Wrist Test

Question 1

What evidence demonstrates no rotation on the stretcher wrist projection?

a.) wrist obliqued slightly
b.) wrist rotated laterally
c.) no rotation of the wrist, distal radius and ulna with minimal superimposition of distal radioulnar joint
d.) radioulnar joint completely superimposed

Answer 1

c.) no rotation of the wrist, distal radius and ulna with minimal superimposition of distal radioulnar joint

Question 2

What is the correct part position for the gaynor hart projection of the wrist? Choose all that apply.

a.) wrist hyperextended
b.) fingers near vertical 90 degrees to forearm
c.) wrist and forearm slightly lifted off of IR
d.) rotate hand and wrist 10 degrees internally toward radial side

Answer 2

a.) wrist hyperextended
b.) fingers near vertical 90 degrees to forearm
d.) rotate hand and wrist 10 degrees internally toward radial side

Question 3

Which of the following evaluation criteria should be demonstrated on the ulnar deviation of the wrist? Choose all that apply.

a.) distal radius and ulna
b.) carpals and proximal metacarpals
c.) no rotation of distal radius and ulna
d.) minimal superimposition of distal radioulnar joint

Answer 3

a.) distal radius and ulna
b.) carpals and proximal metacarpals
c.) no rotation of distal radius and ulna
d.) minimal superimposition of distal radioulnar joint
-all answers are correct

Question 4

Which of the following is evidence of a true 45 degree oblique on the PA oblique projection of the wrist? Choose all that apply.

a.) ulnar head partially superimposed by distal radius
b.) proximal third through fifth metacarpals bases mostly superimposed
c.) equal distance of proximal metacarpals
d.) ulnar head and radius seperated

Answer 4

a.) ulnar head partially superimposed by distal radius
b.) proximal third through fifth metacarpals bases mostly superimposed

Question 5

Which of the following carpal bones are located on the distal row? Choose all that apply.

a.) trapezium
b.) trapezoid
c.) capitate
d.) hamate
e.) scaphoid
f.) lunate
g.) triquetrum
h.) pisiform

Answer 5

a.) trapezium
b.) trapezoid
c.) capitate
d.) hamate

Question 6

Which of the following carpal bones are located on the proximal row? Choose all that apply.

a.) trapezium
b.) lunate
c.) trapezoid
d.) triquetrum
e.) capitate
f.) pisiform
g.) hamate
h.) scaphoid

Answer 6

b.) lunate
d.) triquetrum
f.) pisiform
h.) scaphoid

Question 7

What is the purpose for the 20 degree dangle of the hand rather than angling the tube?

a.) place the scaphoid perpendicular
b.) angles the scaphoid
c.) places the scaphoid parallel
d.) places the scaphoid laterally

Answer 7

c.) places the scaphoid parallel

Question 8

What exam should be performed before doing the stretchers method on a patient with possible wrist trauma?

a.) hand
b.) digits
c.) wrist
d.) radial deviation

Answer 8

c.) wrist

Question 9

What evidence should be demonstrated for the lateral projection of the wrist? Choose all that apply.

a.) ulna head superimposed over distal radius
b.) proximal second through fifth metacarpals aligned and superimposed
c.) ulna head should be partially superimposed over distal radius
d.) second through fifth metacarpals slightly superimposed

Answer 9

a.) ulna head superimposed over distal radius
b.) proximal second through fifth metacarpals aligned and superimposed

Question 10

Which of the following evaluation criteria should be demonstrated on the gaynor hart projection of the wrist? Choose all that apply.

a.) pisiform and hamulus in profile
b.) rounded aspect of capitate and scaphoid in profile
c.) trapezium slightly superimposed over first metacarpal
d.) trapezium in profile that articulates with first metacarpals

Answer 10

a.) pisiform and hamulus in profile
b.) rounded aspect of capitate and scaphoid in profile
d.) trapezium in profile that articulates with first metacarpals

Question 11

The central ray should be angled to the long axis of the forearm and toward the elbow on the scaphoid projection.

a.) true
b.) false

Answer 11

a.) true

Question 12

What is the purpose for rotating the hand and wrist 10 degrees internally on the gaynor hart projection of the wrist?

a.) superimpose pisiform and hamate
b.) slightly oblique pisiform and hamate
c.) prevent superimposition of pisiform and hamate
d.) trapezium and thumb slightly superimposed

Answer 12

c.) prevent superimposition of pisiform and hamate

Question 13

Where should the CR be centered for upright/erect abdomen?

a.) at the level of iliac crest
b.) 1’’ above the iliac crest
c.) 2’’ above iliac crest
d.) 2’’ below iliac crest

