Test 3

Question 1

How many total bones are found in the adult hand and wrist?

Answer 1

27

Question 2

What is the third bone in the proximal row of the carpals?

Answer 2

Triquetrum

Question 3

What is the largest of the carpal bones?

Answer 3

Capitate

Question 4

Which carpal bone forms an aspect of the first carpometacarpal (CMC) joint?

Answer 4

Trapezium

Question 5

Which of the carpal bones is most commonly fractured?

Answer 5

Scaphoid

Question 6

What is the 3rd bone on the distal row of the carpal bones?

Answer 6

capitate

Question 7

What is the joint classification and type of movement (if it applies) of the 3rd PIP joint.?

Answer 7

Diarthrodial with ginglymus movement

Question 8

What is the joint classification and type of movement (if it applies) of the radiocarpal joint?

Answer 8

Diarthrodial with ellipsoidal movement

Question 9

Which joint possesses saddle type of movement? Please be specific.

Answer 9

1st carpometacarpal joint

Question 10

What is the joint classification and type of movement for the distal radioulnar joint?

Answer 10

Diarthrodial-pivot

Question 11

Which of the following structures contains the trochlea?

Answer 11

Distal humerus

Question 12

Which of the following is located most inferior?

Ulna head

Radial head

Radial tuberosity

Coronoid process

Answer 12

Ulna head

Question 13

Which of the following structures is located on the proximal ulna?

Trochlea

Capitellum

Coronoid process

Head of ulna

Answer 13

Coronoid process

Question 14

What is the term for the lateral articulating surface of the distal humerus?

Answer 14

Capitulum

Question 15

What is the large fossa on the posterior, distal humerus termed?

Answer 15

Olecranon fossa

Question 16

Which specific aspect of the forearm/elbow contains the ulnar notch?

Answer 16

Distal radius

Question 17

What is the name of the small depression located on the anterior aspect of the distal humerus?

Answer 17

Coronoid fossa

Question 18

Which specific region of the following bones contains the olecranon fossa?

Answer 18

Distal humerus

Question 19

Which specific region of the following bones contains the trochlear notch?

Answer 19

Proximal ulna

Question 20

Which joints of the forearm permits pivot movement of it?

Answer 20

Proximal and distal radioulnar joint

Question 21

what 4 fractures involve the wrist or forearm.

Answer 21

Chauffeur’s
Smith
Barton’s
Colles’

Question 22

Situation: A patient comes into radiology with a suspected Barton’s fracture. Which positioning routine would be recommended to best demonstrate this possible fracture?

Answer 22

Wrist or forearm series

Question 23

Situation: A patient radiographed earlier had a Boxer’s fracture. A small plaster cast is placed on his hand and wrist. A complete hand series was performed using 64 kV at 2.5 mAs, 40” SID, table-top, He returns to radiology for a post-reduction hand series. Part One: Which specific region of the hand is injured with a Boxer’s fracture? Part Two: What type of positioning routine would be performed on this patient? Part Three: Would you alter your original exposure factors? If yes, what would you change?

Answer 23

Part One: Head of the 5th metacarpal. Part Two: Post-reduction series is a two projection study, PA and lateral. Part Three: Increase kVp 5 to 7 kVp. The exposure factors would be 69 to 71 kV, 2.5 mAs, 40” SID and table-top.

Question 24

Situation: A patient enters the ER with a wrist injury. The routine wrist projections demonstrates an elevated scaphoid stripe but no fractures are detected. Which follow-up position would be indicated with this finding?

Answer 24

An ulnar deviation projection

Question 25

Which one the following technical considerations does not apply to radiography of the hand and wrist? High speed screens Small focal spot 40-44" SID Table-top procedure

Answer 25

High speed screens

Question 26

Situation: A three-projection study of the thumb has been performed. The radiologist believes there is a Bennett's fracture present. The 25 y/o male is the star short-stop on a local baseball team and jammed it on a hard-hit ball. The AP thumb projection is inconclusive in demonstrating the base of the 1st metacarpal. What projection would be indicated for this region and diagnose a possible Bennett's fracture?

Answer 26

Modified Robert's projection

Question 27

Which of the following injuries often results in an avulsion fracture involving the PIP or DIP joint?

