upper extremities

Question 1

1. Patient comes in with Hx of RCT what are we looking at it?
   a. Supraspinatus, infraspinatus, teres minor, subscapularis
   b. Supraspinatus, infraspinatus, teres minor, teres major
   c. infraspinatus, teres minor, subscapularis, deltoid
   d. infraspinatus, teres minor, Supraspinatus

Answer 1

a. Supraspinatus, infraspinatus, teres minor, subscapularis

Question 2

Where is Scapula’s acromion process located in relation to the Humerus in axial plain? a. Anterior

b. Posterior
c. Lateral
d. Medial

Answer 2

b. Posterior

Question 3

3. What do you cover while scanning shoulder in axial plain?
   a. Superior labrum to Inferior labrum
   b. Supraspinatus tendon down to glenoid process
   c. AC joint to inferior labrum

Answer 3

a. Superior labrum to Inferior labrum

Question 4

4. While scanning Elbow with hx of Bicep tear, what is the most important area we have to cover? a. Ulnar tuberosity
   b. Radial tuberosity
   c. Olecranon process
   d. Radial head

Answer 4

b. Radial tuberosity

Question 5

5. What does abbreviation PIP stand for?
   a. Proximal Interval Phalanx joint
   b. Phalanx interphalangeal joint
   c. Proximal interphalangeal joint
   d. pain in phalanx

Answer 5

c. Proximal interphalangeal joint

Question 6

6. When patient comes in with Hx of AVN of wrist which bone is area of interest?
   a. Lunate
   b. Scapular
   c. Scaphoid
   d. Capitate

Answer 6

c. Scaphoid

Question 7

7. Doubling the number of signals averaged (NSA) will:
   a. Decrease the SNR
   b. Increase the SNR
   c. Double the SNR
   d. Not affect the SNR

Answer 7

b. Increase the SNR

Question 8

8. Where is A1 pulley located?
   a. Between Carpal bones
   b. Between Metacarpal bones
   c. Between Phalangeal bones
   d. A and B
   e. B and C

Answer 8

e. B and C

Question 9

9. Where is elbow located in relation to the shoulder?
   a. Proximal
   b. Distal
   c. Lateral

Answer 9

b. Distal

Question 10

10. For the Spin Echo protocol: What is the range of TR should be used:
    a. 300-650
    b. 850-1200
    c. 1200-2000
    d. 2000-4000

Answer 10

a. 300-650

Question 11

11. Which tendon attaches to the Radial tuberosity?
    a. Proximal end of Bicep tendon
    b. Distal end of Bicep tendon
    c. Proximal end of Triceps tendon
    d. Distal end of Triceps tendon

Answer 11

b. Distal end of Bicep tendon

Question 12

12. Which tendon attaches to the Olecranon Process?
    a. Bicep tendon
    b. Radial tendon
    c. Ulnar tendon
    d. Triceps tendon

Answer 12

d. Triceps tendon

Question 13

13. What passes through the carpal tunnel?
    a. Flexor Tendon, Extensor tendon, Median nerve
    b. Extensor Tendon, Median Nerve
    c. Median nerve, Flexor Tendon

Answer 13

c. Median nerve, Flexor Tendon

Question 14

14. What is the name of the next artery after Left Subclavian Artery?
    a. Mesenteric artery
    b. Axillary artery
    c. Brachial artery
    d. Scapular artery

Answer 14

b. Axillary artery

Question 15

15. Which nerve courses through the carpal tunnel?
    a. Ulnar
    b. Median
    c. Radial
    d. Navicular

Answer 15

b. Median

Question 16

16. The major stabilizing element of the distal radioulnar joint is the
    a. Triangular Fibrocartilage Complex
    b. Ulnar Collateral ligament
    c. Radial collateral Ligament
    d. Triangular Fibrous Cartilage

Answer 16

a. Triangular Fibrocartilage Complex

Question 17

17. How much contrast is needed for MRI Arthrogram?
    a. According to patients weight
    b. ½ dose
    c. less than 1 cc
    d. double dose

Answer 17

c. less than 1 cc

Question 18

18. What density is the contrast on image, if concentration of gadolinium is too much in arthrogram study?
    a. Bright
    b. Dark
    c. Grey

Answer 18

b. Dark

Question 19

23. Reducing NSA will reduce the scan time and:
    a. Decrease the SNR
    b. Increase the SNR by a factor of 1.41
    c. Not affect the SNR
    d. Double the SNR