Answer 13

c.) 2’’ above iliac crest

Question 14

Which of the following are correct patient position for PA chest projections? Choose all that apply.

a.) patient should be erect
b.) feet spread slightly
c.) chin should be down
d.) hands on hips palms out with elbows flexed
e.) rotate shoulders forward and depress shoulders

Answer 14

a.) patient should be erect
b.) feet spread slightly
d.) hand on hips palms out with elbows flexed
e.) rotate shoulders forward and depress shoulders

Question 15

Which of the following body parts should be horizontal when performing PA and lateral projections of the wrist? Choose all that apply.

a.) shoulder
b.) elbow
c.) wrist

Answer 15

a.) shoulder
b.) elbow
c.) wrist

Question 16

Which of the following evaluation criteria should be demonstrated on PA projection of the hand? Choose all that apply.

a.) concavity of shafts of metacarpals of digits 2-5
b.) concavity of shafts of phalanges of digits 2-5
c.) equal soft tissue on each side of 2-5 phalanges
d.) no soft tissue overlap in digits 2-5
e.) MCP and IP joints should be open

Answer 16

a.) concavity of shafts of metacarpals of digits 2-5
b.) concavity of shafts of phalanges of digits 2-5
c.) equal soft tissue on each side of 2-5 phalanges
d.) no soft tissue overlap in digits 2-5
e.) MCP and IP joints should be open
-all answers are correct

Question 17

What is the correct way to locate the scaphoid on the ulnar deviation projection?

a.) 3/4’’ distal and medial to radial styloid process
b.) 1/2’’ distal and medial to radial styloid process
c.) 1’’ distal and medial to radial styloid process
d.) 3/4’’ proximal and medial to radial styloid process

Answer 17

a.) 3/4’’ distal and medial to radial styloid process

Question 18

Which of the following evaluation criteria should be demonstarted on the lateral projection of digits 2-5? Choose all that apply.

a.) lateral distal, middle and proximal phalanges
b.) true lateral is indicated by concave appearance of anterior phalanges
c.) interphalangeal joint open
d.) metacarpophalangeal joint open

Answer 18

a.) later distal, middle and proximal phalanges
b.) true lateral is indicated by concave appearance of anterior phalanges
c.) interphalangeal joint open
d.) metacarpophalangeal joint open
-all answers apply

Question 19

Which of the following evaluation criteria is best demonstrated on PA chest radiograph? Choose all that apply.

a.) chin is elevated to prevent superimposition of apices
b.) both SC joints same distance from center line of spine
c.) minimum of 10 posterior ribs above diaphragm
d.) shoulders rotated forward to place scapula in the lung field
e.) motion on radiograph

Answer 19

a.) chin is elevated to prevent superimposition of the apices
b.) both SC joints same distance from center line of spine
c.) minimum of 10 posterior ribs above diaphragm

Question 20

Which of the following evaluation criteria should be demonstrated on the stretcher method of the wrist? Choose all that apply.

a.) distal ulna and radius
b.) carpals and proximal metacarpals
c.) carpals on radial side are more visible
d.) scaphoid shown without foreshortening or superimposition

Answer 20

a.) distal ulna and radius
b.) carpals and proximal metacarpals
c.) carpals on radial side are more visible
d.) scaphoid shown without foreshortening or superimposition
-all answers are correct

Question 21

Where is the central ray directed on the PA wrist projection?

a.) mid metacarpal area
b.) midcarpal area
c.) mid CMC joint
d.) scaphoid area

Answer 21

b.) midcarpal area

Question 22

Which of the following evaluation criteria should ddemonstrate the correct 45 degree obliquity on the PA oblique projection of the hand? Choose all that apply.

a.) midhsafts of metacarpals should not be overlapped
b.) some overlap of distal heads of metacarpals 3-5
c.) no overlap of distal 2nd and 3rd metacarpals
d.) MCP and IP joints open without foreshortening of midphalnges or distal phalnges

Answer 22

a.) midshafts of metacarpals should not be overlapped
b.) some overlap of distal heads of metacarpals 3-5
c.) no overlap of distal 2nd and 3rd metacarpals
d.) MCP and IP joint open without foreshortening of midphalanges or distal phalanges
-all are correct

Question 23

Which of the following evaluation criteria is demonstrated on PA chest projection? Choose all that apply.

a.) both lungs from apices to costphrenic angles
b.) air filled trachea
c.) hilum markings
d.) heart

Answer 23

a.) both lungs from apices to costophrenic angles
b.) air filled trachea
c.) hilum markings
d.) heart
- all are correct

