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
All of the following comprise the bony thorax except for
The scapula
What is the proper name for that structure commonly called the breast bone
Sternum
Which bone classification is the sternum
Flat
Which three body parts comprise the sternum
Manubrium. body and xiphoid process
Which part of the sternum is most superior
Manumbrium
Which of the following articulates with the articular facets located just lateral to the jugular notch
Clavicles
The junction of which structures creates the sternal angle
Manubrium and sternal body
Which part of the sternum is a long gated central portion
Body
Where on the sternum is the jugular notch located
Superior border of the maNubrium
What is the smallest part of the sternum
Xiphoid process
Which part of the sternum is located at the level of t 10
Xiphoid process
Which part of the sternum does the first pair of ribs articulate
Lateral border of the Manubrium
Which classification refers to the ribs that attach to the coastal cartilages directly to the sternum
true
Which classification refers to the eighth through 12th pairs of ribs
False
Which pairs of ribs are classified as true ribs
The first seven pairs
How many pairs of ribs are classified as floating ribs
2
Which articulation is formed in part with the head of the rib
Costovertebral
With which structure do you heads of ribs articulate
Demifacets of thoracic vertebrae
Which articulation involves the tubercle of a rib
Costotransverse
Which radiographic position best demonstrates the sternum rejected within the heart shadow
RAO
Which two projections generally comprise the typical series demonstrating the sternum
Lateral and PA oblique RAO position
How should the central ray be directed for the oblique position to best demonstrate the sternum
Caudally 15°
To demonstrate the sternum best the patient should be rotated into the ______ position to image the sternum without ___________________
RAO; within the heart shadow
With reference to the patient where should the top border of the IRB position for the lateral projection of the sternum
One and a half inches above the jugular notch
Which procedure should be performed for the lateral projection of the sternum
Increase. SID to 72”
Which procedure should be performed to demonstrate only one SC joint with the PA projection
Turn the patients head to face the affected side
Which procedure should be performed to demonstrate both SC joins with the PA projection
rest patients head on the chin
How should the central ray be directed and centered for the PA projection for bilateral SC joints
Perpendicular to T3
To demonstrate bilateral SC joints which evaluation criteria indicates that the patient was properly positioned
No rotation of the SC joints should be demonstrated
To demonstrate injured anterior ribs number five and six on the right side most effectively which two projections should be included as part of the series
PA & PA oblique with the patient LAO
To demonstrate injured anterior ribs number 6 &7 on the left side most effectively which two projection should be included
PA & P a oblique with the patient RAO
To demonstrate injured posterior ribs number five and six on the left side most effectively which two projection should be included
AP and AP oblique with the patient LPO
To demonstrate injured posterior ribs number six and seven on the right side most effectively which two projection should be included as part of the series
AP and AP oblique with the patient RPO
Which procedure should be used to obtain images of injured anterior ribs number five and six
Patient upright exposure taking on suspended inspiration
If the patient’s condition permits which procedure should be used to demonstrate injured posterior ribs number 1011 and 12 best
Patient supine exposure taking on suspended expiration
Which two projections best demonstrate injured posterior ribs number 1011 and 12 on the right side
AP and AP oblique with the patient RPO
Which two projections best demonstrate injured posterior ribs number 10 11 and 12 on the left side side
AP and AP oblique with the patient LPO
Which radiographic position best demonstrates the posterior 11th rib on the right side without vertebral super imposition
RPO
Which radiographic position best demonstrates the 10th posterior rib on the left side without vertebral super imposition
LPO
Which radiographic position best demonstrates the anterior sixth rib on the left side without vertebral super imposition
RAO
Which radiographic position best demonstrates the anterior fifth rib on the right side without vertebral super imposition
LAO
With reference to the patient where should the top Border of the IR/collimated field be positioned for the PA projection to demonstrate ribs above the diaphragm
One and a half inches above the shoulders
For the AP projection demonstrating ribs above the diaphragm when should respiration be suspended and what effect will that have on the diaphragm
On full inspiration will depress the diaphragm
For the AP projection demonstrating ribs below the diaphragm when should respiration be suspended and what effect will that have on the diaphragm
On full expiration will elevate the diaphragm
When performing the AP projection to demonstrate ribs below the diaphragm with reference to the patient how should the IR/collimated field be positioned?
Lower border of the IR/collimated field at the level of the iliac crest
Which projection best demonstrates the axillary portion of the ribs
AP oblique projection
Which procedure can be performed to demonstrate the seventh eighth and ninth ribs better away from the shadow of the diaphragm
Higher centering and caudal angulation of the central ray
Which of the following evaluation criteria pertains to the AP oblique projection for ribs
Axillary portion of the ribs of interest should be free of super imposition
Where on the midline of the patient should the central day be directed for the AP oblique modified cleaves method
1 in above the pubic symphysis
