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Review for Comps at Spencerian

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Question
Answer
PA Chest (14x17 CW) 72" SID   perpendicular to the center of the IR, enterinr at the level of T7 & the midsaggital plane // top of IR 1 1/2 to 2" above shoulders // suspended after 2nd full inspiration // 115 KVP @ 30-40 MAS  
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Lateral Chest (14x17 LW) 72" SID   Perpendicular to the IR entering the patient at level of T7 // top of IR 1 1/2 to 2" above shoulders // suspended after 2nd full inspiration // 115 KVP @ 40-50 MAS  
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AP Axial Chest (14x17 LW) 72" SID   perpendicular to the IR entering midsternum // top of IR 3" above shoulders // suspend after 2nd full inspiration // 115 KVP @ 30 MAS  
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PA Digits (8x10 LW or CW)   Perpendicular entering PIP joint of the digit being examined. Collimate to digit being examined // 50 KVP @ 2-4 MAS  
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Lateral Digits (8x10 LW or CW)   direct perpendicular entering PIP joint. Collimate to the digit being examined // 50 KVP @ 2-4 MAS  
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Oblique Digits (Lateral Rotation) (8x10 LW or CW)   Direct perpendicular entering PIP joint. Collimate to digit being examined // 45-degree rotation of hand // 50 KVP @ 2-4 MAS  
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PA Hand (8x10 LW)   direct perpendicular to 3rd MCP joint // 55 KVP @ 5 MAS  
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Oblique Hand (Lateral Rotation) (8x10 or 10x12 LW)   direct perpendicular to 3rd MCP joint // 45-degree rotation of hand // 55 KVP @ 5 MAS  
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Fan Lateral Hand (8x10 or 10x12 LW)   direct perpendicular to 2nd MCP joint // 55 KVP @ 5 MAS  
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PA Wrist (8x10 or 10x12 LW)   direct perpencidular to midcarpal area // 60 KVP @ 6 MAS  
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Lateral Wrist (Lateromedial) (8x10 or 10x12 LW)   direct perpendicular to wrist joint // elbow flexed 90-degrees w/forearm and arm in contact with table // 60 KVP @ 6 MAS  
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PA Oblique Wrist (Lateral Rotation) (8x10 or 10x12 LW)   direct perpendicular to IR entering midcarpal area just distal to radius // rotate wrist 45-degrees & armpit should be in contact with table // 60 KVP @ 6 MAS  
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AP Forearm (14x17 LW)   direct perpendicular to midpoint of forearm // entire limb should be in contact with the table & hand supinated // 60 KVP @ 6-8 MAS  
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Lateral Forearm (14x17 LW)   direct perpendicular to midpoint of forearm // elbow should be felxed at 90-degree angle with entire limb on same plane // 60 KVP @ 6-8 MAS  
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AP Elbow (8x10 or 10x12 LW)   direct perpendicular to the elbow joint // entire limb on same plane & hand supinated // 65 KVP @ 8 MAS  
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Lateral Elbow (8x10 or 10x12 LW)   direct perpendicular to elbow joint // elbow flexed 90- degrees with entire limb on same plane with humeral epicondyles perpendicular to IR // 65 KVP @ 8 MAS  
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AP Oblique Elbow (Medical Rotation) (8x10 or 10x12 LW)   direct perpencidular to IR entering elbow joint // entire limb on same plane & pronate hand to medially rotate arm // 65 KVP @ 8 MAS  
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AP Oblique Elbow (Lateral Rotation) (8x10 or 10x12 LW)   direct perpendicular to IR entering elbow joint // entire limb on same plane & rotate hand laterally // 65 KVP @ 8 MAS  
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AP Humerus (14x17 LW)   direct perpendicular to midpoint of humerus // supinate hand & epicondyles parallel with IR // suspend respiration // 70 KVP @ 10-12 MAS  
