X-Ray Positioning (Part II) (Irene Gold) Flashcards

1
Q

What structure is being Evaluated on a Lateral Skull?

A

Sella Turcica

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2
Q

What Film Size is used for a Lateral Skull?

A

10x12

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3
Q

What is the Focal Film Distance (FFD) for a Lateral Skull?

A

40 inches

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4
Q

What is the Tube Tilt used on a Lateral Skull?

A

None

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5
Q

What structure is being Evaluated on a P-A Caldwell Projection?

A

Frontal Sinus

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6
Q

What Film Size is used for a P-A Caldwell Projection?

A

10x12

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7
Q

What is the Focal Film Distance (FFD) for a P-A Caldwell Projection?

A

40 inches

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8
Q

What is the Tube Tilt for a P-A Caldwell Projection?

A

15 degrees Caudal

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9
Q

What structure is being Evaluated on an A-P Towne’s x-ray?

A

Foramen Magnum

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10
Q

What is the Film Size for an A-P Towne’s x-ray?

A

10x12

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11
Q

What is the Focal Film Distance (FFD) for an A-P Towne’s x-ray?

A

40 inches

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12
Q

What is the Tube Tilt on an A-P Towne’s x-ray?

A

35 degrees caudal

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13
Q

What structure is being Evaluated on a Water’s x-ray?

A

Maxillary Sinuses

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14
Q

What is the Film Size for a Water’s X-ray?

A

8x10

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15
Q

What is the Focal Film Distance (FFD) for a Water’s x-ray?

A

40 inches

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16
Q

What is the Tube Tilt for a Water’s x-ray?

A

None

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17
Q

What is the Film Size for the Neutral Lateral Cervical Film? (Two choices)

A

8x10 or 10x12

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18
Q

What is the Focal Film Distance (FFD) of a Neutral Lateral Cervical Film?

A

72 inches

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19
Q

What is the Tube Tilt of a Neutral Lateral Cervical Film?

A

None

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20
Q

What is the film size for an A-P Lateral Cervical Film?

A

8x10

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21
Q

What is the Focal Film Distance of an A-P Lateral Cervical Film?

A

40 inches

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22
Q

What is the Tube Tilt of a an A-P Lateral Cervical Film?

A

15 degrees cephalic

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23
Q

What two structures are being Evaluated on an A-P Open Mouth Film?

A

Dens
Atlas

(Best for Jefferson Fracture)

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24
Q

What is the film size for an A-P Open Mouth Film?

A

8x10

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25
Q

What is the Focal Film Distance of an A-P Open Mouth Film?

A

40 inches

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26
Q

What is the Tube Tilt on an A-P Open Mouth Film?

A

None

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27
Q

What structure is being Evaluated on a Cervical Oblique Film?

A

Intervertebral Foramen (IVF)

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28
Q

What is the Film Size of a Cervical Oblique Film?

A

8x10

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29
Q

What is the Focal Film Distance (FFD) or a Cervical Oblique Film?

A

72 inches

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30
Q

What is the Tube Tilt of a Cervical Oblique Film?

A

15 degrees
Anterior Oblique= Caudal
Posterior Oblique= Cephalic

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31
Q

What is the Patient Position of an Anterior Cervical Oblique?

A

Patient is facing the Bucky
Body is rotated 45 degrees away from the Bucky
Head is rotated to be parallel with the plane of the Bucky

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32
Q

What is the Patient Position of a Posterior Cervical Oblique?

A

Patient is facing the Tube
Body is rotated 45 degrees away from the Bucky
Head is rotated to be parallel with the plane of the Bucky chin is slightly jutted out

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33
Q

What structure is being Evaluated on a Cervical Flexion Film?

A

Atlantodental Interspace (ADI), transverse ligament instability

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34
Q

What is the Focal Film Distance (FFD) for a Cervical Flexion Film?