Answer 27

Tendon tear

Question 28

Identify the second carpal of the distal row

Answer 28

Trapezoid

Question 29

Where would you center the CR for an AP projection of the thumb?

Answer 29

1st MCP joint

Question 30

Which one of the following fractures are described as a fracture of the radial articular surface due to hyper-extension of the hand/wrist?

Answer 30

Barton's fracture

Question 31

What specific positioning routine would be performed on a study of the 4th digit. Please be specific on the type of lateral projection performed?

Answer 31

PA, PA oblique, and lateromedial projection

Question 32

Another term for a dislocation is

Answer 32

Luxation

Question 33

What is the chief advantage of an AP projection of the wrist over a PA?

Answer 33

Better delineation and less distortion of the intercarpal joints

Question 34

Situation: A patient comes to radiology with a injured elbow. He is holding it at a 90 degree flexion. When positioning it, he tells you he can't extend it beyond 90 degrees. The doctor needs a complete, four projection study. What is your positioning routine?

Answer 34

AP, partially flexed AP-2 projections, lateral, and Coyle method for both radial head and coronoid process.

Question 35

Situation: A child comes to radiology with a Colles' fracture. He is in a splint that was placed on by the ER. She will only move it slightly. Part one: What is your positioning routine for this child? Part two: Do you remove the splint?

Answer 35

AP and horizontal beam lateral of the forearm. Leave the splint on because the emergency room placed it on the arm.

Question 36

Which positioning landmarks are palpated for an AP elbow projection?

Answer 36

Medial and lateral epicondyles

Question 37

What postion is being performed with the elbow in a 90 degree angle flexion, a 45 degree CR angle and it is directed away from the patient's shoulder?

Answer 37

Coyle method for coronoid process

Question 38

How many projections do you do for a foreign body

Answer 38

2

Question 39

What is the primary growth center

Answer 39

diaphysis

Question 40

what is the secondary growth center

Answer 40

epiphysis

Question 41

What classification are carpal bones

Answer 41

diarthrodial - plane

Question 42

what classification are phlanges and the elbow

Answer 42

diarthrodial - ginglymus

Question 43

What classification is the radioulnar joint

Answer 43

diarthrodial - Pivot (

Question 44

what classification is the DIP and PIP

Answer 44

diarthrodial - ginglymus

Question 45

what classification is the MCP

Answer 45

diarthrodial - ellipsoidal

Question 46

what classification is the IP

Answer 46

diarthrodial - ginglymus

Question 47

what classification is the CMC

Answer 47

diarthrodial - plane

Question 48

what classification is the 1st CMC joint

Answer 48

diarthrodial - saddle

Question 49

what classification is the radiocarpal joint

Answer 49

ellipsoidal

Question 50

what is the name of the hook on the hamate?

Answer 50

haumlar process

Question 51

Name the carpal bones in order from proximal row to distal row

Answer 51

Scaphoid, lunate, triqieum, pisiform, trapezium, trapezoid, capitate, hamate

Question 52

what joint classification of joint does the trapezium joint form with the first metacarpal?

Answer 52

saddle

Question 53

what is the name of the very end of the distal phalynx

Answer 53

tuft

Question 54

how much do you increase kVp with a fiberglass cast?

Answer 54

3-4

Question 55

how much do you increase kVp with a small plaster cast?

Answer 55

5-7

Question 56

how much do you increase kVp with a large plaster cast?

Answer 56

8-10

Question 57

What lateral do you use to see the individual phalanges

Answer 57

fan lateral

Question 58

what lateral do you use to see a foreign body

Answer 58

extension lateral

Question 59

what lateral do you use if the patient keeps complaining of hand pain

Answer 59

flexion lateral

Question 60

When you see an avulsion what other complication is likely to have occurred

Answer 60

tendon tear

Question 61

where is the CR aligned in a oblique projection

Answer 61

radiostilar process

Question 62

How can you isolate the pisiform in a lateral projection of the wrist

Answer 62

rotate 10 degrees posterior

Question 63

what projection can be done to replace the ulnar deviation

Answer 63

stetchers method

Question 64

what angulation is used during the stetchers method? is the angulation of the CR or the body part?

