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Positioning CH 1
Positioning CH 1 A
| Question | Answer |
|---|---|
| What are the 4 basic types of tissues? | Connective, Muscular, Nervous, Epithelial |
| How many bones are in the body? | 206 |
| Which system distributes nutrients and oxygen? | Circulatory |
| Which body system maintains acid-base balance? | Urinary |
| What is the largest organ system? | Integumentary system |
| What are the 2 divisions of the human skeleton? | Axial, Appendicular |
| What portions of the long bones is responsible for red blood cells? | Spongy or cancellous |
| What type of tissue covers the ends of long bones? | Hyaline cartilage |
| The narrow space between the inner and outer table of the flat bones in the cranium? | Diploe |
| Primary center for endochondral ossification? | Diaphysis |
| Secondary center for endochondral ossification? | Epiphysis |
| The aspect of long bones where bone growth occurs? | Metaphysis |
| A skull suture has the structural classification of what joint? | Fibrous |
| The symphysis pubis has the structural classification of what joint? | Cartilaginous |
| Long bones- | Humerus, Femur, |
| Short bones- | Tarsal, |
| Flat bones- | Sternum, Scaoulae, Calvarium |
| Irregular bones- | Pelvic, Vertebrae |
| The 3 classifications of joints | Synovial, Cartilaginoius, Fibrous |
| First carpometacarpal joint | Sellar |
| Intercarpal joint | Plane |
| Hip joint | Spheroidal |
| Proximal radioulnar joint | Trochoidal |
| Interphalangeal joint | Ginglymous |
| Fourth metacarpophalangeal joint | Ellipsoidal |
| Knee joint | Bicondylar |
| Wrist joint | Ellipsoidal |
| Joint between C1 and C2 | Trochoidal |
| Ankle joint | Sellar |
| Which plane divides the body into anterior and posterior parts? | Midcoronal |
| A longitudinal plane divides the body into right and left parts | Sagittal plane |
| Near the source or beginning | Proximal |
| Away from head, end of body | Caudad |
| Inside of something | Interior |
| Increasing the angle of a joint | Extension |
| Outward stress of the foot | Eversion |
| Movement of an extremity away from the midline | Abduction |
| Turning palm downward | Pronation |
| A backward movement | Retraction |
| To move around in the form of a circle | Circumduction |
| Toward the center | Medial |
| Away from the center source of beginning | Distal |
| On the opposite side of the body | Contralateral |
| Lying down in any position | Recumbent |
| Head lower than the feet position | Trendelenburg position |
| Upright position, palms forward | Anatomic position |
| Top of the foot | Dorsum Pedis |
| Frankfort horizontal plane | Base plane of the skull |
| A plane at a right angle to the longitudinal plane | Horizontal plane |
| Head higher than the feet position | Fowler's position |
| Palm of hand | Palmer |
| Sole of foot | Plantar |
| Front half of the body | Anterior |
| A plane that divides the body into anterior and posterior parts | Midcoronal plane |
| A recumbent position with the knees and hips flexed with support for legs | Lithotomy position |
| The direction or path of the central ray of the x-ray beam defines the positioning term | Projection |
| A patient is placed in a recumbent position facing downward. The left side of the body is turned 30 degrees toward the image receptor. Which position has been performed? | LAO |
| A patient is placed into a recumbent position facing downward. The x-ray tube is directed horizontally and enters the left side and exits the right side of the body. An image receptor is placed against the right side of the body. Which position is this? | Ventral Decubitus |
| A patient is erect with her back to the image receptor. The central ray enters the anterior aspect and exits in the posterior aspect of the body. Which projection has been performed? | Anteroposterior |
| A patient is lying down facing upward with the posterior surface of the body against the image receptor. The right side of the body is turned 45 degrees toward the image receptor. The x-ray tube is directed vertically and enters the anterior surface | RPO |
| An elbow projection is taken with the posterior surface pressed against the image receptor. The elbow is rotated 20 degrees outward. Which position is this? | AP oblique with lateral rotation |
| A specific rotation of the foot in which the central ray enters the anterior surface and exits the posterior surface. | Dorsoplantar |
| The anterior surface of the right knee of the patient is facing the image receptor. The anterior aspect of the knee and lower leg is rotated 15 degrees toward the midline. What projection is being performed? | PA oblique with medial rotation |
