Fall Procedures 2 Flashcards

1
Q

Costotransverse jt is made of?

A

Thoracic vertebra and transverse process rib

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2
Q

LPO projection of sternum places sternum where

A

In heart shadow

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3
Q

Breathing instructions for upper ribs

A

Inspiration

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4
Q

Joints in the costo cartilage

A

Interchondral

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5
Q

Projection demonstrates axillary portion of rib cage?

A

Obliques

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6
Q

CR Of upper ribs

A

Perpendicular at level of T7

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7
Q

Tubercle of rib articulates with what structure? Making what jt?

A

Transverse process of vertebra

Costotransverse

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8
Q

Pt can’t lay prone for sternum image, so what position can be done?

A

LPO sternum

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9
Q

Ribs 1-7 attach to what bone anteriorly?

A

Sternum

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10
Q

Evaluation for PA Projection and supine CHEST

A

Entire lung fields (apices to costophrenic angles), no rotation, scapula out of lung field, 10 ribs, heart and diaphragm sharp outlines, rib and thoracic shadows through heart shadow, lung markings

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11
Q

Head of rib and body of vertebra create what jt?

A

Costovertebral

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12
Q

Top of IR when doing lateral sternum?

A

1 1/2 inches above jugular notch

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13
Q

How much rotation for oblique ribs

A

45

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14
Q

RAO/LAO which side is best demonstrated

A

Closest

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15
Q

To demonstrate posterior ribs what projection do you do?

A

Ap lower ribs

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16
Q

Ribs 8-10 attach to what anteriorly

A

Costal cartilage of 7th rib

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17
Q

Ap toes

A

15 degrees

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18
Q

AP Axial Foot

A

10

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19
Q

Ap axial clavicle

A

Standing 0-15

Supine 15-30

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20
Q

For pelvis for femoral necks (ap oblique modified cleaves) how much will pt abduct thighs? Equal on each side?

A

45 and yes

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21
Q

Pelvis for femoral necks ap oblique cleaves do you want to see femoral neck not Si by?

A

Great per trochanter

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22
Q

Pelvis acetabulum- internal- unaffected side?

A

Up

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23
Q

Pelvic outlet(Taylor method) shows what anatomy?

A

Rami

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24
Q

Pelvis acetabulum external oblique, affected side up or down?

A

Down

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25
Q

Pelvic inlet bridgeman shows what anatomy?

A

Pelvic ring

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26
Q

How are pts legs for lateral hip (lauenstein and hickey?)

A

Flexed and drawn up to almost 90 degree angle with hip

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27
Q

Evaluating lateral hip angulation in hickey method does what to femoral neck?

A

Shows without superimposition

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28
Q

How to find femoral neck

A

Draw imaginary line from ASIS to pubic symphysis another dorm superior to greater trochanter to middle of first line. Femoral neck is on that line

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29
Q

Femur is the _____, _____, and ______ bone in the body

A

Longest, strongest, heaviest

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30
Q

Parts of distal end of femur

A

Medial and lateral condyle, patellar surface, inter condylar fossa, medial and lateral epicondyles, sesamoid - fabella

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31
Q

Parts on proximal end of femur

A

Head, neck

Greater trochanter, lesser trochanter, fovea capitis, intertrochanteric crest, intertrochanteric line

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32
Q

Fovea capitis is for attachment of what

A

Ligaments

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33
Q

Intertrochanteric crest is located where

A

Posterior

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34
Q

Intertrochanteric line is located where?

A

Anterior

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35
Q

2 common fracture sites of femur

A

Femoral neck, intertrochanteric crest

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36
Q

Do you do femur projections Bucky or tabletop?

A

Bucky

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37
Q

AP femur CR

A

Perpendicular to mid femur

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38
Q

Ap femur what do you do if whole femur doesn’t fit?

A

2 images

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39
Q

Ap femur when including the hip where do you place the IR

A

Top of IR at ASIS

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40
Q

Ap femur when including knee where do you place bottom of IR?

A

2 inches below knee jt

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41
Q

Ap femur how many degrees do you rotate leg? What does it do to neck of femur?

A

15-20 degrees elongates femoral neck. See it in profile

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42
Q

Ap femur how will epicondyles of femur be in relationship to IR?

A

Parallel

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43
Q

Ap femur including hip will lesser trochanter be seen?

A

No

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44
Q

Ap femur including hip which trochanter is shown in profile?

A

Greater

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45
Q

Ap femur including knee femoral epicondyles are what to the IR

A

Parallel

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46
Q

Lateral femur what type of projection is this?

