Test #1, Projections and Image Critique

Question 1

when should we do a CXR first?

Answer 1

when the patient:
has issues breathing
obstructed airway

Question 2

when should we do a pelvis image first?

Answer 2

when the patient has probable internal bleeding

Question 3

what should be imaged before any other spine/extremities?

Answer 3

lateral cervical spine

Question 4

how should you sequence a multiple series exam?

Answer 4

All AP’s first, beginning closest to the head
All laterals, beginning at the head
All X-table, beginning at the head

(limited movement of the patient and the tube is better)

Question 5

is anterior or posterior dislocation of the shoulder more common?

Answer 5

anterior (95% of cases)

Question 6

how will an open glenohumeral joint be obtained on a IS axial shoulder projection?

Answer 6

if the arm is abducted 90 degrees, the CR should be entering the GH joint at 30-35 degrees

Question 7

if a patient cannot abduct their arm a full 90 degrees for the SI axial shoulder projection, how should we adjust the CR angle? (increase/decrease)

Answer 7

decrease the CR angulation

Question 8

which femoral condyle is larger and more inferior?

Answer 8

the medial femoral condyle

Question 9

which femoral condyle is the adductor tubercle located on?

Answer 9

the medial femoral condyle

Question 10

does the patella sit more medially or laterally?

Answer 10

more laterally