A

72 inches

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35
Q

What is the Tube Tilt for a Cervical Flexion Film?

A

None

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36
Q

What is important when performing a Cervical Flexion or Extension Film?

A

If part of trauma; for fractures or signs of instability before proceeding, the other view

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37
Q

What is the Focal Film Distance (FFD) of a Cervical Extension Film?

A

72 inches

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38
Q

What is the Tube Tilt of a Cervical Extension Film?

A

None

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39
Q

What two structures are being Evaluated on a Cervical Pillar Film?

A

Articular Processes

Apophyseal Joints

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40
Q

What is the Film Size for a Cervical Pillar Film?

A

8x10

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41
Q

What is the Focal Film Distance (FFD) on a Cervical Pillar Film?

A

40 inches

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42
Q

What is the Tube Tilt on a Cervical Pillar Film?

A

35 degrees Cephalic

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43
Q

What is the Patient Position for a Cervical Pillar Film?

A

Posterior- Anterior (P-A)

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44
Q

What is the Film Size of an A-P Thoracic Film?

A

7x17

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45
Q

What is the Focal Film Distance (FFD) for an A-P Thoracic Film?

A

40 inches

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46
Q

What is The Film Size for a Lateral Thoracic Film?

A

14x17

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47
Q

What is the Tube Tilt on a Lateral Thoracic Film?

A

None

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48
Q

What is the Focal Film Distance (FFD) on Lateral Thoracic Film?

A

40 inches

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49
Q

Where is the Filter placed on a Lateral Thoracic Film?

A

Lower half of the thoracic spine

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50
Q

What area is being Evaluated on a Swimmer’s View?

A

Cervico-Thoracic Junction

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51
Q

What is the Film Size of the Swimmer’s View?

A

8x10

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52
Q

What is the Focal Film Distance (FFD) of the Swimmer’s View?

A

40 inches

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53
Q

What is the Tube Tilt of the Swimmer’s View?

A

5 degrees caudal

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54
Q

What is the Patient Position of the Swimmer’s View?

A

Standing
Lateral position
Arm closest to the Bucky raised overhead
Other arm hangs by their side

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55
Q

What is the Film Size of a P-A Chest Film?

A

14x17

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56
Q

What is the Focal Film Distance (FFD) of the P-A Chest Film?

A

72 inches

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57
Q

What are the Patient’s Breathing Instructions for a P-A Chest Film?

A

Deep breath in and Hold

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58
Q

What is the Film Size for a Lateral Chest Film?

A

14x17

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59
Q

What is the Focal Film Distance (FFD) for a Lateral Chest Film?

A

72 inches

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60
Q

What are the Patient’s Breathing Instructions for a Lateral Chest Film?

A

Deep breath in and hold

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61
Q

What structure is being Evaluated on a Apical Lordotic Film?

A

Lung Apices, (Pancoast Tumor)

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62
Q

What is the Film Size for an Apical Lordotic Film?

A

14x17

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63
Q

What is the Focal Film Distance for an Apical Lordotic Film?

A

72 inches

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64
Q

What are the Patient’s Breathing Instructions for an Apical Lordotic Film?

A

Deep breath in and hold

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65
Q

What is the Film Size for an A-P Lumbar Film?

A

14x17

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66
Q

What is the Focal Film Distance (FFD) for an A-P Lumbar Film?

A

40 inches

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67
Q

What is the Tube Tilt for an A-P Lumbar Film?

A

None

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68
Q

Where is the Central Ray placed on the patient in an A-P Lumbar Film?

A

1 inch below the top of the iliac crest

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69
Q

What are the Patient’s Breathing Instructions for an A-P Lumbar Film?

A

Breath in and then let it all the way out

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70
Q

What structure is being Evaluated on a Lateral Lumbar Film?

A

Intervertebral Foramen (IVF)

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71
Q

What is the Film Size of a Lateral Lumbar Film?