Question 24

Which of the following evaluation criteria are best demonstrated on the lateral chest projection? Choose all that apply.

a.) entire lungs
b.) sternum anteriorly to posterior ribs and thorax posterior
c.) posterior ribs and costophrenic angles on side away from IR
d.) chin and arms should be down

Answer 24

a.) entire lungs
b.) sternum anteriorly to posterior ribs and thorax posterior
c.) posterior ribs and costophrenic angles on side away from IR

Question 25

Which of the following evaluation criteria should be demonstrated on the PA oblique projection of the wrist? Choose all that apply.

a.) equal concavity seen on both sides of the shafts of the proximal metacarpals
b.) near equal distance among proximal metacarpals
c.) seperation of distal radius and ulna
d.) ulnar head partially superimposed by radius

Answer 25

a.) equal concavity seen on both sides of the shafts of the proximal metacarpals
b.) near equal distance among proximal metacarpals
c.) seperation of distal radius and ulna

Question 26

What is the correct SID for all projections of the wrist?

a.) 24’’
b.) 30’’
c.) 38’’
d.) 40’’

Answer 26

d.) 40’’

Question 27

What is the CR angulation and point for the gaynor hart projection of the wrist? Choose all that apply.

a.) 20 to 25 degrees to long axis of hand
b.) 25 to 30 degrees to long axis of hand
c.) 1/2’’ distal to base of third metacarpal
d.) 1’’ distal to base of third metacarpal

Answer 27

b.) 25 to 30 degrees to long axis hand
d.) 1’’ distal to base of third metacarpal

Question 28

Where is the central ray directed on the lateral projection of the wrist?

a.) carpal area
b.) midcarpal area
c.) radius and ulna area
d.) trapezium area

Answer 28

b.) midcarpal area

Question 29

Which of the following evaluation criteria are demonstrated on the supine abdomen? Choose all that apply.

a.) outline of liver, spleen, kidneys and stomach
b.) bowel segments
c.) symphisis pubis
d.) ischial tuberosity

Answer 29

a.) outline of liver, spleen, kidneys and stomach
b.) bowel segments
c.) symphisis pubis

Question 30

Which of the following evaluation criteria should be demonstrated on the lateral thumb? Choose all that apply.

a.) distal phalange
b.) proximal phalange
c.) first metacarpal
d.) concave shape on anterior surface
e.) IP and MCP joints open
f.) trapezium superimposed
g.) middle phalange
h.) DIP joint

Answer 30

a.) distal phalange
b.) proximal phalange
c.) first metacarpal
d.) concave shape on anterior surface
e.) IP and MCP joints open
f.) trapezium superimposed

Question 31

What is the main purpose for arching the hand on the PA projection of the wrist?

a.) to place carpal bones further away from the IR
b.) to oblique the carpal bones
c.) to place the carpal bones closer to the IR
d.) to place the carpal bones in a true lateral

Answer 31

c.) to place the carpal bones closer to the IR

Question 32

What is the correct CR on the stretcher method of the wrist?

a.) 5 degrees
b.) 10 degrees
c.) 20 degrees
d.) perpendicular to the scaphoid

Answer 32

d.) perpendicular to the scaphoid

Question 33

What is the correct part position on the stretcher method of the wrist?

a.) 5 degree CR angle
b.) 10 degree CR angle
c.) 20 degree CR angle
d.) 20 degree angle sponge

Answer 33

d.) 20 degree angle sponge

Question 34

For correct positioning and evaluation criteria the carpals should be demonstrated in a tunnel like each for the gaynor hart projection.

a.) true
b.) false

Answer 34

a.) true

Question 35

Which of the following evaluation criteria should be demonstrated on the PA oblique projection of what? Choose all that apply.

a.) distal radius and ulna
b.) carpal bones
c.) mid carpal area
d.) trapezium and scaphoid are visualized
e.) slight superimposition of other carpals in their medial aspect

Answer 35

a.) distal radius and ulna
b.) carpal bones
c.) mid carpal area
d.) trapezium and scaphoid are visualized
e.) slight superimposition of other carpals in their medial aspect

Question 36

What is the central ray angulation on the ulnar deviation projection of the wrist?

a.) 5 degrees proximal
b.) 5 degrees distal
c.) 10 to 15 degrees proximal
d.) 10 to 15 degrees distal

Answer 36

c.) 10 to 15 degrees proximal

Question 37

Which of the following is the correct CR level and inches for AP projection of the chest?

a.) CR level T3 and 7’’ below jugular notch
b.) CR level T4 and 3’’ below jugular notch
c.) CR level T7 and 7’’ to 8’’ below jugular notch
d.) CR level T7 and 3’’ to 4’’ below jugular notch

