Semester 2 final review Flashcards
Final:
If the patient is admitted to the ER for serve chest and the doctor orders a supine chest, what can the technologist do to decrease magnification?
increase the SID
What is Ascites?
accumulation of fluid in the peritoneal cavity (fluid in abdomen)
Final:
What is the Kvp range for abdomen?
70-80 kvp
Final:
If we are looking for air in the intraabdominal area we are doing this erect to see if the air passes through the:
diaphragm
Final:
Where is xiphoid tip located?
T9-T10
Final:
Where is the greater trochanter located?
at the same level as the pubis symphysis
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Where is the pubis symphysis located at?
same level as the greater trochanter
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Where is the lower costal margin located at?
L2-L3
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Where is the mid thorax located at?
T7
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Where is the iliac crest located at?
L4-L5
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Where is the sternal angle located at?
T4-T5
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Where is the jugular notch located at?
T2-T3
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Where is the thyroid cartilage located at?
C5
Final:
Where is the ASIS located at?
S1-S2
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What views best display fluid/air levels?
decubitus & erect
Final:
What is the parietal peritoneal?
outer portion of the peritoneal cavity
(covers the abdominal cavity)
Final:
What is the visceral peritoneal?
inner portion of the peritoneal cavity
(covers the organ)
Final:
What makes up 3/5 of the small bowel?
ileum (with an E)
(last “distal” 3/5 of small bowel)
Final:
What makes up 2/5 of the small bowel?
jejunum
(first 2/5 of the small bowel)
Final:
What is in the LUQ?
spleen
stomach
left colic (splenic) flexure
tail of pancreas
left kidney
left suprarenal gland
Final:
What is in the RUQ?
liver
gallbladder
right colic flexure
duodenum (c-loop)
head of pancreas
right kidney
right suprarenal gland
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What is in the LLQ?
descending colon
sigmoid colon
2/3 of jejunum
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What is in the RLQ?
ascending colon
appendix
cecum
2/3 of ileum
ileocecal valve
Final:
What are the nine abdominal regions?
- right hypogastric
- epigastric
- left hypogastric
- right lateral (lumbar)
- umbilical
- left lateral (lumbar)
- right inguinal (iliac)
- pubic
- left inguinal (iliac)
Final:
What is peristalsis?
involuntary muscles that help move food through the intestines
Final:
What is the difference between duodenal valve & the duodenal bulb?
duodenal bulb is the proximal portion of duodenum
(end of the stomach)
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What is the pyloric sphincter?
valve separating the stomach from the duodenum
Final:
What is CR for erect abdomen?
2 inches above iliac crest
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What is the CR for decubitus abdomen?
2 “ above iliac crest
(let position sit roughly 5 mins, so fluids move)
Final:
What is CR for supine abdomen?
at iliac crest
Final:
What is the normal order for abdomen series?
AP supine abdomen
Erect/Decub abdomen
PA chest
Final:
If we want to minimize motion we would:
shorten the exposure time
Final:
Long scale is:
We use long scale on?
low contrast (more greys)
abdomen x-rays
Final:
Short scale is:
What would we use short scale on?
high contrast (black& white’s)
extremities
Final:
How much do we oblique for a mortise ankle?
why do we do this?
15-20
to create some space in the ankle joint
places medial/lateral malleolus on same plane
Final:
How much do we oblique for a normal ankle projection?
why do we do this?
45 internal (medial) oblique
Final:
What are the tarsal bones?
Talus
Calcaneus
navicular (distal to talus)
Cuboid (distal to calcaneus)
medial, intermediate, and lateral cuneiforms
Final:
What is medial to the cuboid bone?
navicular
lateral cuneiform
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What is proximal to the navicular?
talus
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What is superior to the calcaneus?
Talus
Final:
What view shows the medial cuneiform free of superimposition?
30-40 degree lateral oblique of foot
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What view shows the sinus tarsi?
30-40 degree medial oblique of foot
Final:
What foot view shows the cuboid free of superimposition?
Medial oblique (30-40 degree oblique)
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Where is the plantar surface of the foot?
posterior part of the foot (sole)
“stepped on a plant”
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Where is the dorsum surface of the foot?
anterior portion of the foot
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What is dorsiflexion?
foot flexed upwards (anteriorly)
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What is plantarflexion?
foot flexed downward (posteriorly)
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What is a mediolateral projection?
from midline (medial) to outer portion of the body (lateral)
Final:
what is lateromedial projection?
projection shooting from outer (lateral side) to inner (medial side)
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What are the views for calcaneus?
Lateral Calcaneus &
plantodorsal Axial calcaneus (40 cephalic towards the long axis of the foot)
Final:
if there is suspected pneumothorax in the right lung what position/view would the patient be place in?
left lateral decubitus
(air side up)
(mark side up)
Final:
if there is suspected hemothorax in the right lung what position/view would the patient be place in?
right lateral decubitus
(fluid side down)
mark side up
Final:
if there is suspected pneumothorax in the left lung what position/view would the patient be place in?
right lateral decubitus
(air side up)
Mark side up
Final:
if there is suspected hemothorax in the left lung what position/view would the patient be place in?
left lateral decubitus
(fluid side down)
mark side up
Final:
What is the hypostenic?
not wide lungs, but long in vertical dimensions but narrow
(35% of population)
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What is sthenic?
average build
(50% of population)
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What is hyperstenic?
wide lungs, shallow in vertical dimensions
(5% of population)
Final:
The CR must always be in the center of the ____ _____
image receptor
Final:
For chest x-rays we expose on the ______ _______
second inspiration
Final:
What is the mediastinum?
middle portion of the thoracic cavity
thymus gland
heart and great vessels
trachea
esophagus
Final:
What is the hilum?
central area where all bronchi, blood vessels, and lymph nodes and nerves leave the lungs
“Party at the hilum”
Final:
The CR should be perpendicular to the
IR
(CR should be in the center of the IR)
Final:
Where does the trachea bifurcate?
carina
at T5
Final:
What does the trachea bifurcate into?
left & right bronchi at carina (T5)
Final:
Which lung has three lobes?