A

14x17

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72
Q

What is the Focal Film Distance (FFD) of a Lateral Lumbar Film?

A

40 inches

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73
Q

What is the Tube Tilt of a Lateral Lumbar Film?

A

None

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74
Q

Where is the Central Ray placed on the patient in a Lateral Lumbar Film?

A

Top of the iliac crest, at the mid axillary line

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75
Q

What are the Patient’s Breathing Instructions for a Lateral Lumbar Film?

A

Breath in and let it all the way out

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76
Q

What is another name for the L5/S1 Spot Shot?

A

Sacral Base Tilt

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77
Q

What is the Film Size for the L5/S1 Spot Shot?

A

8x10

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78
Q

What is the Focal Film Distance (FFD) of the L5/S1 Spot Shot?

A

40 inches

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79
Q

What is the Patient Position for the L5/S1 Spot Shot?

A

Patient Supine

80
Q

What is the Tube Tilt for the L5/S1 Spot Shot?

A

25 degrees Cephalic

81
Q

What is the location of the Central Ray for the L5/S1 Spot Shot?

A

At the level of the Anterior Superior Iliac Spines (ASIS)

82
Q

What are the Patient’s Breathing Instructions for the L5/S1 Spot Shot?

A

Don’t Breath Don’t Move

83
Q

What structure is being Evaluated on a Lateral Lumbar Oblique Film?

A

Pars

84
Q

What is the Film Size of a Lateral Lumbar Oblique Film?

A

10x12

85
Q

What is the Focal Film Distance (FFD) of a Lateral Lumbar Oblique Film?

A

40 inches

86
Q

What is the Tube Tilt on a Lateral Lumbar Oblique Film?

A

None

87
Q

What is the Film Size for a Lateral L5/S1 Spot Shot?

A

8x10

88
Q

What is the Focal Film Distance (FFD) for a Lateral L5/S1 Spot Shot?

A

40 inches

89
Q

What is the Tube Tilt for a Lateral L5/S1 Spot Shot?

A

None

90
Q

Where is the Central Ray placed on the patient for the Lateral L5/S1 Spot Shot?

A

2 inches inferior to the iliac crest and 1 inch posterior to the mid-axillary line

91
Q

What is the Film Size for an A-P Sacrum Film?

A

8x10

92
Q

What is the Focal Film Distance (FFD) of an A-P Sacrum Film?

A

40 inches

93
Q

What is the Tube Tilt of an A-P Sacrum Film?

A

15 degrees cephalic

94
Q

Where is the Central Ray placed on the Patient for an A-P Sacrum Film?

A

2 inches superior to the pubic symphysis

95
Q

What is the Film Size for a Lateral Sacrum Film?

A

8x10

96
Q

What is the Focal Film Distance (FFD) of a Lateral Sacrum Film?

A

40 inches

97
Q

What is the Tube Tilt of a Lateral Sacrum Film?

A

None

98
Q

What is the Patient Position for a Lateral Sacrum Film?

A

Lateral Recumbent Position

99
Q

Where is the placement of the Central Ray on the patient for the Lateral Sacrum Film?

A

Level of the Anterior Superior Iliac Spines (ASIS)

3 inches posterior to the mid-axillary line

100
Q

What is the Film Size for and A-P Coccyx Film?

A

8x10

101
Q

What is the Focal Film Distance (FFD) for an A-P Coccyx Film?

A

40 inches

102
Q

What is the Tube Tilt for an A-P Coccyx Film?

A

10 degrees Caudal

103
Q

What is the placement of the Central Ray on the patient for an A-P Coccyx Film?

A

2 inches superior to the pubic symphysis

104
Q

What is the Film Size for a Lateral Coccyx Film?

A

8x10

105
Q

What is the Focal Film Distance (FFD) for a Lateral Coccyx Film?

A

40 inches

106
Q

What is the Tube Tilt for a Lateral Coccyx Film?

