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Stack #176975
MCC Rad Positioning I Exam-Mods 15-21
Question | Answer |
---|---|
SC Joints: name the two projections | PA and either a RAO or a LAO (depending upon affected side) |
SC Joints: What is the CR position for the PA projection? | Mid-sag at T-3 or perp to 3rd thoracic vertebra at level of jugular notch. |
SC Joints: What is demonstrated during PA projection? | Superimposing of vertebral and rib shadows; medial portions of clavicles - all through PA projection. |
SC Joints: Why do we do a PA instead of an AP projection? | PA projection gives less magnification. |
SC Joints: What is respiration during all projections? | Expiration. |
SC Joints: During RAO or LAO, what is degree of body rotation? | 15 degrees. |
SC Joints: What side is against IR for RAO? | Right. |
SC Joints: What structure is demonstrated during RAO? | Right SC joint. The right SC joint is OPEN and the left sc joint is closed. |
SC Joints: If the left side of a patient is hurting, will you do a RAO or LAO along with a PA? | LAO - with left side against IR, which will open up left SC joint. |
SC Joints: What is the CR position for the RAO projection? | Perpendicular to right SC joint (enter at level of T-2-3). |
SC Joints: Does T-3 = 3" distal to vertebral prominens? | Yes. |
SC Joint Technical Factors: | Upright, 40" SID, small focal point, marker on side affected. |
T/F? The SC joint is the only joint that articulates with the appendicular skeleton. | TRUE. The clavicles are part of the appendicular skeleton and the manubrium/sternum is part of the axial skeleton. |
AC joints: What are the two projections? | Bilateral AP upright WITHOUT weights and bilateral AP upright WITH weights. |
AC joints: What is another name for Bilateral AP upright (with or without weights)? | The Pearson method. |
AC Joints: Where should the CR be positioned? | Perpendicular to midline of body at level of AC joints. |
AC Joints: What should respiration be? | Suspended. |
AC Joints: What structures are demonstrated during bilateral AP projection with weights? | Separation of joint space (dislocation, both, partial or complete). The joint space will be wider on separated side. |
AC Joints: What should the SID be if you can get both AC joints on one cassette? | 72". If you need separate cassettes/exposures due to patient size, use 40" SID. |
AC Joints: What is the significance of the 72" SID? | It reduces magnification. |
AC Joints: Technical factors? | Small focal, 72" SID (for both AC joints in one exposure), upright bucky, lead marker on affected side AND INDICATION OF WITH OR WITHOUT WEIGHTS. |
AC Joints: If 72" is your SID, what will happen to your MAS as compared to what it would be at 40"? | Your MAS is multiplied by 4. A 40" SID would need a mAs of 3...a 72" SID = mAs of 10. |
Toes: Name the three projections: | AP AxialAP Oblique w/medial rotation (30 degree part rotation)Lateral |
Toes: How many phalanges?How many metatarsals?How many tarsals?How many bones in foot? | Phalanges: 14Metatarsals: 5Tarsals: 7Total bones in foot: 26 |
Name the seven (7) tarsal bones. | Medial cuneiform, intermediate cuneiform, lateral cuneiform, cuboid, navicular, talus & calcaneus. |
The big toe is also called this... | the hallus. |
Toes: Where should the CR be positioned for the AP Axial toe? | Angled 15 degrees posteriorly at level of MTP joint. |
Toes: What structures are demonstrated during AP Axial Toe? | Joint spaces (open) in AP position. |
Toes: Where should the CR be positioned for the lateral and AP Oblique w/medial rotation? | At the MTP joint of toe. |
Toes: What structures are demonstrated during AP Oblique w/medial rotation? | Open IP joints and # 2-5 MTP joints. |
Toes: Although we didn't do an AP Oblique w/lateral projection during our comps, what is the degree of lateral rotation? | 30 degrees. |
Toes - Technical factors: | Small focal, 40" (room 1) SID or 115 cm (room 2); normal respiration. |
What are the three (3) projections of foot? | AP Axial (10 degree angle posteriously)AP Oblique w/medial rotationLateral |
