Upper extremity

Question 1

T or F: A SLAP tear occurs where the biceps tendon anchors to the labrum.

Answer 1

true

Question 2

The coil usually preferred to image the shoulder for the maximization of SNR is the:

Answer 2

surface or local coil

Question 3

Which of the following is/are true regarding wrist MRI imaging?

1) superior to inferior plotting
2) slices should cover from the proximal metacarpals through the distal radial ulnar metaphysis
3) off of the coronal localizer
4) all statements true

Answer 3

4) all true

Question 4

Which diagnosis is considered most likely in a patient who presents with pain, swelling, and reddening over the olecranon. The MR images show bone marrow and soft tissue edema.

1) osteomyelitis
2) rheumatoid arthritis
3) triceps tendon tear
4) SLAP tear

Answer 4

1) osteomyelitis

Question 5

T or F: Patient motion is a concern in hand imaging. The patient should be immobilized as much as possible.

Answer 5

true

Question 6

T or F: Wrist imaging requires a small dedicated surface coil.

Answer 6

true

Question 7

Which of the following is commonly known as washerwoman’s sprain?

1) carpal tunnel syndrome
2) rheumatoid arthritis
3) De Quervain Tenosynovitis
4) Hamartoma

Answer 7

3) De Quervain Tenosynovitis

Question 8

Coronal slices of the elbow are set-up:

Answer 8

aligned/parallel with the humeral epicondyles

Question 9

T or F: Contrast is routinely used in MRI of the hand.

Answer 9

false

Question 10

what is not in the distal row of carpal bones?

1) lunate
2) trapezium
3) hamate
4) capitate

Answer 10

lunate

Question 11

Coronal oblique images of the shoulder are angled parallel with which anatomy

Answer 11

Supraspinatus muscle

Question 12

To tighten the tendons of the rotator cuff, positioning for shoulder imaging may require:

Answer 12

Slight external rotation

Question 13

T or F: For an MRI of the hand or wrist, a patient may be positioned prone or supine, depending on the coil options available.

Answer 13

true

Question 14

T or F: When positioning the patient for an MR examination of the shoulder, the humerus should be perpendicular to the scan table.

Answer 14

false

Question 15

A patient who presents with numbness of the first three digits and nighttime pain from the wrist to the forearm most likely has

Answer 15

Carpal tunnel syndrome

Question 16

T or F : MRI can assist in detecting the presence of osteomyelitis.

Answer 16

true

Question 17

Adhesive capsulitis is also known as:

Answer 17

Frozen shoulder

Question 18

Carpal tunnel syndrome occurs as a result of compression of which nerve

Answer 18

Median

Question 19

The imaging sequences best used to visualize bruises or contusions within the bone are:

Answer 19

Short Tau Inversion Recovery (STIR)

Question 20

T or F: MR arthrography requires the injection of barium directly into the joint of interest, prior to the MR examination.

Answer 20

false

Question 21

The ____________________sequence set-up should be performed parallel to the digits and metacarpals when scanning a hand or fingers

Answer 21

Coronal

Question 22

When imaging the wrist, the optimal plane in which to visualize the carpal tunnel is the:

Answer 22

Axial