A

None

107
Q

What is the Film Size for an A-P Angulated Sacroiliac (SI) Joint Film?

A

10x12

108
Q

What is the Focal Film Distance (FFD) for an A-P Angulated Sacroiliac (SI) Joint Film?

A

40 inches

109
Q

What is the Tube Tilt for an A-P Angulated Sacroiliac (SI) Joint Film?

A

30 degrees Cephalic

110
Q

What is the placement of the Central Ray on a patient for an A-P Angulated Sacroiliac (SI) Joint Film?

A

Midline

1 inch below the Anterior Superior Iliac Spine (ASIS)

111
Q

What is the Film Size for both a Weighted and Non-Weighted Acromion-Clavicular (AC) Joint Film?

A

8x10

112
Q

What is the Focal Film Distance (FFD) for both a Weighted and Non-Weighted Acromion-Clavicular (AC) Joint Film?

A

40 inches

113
Q

What is the Tube Tilt for both a Weighted and Non-Weighted Acromion-Clavicular (AC) Joint Film?

A

5 degrees Cephalic (If Patient is standing, Anterior-Posterior)

114
Q

What structure is being Evaluated on an A-P Shoulder with External Rotation?

A

Greater Tuberosity

115
Q

What is the Film Size for an A-P Shoulder with External Rotation?

A

10x12

116
Q

What is the Focal Film Distance (FFD) for an A-P Shoulder with External Rotation?

A

40 inches

117
Q

What structure is being Evaluated on an A-P Shoulder with Internal Rotation?

A

Lesser Tuberosity

118
Q

What is the Film Size for an A-P Shoulder with Internal Rotation?

A

10x12

119
Q

What is the Focal Film Distance (FFD) for an A-P Shoulder with Internal Rotation?

A

40 inches

120
Q

What is the Film Size for an Axial Clavicle?

A

10x12

121
Q

What is the Focal Film Distance (FFD) for an Axial Clavicle Film?

A

40 inches

122
Q

What is the Tube Tilt on an Axial Clavicle Film?

A

15 degrees Caudal= Posterior-Anterior Position

15 degrees Cephalic=Anterior-Posterior Position

123
Q

What is the Focal Film Distance (FFD) for an A-P Elbow Film?

A

40 inches

124
Q

What is the Tube Tilt for an A-P Elbow Film?

A

None

125
Q

What is the Patient Position for an A-P Elbow Film?

A

Seated at the end of the table

Shoulder, Elbow and Wrist against the table, Hand Supinated

126
Q

What is the Focal Film Distance (FFD) for a Medial (Internal) Oblique Elbow Film?

A

40 inches

127
Q

What is the Tube Tilt for a Medial (Internal) Oblique Elbow Film?

A

None

128
Q

What is the Patient Position for a Medical (Internal) Oblique Elbow Film?

A

Seated at the end of the table

Shoulder, Elbow and Wrist against the table, Hand Pronated

129
Q

What is the Focal Film Distance (FFD) for the Lateral Elbow Film?

A

40 inches

130
Q

What is the Tube Tilt for the Lateral Elbow Film?

A

None

131
Q

What is the Patient Position for the Lateral Elbow Film?

A

Seated at the end of the table
Elbow flexed to 90 degrees
Shoulder, Elbow and Wrist against the table
Thumb pointing towards the tube

132
Q

What structures are being evaluated in the P-A Wrist Film?

A

Carpal Bones

133
Q

What is the Focal Film Distance (FFD) for the P-A Wrist Film?

A

40 inches

134
Q

What is the Tube Tilt for the P-A Wrist Film?

A

None

135
Q

What is the Patient Position for the P-A Wrist Film?

A

Seated at the end of the table
Elbow and Wrist against the table
Hand pronated with fingers in a loose fist

136
Q

What is the Focal Film Distance (FFD) for the Medial Oblique Wrist Film?

