Semester 2 Imaging procedures exam 2 Flashcards
Which structure of the pelvis articulates with the femur
Acetabulum
Which bones of the pelvis comprise The acetabulum
Pubis, Ischium, and ilium
On which bone is the Ala located
Ilium
Which of the following pelvic structures is not used as a positioning palpation point
Ischial spine
Which portions of the hip bone join to form the obturator foreman
Pubis and Ischium only
What is the name of the border that extends on the hip bone from the posterior superior iliac spine to the ASIS
Iliac crest
What is the name of the process that separates the greater sciatic notch from the lesser sciatic notch on the hip bone
Ischial spine
Which parts of the hip bone support the weight of the body when a person is in the sitting position
Ischial tuberosities
Where in the pelvis is the body of the pubis located
It forms part of the acetabulum
An average sized patients where should the IR be centered for the AP projection of the pelvis
Approximately 2 inches inferior to the ASIS and 2 inches superior to the pubic synthesis
Where on the midline of the patient should the central ray enter for the AP projection of the pelvis?
2 inches above the pubic synthesis
Which positioning maneuver should be performed to place the for moral neck’s parallel with the IR for an AP projection of the pelvis?
Rotate the lower extremities mediately 15 to 20°
How should the central ray be directed for the AP oblique projection (modified Cleves method) to demonstrate bilateral hips?
Perpendicularly
For which projection of the lower extremities or pelvis should the hips be flexed and the femora be abducted from the midline of the patient
AP oblique projection (modified Cleves method) for femoral neck’s
All of the following projections can be used to image a patient with a suspected intertrochanteric fracture except for the
Lateral projection (Lauenstein method) of the hip
For the AP oblique projection (modified Cleves method) what is the purpose of abducting the Femora the required number of degrees
To position the for moral neck’s parallel with the IR
Which structure should be centered to the midline of the table on the AP oblique projection (modified Cleves method) is adapted to demonstrate only one hip
ASIS
For which projection of an individual hip should the unaffected hip be flexed and the thigh be raised out of the way of the central ray
Axiolateral projection (danelius miller method)
For which projection of the hip should the central ray be directed horizontally into the medial aspect of the affected thigh
Axiolateral projection (danelius Miller method )
Which of the following best demonstrates suspected fractures of the acetabulum
APO projection (judet method)
Which of the following positions would be used to demonstrate the posterior rim of the left acetabulum
45° RPO
What specific portion of the acetabulum is demonstrated by the AP oblique projection external oblique (judet method)
Anterior rim
Which of the following would best demonstrate the pubic and ischial rami without for shortening
App axial “outlet” projection (Taylor method)
What is the proper central ray orientation for the AP axial ( Taylor method) for female patients
30 to 45° Cephalad
When performing an AP projection of the pelvis and proximal femora all of the following should be clearly seen except
The lesser trochanter‘s which if seen are visible on the lateral border of the femora
When performing an AP oblique projection modified Cleaves method all of the following should be clearly seen except
The for moral neck without super imposition by the lesser trochanter excess abduction causes the lesser trochanter to obstruct the neck
Where does the central ray enter the patient for the AP projection of the hip
Approximately 2.5 inches distal on a line drawn perpendicularly from the midpoint of a line between the ASIS and the pubic symphysis
When performing the AP oblique projection modified Cleaves method how many degrees should the patient abduct the thighs from vertical plane?
45 degrees
Which examination is contra indicated for patients with suspected fracture or pathologic condition?
Modified Cleaves method
Where on the midline of the patient should the central ray be directed for the AP oblique projection (modified Cleves method)
1 inch above the pubic symphysis
If femur or hip fracture you must also do a
Supine chest X-ray
Ap distal femur proper position
Condyles parallel, proximal tibia Fibia slightly super imposed, Patella slightly medial