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Lateral Humerus (14x17 LW)   direct perpendicular to midpoint of humerus // slightly abduct arm & medially rotate shoulder until epicondyles are perpendicular to IR// suspend respiration // 70 KVP @ 10-12 MAS  
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AP Internal Shoulder (10x12 CW)   perpendicular to a point 1" inferior to the coracoid process // flex elbow comewhat & rest nack of hand on hip // suspend respiration // 70 KVP @ 10 MAS  
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AP External Shoulder (10x12 CW)   perpendicular to a point 1" below the coracoid process // supinate the hand & abduct arm slightly // suspend respiration // 70 KVP @ 10 MAS  
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AP Neutral Shoulder (10 x 12 CW)   perpendicular to a point 1" below the coracoid process // rest palm of hand against thigh // suspend respiration // 70 KVP @ 10 MAS  
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AP Clavicle (10x12 CW)   perpendicular to midshaft of clavicle // suspend at end of full expiration // 70 KVP @ 12 MAS  
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AP Axial Clavicle (Lordotic Position) (10x12 CW)   direct angle 15 degrees cephalad centered to midshaft of clavicle // suspend at end of full inspiration // 70 KVP 12 MAS  
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AP Scapula (10x12 LW)   direct perpendicular to IR at midscapular area approximately 2" inferior to coracoid process // abduct arm to a right angle to body, flex elbow & support hand // slow deep breathing // 70 KVP @ 25 MAS  
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Lateral Scapula (10x12 LW)   direct perpendicular to IR & position to medial border of protruding scapula // pt in oblique position 45-60 degrees & extend pts arm behind back // suspend respiration // 70 KVP @ 20 MAS  
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AP Axial Foot (10x12 LW)   direct 10 degrees posteriorly, entering base of 3rd metatarsal for reduced elongation // knee slightly flexed // 55 KVP @ 5 MAS  
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AP Oblique Foot (Medial Rotation) (10x12 LW)   direct perpendicular to base of 3rd metatarsal // rotate leg medially until planter surface of foot for 30 degree angle // 55 KVP @ 5 MAS  
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Lateral Foot (Mediolateral) (10x12 LW)   direct perpendicular to midpoint of IR, entering level of base of 3rd metatarsal // dorsiflex foot to form 90 degree angle to lower leg // 55 KVP @ 5 MAS  
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AP Ankle (8x10 or 10x12 LW)   direct perpendicular to ankle joint, entering midway between malleoli // dorsiflex foot & ankle // 60 KVP @ 6 MAS  
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Lateral Ankle (Mediolateral) (8x10 or 10x12 LW)   direct perpendicular to ankle joint, entering medial malleolus // roll pt on affected side & dorsiflex the ankle ot 90 degree angle // 60 KVP @ 6 MAS  
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AP Oblique Ankle (Medial Rotation) (8x10 or 10x12 LW)   direct perpendicular to ankle joint, entering midway between malleoli // dorsiflex the foot & internally rotate entire leg & foot together until 45 degree rotation // 60 KVP @ 6 MAS  
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AP Oblique Ankle (Mortise Joint) (8x10 or 10x12 LW)   direct perpendicular, entering ankle joint midway between malleoli // dorsiflex the foot & internally rotate entire leg & foot 15-20 degrees until intermalleolar plane is parallel with IR // 60 KVP @ 6 MAS  
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AP Tib/Fib (14x17 LW)   direct perpendicular to midpoint of leg // dorsiflex foot & femoral condyles are parallel to IR // 65 KVP @ 6-8 MAS  
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Lateral Tib/Fib (Mediolateral) (14x17 LW)   direct perpendicular to midpoint of lef // patella perpendicular to IR // 65 KVP @ 6-8 MAS  
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AP Knee (10x12 LW)   ensure central ray ebters a point 1/2" inferior to patellar apex & depending on ASIS measurement direct central ray:<19 CM = 3-5 degrees caudad19-24 CM = 0 degrees>24 CM = 3-5 degrees cephalad  
