DIgit & Hand Test Flashcards

1
Q

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

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

A

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

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2
Q

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

A

b.) CR is perpendicualar to IR

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3
Q

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

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

A

c.) 2’’ above iliac crest

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4
Q

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

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

A

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

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5
Q

Which of the following digits can be rotated laterally for the medial oblique and lateral projections? Choose all that apply.

a.) 2nd digits
b.) 3rd digits
c.) 4th digits
d.) 5th digits

A

b.) 3rd
c.) 4th digits
d.) 5th digits

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6
Q

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

A

c.) PA hand

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7
Q

What position should the hand be placed in for the lateral projection?

a.) on the lateral side
b.) 45 degree oblique
c.) fan lateral
d.) on the medial side

A

c.) fan lateral

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8
Q

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

a.) midshafts of metacarpals should not be overlapped
b.) same overlap of distal heads of 3rd, 4th and 5th metacarpals
c.) no overlap of distal 2nd and 3rd metacarpals
d.) MCP and IP joints open without foreshortening of midphalnges or distal phalanges

A

a.) midshafts of metacarpals should not be overlapped
b.) same overlap of distal heads of 3rd, 4th and 5th metacarpals
c.) no overlap of distal 2nd and 3rd metacarpals
d.) MCP and IP joints open without foreshortening of midphalanges or distal phalanges.
- all answers are correct

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9
Q

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.) chin and arms should be down
d.) posterior ribs and costophrenic angle on side away from IR

A

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

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10
Q

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

a.) distal
b.) middle
c.) proximal
d.) distal metacarpals

A

a.) distal
b.) middle
c.) proximal
d.) distal metacarpals
-all answers are correct

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11
Q

The thumb/first digit includes which parts? Choose all that apply.

a.) carpals
b.) proximal
c.) distal
d.) middle

A

b.) proximal
c.) distal

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12
Q

Which of the following evaluation criteria should be demonstrated on the oblique digit projections? Choose all that apply.

a.) 45 degree oblique of distal, middle and proximal phalnges
b.) distal metacarpal
c.) no superimposition of adjacent fingers
d.) joint spaces should be open

A

a.) 45 degree oblique of distal, middle and proximal phalnges
b.) distal metacarpal
c.) no superimosition of adjacent fingers
d.) joint spaces should be open
-all answers are correct

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13
Q

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

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

A

c.) 2’’ above iliac crest

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14
Q

What is the prupose for performing acute abdominal series? Choose all that apply.

a.) free air
b.) air fluid levels
c.) gas
d.) fecal material

A

a.) free air
b.) air fluid levels

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15
Q

Excessive overlap of the metacarpals indicates what patient position is incorrect on the PA oblique hand projection?

a.) over rotation
b.) under rotation

A

a.) over rotation

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16
Q

What is the main purposes 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

A

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

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17
Q

What is the correct postion of the fingers on a lateral thumb projection?

a.) fingers out straight
b.) fingers should be arched
c.) fingers should be obliqued

A

b.) fingers should be arched

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18
Q

Which of the following joints are in the first digit/thumb? Choose all that apply.

a.) DIP- distal interphalngeal joint
b.) IP- interphalangeal joint
c.) PIP- proximal interphalangeal joint
d.) MCP- metacarpophalangeal joint

A

b.) IP- interphalangeal joint
d.) MCP- metacarpophalangeal joint

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19
Q

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 fluids levels
c.) to better visualize the colon
d.) looking for free air

A

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

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20
Q

The metacarpals articulate with the distal end of the phalanges called__________.

a.) DIP
b.) PIP
c.) MCP
d.) CMC

A

c.) MCP

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21
Q

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

A

a.) perpendicular to level of iliac crest

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22
Q

Each digit has two or three seperate small bones called __________.

a.) sesamoid
b.) metacarpals
c.) phalanges
d.) base

A

c.) phalanges

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23
Q

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

a.) distal phalynx
b.) proximal phalynx
c.) first metacarpal
d.) trapezium
e.) DIP joint is open
f.) IP joint is open
g.) MCP joint is open

A

a.) distal phalynx
b.) proximal phalynx
c.) first metacarpal
d.) trapezium
f.) IP joint is open
g.) MCP joint is open

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24
Q

Which of the following evaluation criteria are demonstrated on the lateral decubitus chest radiograph? choose all that apply.

a.) entire lungs
b.) apices
c.) only one costophrenic angle
d.) both lateral broders of ribs

A

a.) entire lungs
b.) apices
d.) both later borders of ribs

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25
Q

Which of the following positioning criteria should be demonstrated on the upright abdomen? Choose all that apply.

a.) iliac wings appear symmetric
b.) outer margins are the same distance from the spine
c.) spine should be straight
d.) bladder should be included

