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48 Cards in this Set
- Front
- Back
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A radiograph of an AP axial projection of the clavicle demonstrates that the clavicle is in the mid-aspect of the lung apices. What can the tech do to correct this error?
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Increase the CR angle during repeat exposure.
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A patient enters the ER with a dislocated shoulder, the tech attempts to position the patient in a transthoracic lateral projection but the patient is unable to raise the unaffected arm over his head. What can the tech do to compensate for the patient not being able to raise his arm?
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Angle the CR 10-15 degrees cephalic.
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Which of the following arm positions demonstrates the lesser tubercle?
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Internal/medial (for Deana) rotation
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Scapula Y lateral is becoming more common as a basic projection of the shoulder rather than the transthoracic lateral in the US and Canada?
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True
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An AP with 0 degrees CR angle and an AP axial with 15-30 degrees cephalic angle are both common projections for the clavicle for the majority of the US and Canadian hospitals.
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True
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Posterior dislocation of the shoulder occurs more frequently than anterior dislocation.
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False.
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The thyroid dose for a transthoracic lateral and an inferior/superior axial lateral shoulder projection are both relatively low, less than 10 mR.
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False.
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The arm should be abducted about 45 degrees for an AP scapula.
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False
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The recommended SID for AC joints is 72.
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True
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A pt enters the ER with a possible AC joints seperation and they are parapalegic, therefore the study cannot be done erect. Which of the following routines would be done to diagnose the condition?
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Nonweight baring and weight baring type projections done with the patient recumbant by pulling on the shoulders.
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A referring physician suspects that subacromial spur may be the cause of a pt's arm numbness. She asks the tech what projection would best demonstrate possible spurs. Which of the following projections would accomplish this projection?
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A PA scapula y lateral with a 10-15 degree caudal angle.
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A pt comes to the ER with a possible right AC joint seperation. Right clavicle and AC joint exams are ordered. A small linear fracture of the mid shaft of the clavicle is discovered. What should the tech do in this situation.
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Consult with ER physicain before continuing with the exam
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A radiograph of anterior oblique scapula y position reveals that the scapula is slightly rotated. The axiallary border of the scapula is determined to be more lateral than the vertebral border. Which of the following modifications would be made for the repeat exposure?
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Increase rotation of the thorax.
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A radiograph of an AP clavicle reveals that the sternal extremity is partially collimated off. What should the tech do?
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Repeat the AP projection and correct the collimation.
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A radiograph of the AP projection of the external rotation of the proximal humerus reveals that the greater tubercle is profiled laterally.What should we change to improve this image for a repeat exposure?
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Nothing, image is acceptable do not repeat.
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A radiograph of a transthoracic lateral projection reveals that it is difficult to visualize the proximal humerus due to the rib and lung markings. The following exposure factors are used 75 Kv, 30 mAs, 40 in. SID, a grid, and suspended respirations. Which of the following changes would improve the quality of the image?
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Use a breathing technique.
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A radiograph of an AP oblique projection for the glenoid cavity reveals that the anterior/posterior rims of the glenoid process are not superimposed. Which of the following modifications should produce a more acceptable image?
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Increase the rotation of the body.
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Where is the CR centered for an AC joint projection on a single 14x17 inch image receptor?
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1 inch above the jugular notch
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How much CR angulation is needed for an asthenic patient for an AP axial of the clavicle?
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30 degrees
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Which of the following requires some decrease in manual exposure factors?
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All of the above
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Which of the following modalities best demonstrates shoulder pathology, such the rotator cuff tear, using a dynamic evaluation technique during the joints movement?
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Arthrography
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Which projection of the shoulder requires that the patient be rotated 45-60 degrees toward the IR from a PA projection?
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Lateral Scapula projection
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How old was Shannon's husband's sister when she graduated college?
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By the time she was 20.
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Did anyone get the name of the guy with the glasses and mustache that came in while Christie and I were typing these questions?
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Cause we didn't.
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Where is Shannon going to watch the Ohio State and Michigan game?
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At her girlfriend's house because she has a baby. Even though she wants to go to the club, BECAUSE SHE WANTS TO DANCE!
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The proper name for the AP oblique projection for the shoulder joint is the Lawrence Method.
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False.
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Where is the CR centered for the transthoracic lateral projection?
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At the level of the surgical neck
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How much CR angulation should be used for the scapula y projection?
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none.
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Which of the following projections should be performed using the breathing technique?
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AP scapula
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Which ionization chamber(photocells) for the AC should be used for a tangential projection for the intertubercular groove?
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No AEC
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How much posterior CR angulation is required for supine version of the tangential projection for the interturbcular groove?
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10-15 degrees
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For the Grashey method projection of the shoulder, the CR is centered to the scapulohumeral joint.
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True
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The inferior/superior axial projection of the shoulder demonstrates the acromium process of the shoulder to be located most superior or anteriorly.
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False.
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Which of the following shoulder projections best demonstrates the scapulohumeral joint space?
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The Grashey Method
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What medial CR angle is required for the inferior/superior axial shoulder projection or Lawrence method?
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25-30 degrees
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Which of the following shoulder projections is considered a trauma projection and can be performed safely for a possible fracture or dislocation?
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transthoracic
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The erect tangential projection of the intertubercular groove results in about twice the skin dose compared to the supine because of the shorter source to object distance.
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True
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Which rotation of the humerus will result in a lateral position of the proximal humerus?
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Internal rotation
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Know the anatomy for the shoulder and scapula.
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Be prepared to label
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Shannon used to live off of Pleasant Hill. True or False.
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True
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All of the joints of the shoulder girdle are diathrodial.
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True
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The anterior surface of the scapula is referred to as what?
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Costal Surface
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The female clavicle is usually shorter and less curved than that of the male's.
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True
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What is the name of the insertion joint for the deltoid muscle located on the shaft of the humerus?
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deltoid tuberosity
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What is the name of the large fossa that is found on the anterior surface of the scapula?
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Subscapular Fossa
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Which of the following joints is considered to have a spheroidal type of movement?
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Scapulohumeral joint
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Which of the following structures is not part of the proximal humerus?
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Glenoid Process
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Which term describes the medial end of the clavicle?
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Sternal Extremity
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