Answer 64

20 degrees of the body part, the CR is perpendicular

Question 65

What position has the fingers pulled back

Answer 65

gaynard hart method

Question 66

if the pisisform is superimposed over the hamate process what did you forget to do during positioning in the gaybard hart method

Answer 66

rotation of the hand towards the thumb (radially) 10 degrees

Question 67

What is the name of the projection that is used to diagnose rheumatoid arthritis

Answer 67

norgarr method or ball catchers

Question 68

why do you not do a PA projection for a forearm study

Answer 68

the proximal radius will cross over the ulna

Question 69

what rotation separates the ulna and radius

Answer 69

lateral

Question 70

what rotation superimposes the ulna and radius

Answer 70

medial

Question 71

what amount should the radius superimpose the ulna on an AP projection

Answer 71

1/3-1/2

Question 72

if the radial head is not sharp in the medial rotation the problem is what?

Answer 72

the arm is under obliqued

Question 73

what projection can be done if the patient is unable to straighten their arm from an AP of the elbow

Answer 73

partial flexion AP

Question 74

what projection can you do to replace the obliques of a elbow

Answer 74

coyle method

Question 75

what degree of angulation do you do for the CR for coyles method

Answer 75

45 degrees

Question 76

Coyles methode: CR is angled proximal what anatomy will be demonstrated

Answer 76

radial head

Question 77

coyles method: CR is angled distal what anatomy will be demonstrated

Answer 77

coronoid process

Question 78

what is the problem is the capitulum superimposed the radial head

Answer 78

flexion

Question 79

what is another name for an acute flexion projection

Answer 79

jones method

Question 80

determine if the part is on the ulna or radius or humerus 1. trochlear notch 2. radial notch 3. olecronon fossa 4. trochlea 5. coronoid tubercle 6. coronoid process 7. olecranon process 8. cornoid fossa

Answer 80

1. u 2. u 3. h 4. h 5. u 6. u 7. u 8. h

Question 81

which joint permits the forearm to rotate during pronation

Answer 81

proximal radioulnar joint

Question 82

the articular portion of the medial aspect of the distal humerus is called the

Answer 82

trochlea

Question 83

the similar structure found on the lateral aspect of the distal humerus is called the

Answer 83

capitulum

Question 84

the deep depression located on the posterior aspect of the distal humerus is the

Answer 84

olecranon fossa

Question 85

what is one of the most used projections to identify if there has been a fracture of the scaphoid bone

Answer 85

ulnar deviation

Question 86

the two main fat stripes around the wrist are

Answer 86

scaphoid and pronator

Question 87

where is the pronator fat pad located?

Answer 87

palm side of wrist

Question 88

where is the scaphoid fat pad located?

Answer 88

to the left of the scaphoid bone

Question 89

which routine projections best demonstrate the scaphoid fat pad

Answer 89

PA and oblique wrist

Question 90

which routine projection best demonstrates the pronator fat stripe

Answer 90

lateral wrist

Question 91

where is the CR centered for a PA oblique of the second digit

Answer 91

PIP

Question 92

what fracture happens to the finger that commonly results in avulsions

Answer 92

mallet

Question 93

fracture of the distal end of the 5th metacarpal

Answer 93

boxers

Question 94

what series would you perform for a boxers fracture

Answer 94

hand or digit series

Question 95

what series would you perform for a mallet fracture

Answer 95

digit

Question 96

Linear fracture along the base of the 1st metacarpal

Answer 96

Bennetts

Question 97

what series would you perform for a bennetts fracture

Answer 97

thumb

Question 98

is the base of the 1st metacarpal is unable to be seen during a thumb series, and a bennets fracture is suspected what additional projection could you perform

Answer 98

modified roberts

Question 99

how much angulation of the tube is done on a modified roberts projections

Answer 99

10-15 degrees

Question 100

Fracture of the distal radius with a free floating fragment posterior

Answer 100

colles

Question 101

fracture of the distal radius with a free floating fragment anterior

Answer 101

smiths

Question 102

distal radius styloid fracture

Answer 102

chauffers

Question 103

fracture of the articulating surface of the radius due to hyperextension. Generally a result of the scaphoid slamming into the wrist

Answer 103

bartons

Question 104

what series is done for a bartons fracture

Answer 104

wrist

Question 105

a routine wrist shows a possible scaphoid fracture what 2 projections can be done

Answer 105

ulnar deviation, or stetchers