A

a.) iliac wings appear symmertric
b.) outer margins are same distance from the spine
c.) spine should be straight

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26
Q

What is the purpose for centering 2’’ above the iliac crest on the upright abdomen?

a.) to include the bladder
b.) to include the diaphragm
c.) to include symphysis pubis
d.) to include iliac crest

A

b.) to include the diaphragm

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27
Q

Which of the part position is true about the lateral projection of the hand?

a.) metacarpals are obliqued
b.) metacarpals are not rotated
c.) metacarpals should be rotated laterally
d.) hand should be placed on lateral side

A

b.) metacarpals are not rotated

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28
Q

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

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

A

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

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29
Q

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.) trapezium superimposed
e.) concave shape on anterior surface
f.) IP and MCP joints opne
g.) DIP joint

A

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

30
Q

Which of the following views must be included on acute abdomen series? Choose all that apply.

a.) PA chest
b.) erect/upright abdomen
c.) supine abdomen
d.) lateral chest

A

a.) PA chest
b.) erect/upright abdomen
c.) supine abdomen

31
Q

Which of the following positioning errors occur if too much seperation is indicated on the PA oblique projection of the hand?

a.) hand is under rotated
b.) hand is over rotated

A

a.) hand is under rotated

32
Q

Which of the following exams should the CR be centered 2’’ above the iliac crest? Choose all that apply.

a.) supine abdomen
b.) upright abdomen
c.) lateral decubitus abdomen
d.) dorsal decubitus

A

b.) upright abdomen
c.) lateral decubitus abdomen
d.) dorsal decubitus

33
Q

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

A

a.) perpendicular to level of iliac crest

34
Q

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

a.) no rotation, iliac wings, obtuator foramina
b.) ischial spines symmetric
c.) outer margin of ribs same distance from the spine
d.) rotation of ribs

A

a.) no rotation, iliac wings. obturator foramina
b.) ischial spines symmetric
c.) outer margin of ribs same distance from the spine

35
Q

Where is the central ray directed for PA chest projection?

a.) T2
b.) T4
c.) T6
d.) T7

A

d.) T7

36
Q

Why is it important to keep all digits parallel to the IR on the PA oblique hand projections?

a.) to open joint spaces
b.) to close joint spaces

A

a.) to open joint spaces

37
Q

Which of the following digits should be rotated medially for the oblique and lateral projections?

a.) 2nd digit
b.) 3rd digit
c.) 4th digit
d.) 5th digit

A

a.) 2nd digit

38
Q

Which of the following parts should be checked for no rotation on the supine abdomen? Choose all that apply.

a.) pelvis
b.) shoulders
c.) bladder
d.) femurs

A

a.) pelvis
b.) shoulders

39
Q

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

a.) Interphalngeal joint should be open
b.) no rotation indicated by concave sides of phalanges
c.) equal amount of soft tissue on each side of phalanges
d.) DIP joint should be open

A

a.) interphalangeal joint should be open
b.) no rotation indicated by concave sides of phalanges
c.) equal amount of soft tissue on each side of phalanges

40
Q

Where is the central ray directed on the lateral projection?

a.) 1st MCP
b.) 2nd MCP
c.) 3rd MCP
d.) 5th MCP

A

b.) 2nd MCP

41
Q

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

a.) phalanges in lateral position
b.) joint spaces open
c.) thumb should be in slight oblique position
d.) thumb should be in lateral position

A

a.) phalanges in lateral position
b.) joint spaces open
c.) thumb should be in slight oblique position

42
Q

What does the digits 2-5 have that the thumb/first digit does not have?

a.) middle
b.) distal
c.) proximal

A

a.) middle

43
Q

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

a.) entire hand and wrist
b.) 1/2’’ distal forearm
c.) 1’’ distal forearm
d.) fingers should appear equally seperated

A

a.) entire hand and wrist
c.) 1’’ distal forearm
d.) fingers should appear equally seperated

44
Q

Which of the following digits should be placed in the lateromedial for the lateral projection? Choose all that apply.

a.) 2nd digit
b.) 3rd digit
c.) 4th digit
d.) 5th digit

A

b.) 3rd digit
c.) 4th digit
d.) 5th digit

45
Q

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.) shoulders rotated forward to place acapula in the lung field
c.) Both SC joints same distance from center line of spine
d.) motion on radiograph
e.) minimum of 10 posterior ribs above diaphragm

A

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

46
Q

Where is the central ray directed on the 1st digit projection?

a.) DIP
b.) PIP
c.) MCP
d.) IP

A

c.) MCP

47
Q

Which of the following is the correct central ray direction for all thumb projections?

