid-lumbar spine to prevent sagging
8. Limbs appropriately positioned and secured
9. Place small foam wedge in between stifles to ensure that the median
   plane of the body is parallel to the table
10. Tube head is lined up so that the primary beam is positioned over
    lumbar spine region
11. Primary beam centred over lumbar spine
12. Primary beam collimated to include: Thoraco-lumbar junction
13. Primary beam collimated to include: Greater trochanter
14. Primary beam collimated to include: Dorsal skin surface
15. Primary beam collimated to include: Mid abdomen ventrally
16. Correct positioning for X lateral survey view of the lumbar spine
17. Correct centring and collimation

Question 8

SAR08
This German Shepherd Dog has been admitted to the surgery following a road traffic incident.

The veterinary surgeon has requested that you set up the equipment and position the
dog to obtain a dorso-ventral radiograph of this dog’s thorax.

The dog is conscious.

Note: you are not expected to set exposure factors, change the focal film distance, or to
make an exposure.

Please tell the examiner when you are ready to take the exposure

Answer 8

1. Using the patient screen record patient details provided
2. Record species and patient size
3. Select correct view
4. Select correct application of grid
5. Patient placed in correct recumbency
6. Positioning aids placed to prevent lateral rotation of the body
7. Forelimbs drawn cranially
8. Limbs appropriately positioned and secured
9. Sandbag placed over neck to secure the patient’s head
10. Tube head lined up so that the primary beam is positioned over
    thorax
11. Primary beam centred over mid-thorax
12. Primary beam collimated to include: Manubrium/Thoracic inlet
13. Primary beam collimated to include: Last rib
14. Primary beam collimated to include: Lateral skin surfaces
15. Correct positioning, settings and labelling for dorso-ventral of thorax
16. Correct centring and collimation