V1 - Procedures

Question 1

Which bone contains a mastoid process?

Answer 1

Temporal

Question 2

What is the recommended CR angle if the lumbar spine cannot be adjusted so it is horizontal for the lateral projection?

Answer 2

5 degrees for men, and 8 degrees caudad for women

Question 3

What carpal bone is most commonly fractured?

Answer 3

Scaphoid

Question 4

The only saddle joint in the body is found between which two bones?

Answer 4

Trapezium and first metacarpal

Question 5

Which CR angle is best for heavy, wide-hipped patients for lateral lumbar spine projections?

Answer 5

5 degrees caudad

Question 6

An emergency room physician suspects a 14-year-old patient may have Osgood-Schlatter’s Disease. Which radiographic exam might the ER physician order to evaluate this?

Answer 6

Tibia-Fibula

Question 7

image Identify the right psoas muscle in the AP Abdominal radiograph.

Answer 7

YOU SHOULD KNOW

Question 8

Which study is considered nonfunctional examination of the urinary system?

Answer 8

Retrograde urogram

Question 9

image place the cursor on the sinus tarsi.

Answer 9

YOU SHOULD KNOW

Question 10

Which is the disease process that causes increased radiodensity in the lung fields on an image due to inflammation and accumulation of fluid?

Answer 10

Pneumonia

Question 11

How should the radiographer position the patient to best demonstrate a left axillary 6th rib fracture?

Answer 11

Upright and 45 LPO

Question 12

On an accurately positioned PA chest radiograph, the manubrium of the sternum is seen at the level of which thoracic vertebrae when the patient is sthenic?

Answer 12

Fourth

Question 13

The tarsal sinus is visualized when the foot is seen in what projection?

Answer 13

30 degree medial oblique

Question 14

image In the dorsoplantar foot projection at right, place the cursor on the second (intermediate) cuneiform.

Answer 14

YOU SHOULD KNOW

Question 15

What is the magnitude of the angle formed by the intervertebral foramina and the MSP in the thoracic spine?

Answer 15

90 degrees

Question 16

Which position best demonstrates a posterior rib injury above the diaphragm?

Answer 16

AP, upright

Question 17

image Place the cursor over the area which depicts history of a cholecystectomy.

Answer 17

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Question 18

How should the patient be instructed to place their arms for standing lateral projection of the sternum?

Answer 18

Behind the back

Question 19

image Who is responsible for the metallic artifact seen in the open mouth odontoid image?

Answer 19

The radiographer

Question 20

image Place the cursor over the right cardiophrenic angle.

Answer 20

YOU SHOULD DEFINITELY KNOW

Question 21

According to Merrill’s Atlas, which location represents the correct CR placement for an axiolateral oblique mandible projection for the ramus?

Answer 21

The region of interest

Question 22

Which statement accurately decribes the appearance of a correctly positioned AP Hip image?

Answer 22

The femoral neck is demonstrated without foreshortening

Question 23

image In this chest radiograph, where is the clinically significant gas located.

Answer 23

Under the right hemidiaphragm

Question 24

Which positioning method is prescribed to demonstrate the right zygomatic arch free of superimposition on an inferosuperior tangential projection?

Answer 24

Rotate the head to the right with the chin tilted to the right

Question 25

What angle is formed between the petrous pyramids and the MSP in the average human skull?

Answer 25

47 degrees

Question 26

A request or a shoulder exam comes from the emergency room. The patient has a large deformity anterior to the shoulder and the physician suspects an anterior dislocation. Which are the most appropriate views to take on this patient?

Answer 26

AP projection in neutral rotation and PA oblique scapular Y

Question 27

For a tangential inferosuperior projection of the zygomatic arch, how is the patient's head positioned to demonstrate a depressed fracture of the right zygomatic arch?

Answer 27

Rotate toward the right side

Question 28

How is the CR directed for an anteroposterior AP axial projection of the cervical vertebrae?

Answer 28

15-20 degrees cephalic to enter at C4

Question 29

A carpenter smashes his index finger with a hammer. Which type of fracture might be shown on the subsequent radiographs of the finger?

Answer 29

Comminuted

Question 30

Why is the left lateral decubitus position recommended as part of an acute abdominal series?

Answer 30

Free air is demonstrated away from the gastric bubble

Question 31

Which CR orientation is recommended for a radiographic image of the contrast filled urinary bladder with the patient in the supine position?

Answer 31

2 inches superior to the pubic symphysis with a 10-15 degree caudal angle

Question 32

How does the CR for an anteroposterior AP scapula differ from an AP shoulder x-ray?

Answer 32

One inch lower

Question 33

During a lumbar myelogram, the needle is placed into which meningeal space?

