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Terms in this set (127)
1. AP Axial projection?
2. Where is your centering point for an AP Sacrum?
Midway between ASIS and symphysis pubis/ 2 inches inferior ASIS
3. What do you radiograph for a chance fracture and what is it caused from/known as? What bony structures does it involve?
L-spine, Seatbelt, Vertebral body posterior element
4. What degree of tube angle for Axial L-5/S-1 projection?
5. In a Lumbar spine AP projection, what shown appropriate technique?
Psoas muscle is well visualized and densest areas to see trabecular markings
6. When doing an AP L-spine, your transverse process and psoas muscle are not well demonstrated, what is wrong that you could change?
7. What corresponds with your Gonion?
8. What corresponds with your Jugular notch?
9. What corresponds with your xiphoid tip?
10. Where is the tubercle on the rib and what does it correspond to?
Vertebral end / posterior / Attaches to the transverse process
11. What is the obliquity of a RAO Sternum? Who needs more obliquity?
15-20 degrees, (larger patient needs less) and (smaller needs more)
12. An erect bony thorax, who much differences is there between the anterior and posterior rib?
13. What are unique about floating ribs?
No costal cartilage, they do not connect directly to the costal cartilage
14. The widest aspect of the thorax occurs at what level?
15. What SID for a lateral sternum?
16. Fracture of adjacent ribs in 2 or more places is known as what? What happens when the patient takes an inspiration breath, called paradox?
Flailed chest, makes the chest down in instead of up upon inspiration
17. Which techniques would you use for an RAO sternum?
Breathing technique, small FS, 3s time, low KV
18. What type of holding respiration should be used for an AP scapula?
19. During operation when using a C-arm fluoroscopy unit in a horizontal cr position, where does the doctor stand to receive the least dose ?
Next to the II
20. What corresponds to the Sternal angle?
21. During trauma for a sternum, the patient cannot lie prone, which projections, besides RAO, would you do?
LPO & Horizontal beam lateral
22. If you want to see the axillary of the left ribs, which positions could you do?
LPO & RAO
23. What is the new terminology for battered child and what does it stand for?
SNAT - Suspected nonaccidental trauma
24. When doing a Lateral Lumbar spine for trauma, using a horizontal beam, how would the CR be in relation to the image receptor?
25. Which projection would you do to demonstrate a ischial tubercle fracture?
Outlet - 30-35* cephalic
26. What is another name for the outlet projection? What does it demonstrate?
Taylor, Obturator foramen
27. What does it mean when the obturator foramen are not symmetrical?
There is rotation
28. Lung displaced from the chest wall and no interstitial markings?
29. A patchy infiltrate with increased radio density?
30. Increased lung dimension will demonstrate?
31. Increase defused radio density in hilar regions and air fluid levels?
32. Severe case appear as emphysema?
33. Slight shadows in early stages and larger radiopaque masses in advanced stages?
34. Collapse of all or part of the lung?
35. What is pleurisy ?
irritation(inflammation) of lining of the lung
36. Contagious airborne disease?
37. Cough up blood?
38. Examining a patient who's elbow in partial flexion, which exams are you going to do?
2 projections with CR perp to radius and perp to humorous (forearm parallel to the IR and the humorous parallel to the IR)
39. What is the name of the joint that found between the proximal and distal phalangeal of the first digit?
Interphalangeal joint - IP
40. What is the most distal structure of the distal ulna?
Head (actually styloid process if it was on the test)
41. Which Bronchi is easiest for foreign bodies to be lodged in and why?
Right Bronchi, It is larger and has less of an angle
42. What determines rotation of an AP or PA chest?
Symmetry of the sternal clavicular midline.
43. When radiographing a wrist with fiberglass of and forearm cast what would you do to your technique?
44. Projection not routinely used in common practice, what would you do on a writs to demonstrate the wrist joint and intracarpal joints better?