A

Mediolateral

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47
Q

Lateral chest

A

Superior most ribs posterior to vertebral column arm or soft tissue not in lung field, long axis of lungs vertical without forward or backward leaning, lateral sternum, costophrenic angles, lower apices included, penetration of lungs and heart, open intervertebral disks, sharp outline of heart and diaphragm, hilum in center.

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48
Q

Rotation shows humeral head in profile

A

Neutral

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49
Q

Axiolateral Coyle pt bends Arm how many degrees to demonstrate coronoid process

A

80

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50
Q

View of elbow that demonstrates coronoid process

A

Internal oblique

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51
Q

Coyle method angle of tube to demonstrate coronoid process

A

45 degrees away from shoulder

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52
Q

Lateral femur cr

A

Perpendicular to mid femur

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53
Q

Lateral femur patella is seen how

A

In profile

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54
Q

Lateral knee what jt space is open?

A

Patellafemoral

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55
Q

Lateral femur epicondyles of femur are what to IR

A

Perpendicular

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56
Q

Lateral femur if pt is high risk of broken hip should you do this?

A

No

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57
Q

Pelvis hipbone is known as? 2 names

A

True and false

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58
Q

Why is the female and male pelvis different

A

Female is made for childbirth. Female wide light oval

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59
Q

True and false pelvis is divided by what? Called the ____ of pelvis

A

Oblique plane brim

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60
Q

Joints of the pelvis

A

Hip joint, pubic symphysis, sacroiliac jt

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61
Q

Rami are divided into

A

Superior and inferior

Pubic and ischial

62
Q

Ap pelvis what landmark can you feel for rotation

A

ASIS

63
Q

Ap pelvis how much do you turn in the lower limbs and why?

A

15-20 degrees medially elongate femoral neck

64
Q

Ap femur top of IR should be how many inches above iliac crest

A

1-1 1/2

65
Q

Coyle method trauma elbow to demonstrate radial head pt flex arm how much

A

90 degrees

66
Q

Homblad how much do you flex knee

A

70

67
Q

Ap humerus demonstrated in profile

A

Greater tubercle humeral head

68
Q

Lateral humerus demonstrated in profile

A

Lesser Tubercle

69
Q

Ap neutral humerus top of IR goes

A

1 1/2 above humeral head

70
Q

Ap scapula process seen?

A

Acromion

71
Q

C1

A

Mastoid tip

72
Q

C2,c3

A

Gonion

73
Q

Why do we do a left lateral chest more than a right?

A

Places heart closer to IR less magnified heart image

74
Q

Why do we xray patient in upright position

A

Prevent engorgement of vessels, allows gravity to depress diaphragm, shows air fluid levels

75
Q

Where does trachea extend ? Structure it runs between

A

Larynx to bronchi

76
Q

Why breathing technique allows us to visualize sternum

A

Blurs lung markings

77
Q

Ribs clearly demonstrated on ap upper ribs

A

1-10

78
Q

Why shoot on expiration when imaging lower ribs

A

Move diaphragm up

79
Q

Ribs you use more chest technique and ribs you use more abdomen?

A

Upper chest

Lower abdomen

80
Q

Sid for lateral sternum

A

72

81
Q

Pt places arms and hands for lateral sternum

A

Rotate shoulders back and lock hands behind back

82
Q

View of sternum where is sternum is perpendicular to IR

A

True lateral sternum

83
Q

3 segments of sternum

A

Many brim, body,xiphoid

84
Q

Sternal angle is located where on sternum?

A

Between manubrium and body

85
Q

Tip of sternum

A

Xiphoid

86
Q

Why do an oblique sternum

A

Shows sternum without SI of vertebrae

87
Q

30” Sid does what to pt dose?

A

Increases

88
Q

RAO sternum which chest requires more angulation

A

Shallow requires more

89
Q

2 respirations can be used for RAO sternum

A

Expiration, breathing technique

90
Q

Ribs 8-12 called?

A

False ribs because they don’t attach to sternum

91
Q

Pt head for unilateral pa sc jt?

A

Torn head towards affected side

92
Q

End of clavicle seen on PA sc jt?

A

Sterna extremity

93
Q

Pelvis for femoral necks (ap oblique or modified cleaves) cr

A

IR 1 inch superior to public symphysis

94
Q

Evaluating ap pelvis are lesser trochanters seen?

A

Very little to none

95
Q

Evaluating AP pelvis what is shown in profile

A

Greater trochanter

96
Q

Evaluating ap pelvis what structures will be symmetric ensuring no rotation?