Answer 33

Subarachnoid

Question 34

Which projection of the thumb requires digits two through five to be extended, with the palmar surface of the hand flat against the IR as if for a PA hand projection?

Answer 34

PA Oblique

Question 35

Which elbow projection will show the radial head freest of superimposition?

Answer 35

AP external oblique

Question 36

What is the best projection and position to demonstrate the right cervical intervertebral foramina?

Answer 36

AP axial oblique projection, LPO

Question 37

A lateral L5-S1 lumbosacral junction is performed with the CR directed 2 inches anterior to the ASIS and 1-1.5 inches inferior to the iliac crest. Which statement best describes this method?

Answer 37

The CR will be well anterior to the L5-S1 junction

Question 38

What is the angle formed by the intervertebral foramina and the MSP in the thoracic spine?

Answer 38

90 degrees

Question 39

Which joint is the CR entrance point for a PA finger projection?

Answer 39

PIP

Question 40

Which patient body habitus may require the patient to be in the Trendelenburg position during a small bowel series?

Answer 40

Asthenic

Question 41

A patient with left anterior rib injury. In which position should the patient be placed for the oblique image?

Answer 41

45 degree RAO

Question 42

Where is the CR directed for an AP projection of the lower leg?

Answer 42

Mid-lower leg

Question 43

**image** click on the GB in the PA small bowel image

Answer 43

YOU SHOULD KNOW

Question 44

A radiographer prepares to perform an anteroposterior (AP) projection of the distal femur on a patient with a suspected femoral fracture. Which represents the best approach for positioning both the patient and the x-ray tube?

Answer 44

Do not rotate the leg; place the anode end of the tube toward the foot

Question 45

Which projection of the sternum is most likely to demonstrate a fracture?

Answer 45

Lateral

Question 46

Which CR orientation is recommended for an AP knee projection if the measurement from the tabletop to the patient's ASIS is 22cm?

Answer 46

Perpendicular to the IR

Question 47

Which condition represents the most likely indication for an AP chest projection with the patient in the left lateral decubitus position?

Answer 47

Effusion in left lung

Question 48

Which is the most likely cause of free intraperitoneal air on an AP erect abdomen radiograph?

Answer 48

Bowel perforation

Question 49

Which overhead projections should the radiographer obtain for the vertical ray method of the knee arthrography?

Answer 49

AP and 20 degree right and left oblique

Question 50

Following administration of the contrast media, the radiologist asks the radiographer to obtain a conus projection. Which patient position and centering point should be used for the image?

Answer 50

AP centered to T12-L1

Question 51

Which describes the correct positioning for a PA chest projection? (3 answers)

Answer 51

The chin is extended. The shoulders are depressed. The shoulders are at equal distances form the IR.

Question 52

The radiographer uses the Holmblad method to perform a tunnel view of the knee. What is the primary advantage of utilizing this method instead of the Camp Coventry method?

Answer 52

The Holmblad method shows no distortion longitudinally or laterally

Question 53

In a proper positioned oblique lumbar spine radiograph, what makes up the body of the scotty dog?

Answer 53

Lamina

Question 54

**image** Study the PA chest projection. What best summarizes an evaluation of this image?

Answer 54

The first ribs are clipped, so it should be repeated

Question 55

Which factor is critical to demonstrating fluid levels within the chest on a portable examination?

Answer 55

Horizontal CR

Question 56

**image** Place the cursor on the most commonly fractured carpal bone.

Answer 56

SCAPHOID

Question 57

An AP oblique mortise joint projection demonstrates the distal fibula without talar superimposition and an open talofibular joint. What should the radiographer do next?

Answer 57

No correction needed.

Question 58

How is the CR directed when performing an AP knee projection for a patient with thin thighs and buttocks?

Answer 58

3-5 degrees caudad

Question 59

A patient's abdominal image reveals the presence of multiple phleboliths. Where are these small calcifications found?

Answer 59

Vein

Question 60

A PA chest radiograph demonstrates the left clavicle closer to the center of the spine than the right clavicle. Which action should the radiographer take?

Answer 60

Turn right side closer to the IR

Question 61

**image** When performing an AP Axial (towne method) image of the skull, which reference line should be perpendicular to the IR if using a 30 degree caudal angle?

Answer 61

OML

Question 62

A radiographer prepares to position a patient with a suspected hip injury. The patient is positioned on a backboard with the right leg and foot lying on its lateral aspect. Which should the radiographer do to successfully complete the examination?

Answer 62

Perform the exam without repositioning the leg

Question 63

**image** Place the cursor on the left coracoid process

Answer 63

YOU BETTER KNOW THIS

Question 64

Which projection best demonstrates the tripod fracture of the orbit?

Answer 64

Modified Waters