Staged Assessment Tri A Flashcards

1
Q

What is the centring point for a hand?

A

Over the head of the 3rd Metacarpal

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1
Q

How is the hand positioned for a DP hand?

A

Anterior of hand on IR
Fingers extended, slightly separated

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2
Q

What is included in collimation for a hand?

A

Distal phalanges
Wrist joint
Soft tissue borders

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3
Q

How is the hand positioned for a DP oblique hand?

A

Hand externally rotated ~45°
Medial aspect of hand on IR
Fingers extended, slightly separated
Finger shouldn’t drop to IR

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4
Q

How is the wrist positioned for a PA?

A

Anterior aspect in contact with IR
Fingers slightly separated

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5
Q

What is the centring point for a PA wrist?

A

In between the radial and ulnar styloid processes

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6
Q

What is included in collimation for a wrist?

A

Proximal metacarpals
Distal radius and ulna
Soft tissue borders laterally

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7
Q

How is the wrist positioned for a lateral wrist?

A

Medial aspect in contact with IR
Hand externally rotated 90° - styloid processes superimposed

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8
Q

What is the centring point for a lateral wrist?

A

Over the radial styloid process

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9
Q

How is the foot positioned for a DP foot?

A

Sitting or supine, with knee bent
Plantar of foot in contact with IR

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10
Q

What is the centring point for a DP foot?

A

Over the base of 2nd metatarsal

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11
Q

What is included in the collimation of the foot?

A

Distal phalanges
Tarsal bones
Soft tissue borders

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12
Q

How is the foot positioned for an Oblique DP foot?

A

Rotated internally 30-45° from DP position

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13
Q

What is the centring point for an Oblique DP foot?

A

Over the base of the 3rd metatarsal

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14
Q

How is the ankle positioned for an AP ankle?

A

Patients leg fully extended
Posterior of leg in contact with IR
Foot dorsiflexed to 90°
Ankle internally rotated to bring malleoli equidistant to IR

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15
Q

What is the centring point for an AP ankle?

A

Midway between medial and lateral malleoli

16
Q

What is included in collimation for an AP ankle?

A

Distal 1/3 tibia and fibula
Talus
Soft tissue borders

17
Q

How is the ankle positioned for a lateral ankle?

A

Patient sitting on hip
Leg externally rotated so malleoli superimposed
Foot dorsiflexed 90°

18
Q

What is the centring point for a lateral ankle?

A

Over the medial malleoli

19
Q

What is included in collimation for a lateral ankle?

A

Distal 1/3 of tibia and fibula
Calcaneum
Base of 5th metatarsal
Soft tissue borders

20
Q

What is the SID for the hand, wrist, foot and ankle?

A

100cm

21
Q

What is the positioning criteria for a DP Hand?

A

Hand flat, no rotation or overlap
Digits 2-5 interphalangeal, metacarpophalangeal and carpometacarpal joints seen
Same midshaft concavity on either side of phalanges and metacarpals

22
Q

What is the positioning criteria for a DP Oblique Hand?

A

No superimposition of MC 1-2 but slight of MC 2-5 heads
Interphalangeal joints seen
Fingers fully extended

23
Q

What is the positioning criteria for a PA Wrist?

A

Radial and ulnar styloid processes seen
Distal radioulnar joint open
Carpals seen in centre

24
Q

What is the positioning criteria for a Lateral Wrist?

A

Radial and ulnar styloid processes superimposed
Capitate, lunate and radius seen in line
MC 2-5 reasonably superimposed

25
Q

What is the positioning criteria for a DP Foot?

A

Adequate extension with no phalangeal superimposition
Some superimposition of tib/fib over talus
Joint space seen between medial and intermediate cuneiform seen
Shafts of MT 2-5 separated

26
Q

What is the positioning criteria for a DP Oblique Foot?

A

Talus and calcaneum clear of tib/fib
Adequate extension and rotation
Tarsal joints open (medial and intermediate cuneiform may be superimposed)

27
Q

What is the positioning criteria for an AP Ankle?

A

Medial and lateral malleoli seen
Tibiotalar joint seen clear as possible
Superimposition of tibiofibular joint seen

28
Q

What is the positioning criteria for a Lateral Ankle?

A

Malleoli superimposed
Distal fibula superimposed over distal talus
Base of 5th MT seen