a.) DIP
b.) PIP
c.) MCP
d.) IP

A

c.) MCP

48
Q

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

a.) PA of entire hand
b.) 1/2’’ distal forearm
c.) 1’’ distal forearm
d.) oblique view of the thumb

A

a.) PA of entire hand
c.) 1’’ distal forearm
d.) oblique view of the thumb

49
Q

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

A

a.) distal and proximal phalanges
b.) first metacarpal
c.) trapezium
d.) interphalangeal and metacarpophalangeal joints open
-all answers are correct

50
Q

What is the main purpose for placing the second digit in the mediolateral projection?

a.) increases OID
b.) decreases OID
c.) no real reason
d.) patient comfort

A

b.) decreases OID

51
Q

What is the correct obliquity for PA oblique hand projection?

a.) 10 degrees
b.) 20 degrees
c.) 30 degrees
d.) 45 degrees

A

d.) 45 degrees

52
Q

Which of the following joints are included in the fingers/digits 2-5? Choose all that apply.

a.) DIP- distal interphalangeal joint
b.) PIP- proximal interphalangeal joint
c.) MCP- metacarpophalangeal joint
d.) CMC- carpometaphalangeal joint

A

a.) DIP- distal interphalangeal joint
b.) PIP- proximal interphalangeal joint
c.) MCP- metacarpophalangeal joint

53
Q

Why is AP thumb preferred over PA thumb?

a.) increase OID
b.) decrease OID
c.) easier position for the patient
d.) no specific reason

A

b.) decrease OID

54
Q

Which of the following part position is correct for digits 2-5?

a.) hand should be supinated
b.) hand should be pronated
c.) hand should be obliqued
d.) hand should be lateral

A

b.) hand should be pronated

55
Q

Each phalynx consists of three parts called: Choose all that apply.

a.) head
b.) body
c.) base
d.) distal

A

a.) head
b.) body
c.) base

56
Q

How high should the IR be placed above the shoulders for the PA chest projection?

a.) 1 1/2’’ to 2’’
b.) 1/2’’
c.) 1’’
d.) 3’’

A

a.) 1 1/2’’ to 2’’

57
Q

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

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

A

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

58
Q

What is the correct amount of obliquity for all digits?

a.) 5 degrees
b.) 15 degrees
c.) 30 degrees
d.) 45 degrees

A

d.) 45 degrees

59
Q

Which of the following digits can be rotated medially or laterally?

a.) 1st
b.) 2nd
c.) 3rd
d.) 4th

A

c.) 3rd

60
Q

Which of the following should be placed in the mediolateral for the lateral projections?

a.) 1st digit
b.) 2nd digit
c.) 3rd digit
d.) 5th digit

A

b.) 2nd digit

61
Q

The hand and wrist should be in true lateral position for the lateral hand projection. What evidence shows true lateral position? Choose all that apply.

a.) distal radius and ulna superimposed
b.) metacarpals slightly superimposed
c.) metacarpals superimposed
d.) radious and ulna slightly superimposed

A

a.) distal radius and ulna superimposed

62
Q

How many metacarpals are in the hand?

a.) 2
b.) 3
c.) 4
d.) 5

A

d.) 5

63
Q

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

a.) No rotation evident by concavities of shaft of phalanges and metacarpals
b.) equal tissue on each side of the phalanges
c.) fingers seperated with no soft tissue overlap
d.) Interphalangeal joint open

A

a.) no rotation evident by concavities of shaft of phalanges and metacarpals
b.) equal tissue on each side of the phalanges
c.) fingers seperated with no soft tissue overlap
d.) Interphalangeal joint open
-all answers are correct

64
Q

What surface of hand should be in contact with the IR in a PA projection of the hand?

a.) lateral side
b.) medial side
c.) dorsal
d.) palmar

A

d.) palmar

65
Q

Which of the following evaluation 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

A

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

66
Q

Each of the four digits/fingers are composed of what parts? Choose all that apply.

a.) distal
b.) middle
c.) proximal
d.) carpals

A

a.) distal
b.) middle
c.) proximal

67
Q

Which of the following projections should be taken on a thumb radiograph? Choose all that apply.

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

A

a.) AP
b.) oblique
c.) lateral

68
Q

Where is the central ray directed on digits 2-5?

a.) PIP joint
b.) DIP joint
c.) MCP joint
d.) IP joint

A

a.) PIP joint

69
Q

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

A

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

70
Q

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 open

A

a.) concavity of shafts of metacarpals of digits 2-5
b.) concavity of shafts of phalanges of digts 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 open

71
Q

What is the correct respiration for supine abdomen?

a.) end of expiration
b.) end of inspiration
c.) hold you breathe

A

a.) end of expiration