Radiologic Procedures - Spine Flash Cards

Play Memory | Create Card File | Append to Card File
Title: Radiologic Procedures - Spine
Description: Review for my spine test. Radiological Sciences
Number of Cards: 46
Save Count: 1
Author: dmorgan899
Created: 2008-02-10
Tags: column procedures radiologic spine vertebral
Private No

Save Count represents the number of people who have saved this card set to their flashcard list. Consider this an endorsement!

    • Question
    • Answer
    • Side 3
    • Your patient is traums and the doctor has ordered a c-spine. What's the first projection you do?
    • Lateral
    • What is the SID used for lateral projection of c-spine and why?
    • 72" because of the OID caused by the shoulders. This helps the radiographer obtain better recorded detail.
    • Briefly decribe patient postion for lateral c-spine.
    • standing, shoulders depressed, body in true lateral, chin slightly elevated.
    • What is the breathing technique used for lateral c-spine?
    • exhale and hold breath
    • What anatomical landmark is used for locating C4?
    • thyroid cartilage (adams apple)
    • The lateral projection of the c-spine demonstrates what anatomy?
    • all 7 cervical vertebrae and 1/3 of T1 and also Z Joints.
    • The AP/PA Axial Oblique Projects of the C-spine are mainly to demonstrate what anatomy?
    • Intervertebral Foramina of both sides for comparison.
    • What is the SID of the oblique projections of the c-spine?
    • 72"
    • What is the angle of the tube for a c-spine projection?
    • There is no angle. CR Perpendicular to IR.
    • What is the CR angulation for AP Oblique C-spine?
    • 15-20 degrees cephalic. 15-20 caudal for PA.
    • All projections of the c-spine enter a what level?
    • C4
    • Describe position of patient for Oblique projections of C-spine.
    • 45 degree rotation of body, shoulders relaxed, chin slightly elevated.
    • What are the breathing instructions for Oblique projection of c-spine?
    • exhale and hold breath.
    • An AP Oblique Axial C-spine will show what important anatomy?
    • Intervertebral Foramina Furthest from the film.
    • A Pa oblique c-spine shows what important anatomy?
    • Intervertebral foramina closest to the film.
    • The AP Axial Projection of C-spine shows what important anatomy?
    • The intervertebral Disk spaces & vertebral bodies.
    • What is the angulation of CR for a AP Axial Projection of C-spine?
    • 15-20 degrees cephalic. 15-20 caudal for PA projection.
    • What is demonstrated on the AP Projection Open Mouth?
    • odontoid, and the alanto-axial joint space.
    • If you can't get the odontoid for the Open Mouth Projection. What should you then try?
    • Fuch's method and shoot through the foramen magnum to get odontoid.
    • Evaluation Criteria for Lateral C-spine includes:
    • all 7 c-spine vertebra, z-joints superimposed, spinous processes in profile, and vertebral bodies demonstrated.
    • The AP Axial Oblique projection demonstrates what pertinent anatomy?
    • Intervertebral foramina and pedicles farthest from the IR.
    • You would do the Fuch's method on a trauma patient if Open Mouth method didn't work?
    • NOOOOO!!! NEVER DO FUCHS METHOD ON A TRAUMA PATIENT. BAD BAD BAD! DUMBASS!
    • Explain position of patient for Fuch's Method:
    • supine, extend the chin untilo the tip of the chin and the tip of the mastoid process are vertical.
    • The Fuch's method is an alternative to demonstrate the odontoid through what anatomy?
    • The Foramen Magnum of the skull.
    • What does the Judd method demonstrate?
    • PA projection of the dens process through the forament magnum.
    • What are the methods to show the odontoid process?
    • Judd
      Open Mouth
      Fuch's
    • Why is flexion & extention done for lateral c-spine?
    • Functional study done to demonstrate normal anteroposterior movement or abscence of movement resulting from trauma or disease.
    • What is a precaution you should take before doing a sacrum exam?
    • Be sure to empty the bladder.
    • What is the CR angulation for an AP Axial Sacrum? What about PA?
    • angled 15 degrees cephalic for ap and 15 degrees caudal for pa
    • Can you shield on a sacrum exam?
    • You can shield men, but not women.
    • Where do you center for the Lateral projection of Sacrum?
    • CR enters patient perpendicular at coronal plane about 3.5 inches posterior to ASIS.
    • What is the centering point for ap t-spine?
    • T7, level of nipples, tip of scapula, IR 2 inches above shoulder of patient.
    • What are the breathing instructions for ap t-spine?
    • shallowed breathing or suspend on expiration.
    • What structures should be shown for ap t-spine?
    • all 2 thoracic vertebra, spinous processes at midline, intervertebral disk spaces, transverse processes.
    • What does keeping the patients arms at right angles to th elong axis of the body on lateral t-spine do?
    • It elevates the ribs enough to clear the intervertebral foramina.
    • What is the CR angle for a lateral t-spine?
    • 15 degrees cephalic if the spine is not supported.
    • What are the structures seen on lateral t-spine?
    • open intervertebral disks, open intervertebral foramina. Upper T1 & T2 not seen due to shoulders.
    • Why do you do a swimmers for thoracic spine?
    • the swimmers gets the lateral view of c7-t1 junction that the regular lateral t-spine does not because of shoulders.
    • What is the CR angle on swimmers for thoracic spine?
    • 5 degrees caudal.
    • What degree of obliquity is the should be done for thoracic spine
    • 70 from horizontal, 20 from vertical.
    • The ap oblique thoracic spine shows what structures?
    • z-joints farthest from the film.
    • What is the CR angle for L5-S1 lumbosacral junction spot?
    • when the spine is not in the true horizontal position, the cr is angled 5 degrees caudally for male patients and 8 degrees caudally for female patients.
    • The bones of the vertebral column are classified as what kind of bones?
    • irregular
    • there are a total of how many bones in the vertebral column?
    • 33
    • There are 4 functions of the vertebral column. What are they?
    • 1. support the body
      2. encloses and protects the spinal cord
      3. supports the head
      4. provides attachments for ribs.
    • These kinds of vertebrae are the only kind with bifid spinous processes and transverse foramina
    • cervical vertebrae