V1 - Procedures Flashcards
Which bone contains a mastoid process?
Temporal
What is the recommended CR angle if the lumbar spine cannot be adjusted so it is horizontal for the lateral projection?
5 degrees for men, and 8 degrees caudad for women
What carpal bone is most commonly fractured?
Scaphoid
The only saddle joint in the body is found between which two bones?
Trapezium and first metacarpal
Which CR angle is best for heavy, wide-hipped patients for lateral lumbar spine projections?
5 degrees caudad
An emergency room physician suspects a 14-year-old patient may have Osgood-Schlatter’s Disease. Which radiographic exam might the ER physician order to evaluate this?
Tibia-Fibula
image Identify the right psoas muscle in the AP Abdominal radiograph.
YOU SHOULD KNOW
Which study is considered nonfunctional examination of the urinary system?
Retrograde urogram
image place the cursor on the sinus tarsi.
YOU SHOULD KNOW
Which is the disease process that causes increased radiodensity in the lung fields on an image due to inflammation and accumulation of fluid?
Pneumonia
How should the radiographer position the patient to best demonstrate a left axillary 6th rib fracture?
Upright and 45 LPO
On an accurately positioned PA chest radiograph, the manubrium of the sternum is seen at the level of which thoracic vertebrae when the patient is sthenic?
Fourth
The tarsal sinus is visualized when the foot is seen in what projection?
30 degree medial oblique
image In the dorsoplantar foot projection at right, place the cursor on the second (intermediate) cuneiform.
YOU SHOULD KNOW
What is the magnitude of the angle formed by the intervertebral foramina and the MSP in the thoracic spine?
90 degrees
Which position best demonstrates a posterior rib injury above the diaphragm?
AP, upright
image Place the cursor over the area which depicts history of a cholecystectomy.
YOU SHOULD KNOW
How should the patient be instructed to place their arms for standing lateral projection of the sternum?
Behind the back
image Who is responsible for the metallic artifact seen in the open mouth odontoid image?
The radiographer
image Place the cursor over the right cardiophrenic angle.
YOU SHOULD DEFINITELY KNOW
According to Merrill’s Atlas, which location represents the correct CR placement for an axiolateral oblique mandible projection for the ramus?
The region of interest
Which statement accurately decribes the appearance of a correctly positioned AP Hip image?
The femoral neck is demonstrated without foreshortening
image In this chest radiograph, where is the clinically significant gas located.
Under the right hemidiaphragm
Which positioning method is prescribed to demonstrate the right zygomatic arch free of superimposition on an inferosuperior tangential projection?
Rotate the head to the right with the chin tilted to the right
What angle is formed between the petrous pyramids and the MSP in the average human skull?
47 degrees
A request or a shoulder exam comes from the emergency room. The patient has a large deformity anterior to the shoulder and the physician suspects an anterior dislocation. Which are the most appropriate views to take on this patient?
AP projection in neutral rotation and PA oblique scapular Y
For a tangential inferosuperior projection of the zygomatic arch, how is the patient’s head positioned to demonstrate a depressed fracture of the right zygomatic arch?
Rotate toward the right side
How is the CR directed for an anteroposterior AP axial projection of the cervical vertebrae?
15-20 degrees cephalic to enter at C4
A carpenter smashes his index finger with a hammer. Which type of fracture might be shown on the subsequent radiographs of the finger?
Comminuted
Why is the left lateral decubitus position recommended as part of an acute abdominal series?
Free air is demonstrated away from the gastric bubble
Which CR orientation is recommended for a radiographic image of the contrast filled urinary bladder with the patient in the supine position?
2 inches superior to the pubic symphysis with a 10-15 degree caudal angle
How does the CR for an anteroposterior AP scapula differ from an AP shoulder x-ray?
One inch lower
During a lumbar myelogram, the needle is placed into which meningeal space?
Subarachnoid
Which projection of the thumb requires digits two through five to be extended, with the palmar surface of the hand flat against the IR as if for a PA hand projection?
PA Oblique
Which elbow projection will show the radial head freest of superimposition?
AP external oblique
What is the best projection and position to demonstrate the right cervical intervertebral foramina?
AP axial oblique projection, LPO
A lateral L5-S1 lumbosacral junction is performed with the CR directed 2 inches anterior to the ASIS and 1-1.5 inches inferior to the iliac crest. Which statement best describes this method?
The CR will be well anterior to the L5-S1 junction
What is the angle formed by the intervertebral foramina and the MSP in the thoracic spine?
90 degrees
Which joint is the CR entrance point for a PA finger projection?
PIP
Which patient body habitus may require the patient to be in the Trendelenburg position during a small bowel series?
Asthenic
A patient with left anterior rib injury. In which position should the patient be placed for the oblique image?
45 degree RAO
Where is the CR directed for an AP projection of the lower leg?
Mid-lower leg
image click on the GB in the PA small bowel image
YOU SHOULD KNOW
A radiographer prepares to perform an anteroposterior (AP) projection of the distal femur on a patient with a suspected femoral fracture. Which represents the best approach for positioning both the patient and the x-ray tube?
Do not rotate the leg; place the anode end of the tube toward the foot
Which projection of the sternum is most likely to demonstrate a fracture?
Lateral
Which CR orientation is recommended for an AP knee projection if the measurement from the tabletop to the patient’s ASIS is 22cm?
Perpendicular to the IR
Which condition represents the most likely indication for an AP chest projection with the patient in the left lateral decubitus position?
Effusion in left lung
Which is the most likely cause of free intraperitoneal air on an AP erect abdomen radiograph?
Bowel perforation
Which overhead projections should the radiographer obtain for the vertical ray method of the knee arthrography?
AP and 20 degree right and left oblique
Following administration of the contrast media, the radiologist asks the radiographer to obtain a conus projection. Which patient position and centering point should be used for the image?
AP centered to T12-L1
Which describes the correct positioning for a PA chest projection? (3 answers)
The chin is extended. The shoulders are depressed. The shoulders are at equal distances form the IR.
The radiographer uses the Holmblad method to perform a tunnel view of the knee. What is the primary advantage of utilizing this method instead of the Camp Coventry method?
The Holmblad method shows no distortion longitudinally or laterally
In a proper positioned oblique lumbar spine radiograph, what makes up the body of the scotty dog?
Lamina
image Study the PA chest projection. What best summarizes an evaluation of this image?
The first ribs are clipped, so it should be repeated
Which factor is critical to demonstrating fluid levels within the chest on a portable examination?
Horizontal CR
image Place the cursor on the most commonly fractured carpal bone.
SCAPHOID
An AP oblique mortise joint projection demonstrates the distal fibula without talar superimposition and an open talofibular joint. What should the radiographer do next?
No correction needed.
How is the CR directed when performing an AP knee projection for a patient with thin thighs and buttocks?
3-5 degrees caudad
A patient’s abdominal image reveals the presence of multiple phleboliths. Where are these small calcifications found?
Vein
A PA chest radiograph demonstrates the left clavicle closer to the center of the spine than the right clavicle. Which action should the radiographer take?
Turn right side closer to the IR
image When performing an AP Axial (towne method) image of the skull, which reference line should be perpendicular to the IR if using a 30 degree caudal angle?
OML
A radiographer prepares to position a patient with a suspected hip injury. The patient is positioned on a backboard with the right leg and foot lying on its lateral aspect. Which should the radiographer do to successfully complete the examination?
Perform the exam without repositioning the leg
image Place the cursor on the left coracoid process
YOU BETTER KNOW THIS
Which projection best demonstrates the tripod fracture of the orbit?
Modified Waters
