RAD 210 Ch. 4 Upper Limb

Question 1

Steve
Left
The
Party
To
Take
Carol
Home

Answer 1

Scaphoid
Lunate
Triquetrum
Pisiform
Trapezium
Trapezoid
Capitate
Hamate

Question 2

How many Metacarpal Bones are there?

Answer 2

8

Question 3

How Many bones are in each hand and wrist? What are the three groups there divided into.

Answer 3

27,
Phalanges (fingers and thumb)
Metacarpals (palm)
Carpals (wrist)

Question 4

Synovial - freely movable

Another word for Synovial is?

Answer 4

diarthrodial

Question 5

Ellipsoidal - joints that allow movement in four directions-flexion, extension, abduction, and adduction.

Another word for Ellipsoidal Is?

Answer 5

condyloid

Question 6

Insufficent ( ) results in a noisy , grainy noise image on an interpretation monitor, even though it may appear satisfactory on a workstation monitor.
A. mAs
B. kVp

Answer 6

A. mAs

Question 7

True Or False? Interphalangeal (IP) and Metacarpophalangeal (MCP) are the joints that should appear open in an PA Hand image

Answer 7

True

Question 8

What is not generally used for the upper limb examinations unless the body part measures greater than 10 cm.

A. Cassette
B. Grid
C. Bucky
D. Tabletop

Answer 8

B. Grid

Question 9

Distal is further away from the body , while proximal is __________ ?

Answer 9

closer to the body

Question 10

The three portions of each finger (2nd-5th digits) are ____?

A. Trapezium , Trapezoid, Triquetrum
B. Metacarpal , carpometacarpal , Interphalangeal joints
C. Proximal , middle , distal phalanges

Answer 10

C. Proximal , Middle , Distal Phalanges

Question 11

What is the most common fractured carpel bone?
A. Capitate
B. Lunate
C. Scaphoid
D. Hamate

Answer 11

C. Scaphoid

Question 12

True Or False? Never shield while taking an image of the upper limb

Answer 12

False, ALWAYS Shield

Question 13

The radius is located on the _______ side of the forearm , while the ulna is on the pinky side.

A. Lateral
B. Proximal
C. Thumb
D. 4th Finger

Answer 13

C. Thumb

Question 14

Movement of the wrist , that “opens up” showing the carpals on the radial/lateral side of wrist is _________

A. Ulnar Deviation
B. Radial Deviation

Answer 14

A. Ulnar Deviation

Question 15

What does the Abbreviation IP (joint) , stands for_____?

Answer 15

Interphalangeal - synovial joints that connect adjacent phalanges in the hand.

Question 16

The SID for upper limb is 40 inches. True Or False

Answer 16

True

Question 17

The Capitate is the most commonly fractured carpal bone. True Or False

Answer 17

False - The scaphoid is the most commonly fractured carpal bone

Question 18

When doing a PA Wrist Image , the CR is perpendicular to the IR but directed where?

A. First CMC Joint
B. First MCP Joint
C. Midcarpal Area
D. Humate Carpel Bone

Answer 18

C. Midcarpal Area

Question 19

55 degrees is the angle you put the hand in for an PA Oblique Projection? True Or False

Answer 19

False. Angle it at 45 degrees

Question 20

When doing an PA Oblique on an finger , the CR is perpendicular to the IR but directed at which joint?

A. MCP Joint
B. IP Joint
C, CMC Joint
D. None of these

Answer 20

D. None of these , It Will be directed at the PCP (Proximal Interphalangeal joint) , is the joint in the middle of the finger.

Question 21

Fractures and dislocations of the distal, middle, and proximal phalanges; distal metacarpal; and associated joints. Pathologic processes, such as osteoporosis and osteoarthritis , what projection would be used for this?

A. PA Fingers
B. PA Oblique
C. PA Lateral
D. All of the above

Answer 21

D. All Of the Above , Thumb Projections as well EXCEPT AP Axial Projection and PA Stress for the Thumb.

Question 22

A “FAN” also known as a lateral hand projection , CR is perpendicular to the IR but directed at which joint?

A. 1st MCP Joint
B. IP Joint
C. 2nd MCP Joint
D. PCP Joint

Answer 22

C. 2nd MCP Joint

Question 23

What Size IR do you use for AP Forearm? _______

Answer 23

14 x 17

Question 24

What projection will be used when you Align arm and forearm with long axis of IR. Center elbow joint to CR and to IR. Pronate hand into a natural palm-down position and rotate arm as needed until distal humerus and anterior surface of elbow are rotated 45° ?