A

ASIS

97
Q

Pelvis for femoral necks (ap oblique or modified cleaves) how does patient place legs for this projection

A

Rotate the legs abductly 45 degrees “frog out wards”

98
Q

Pelvis for femoral necks (ap oblique or modified cleaves) What can pt do to make this easier to hold

A

Turn feet inward and bare soles of feet together

99
Q

Pelvis acetabulum external oblique how much do you rotate patients body

A

45 degrees

100
Q

Trams thoracic lateral trauma Lawrence CR

A

Perpendicular to IR enter at level of surgical neck

101
Q

Pa axial projection (camp Coventry) cr

A

Perpendicular to long axis of lower leg and centered to knee. Knee flexed 40 degrees tube 40 degrees

102
Q

Pelvis acetabulum-internal oblique how much do you rotate patients body

A

45 degrees

103
Q

What bones make the elbow joint

A

Proximal radius
Prox ulna
Distal humerus

104
Q

Part of scapula humeral head sits

A

Glenoid cavity

105
Q

Where’s the IR for ap and lateral humerus go

A

1 1/2 above level of humeral head

106
Q

Ap neutral humerus trauma part position

A

Palm on thigh, epicondyles 45 degrees

107
Q

Ap neutral trauma humerus epicondyles

A

45 to IR

108
Q

Navicular

A

Scaphoid

109
Q

Lunate

A

Semilunar

110
Q

Pisiform

A

No other names

111
Q

Trapezium

A

Greater multangular

112
Q

Trapezoid

A

Lesser multangular

113
Q

Capitate

A

Os magnum

114
Q

Lateral media lateral foot: what side does pt lie on ?

A

Affected

115
Q

Lateral mediolateral calcareous pt lies on which side

A

Affected

116
Q

For lateral toes 1&2 patient lies on which side

A

Unaffected

117
Q

For lateral toes 3-5 patient will lie on which side

A

Affected

118
Q

Names of malleoli where are they located?

A

Lateral malleolus- fibula

Medial malleolus-tibia

119
Q

Cr for RAO sternum

A

Perpendicular to IR enters elevated side at level of T7 approximately 1” lateral to MSP

120
Q

Pa axial method holmblad cr?

A

Perpendicular to lower leg, midpoint of IR

121
Q

Cr plantodorsal axial calcaneus

A

40 degrees cephalic and base of third metatarsal

122
Q

Cr ulnar deviation

A

Perpendicular to scaphoid

123
Q

Calcaneus dorsoplantar cr

A

40 degree caudal enters dorsal long axis of foot

124
Q

Ap hip how much do you rotate the lower limb

A

15 - 20 elongates femoral necks

125
Q

Evaluating ap hip what’s in profile?

A

Greater trochanter

126
Q

Ap hip do you see lesser trochanter

A

No

127
Q

Axiolateral hip cr should pass through

A

Femoral neck

128
Q

Axiolateral hip do you use a grid

A

Yes

129
Q

Pelvis acetabulum external oblique cr

A

Center affected hip to IR. IR- perpendicular to IR and entering at pubic symphysis

130
Q

Cr Ap axial clavicle

A

15-30 degree caudal mid clavicle

131
Q

Axiolateral projection of hip we do this projection if the pt has a suspected?

A

Fracture

132
Q

Axiolateral hip IR should be ____ with femoral neck

A

Parallel

133
Q

Axiolateral hip what tool could be used to improve image and lessen chance of repeat

A

Compensating filter

134
Q

Axiolateral hip entire ____ jt should be seen

A

Hip

135
Q

Modified axiolateral hip cr

A

15 posterior enters femoral neck

136
Q

Will you see rotation of sc jts on bilateral examination?

A

No

137
Q

Lateral weight bearing lateromedial cr?

A

Perpendicular to just above base of third metatarsal

138
Q

Sesamoid cr for holly method?

A

Perpendicular to head of first metatarsal

139
Q

Sesamoid cr for the Lewis method

A

Perpendicular tangential to first Mtp joint

140
Q

Ap wrist

A

Carpal inter spaces better shown

141
Q

Unciform

A

Hamate

142
Q

What do you see on ap foot

A

Foreign bodies

Open joint spaces between medial and intermedia cuneiform

143
Q

Angle on dorsoplantar calcaneus

A

40 caudal

144
Q

Angle on plantodorsal calcaneus

A

40 cephalic

145
Q

Medial oblique foot demonstrates

A

Cuboid

146
Q

What bones make up shoulder jt

A

Proximal humerus, clavicle, scapula

147
Q

Neer method pt position

A

Seated or standing facing board

148
Q

Lateral boarder of scapula known as?

A

Axillary

149
Q

Medial border of scapula known as

A

Vertebral border

150
Q

Subtalar jt is seem on what image

A

Plantodorsal calcaneus

151
Q

Lateral scapula posterior oblique when would you do this

A

Pt arm couldn’t move

152
Q

LAO / RAO lateral scapula patient position

A

Standing facing board, hands behind back. 40-60 rotation