Which bronchi is shorter and more susceptible to food blockages from aspiration?
right has 3 lobes, left 2 lobes
right is more susceptible to food blockages due its short and wide physique
Final:
What view shows the possible calcification underneath the clavicles?
lordotic or
Axial clavicles
Final:
Why would we want to see under the clavicles?
possible calcification underneath
or tumor growth
(achievable via lordotic or axial clavicle)
Final:
What is the name for shortness of breath?
dyspnea
Final:
What is the CR for chest?
PA?
AP?
T7
PA: 7-8 inches from vertebral prominens
AP: 3-4 inches below jugular notch
Final:
What can be found in the mediastinum?
thymus gland
heart and great blood vessels
trachea
esophagus
Final:
What is density and contrast controlled by?
contrast is controlled by kV
density is controlled by mAs
Final:
What does the femur articulate with proximally & distally?
proximally: Acetabulum
distally: tibia and patella
Final:
Where is the abductor tubercle located at?
posterior femur above the medial epicondyles
Final:
When do you see the olecranon process?
Lateral (elbow)
Final:
What is the positioning for Coyle for the radial head?
90-degree flexion of arm
45-degree angle toward the head
arm in lateral w/ hand pronation
Final:
What is the positioning for Coyle view for the coronoid process?
80-degree flexion of arm
45 degrees away from the head
elbow in lateral w/ hand pronation
Final:
What views replace the internal and external obliques?
Coyle view
Final:
What are the forearm views?
AP & Lat
Final:
What are the carpal bones?
Which are proximal and distal?
Proximal:
Scaphoid
lunate
triquetrum
pisiform
Distal:
trapezium
trapezoid
capitate
hamate
Final:
Sims position:
recumbent oblique lying on left anterior, right knee flexed with left arm behind back
“simp position”
Final:
Fowlers position:
head above the feet
recumbent
(howlers position)
Final:
Trendelenburg position:
feet above the head
recumbent
Final:
LAO position:
left anterior oblique
(PA projection)
Final:
RAO position:
right anterior oblique
(PA projection)
Final:
LPO position:
left posterior oblique
(AP projection)
Final:
RPO position:
right posterior oblique
(AP projection)
Final:
Inversion:
AKA?
Inward turning/bending of the ankle
aka Varus
Final:
Eversion:
AKA?
outward turning/bending of ankle
aka valgus
Final:
what is Osgood Slatter?
inflammation of bone/cartilage of anterior proximal tibia (tibial tuberosity)
most common in boys 10-15
Final:
What is gout?
form of arthritis
excessive quantities of blood in the joint
most common in the first MTP joint
Final:
What is Pott’s fx?
fx of tib/fib and injury to the ankle joint
Final:
What is mobile radiography?
portable x-rays
Final:
What are the portions of the acetabulum?
anterior: pubis
Superior: ilium
Posterior: ischium
Final:
What is the positioning for the Judet views?
Supine
45 degree LPO/RPO
2 inches medial + 2 inches inferior to upside ASIS
Final:
What does the upside Judet view show?
what position places the patient in upside?
Posterior rim of acetabulum & anterior iliopubic column
LPO looking at right acetabulum
RPO looking a left acetabulum
Final:
What does the downside Judet view show?
What position places the patient in a downside Judet position?
Anterior rim of acetabulum & posterior ilioschial column
LPO looking at left acetabulum
RPO looking at right acetabulum
Final:
What is the sagittal plane?
What is the midsagittal plane?
left and right body parts
mid-sagittal creates even right and left parts
Final:
What is the coronal plane?
What is the mid-coronal plane?
anterior and posterior planes
mid coronal is equal A & P parts
Final:
What is the transverse plane?
superior and inferior parts
Final:
What is the axiolateral inferosuperior projection?
What is another name for this?
What is parallel to the IR in this position?
cross table hip
Danielus-Miller
femoral neck *
(Tube face?)
Final:
What does Camp Coventry, Holmblad, and Beclere all show?
What is the pneumonic to remember this?
Intercondylar fossa (tunnel/PA flex)
To BECLERE (be clear) I should take the TUNNEL to CAMP COVENTRY and eat HOLMBLAD (some bland) food.
Final:
What does merchant, Settegast, and Hughston all show?
What is the pneumonic to remember this?
patellofemoral joint (sunrise)
The MERCHANT HUGHSTON likes to see the SUNRISE in SETTEGAST.
Final:
What does Merchant show?
What does the position look like?
intercondylar sulcus (sunrise)
patient supine with knees flexed 40 degrees over table
Angle 30 caudad (to femur)
(Closest thing to Mayo’s sunrise view)
Final:
Final:
What does the Beclere method show?
What is the positioning?
Tunnel (intercondylar fossa)
Supine (IR under knee)
Knee flexed 40-45 degrees
Angle 40-45 cephalic
CR 1/2 inch distal to patella apex
Final:
What does Settegast show?
What does the positioning look like?
intercondylar sulcus (sunrise)
Prone or sitting
90 degree flexion of knee
CR 15 20 cephalic into patellofemoral space