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Lateral Knee (Mediolateral) (10x12 LW)   direct 5-7 degrees cephalad, entering knee joint 1" distal ot medial epicondyle // turn pt onto affected side with knee flexed 20-30 degrees // patella should be perpendicular to IR // 65 KVP @ 8 MAS  
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AP Femur (2 Films) (14x17 LW and 10x12 LW)   direct perpendicular to midfemur and center of IR // proximal pigeon toe feet & distal in anatomic position // 70 KVP @ 20-30 MAS  
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Lateral Femur (Mediolateral) (2 Films) (14x17 LW and 10x12 LW)   direct perpendicular to midfemur // position pt lying on affected side with knee flexed 45 degrees // 70 KVP @ 20-30 MAS  
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AP Pelvis (14x17 CW)   direct perpendicular to midpoint of IR approx 2" below ASIS // medially rotate feet & lower limb 15-20 degrees // suspend breath // 80 KVP @ 25-40 MAS  
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AP Hip (10x12 LW)   direct perpendicular to a point 2.5" distal on a line drawn perpendiculer to midpoint of line between ASIS & pubic symphysis // medially rotate lower limb 15-20 degrees // suspend breath // 80 KVP @ 20-25 MAS  
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Lateral Hip (Mediolateral) Lauenstein Method (10x12 CW)   direct perpendicular to hip @ point midway between ASIS & pubic symphysis // flex knee & support unaffected side with cushion // suspend respiration // 80 KVP @ 20-25 MAS  
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AP Open Mouth C-Spine (8x10 CW) 30" SID   direct perpendicular to center of IR, entering open mouth // supine with mouth open wide // have pt phonate "ah" during exposure // 80 KVP @ 20 MAS  
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AP Dens (Fuchs Method) (8x10 CW)   direct perpendicular to center of IR, entering midsagittal plane just distal to tip of chin // supine & extend chin until perpendicular to IR // suspend breathing // 80 KVP @ 25 MAS  
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AP Axial C-Spine (10x12 LW)   direct 15-20 degrees cephalad, entering slightly inferior to thyroid cartilage & exiting C4 // suspend respiration // 76 KVP @ 16 MAS  
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Lateral C-Spine (Grandy Method) (10x12 LW) 72" SID   directed horizontal & perpendicular to IR entering C4 // elevate chin slightly & relax shoulders // suspend at end of full expiration // 76 KVP @ 64 MAS  
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AP Axial Oblique C-Spine (RPO & LPO) (10x12 LW) 72" SID   direct 15-20 degrees cephalad, entering C4 // rotate body 45 degrees with side of intrest farther from the IR // suspend respiration // 76 KVP @ 25 MAS  
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AP T-Spine (14x17 LW)   direct perpendicular to IR, central ray should be approx. midway between the jugular notch & xiphoid process // top of IR 1 1/2 to 2" above shoulders with pt in supine position, flex knees // suspend at full expiration // 70 KVP @ 20 MAS  
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Lateral T-Spine (14x17 LW)   direct perpendicular to center of IR at level of T7. central ray enters posterior half of thorax // top of IR 1 1/2 to 2" above shoulders & have arms in praying position // suspend at expiration // 70 KVP @ 40 MAS  
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Lateral Swimmers (10x12 LW)   direct perpendicular to C7-T1 interspaces // elevate arm and rest on head & rotate shoulders opposite of each other // suspend respiration // 80 KVP @ 80 MAS  
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AP L-Spine (14x17 LW)   direct perpendicular to center of IR, entering at level of iliac crests // flex knees & hips // suspend respiration // 80 KVP @ 40 MAS  
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Lateral L-Spine (14x17 LW)   Direct perpendicular to IR, entering midcoronal plane at level of iliac crests // knees & hips flexed & arms in praying position // suspend at expiration // 80 KVP @ 64 MAS  
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