A

40 inches

137
Q

What is the Tube Tilt for the Medial Oblique Wrist Film?

A

None

138
Q

What is the Patient Position for the Medial Oblique Wrist Film?

A

Seated at the end of the table
Elbow and Wrist against the table
Hand held at a oblique angle of 45 degrees

139
Q

What is the Focal Film Distance (FFD) for the Lateral Wrist Film?

A

40 inches

140
Q

What is the Tube Tilt for the Lateral Wrist Film?

A

None

141
Q

What is the Patient Position for the Lateral Wrist Film?

A

Patient seated at the end of the table
Elbow and Wrist against the table
Wrist in 0 degrees of flexion, metacarpals stacked on top of each other

142
Q

What is the Focal Film Distance (FFD) for the P-A Ulnar Deviation Film?

A

40 inches

143
Q

What is the Tube Tilt for the P-A Ulnar Deviation Film?

A

None

144
Q

What is the Patient Position for the P-A Ulnar Deviation Film?

A

Seated at the end of the table
Elbow and Wrist against the table
Hand pronated with fingers in a loose fist
Wrist is Ulnar deviated as far as possible (Maximally)

145
Q

What structures are being evaluated in the P-A Hand Film?

A

Articulations of the hand

146
Q

What is the Focal Film Distance (FFD) of the P-A Hand Film?

A

40 inches

147
Q

What is the Tube Tilt of the P-A Hand Film?

A

None

148
Q

What is the Patient Position for the P-A Hand Film?

A

Seated at the end of the table

Palm flat against the table, fingers slightly spread

149
Q

What is the Focal Film Distance (FFD) of the Medial Oblique Hand Film?

A

40 inches

150
Q

What is the Tube Tilt of the Medial Oblique Hand Film?

A

None

151
Q

What is the Patient Position for the Medial Oblique Hand Film?

A

Seated at the end of the table

Hand is held at a 45 oblique angle

152
Q

What is the Focal Film Distance (FFD) of the Lateral Hand Film?

A

40 inches

153
Q

What is the Tube Tilt of the Lateral Hand Film?

A

None

154
Q

What is the Patient Position for the Lateral Hand Film?

A

Seated at the end of the table
Metacarpals stacked on top of one another
Ulnar aspect of the hand against the cassette while fingers are spread maximally

155
Q

What is the Film Size for an A-P Pelvis Film?

A

14x17

156
Q

What is the Focal Film Distance (FFD) for an A-P Pelvis Film?

A

40 inches

157
Q

What is the Tube Tilt for an A-P Pelvis Film?

A

None

158
Q

What is the Patient Position for an A-P Pelvis Film?

A

Supine (or Standing) with feet turned in 15 degrees

159
Q

What is the placement of the Central Ray on a patient for the A-P Pelvis Film?

A

Place the top of the Film 2 inches above the iliac crest

160
Q

What is the Film Size for the Frog Leg Lateral Hip Film?

A

10x12

161
Q

What is the Focal Film Distance (FFD) for the Frog Leg Lateral Hip Film?

A

40 inches

162
Q

What is the Tube Tilt for the Frog Leg Lateral Hip Film?

A

None

163
Q

What is the Patient Position for the Frog Leg Lateral Hip Film?

A

Supine

Leg on the involved side in a “Figure Four” position

164
Q

What is the Film Size of an A-P Knee Film?

A

8x10

165
Q

What is the Focal Film Distance (FFD) of an A-P Knee Film?

A

40 inches

166
Q

What is the Tube Tilt for an A-P Knee Film?

A

5 degrees Cephalic

167
Q

What is the placement of the Central Ray for an A-P Knee Film?

A

Half inch inferior to the apex of the patella

168
Q

What is the Patient Position for an A-P Knee Film?

A

Supine (or Sitting)

Knee of interested leg extended with the foot turned inward 5 degrees

169
Q

What is the Film Size for a Lateral Knee Film?

