Upper Extrem

Question 1

How many bones in the hand?

Answer 1

27

Question 2

Proximal row of carpal bones

Answer 2

Scaphoid, Lunate, Triquetreum, Pisiform

Question 3

distal row of carpal bones

Answer 3

Trapezium, Trapezoid, Capitate, Hamate

Question 4

Alternate names for all carpal bones

Answer 4

Scaphoid= Navicular
Lunate = Semilunar
Triquetreum = Triangular, Triangle
Trapezium = Greater Multangular
Trapezoid = Lesser Multangular
Capitate = Os Magnum
Hamate = Unciform

Question 5

Where is Ulna located in anatomical position?

Answer 5

Medially

Question 6

Proximal portion of Ulna contains…

Answer 6

Olecranon process, Trochlear notch, Coronoid process, Radial notch of the Ulna,

Question 7

Distal portion of Ulna contains…

Answer 7

Head of the Ulna is here, Styloid process of the Ulna,

Question 8

what carpal bone is articulates with the radius proximally?

Answer 8

Lunate

Question 9

what bone articulates with the hamate anteriorly?

Answer 9

Triangular

Question 10

what bone is situated anterior to the triquetrum?

Answer 10

Pisiform

Question 11

What makes up the carpal groove? (2 bones, one from the distal row and one from the proximal row)

Answer 11

Trapezium and Scaphoid

Question 12

what bone articulates with pisiform to form the medial margin of the carpal groove?

Answer 12

Hamate

Question 13

What groove lies between Greater and lesser tubercle in Humerus?

Answer 13

Bicipital groove

Question 14

Radius is received by this fossa on the humerus

Answer 14

Radial fossa

Question 15

What fracture shows a bulging of the forearm bone???

Answer 15

Torus Fracture

Question 16

When distal end of the radius has a fracture that is angled backward…

Answer 16

Colles fracture

Question 17

Then when the fracture on the radius is opposite of the Colles fracture?

Answer 17

Smith’s fracture

Question 18

compression frx in the humeral head against the glenoid labrum is called

Answer 18

Hill-sachs deformity

Question 19

In 1st digit routines, what do you use as the CR?

Answer 19

1 MCP joint

Question 20

2-5 digit CRs are at..

Answer 20

at the affected PIP

Question 21

When performing later 2-5 digits, what side should they be on?

Answer 21

2nd and 3rd digit are on the radial side

4th-5th digits are on the Ulna side

Question 22

In PA hand, what digit is in an oblique position?

Answer 22

The 1st Digit

Question 23

What view is used to show foreign object in hand?

Answer 23

Lateral hand (Extension)

Question 24

In a wrist PA projection, how do you position the pt to show the best view of pisiform?

Answer 24

This is a Radial deviation, with about 10-15 degrees with CR at the middle of the carpals

Question 25

what must be flexed at 90 degrees in the lateral wrist view?

Answer 25

Elbow

Question 26

In this view, the epicondyles are parallel to the IR, posterior surface of the arm is on the IR. CR is at 2" superior to the olecranon process. What does this view clearly demonstrate?

Answer 26

Acute Flexion, this view shows the olecranon process in view

Question 27

what view is used when pt cannot extnd arm for AP elbow?

Answer 27

Partial flexion

Question 28

what elbow view shows the Coronoid process free of superimposition?

Answer 28

Medial Rotation (AP oblique)

Question 29

What elbow view shows the radial head and tuberosity free of superimpos

Answer 29

Lateral Rotation (AP Oblique)

Question 30

Scapula: | Lies between __ and __ thoracic vertebrae. Its medial border is called ___ and lateral border is called___

Answer 30

2nd and 7th, Costal, axial

Question 31

what are the names of the surfaces on the scapula

Answer 31

Anterior/ Costal surface, Dorsal/Posterior Surface

Question 32

What bone serves as a fulcrum for the movement of the arm? Why is it doubly curved?

Answer 32

Clavicle, for strength

Question 33

What joint is the most common for dislocation? which direction of the dislocation is a sign for seizure?

Answer 33

Shoulder Posterior dislocation shows sign of seizure

Question 34

what joint dislocation in shoulder region is common in children and is usually X-rayed bilatterally?

Answer 34

Acromioclavicular joint

Question 35

If there are suspected frx, you still rotate shoulder (true/false)?

Answer 35

False, all 3 views must be done with little to no rotation

Question 36

what view will bring the lesser tubercle into medial view? what view shows the greater tubercle in lateral view?

Answer 36

Internal rotation of the shoulder will bring lesser tubercle into profile. External rotation of the shoulder will show greater tubercle in profile

Question 37

Transthoracic shoulder is also known as... in this position, if pt cannot elevate shoulder, what should you do? CR should be where??? what should the breathing instruction be for this?

Answer 37

Lawrence method CR should be 10-15 degree Caudad and at the surgical neck lvl of the affected arm (against the IR) Full inspiration to improve contrast

Question 38

Inferosuperior view of the shoulder is also known as... describe CR and pt position.

Answer 38

Lawrence method, again. Affected shoulder is abducted away from the body, the CR is 15-30 degree medially, at the shoulder joint

Question 39

What angle would you like the PT to be in Scap Y PA oblique shoulder?

Answer 39

45-60

Question 40

What can improve quality of the image in Scap Y PA oblique?

Answer 40

Compensating filter

Question 41

What degree do you want to rotate the pt in Grashey Method??? and what should be parallel to the board?

Answer 41

35-45, Scapula

Question 42

In lateral scapula, what is the pt angulation? if body of scap is of interest, where should arm be placed? if acromion and corocoid process are of interest, where should arm be placed?

Answer 42

45-60 Arm should be across the chest Arm should be behind the thorax

Question 43

In AP axial clavicle, what are the 2 RANGES of angulations? which one is for what? when do you use more angulation?

Answer 43

0-15 for standing 15-30 for Supine The skinnier the pt the more angulation

Question 44

When performing AP bilateral AC joint, it can also be called... what is the SID for this method? what is it used to demonstrate?

Answer 44

Pearson method 72" SID Demonstrate dislocation of the AC joint