A. Acute Flexion Projections Of IR
B. AP Oblique Medial (Internal)
C. AP Oblique Lateral (External)

Answer 24

B. AP Oblique Medial

Question 25

The rough oval process on the medial and anterior side of the radius, just distal to the neck, is the ______ ? A. Radial Tuberosity B. Head of Ulna C. Coronoid Processes D. Styloid Processes

Answer 25

A. Radial Tuberosity

Question 26

Define coronoid tubercle

Answer 26

The medial margin of the coronoid process opposite the radial notch

Question 27

True Or False? The head of the radius articulates with the ulna at the radial notch, forming the proximal radioulnar joint.

Answer 27

True

Question 28

True Or False? The body of the humerus is the short center section, and the expanded distal end of the humerus is the humeral condyle

Answer 28

False , The body of the humerus is the LONG center section, and the expanded distal end of the humerus is the humeral condyle

Question 29

Define ginglymus

Answer 29

hinge-type, joints with movement in two directions only, flexion and extension

Question 30

True Or False? The second to fifth MCP joints are synovial-type joints that allow movement in four directions—flexion, extension, abduction, and adduction. Circumduction movement, which also occurs at these joints, is conelike sequential movement in these four directions.

Answer 30

False , The second to fifth MCP joints are ELLIPSOISAL type joints that allow movement in four directions—flexion, extension, abduction, and adduction. Circumduction movement, which also occurs at these joints, is conelike sequential movement in these four directions.

Question 31

All joints of the upper limb are classified as __________ A. synovial B. freely moveable C. diarthrodial D. All of the above

Answer 31

D. All of the above

Question 32

What projection has the CR directed 15 degrees , entering at the first CMC joint ? A. PA Hand B. AP Axial Thumb C. Lateral Thumb D. Lateral Hand

Answer 32

B. AP Axial Thumb

Question 33

If there is no rotation present in a properly positioned lateral forearm, using a lateromedial projection what bones should be superimposed?

Answer 33

head of ulna being superimposed over the radius plus humeral epicondyles

Question 34

The third group of bones of the hand and wrist are? A. Carpals B. Metacarpals C. Phalanges

Answer 34

A. Carpals

Question 35

True Or False? The the thumb is considered the first digit.

Answer 35

True

Question 36

__ x __ IR is used for an Elbow Projection?

Answer 36

10x12

Question 37

What size IR is used for hand, fingers, wrist and thumb projections? A. 14x24 B. 14x17 C. 8x10 D. 10x12

Answer 37

C. 8x10

Question 38

When doing an AP elbow or AP Oblique elbow projection , where is the IR directed to?

Answer 38

Mid Elbow Joint

Question 39

True Or False ? You will use Grids for elbow and forearm xrays?

Answer 39

False , Elbow , wrist, fingers , forearm and hand are all NONGRIDS.

Question 40

PA Oblique and PA for the wrist , IR is directed where? A. MCP Joints B. Midcarpal Area C. Scaphoid

Answer 40

B. Midcarpal Area

Question 41

Which Carpal bone is the smallest? A. Trapezoid B. Trapezium C. Triquetrum

Answer 41

A. Trapezoid

Question 42

Which bone is in between the Region of olecranon fossa and Olecranon process in the elbow?

Answer 42

Epicondyle

Question 43

Which bone of the upper limb contains the coronoid process? A. Humorous B. First Metacarpal C. Radius D. Ulna

Answer 43

D. Ulna

Question 44

Why should a forearm never be taken as a PA Projection? A. too painful for patient B. causes the proximal radius to cross over the ulna C. causes the distal radius will cross over ulna D. increases the OID of the distal radius

Answer 44

C. Causes the distal radius will cross over ulna

Question 45

A patient with a possible Barton fracture enters the ER. Which positioning routine should be performed to confirm the diagnosis?

Answer 45

PA Wrist

Question 46

Which of the following projections would best demonstrate a possible elevated fat pad near the elbow joint? A. lateral B. AP C. AP partially flexed D. acute flexion

Answer 46

A. Lateral

Question 47

True Or False? When doing an x-ray image on a cast you will increase the kVp?

Answer 47

True , depending on the type of cast is how you will determine how much you will need to increase

Question 48

A radiograph of an AP oblique-medial rotation shows that the coronoid process is not in profile and the radial head is not superimposed over the ulna. What specific positioning error was involved? A. insufficient medial rotation B. excessive medial rotation C. excessive extension of elbow D. excessive flexion of elbow

Answer 48

A. Insufficient medial rotation

Question 49

True Or False? The kVp for an FAN Lateral Hand is 55-65.

Answer 49

True

Question 50

What disease is inflammation of the bursae or fluid-filled sacs that enclose the joints; the process generally involves the formation of calcification in associated tendons, 4 which causes pain and limited joint movement. A. Bone metastases B. Osteoarthritis C. Bursitis D. Osteomyelitis

Answer 50

C. Bursitis