A

8x10

170
Q

What is the Focal Film Distance (FFD) for a Lateral Knee Film?

A

40 inches

171
Q

What is the Tube Tilt for a Lateral Knee Film?

A

5 degrees Cephalic

172
Q

What is the Patient Position for a Lateral Knee Film?

A

Lateral Recumbent Position
Knee of interest closest to the table and flexed 30 to 45 degrees
Opposite leg is out of the way

173
Q

What structures are being Evaluated in a Tunnel Projection of the Knee Film?

A

Intercondylar Fossa

174
Q

What is the Film Size for a Tunnel Projection of the Knee Film?

A

8x10

175
Q

What is the Focal Film Distance (FFD) for a Tunnel Projection of the Knee Film?

A

40 inches

176
Q

What is the Tube Tilt for the Tunnel Projection of the Knee Film?

A

45 degrees Caudal

177
Q

What is the Patient Position for the Tunnel Projection of the Knee Film?

A

Prone

Knee flexed to 45 degrees

178
Q

What is the Tube Tilt used for a Tangential (Sunrise) Patella Film?

A

None

179
Q

What two Structures are being Evaluated on the Tangential (Sunrise) Patella Film?

A

Patella

Patellofemoral Joint space

180
Q

What is the Patient Position for the Tangential (Sunrise) Patella Film?

A

Prone

Knee of interest is flexed maximally

181
Q

What four Structures are being Evaluated on an A-P Ankle Film?

A

Distal Tibia
Distal Fibula
Ankle joint
Talus

182
Q

What is the Tube Tilt on an A-P Ankle Film?

A

None

183
Q

What is the Patient Position on an A-P Ankle Film?

A

Supine (or sitting)
Leg extended
Ankle in 90 degrees of dorsiflexion
Foot turned inward 5 degrees

184
Q

What is the Tube Tilt of a Medial Oblique Ankle Film?

A

None

185
Q

What is the Patient Position of a Medial Oblique Ankle Film?

A

Supine (or Sitting)
Leg extended
Ankle in 90 degrees of dorsiflexion
Foot turned inward 20-30 degrees

186
Q

What is the Tube Tilt for a Lateral Ankle Film?

A

None

187
Q

What is the Patient Position for a Lateral Ankle Film?

A

Lateral Recumbent Position
Lateral aspect of the ankle of interest closest to the table
Ankle in 90 degrees of Dorsiflexion
Opposite leg is out of the way

188
Q

What three Structures are being Evaluated on the A-P Dorsoplantar Foot Film?

A

Tarsals distal to the Talus
Metatarsals
Phalanges

189
Q

What is the Tube Tilt on the A-P Dorsoplantar Foot Film?

A

10 degrees Cephalic

190
Q

What is the Patient Position for the A-P Dorsoplantar Foot Film?

A

Sitting on the table

Plantar surface of the foot on the cassette

191
Q

What is the Tube Tilt of the Medial Oblique Foot Film?

A

None

192
Q

What is the Patient Position for the Medial Oblique Foot Film?

A

Sitting on the table
Plantar surface of the foot against the cassette
Foot obliqued medially 30 degrees

193
Q

What is the Tube Tilt of the Lateral Foot Film?

A

None

194
Q

What is the Patient Position of the Lateral Foot Film?

A
Lateral Recumbent (or sitting) on the table
Lateral aspect of the foot of interest against the cassette
Ankle is dorsiflexed to 90 degrees
Opposite leg Is out of the way
195
Q

All radiographs have a Focal Film Distance (FFD) or 40 inches, except for what two areas (7 views)?

A

Areas: Cervicals and Chest

Views:
1. Neutral Lateral Cervical Film
2. Cervical Oblique Films
3. Cervical Flexion Film
4. Cervical Extension Film
Chest Films: 
5. P-A Chest
6. Lateral Chest
7. Apical Lordotic

Focal Film Distance of the above is 72 inches