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Procedures Kettering > Upper Extremity > Flashcards

Upper Extremity Flashcards

1
Q

When performing a routine lateral of the second digit, what projection is this being performed in?

A

Mediolateral

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2
Q

When performing a routine lateral of the fifth digit, what projection is this being performed in?

A

Lateromedial projection

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3
Q

When performing a routine lateral of the second digit what bone of the forearm is in contact with the IR?

A

Radius thumb side down

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4
Q

When performing a routine lateral of the fifth digit what bone of the forearm is in contact with the IR?

A

Ulna

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5
Q

When performing the PA projection of the hand the thumb:

A

Sits in a natural oblique

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6
Q

The PA projection of the hand the CR enters:

A

Perpendicular to the third MCP joint

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7
Q

The distal aspect of each digit is called:

A

Distal Tuft

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8
Q

KNOW THE ANATOMY OF THE HAND AND WRIST

A
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9
Q

Which of the following will best demonstrate a foreign body in the hand?

A

Lateral and Extension

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10
Q

When performing a routine fan lateral of the hand will the radius and ulna be superimposed? Will the carpals and metacarpals be superimposed? Will the phalanges?

A

Yes
Yes
No

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11
Q

KNOW WRIST ANATOMY

A
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12
Q

Where is the scaphoid in relationship to the pisiform?

A

Lateral

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13
Q

Where is the scaphoid in relationship to hamate?

A

Lateral
Proximal

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14
Q

What is the most common fractured carpal of all?

A

Scaphoid

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15
Q

What is the largest carpal?

A

Capitate

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16
Q

What is the hooklike carpal?

A

Hamate

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17
Q

Why do we flex the fingers for a wrist?

A

Reduces OID and place them closer to IR
Help demonstrate anatomy better

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18
Q

The spaces between the carpals are called:

A

Inter carpal spaces

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19
Q

Which of the following would best demonstrate the inter carpal spaces?

A

AP projection of the wrist

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20
Q

Any scaphoid view requires the scaphoid to be in Ulnar Deviation. What is the purpose of Ulnar Deviation?

A

Scaphoid without superimposition and foreshortening

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21
Q

The Stetcher:

A

Elevate the part 20 degrees
Or
Angle the tube to the elbow 20 degrees
While I’m Ulnar Deviation

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22
Q

What is the name of the nerve that gets impenged in Carpal Tunnel Syndrome that causes all of the pain?

A

Median Nerve

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23
Q

On the forearm elbow and the humerous the line in relationship to the IR

A

Look up

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24
Q

Why do we do the forearm in the AP projection and not the PA?

A

Overlap of the proximal radius and ulna

25
Q

The line of the humeral epicondyle is _____ to the IR.

A

Perpendicular

26
Q

What is the lateral bone of the forearm?

27
Q

The medial bone of the forearm

28
Q

KNOW THE ELBOW ANATOMY

29
Q

What part of the distal humerous with articulate with the Radius

30
Q

What part of the distal humerous with articulate with the Ulna

31
Q

Which of the following will best demonstrate fat pad displacement?

A

Lateral Elbow

32
Q

Which of the following will best demonstrate the Olecranon Process in profile?

A

Lateral Elbow

33
Q

SHOW YOU AN IMAGE, obliques of the elbow which one is which

34
Q

On an external oblique of the elbow you best demonstrate

A

Radial head and neck
And tuberosity without superimposition

35
Q

The medial oblique of the elbow demonstrates

A

Olecranon as it articulated with fossa
Coronoid fossa

36
Q

If the patient cannot fully extend the arm:

A

The humerous parallel
Forearm parallel

37
Q

On the AP projection of the humerous it shows

A

The greater tubercle in profile laterally

38
Q

The lateral humerous best demonstrates?

A

Lesser tubercle in profile medially

39
Q

How many degrees do you oblique the patient for scapula?

A

45-60 degree oblique

40
Q

If the head of the humerous is seated over the base of the Y:

A

Not dislocated

41
Q

The head of the humerous is seated underneath the coraciod:

A

Anterior displacement

42
Q

The transthoracic lateral (Lawrence Method) the CR will exit the:

A

Surgical Neck

43
Q

KNOW THE DIFFERENCE BETWEEN INTERNALLY AND EXTERNALLY SHOULDER ON AN IMAGE

44
Q

If you do an Ap shoulder with internal rotation it shows:

A

the lesser tubericle in profile medially

45
Q

Ap with external shoulder rotation:

A

Greater tubercle in profile laterally

46
Q

The Grashey Method criteria shows:

A

Glenohumeral joint space and the glenoid cavity in profile

47
Q

What is the most anterior aspect of the scapula?

A

The coracoid

48
Q

What is the most superior lateral structure of the scapula?

A

Acromion Process

49
Q

How do you properly position for an AP scapula?

A

The patient supine, the arm is abducted at a right angle with the chest, elbow is flexed with the hand brought to the forehead, CR is directed perpendicular 5 cm inferior to the coracoid process, quiet breathing

50
Q

For an AP Axial Clavicle the degree of angulation is:

A

15-30 degree cephalic angle

51
Q

AP Clavicle:

A

supine, prone or upright, the arm of the affected side is relaxed at the side, CR is directed perpendicular to the mid-shaft of the clavicle

52
Q

PA Axial Projection of the clavicle angle:

A

15-30 degrees cuadad

53
Q

Acromioclavicular Joints- AP (Pearson Method) are to be done:

A

Bilateral, with and without weights

54
Q

Should AC joints (Pearson Method) be done all of the following except:

in the erect position?
bilateral for comparison?
avoid stressing the joint space if a shoulder dislocation is suspected?

55
Q

According to the ARRT the Bone Age Study (Grelich and Pyle Method) must be done:

A

PA projection of Left hand and wrist
(ask the patient what hand they favor, choose the opposite, the hand they choose is the non-dominant right)

56
Q

Which of the following pathologies would a shoulder arthrogram be performed to rule out:

A

Torn Rotator Cuff

57
Q

Which of the following would a knee arthrogram best demonstrated:

A

Menisci
Joint Spaces
Cartilage
Cartilage and it’s joint spaces

Procedures Kettering (14 decks)

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