45. What position of the elbow do you do in order to demonstrate the radial head unsuperimposed of the ulna?
External/lateral rotation or coyles method
46. Which way and how much are you going to angle for the coyles method?
Towards the shoulder/radius 45*
47. How much rotation is acceptable on a lateral chest radiograph?
¼ -1/2 inch
48. Elongation of the L iliac wing indicates on an AP abdomen indicates what?
Rotated to left side down
49. T/F The Corina is lowest part of the trachea?
50. The fibrous muscular tube made of c shaped rings of cartilage, extends from the larynx to the level of?
T-4 ---T-5 (from C-6)
51. The cuboid is what kind of bone?
52. What is the best position to demonstrate the cuboid unsuperimposed?
Oblique of the foot
53. If a patient cannot hold their breath and you cannot control peristalsis what can you as a tech do?
Use shortest time and high KVP (less mass)
54. What are two gyngilimis joints? What is another name?
The Knee and elbow, Hinge
55. For an axial projection of the calcaneus, how is the foot dorsal flexed?
Planter surface is perpendicular to the receptor (90*)
56. What is the projection called for -supraspinatus outlet ?
Neer Method (NOT TAYLOR!!!)
57. In doing the Neer projection you are looking at ?
coracoid/acromial joint , but it is like a "Y" view (anterior for min distortion) caudle 45* angle
58. Shoulder impingement syndrome, also called subacromial impingement or Subacromial spurs?
Neer method with demonstrate
59. What is the correct centering point for the AC joints? Weight bearing AC joints?
1 inch above jugular notch, Weight bearing is at jugular notch
60. Hill Sachs is what kind of fracture and which projections will demonstrate that?
Humoral head frx & Lawrence view aka inferior superior axial
61. Which projection best demonstrates a Bankert fracture?
Garth is best, can also do Grashey
62. Total destruction of microorganisms is accomplished by what?
63. Sesamoids are located where?
Planter surface, head of the 1st Metatarsal
64. What is the projection to visualize the sesamoids?
Dorsal flexion or foot - Foot placed at 90
toes pulled back 15
or angle tube 15
away from foot
65. Weight bearing knees PA?
10* caudal to see intercondylar
66. Settagast is used for what body part? What is the flexion of the part?
patella or patellar femoral joint 90* flex knee(prone)
67. The Heart is located?
68. For a large patient (hypersthenic) who is 5'3", weighting 280 lbs. When doing an abdomen what technique would you use?
Large FS, 120 MAS, 80 KV
69. What is a Collies fracture?
Lateral wrist with posterior dislocation
70. What is the angel of the Tibia Plateau?
10-20 deg. anterior to (posterior)
71. HIPAA stands for? Which is?
Health Information Patient Accountability Act, follow only what is asked and remove patient identifiers if used for teaching, use first name only when calling patient
72. Breach of confidentiality or Improper or unnecessary touch is defined as what?
Invasion of privacy or in another term(assault)
73. Difficulty breathing or shortness of breath (dyspnea) that occurs when lying flat. What is it called? what do you do?
orthopnea, prop up in bed or sit up in a chair
74. If a patient is diaphoretic, there pulse is quick, nauseated, clammy what would you do to make them more comfortable?
Lay them on their side (sims position for blood to flow to head, take away pillow( Leave in sims if not nauseas) head beneath the heart.
75. What would you do for a pregnant patient?
Lead apron shield, collimate, increase KV, decrease MAS
76. In a lateral decubitus chest for fluid in the pleural cavity, which part or side would you lay your patient?
Lay on the affected side which is down the affected side.
77. Lateral decubitus chest for air in the lungs? I.E. Free air in the pleural cavity?
affected side up
78. What is the name of the structure that serves as a lid over the larynx to prevent aspiration of food or fluid called?
79. What is part of the Mediastinum?
80. The part that does not allow fluid to go into the nose?
81. The third metacarpal of the hand articulates with what carpal?
82. The correct spelling of ilium that comprises acetabulum?
83. One innominate bone, AP and Lateral, where is the greater and lesser sciatic notch located ?
1. A Dobbhoff tube is an example of a?
2. Where do you typically see the end of the Dobbhoff tube ?
3. 3.) How many bones comprise the acetabulum?
4. 4.) 2/5, 2/5 and 1/5?
Ilium, Ishium and pubis
5. 5.) Where is the lesser sciatic in the pelvis?
Posterior, on the Ischium
6. 6.) The MML is used for what projection?
7. 7.) How will the CR be in relation to the MML?
8. 8.) If you're doing a trauma C-spine and the initial AP and lateral positions were negative for fracture but the ER Physician wants to demonstrate the vertebral pedicles, which projection would you do safely without moving the patient?
9. 9.) If obliques aren't an option, what other way can you demonstrate the vertebral pedicles?