Answer 37

d.) CR level T7 and 3’’ and 4’’ below jugular notch

Question 38

What is the correct part position for the PA ulnar deviation projection of the wrist?

a.) hand should be left straight
b.) move hand toward ulnar side as much as possible
c.) move hand away from the ulnar side as much as possible
d.) rotate hand upward toward ulnar side

Answer 38

b.) move hand toward ulnar side as much as possible

Question 39

Which of the following evaluation criteria should be demonstrated on the lateral wrist projection? Choose all that apply.

a.) distal radius
b.) distal ulna
c.) carpals
d.) midcarpal area

Answer 39

a.) distal radius
b.) distal ulna
c.) carpals
d.) midcarpal area

Question 40

Where is the central ray directed on the supine abdomen projection?

a.) perpendicular to level of iliac crest
b.) 2’’ above iliac crest
c.) 1’’ above iliac crest
d.) 1’’ below iliac crest

Answer 40

a.) perpendicular to level of iliac crest

Question 41

What is the main purpose for obtaining an upright abdomen projection? Choose all that apply.

a.) to look at the bladder
b.) looking for air fluid levels
c.) to better visualize the colon
d.) looking for free air

Answer 41

b.) looking for air fluid levels
d.) looking for free air

Question 42

Which of the following evaluation criteria should be demonstrated on the PA wrist projection?

a.) complete superimposition of the distal radioulnar joint
b.) distal radioulnar joint in oblique position
c.) slight superimposition of radioulnar joint
d.) radioulnar joint superimposed

Answer 42

c.) slight superimposition of radioulnar joint

Question 43

Which of the following evaluation criteria should be demonstrated on AP thumb projection? Choose all that apply.

a.) distal and proximal phalanges
b.) first metacarpal
c.) trapezium
d.) interphalangeal and metacarpophalangeal joints open

Answer 43

a.) distal and proximal phalanges
b.) first metacarpal
c.) trapezium
d.) interphalngeal and metacarpophangeal joints open

Question 44

How much should the wrist be obliqued for the PA oblique wrist projection?

a.) 20 degrees
b.) 30 degrees
c.) 40 degrees
d.) 45 degrees

Answer 44

d.) 45 degrees

Question 45

Which of the following positions places the thumb in a 45 degree oblique?

a.) AP hand
b.) lateral hand
c.) PA hand
d.) oblique hand

Answer 45

c.) PA hand

Question 46

Which of the following evaluation criteria are demonstrated on the upright abdomen projection? Choose all that apply.

a.) air filled stomach
b.) loops of bowel
c.) air fluid levels
d.) small crescent shaped air bubble under right hemidiaphragm

Answer 46

a.) air filled stomach
b.) loops of bowel
c.) air fluid levels
d.) small crescent shaped air bubble under right hemidiaphragm

Question 47

Which of the following best describes the CR for PA chest projection?

a.) CR is angled caudad
b.) CR is perpendicular to IR
c.) CR is angled cephalad
d.) IR not centered to CR

Answer 47

b.) CR is perpendicular to IR

Question 48

Which of the following are best demonstrated on the lateral projection of the chest? Choose all that apply.

a.) patient erect, left side against IR
b.) arms raised above head
c.) chin up
d.) central ray is centered to midthorax at T7

Answer 48

a.) patient erect, left side against IR
b.) arms raised above head
c.) chin up
d.) central ray is centered to midthorax at T7

Question 49

What direction should the wrist be rotated in for the oblique projection of the wrist?

a.) laterally
b.) medially

Answer 49

a.) laterally

Question 50

Which of the following evaluation criteria are demonstrated on the PA projection of the wrist? Choose all that apply.

a.) proximal metacarpals
b.) carpals
c.) distal radius and ulna
d.) soft tissue of carpal bones

Answer 50

a.) proximal metacarpals
b.) carpals
c.) distal radius and ulna
d.) soft tissue of carpal bones

Question 51

Which of the following evaluation criteria are best demonstrated on AP chest projection? Choose all that apply.

a.) heart appears larger due to increased magnification from shorter SID and increased OID
b.) pleural effusion obscures lung markings
c.) withour horizontal beam fluid levels may not be seen
d.) inspiration may not be full
e.) only 8 or 9 ribs are seen above diaphragm

Answer 51

a.) heart appears larger due to increased magnification from shorter SID and increased OID
b.) pleural effusion obscures lung markings
c.) without horizontal beam fluid levels may not be seen
d.) inspiration may not be full
e.) only 8 or 9 ribs are seen above diaphragm