Foot: What does AP Axial demonstrate? | AP of all metatarsals, tarsals and phalanges with spaces between all. |
Foot: Where should the CR be positioned for all foot projections? | Perpendicular to base of 3rd metatarsal. |
Foot: What structures are demonstrated during AP oblique w/medial rotation? | Interspaces betwen the lateral tarsals and 3, 4 and 5th bases of metatarsals, cuboid in profile. |
Foot: What structures are demonstrated during AP oblique w/lateral rotation? | Interspaces of 1st and 2nd metatarsals and between the medial and intermediate cuneiforms. |
Ankle: What are the three (3) positions of the ankle? | APAP Oblique w/medial rotationLateral (mediolateral) |
Ankle: With the AP Oblique w/medial rotation - what are the two degrees that can be done with ankle and what does each show? | 15 degrees shows ankle mortise; 45 degrees shows tib/fib articulation. |
Ankle: Where should the CR be positioned during all ankle exposures? | Perpendicular to ankle joint midway between malleoli or PERP TO ANKLE MORTISE. |
Ankle: What structures are demonstrated during AP projection? | AP of distal tib/fib and proximal talus. Tibiotalar joint space open; moderate overlapping of tib/fib articulation. |
Ankle: Although we didn't set-up for AP Oblique w/LATERAL rotation on comps, what does it demonstrate? | It is useful in determining fractures; tibia superimposed with fibula, subtalar joint and superior aspect of calcaneus seen. |
Foot: True or False?Metatarsals will not be superimposed on laterals because of the foot's NATURAL ARCH. | TRUE! |
Foot: What is the significance of dorisflexing foot? | It allows you to open spaces and see ankle mortise. |
Ankle: What are ideal spots to fracture on foot? | The lateral and medial malleouses. |
True or False: RT's should always keep a year's supply of gloves, sanitary wipes and DR. Schoal's foot powder on hand in the unlikely scenario that one has to radiograph a foot, ankle or toe. | TRUE! |
Ankle: True or False: The tibia is the 2nd largest bone in the body. | TRUE. |
Foot Questions:1. What metatarsal is the longest tarsal bone?2. What metatarsal extends most posteriorly? | 1. 2nd metatarsal is longest.2. 5th metatarsal extends most posterior. |
Ankle: The base of the 5th metatarsal is most often fractured metatarsal...TRUE/False | TRUE. |
Ankle: What is the most fractured tarsal bone? | Calcaneus. |
Calcaneus: What are two projections? | Axial (Plantodorsal or Dorsoplantar) & Lateral. |
Calcaneus: What are tube angles for both Axial projections: Plantodorsal vs. Dorsoplantar? | Plantodorsal: 40 degrees CEPHALIC.Dorsoplantar:40 degrees CAUDAL. |
Calcaneus: Where should CR be positioned for Axial Plantodorsal? | Angle tube 40 degrees cephalad; CR enters idline of plantar surface at base of 3rd metatarsal and exits midline of IR at level of malleoli. |
Calcaneus: Where should CR be positioned for Lateral projection (Mediolateral)? | Perp to midportion of calcaneus, 1 inch distal to medial malleolus. |
Calcaneus: T/F? The sinus tarsi is found where the talus and heel sulci' meet. | TRUE. |
Calcaneus: The subtalar joint is made up of 3 facts...they are: | anterior articular facet, middle articular facet and posterior articular facet. |
Calcaneus: It articulates with _______ superiorly and with ________ posteriorly. | The calcaneus articulates with the TALUS superiorly and the CUBOID posteriorly. |
Lower Leg: 4 views: | AP/ Lateral, AP oblique w/medial and AP oblique w/lateral rotation. |
Lower Leg: CR position? | Perp to midpoint of leg to include both joints. |
Lower Leg: AP structures demonstrated? | AP projection; proximal and distal articulations of tib/fib moderately overlapped. |
Lower Leg: Lateral structures demonstrated? | Superimposition at both articulating ends of tib/fib - NO SUPERIMPOSITION IN CENTER. |
Lower Leg: Structures demonstrated during AP oblique with lateral rotation? | Fibula superimposed with lateral portion of tibia. No t/b/fib space. |
Lower Leg: Structures demonstrated during AP oblique with medial rotation? | Greater osseous space between tib/fib. |