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Upper Limbs

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What must be included in its entirety of a radiograph of a thumb?   the distal phalanx all the way to the base of the first metacarpal  
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What metacarpal matches up with the trapezium?   first MC  
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What metacarpal matches up with the trapezoid?   second MC  
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The third MC matches up with what carpal bone?   capitate  
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The hamate matches up with what metacarpals?   4th and 5th  
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The scaphoid articulates with the ________ proximally?   radius  
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The scaphoid and the ________ articulate with the radius   lunate  
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What is best visualized on the carpal sulcus view?   pisiform and the hamulus process  
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Where do the radius and ulna articualte with each other?   proximal radioulnar joint and the distal radioulnar joint  
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______ is a small depression on the medial aspect of the distal radius?   ulnar notch  
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What bone is directly involved in the wrist joint?   radius  
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What are the two beaklike processes of the proximal ulna called?   olecranon process and coronoid process  
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where does the radius cross over the ulna   upper forearm  
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Two shallow anterior depressions of the distal humerus are?   the coronoid fossa and the radial fossa  
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What is the posterior depression of the distal humerus called?   olecranon fossa  
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The displacement of a _______ may be the only indication of disease or injury or fx within a joint region   fat pad  
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Are fat pads difficult to see on a radiograph   yes  
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The scaphoid fat stripe is visualized on what views?   Pa and Oblique wrist  
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what fat stripe is seen on a lateral wrist?   pronator fat stripe  
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The important fat stripes of the elbow are only visualized on what position?   lateral  
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Which is more reliable to a radiologist? A posterior or anterior fat pad?   posterior  
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What fat tripe is used to indicate the diagnosis of nonobvious radial head or neck fxs.   supinator fat stripe  
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Exposure factors should be?   low to medium 50-70  
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Long or short exposure time?   short  
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What size focal spot should be used?   small  
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Correctly exposed images of the upper limbs should demonstrate?   soft tissue margins and trabecular markings  
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With film, what screens should be used on hands?   detail  
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If the pt has a small to medium plaster cast, how should you adjust your technique?   increase mAs 50-60% OR kvp 5-7  
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If the pt has a large plaster cast, how should you adjust your technique?   increse mAs 100% OR kvp 8-10  
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If the pt has a fiberglass cast on, how should you adjust your technique?   increase mAs 25-30% OR kvp 3-4  
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What is bursitis?   inflammation of the bursae enclosing the joints  
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What fx is the posterior lip of the distal radius?   Bartons  
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Fx of the base of the first metacarpal?   Bennetts  
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Fx of the 5th metacarpal?   Boxers  
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What is a Colles fx?   fx of the distal radius with posterior displacement  
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Fx of the distal radius with anterior displacement?   Smiths fx  
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A sprain or tear of the ulnar collateral ligaments?   Skier's thumb  
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What method would you do on a skiers thumb injury?   Folio method  
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What projection would you do for a bennetts fx?   roberts method  
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What is the angle for a roberts method?   15 degrees proximal  
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The Norgaard method looks for?   rheumatoid arthritis  
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Altarnative to the PA wrist is the AP; what does this demonstrate?   intercarpal spaces and wrist joint  
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What is the CR angle for scaphoid view?   10-15 degress proximal toward elbow  
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The alternative to a scaphoid view is?   the stetcher method?  
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The position for a stetcher method is?   hand elevated 20 degrees on sponge  
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Another name for Carpal canal?   Gaynor Hart method  
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The Gaynor Hart method CR should be?   25-30 degrees tangential view  
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The carpal bridge CR angle should be?   45 degrees tangential view  
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What does the external oblique of the elbow best demonstrate?   the radial head, neck, and the capitulum.  
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What does the internal oblique of the elbow best visualize?   coronoid process of ulna and trochlea in profile  
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A trauma axial lateral is called?   Coyle method  
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What is the angle of the CR for coyle method for the radial head view?   45 degree toward shoulder  
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What is the anlge of the CR for the coyle method for the coronoid process?   45 degree from shoulder  
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Acute flexion of the elbow is calleD?   Jones method  
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Trauma axial of the elbow is called?   Coyle method  
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The growth plates are called?   epiphyses  
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Where is a sprain located?   joints  
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Where is a strain located?   muscles  
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No bone seen through the skin?   closed fx  
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Occurs when the bone punctures the skin?   open fx  
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A right angle with the bone?   transverse fx  
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Incomplete fx extending from top of the bone, but not completely through?   Fissure  
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A 45 degree angle with the long axis of the bone is what type of fx?   oblique  
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This fx has a twisted appearane?   Spiral  
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A lengthwise break?   longitudinal  
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Bone fragment driven into another bone?   impacted fx  
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Bone is sheared away from the muscle   avulsion fx  
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Numerous fragments and crushed bone?   comminuted fx  
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A fx in two places?   double fx  
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A collapse of bone usually associated with vertebral bodies?   compression fx  
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Flat bones that are moved inward from blunt trauma?   depressed fx  
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Repetitive injury?   stress fx  
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This fx is often associated with tumors or osteoporosis   pathologic fx  
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Name the peds fxs?   greenstick, bowing, buckle (torus), salter  
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Incomplete fx usually because high collagen content   greenstick  
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A "plastic" fx   bowing  
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Epiphyseal plate fxs.   salter  
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The bulging of the periosteum?   Torus aka buckle fx  
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Falling on outstretched hands causes what type of fx?   Colles  
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It is star looking and comminuted   Stellate  
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What is dislocation?   joint out of place  
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What is the forward movement of bone on top of bone?   sublaxation  
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Also known as hangmans fx   sublaxation  
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What is open reduction?   surgery to repair fx  
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What is closed reduction?   manipulation of part to reduce fx.  
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Accumulation of fluid in the joing cavity?   joint effusion  
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An abnormality of the cartilage affecting long bones?   achondroplasia  
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Hereditary condition marked by abnormally dense bone?   osteopetrosis  
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most common type of primary malignant tumor occuring in the bone?   multiple myeloma  
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Narrowing of joing space with periosteal growths on the join margins?   osteoarthritis  
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Mixed areas of scerotic and cortical thickening along with radiolucent lesions?   osteopetrosis  
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Underdeveloped arms with trumpeting of the shafts of the long bones?   achondroplasia  
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For advanced Paget's disease decrease or increase tech?   +  
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For osteopetrosis do you increase or decrease tech?   +  
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What is the only difference among the four radial head lateral projections of the elbow?   rotional position of the hand and wrist  
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