Answer 19

a. Decrease the SNR

Question 20

24. Doubling the NSA will increase the SNR by a factor of: a. 2
    b. 4
    c. 1.6
    d. 1.41

Answer 20

d. 1.41

Question 21

25. Increasing the number of phase encodings will produce an image with:
    a. Increased voxel volume
    b. Decreased voxel volume
    c. An unchanged voxel volume
    d. Higher SNR

Answer 21

b. Decreased voxel volume

Question 22

30. How long do we have to wait before we can perform MRI on patient after receiving arthrogram injection under X-Ray?
    a. ASAP
    b. Wait about 1 hour then scan
    c. Wait about 20 min then scan
    d. Within 1 hour
    e. A and C
    f. A and D

Answer 22

f. A and D

Question 23

What is the name of this artifact?

a. Wrap
b. Motion
c. Annifect

Answer 23

a. wrap

Question 24

20. How do you fix it?
    a. Tell patient to hold still
    b. No phase wrap
    c. Choose proper coil

Answer 24

b. No phase wrap

Question 25

21. What is the name of this artifact?
    a. Wrong coil
    b. Fat suppression failure
    c. Centering wrong

Answer 25

b. Fat suppression failure

Question 26

How do you fix it?

a. Use shim volume
b. Reposition
c. Choose proper coil
d. A and B
e. A and C

Answer 26

d. A and B

Question 27

26. Label A
27. Label C
28. Label D
    a. Deltoid muscle
    b. Subscapularis muscle
    c. Supraspinatus muscle
    d. Scapular spine
    e. Head of humerus
    f. Neck of the humerus
    g. Coracoid
    h. acromion

Answer 27

26. Label A- e. Head of humerus
27. Label C- c. Supraspinatus muscle
28. Label D- d. Scapular spine

Question 28

29. What is the anatomical plain for the image above?
    a. Coronal
    b. Axial
    c. sagittal

Answer 28

b. Axial

Question 29

31. What anatomical plain is the image?

A. Axially

B. Coronal

C. sagittal

Answer 29

C. sagittal

Question 30

32. Label
33. Label
34. Label
    a. Radial
    b. Ulna
    c. Tricep tendon
    d. Bicep tendon
    e. Coracoid process
    f. Olecrenon process
    g. Trochlea

Answer 30

32. c. Tricep tendon
33. f. Olecrenon process
34. b. Ulna

Question 31

35. Label
36. Label

Bonus 1.

Bonus 2.

A. Capitate

B. Lunate

C. Scaphoid

D. TFCC

E. TCFF

F. SL

G. Hamate

H. Extensor tendon

I. Flexor tendon

J. Medial nerve

K. Meidan nerve

L. Hook of capitate

M. Hook of hamate

N. Radial artery

Answer 31

35. Label- C. Scaphoid
36. Label- D. TFCC

Bonus 1.- F. SL

Bonus 2.- G. Hamate

Question 32

37. Label
38. Label

Answer 32

37. hook of hamate
38. median nerve

Question 33

39. What bone is arrow pointing at? A. scaphoid B. lunate C. triquietrum
40. What will be the result if untreated? A. AVM B. AVN C. AVF

Answer 33

39. A. scaphoid
40. B. AVN

Question 34

40. Bonus: What is this area called?
41. What is the name of the ligament?
42. What is the anatomical plain?

Answer 34

40. web space
41. ulnar collateral ligament
42. coronal

Question 35

43 . What anatomy is arrow pointing at? A. Radial Artery B. Ulnar artery C. Median artery D. Deep palmer arch

44. What anatomy is arrow pointing at? A. Radial artery B. Ulnar artery C. Median Artery D. Deep carpal arch
45. Which artery is missing? A. Radial artery B. Ulnar artery C. Median artery D. Axillary artery

Answer 35

43. D. Deep palmer arch
44. B. Ulnar artery
45. A. Radial artery

Question 36

Label 46.

Label 47.

Answer 36

46. brachial artery
47. axillary artery

fig a- arterial

fig b- venous

Question 37

49. What is the name of this bone be specific a. Lateral epicondyle b. Medial epicondyle c. distal humerus
50. Label the bone? A. Radial B. Ulna C. Radius D. Humerus

Answer 37

49. a. Lateral epicondyle
50. B. Ulna