Angling 15 degrees cephalic and 45 degrees( lateromedial or is it medial lateral ????). Also known as a double angle.
10. 10.) Could you use a vertical bucky or table bucky for a C-spine oblique with a 45 degree lateromedial and a 15 degree cephalic?
No, cannot detent. Can be done table top.
11. 11.) If you're not able to do an open mouth, what other projection can be done to help demonstrate the dens?
12. 12.) Children's pediatric section, what do you think is most important?
Image gently: reduce time, less mas
13. 13.) what is image gently?
An organization that works with pediatric nurses, radiologists, technologists etc.
14. 14.) What is the primary objective of image gently?
Work with those group of people that are working in pediatric to get them to understand what procedure should be ordered, what shouldn't be and what should we substitute.
15. 15.) If you had choices of taking your kids to get pediatric imaging, would you want them to have a dedicated digital unit or would it not matter?
Dedicated digital unit
16. 16.) What is the amount of abduction for femur bilateral frog?
40-45 from vertical
17. 17.) Ap axial Taylor method is also known as what projection?
Ap axial outlet projection
18. 18.) What is seen in the Taylor method, outlet projection?
Superior and inferior rami of pubis and body and ramus of ishium
19. 19.) How much angle is used in the Taylor, outlet method?
Cephalic 35 degrees for males and 30-45 degrees for females. CR is midline point 1 to 2 inches distal to superior border of symphysis pubis or greater trochanters.
20. 20.) What CR angle is used for an inlet projection?
40 degrees caudal. Direct CR to a midline point at level of ASIS.
21. 21.) What position would you put the patient in to see the right SI joint?
22. AP pelvis, the lesser trochanters are not visualized. What can be done?
Nothing, lesser trochanters should not be visualized.
23. 23.) The joints between the articular processes of the vertebra are called what?
24. 24.) RPO of the Lumbar spine, demonstrates what?
Downside, right Z-joints
25. 25.) The distal portion of the femur is fractured and it is angled towards the midline, how would this fracture be described?
Varus fracture. Valgus fracture is a lateral fx.
26. 26.) What term describes the space between the primary and secondary growth centers?
27. 27.) The zygapophyseal joints for a typical cervical vertebrae lay at an angle of what in relation to the midsagittal plane?
Lateral, 90 degrees
28. 28.) Gonion (angle of jaw) is at the level of what?
29. 29.) Is subluxation the same as a fracture?
30. 30.) Hutchison or Monteggia are types of what?
31. 31.) Partial dislocation of the radial head of a child is called what?
32. 32.) Doing a chest on a two yr. old, where should the CP be?
33. 33.) What is being demonstrated for a posterior cervical oblique?
34. 34.) The posterior cervical obliques demonstrate the intervertebral foramina and pedicles of the side closet to the image receptor?
False, demonstrate the side closet to the tube. (upside)
35. 35.) What will enhance the visibility of the vertebral bodies during a projection of the T-spine?
Breathing technique, shallow breathing, small focal spot, 3 sec, low kv.
36. 36.) Open mouth odontoid, what facial line are you going to use to get perpendicular to the receptor?
Base of skull and lower margin of the upper incisors.
37. 37.) If the base of the skull is laying over the tip of den, what is the positioning error?
Head is extended back
38. 38.) Ap axial C-spine, the intervertebral joints are not open, 5 degrees cephalad at 40 inch SID, grid, slight extension of the skull and central ray was at the thyroid cartilage, what alteration can you make in the repeat exposure to get better intervertebral disc spaces?
39. 39.) RAO position for cervical spine, the lower intervertebral foramina are not open, what is the positioning error?
40. 40.) The intervertebral foramina of the lumbar spine is located at what angle in relation to the midsagittal plane?
Lateral, 90 degrees
41. 41.) The aspect of the sacrum that articulates with the Ilium form the sacroiliac joint, what is the portion called that articulates with the ilium?
42. 42.) At what sacral segment does the ASIS correlate to?
43. 43.) AP axial L5-S1, what is the degree of angle and which way should be angled?
Angle CR cephalad 30 degrees (male) and 35 degrees (female) direct CR to the level of ASIS at the midline of the body.
44. 44.) Where is the CP for an AP axial sacrum?
Direct CR 2inches superior to the pubic symphysis, angle CR 15 degrees cephalad.
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