| What is the name of the projection in which the central ray merely skims the body? | Tangential |
| What is the name of the projection in which the central ray enters the left side of the chest and exits the opposite side? | Transthoracic |
| What is the projection that enters the posterior aspect of the skull and exits the acanthion? | Parietoacanthial |
| What is an example of an axial projection? | AP chest with a 20 degree cephalic angle |
| What positioning term is no longer valid in the US? | Radiographic view |
| Match the terms with their opposites. 1.Proximal 2.Cephalad 3. Ipsilateral 4.Medial 5.Superficial 6.Interlateral 7.Lordosis 8.AP 9.Superior 10.Dorsoplantar | 1.Distal 2.Caudad 3.Contralateral 4.Lateral 5.Deep 6.External 7.Kyphosis 8.PA 9.Inferior 10.Plantodorsal |
| True or false: If a patient is younger than 18 years old, any confidential information obtained during the procedure must be shared with the patient or guardian. | False |
| True or false: The technologist must provide a preliminary interpretation of any radiographs if requested by the referring physician | False |
| True or false: Personal patient information can be shared with another technologist even if he or she has no role in the patient's procedure | False |
| True or false: The technologist can explain a radiograph procedure to the patient without permission from the referring physician or radiologist | True |
| Which structures require 2 projections? | Humerus, Sternum, Tibia/Fibula, Chest, Hip, Forearm |
| Which structure require 3 projections? | Knee, Fourth finger, Ankle, Hand, |
| Which radiograph procedure requires only one AP projection? | Pelvis |
| A patient enters the ER with a fracture forearm. The fracture is set, or reduced. The orthopedic physician orders a post reduction series. How many projections are required? | Two |
| A patient enters the ER with a dislocated elbow. What is the minimum number of projections that can be performed? | Two |
| A patient comes to radiology for a rib study. What is the minimum number of projections that can be performed? | Two |
| A patient enters the ER with a possible fractured ankle. She can move it but its painful. What is the minimum number of projections that can be performed? | Three |
| A patient enters the ER with a small piece of wire embedded in the palm of the hand. What is the minimum number of projections that can be performed? | Two |
| A patient has fallen on the ice and has a possible fractured hip. What is the minimum number of projections that can be performed? | Two |
| A patient enters the ER with a possible fractured pinkie toe. What is the minimum number of projections that can be taken? | Three |
| What position should be taken for a wrist study? | PA, oblique, and lateral projections |
| What positioning should be performed for a chest study? | PA, and lateral projections |
| The technique used for bony and soft tissue of radiograph landmarks is termed Palpation | |
| What are the 4 primary image quality factors? | Density, Contrast, Detail, Distortion |
| The blackness on a processed radiograph is called | Density |
| Which exposure factor primarily controls radiographic density? | mAs |
| True or False: For an underexposed radiograph, the mAs must be increased by a factor of four to produce a visible change in radiographic density | False |
| A radiograph of the knee reveals that it is overexposed and must be repeated. The original technique used 10 mAs. What change will improve the image when repeating exposure? | Decrease ton 5 mAs |
| The primary control for radiographic exposure | kV |
| Chest radiography requires long-scale contrast. Which set of exposure factors will produce this? | 110kV, 2 mAs |
| Which exposure factor will will produce the highest (short-scale) radiographic contrast? | 60 kV, 30 mAs |
| True or false: kV is a secondary controlling factor for radiographic density? | True |
| True or false: 50 kV produces a long-scale contrast image? | False |
| What technique or device can reduce the amount of scatter radiation striking the IR? | Grids, collination, lower kV |
| True or false: Recorded detail or spatial resolution is optimal with a long object image receptor distance (OID) and a short SID | False |
| What factor best controls involuntary cardiac motion artifact? | Shortening the exposure time |
| Rather than rely on the anode heel effect, what can be used to equalize density of specific anatomy? | Compensating filter |
| Which type of compensating filter is recommended for an AP projection of the shoulder? | Boomerang |
| Which type of compensation filter is recommended for an axiolateral hip projection? | Wedge |
| Which type of grid cutoff is created if the CR and the face of the grid are not perpendicular to each other? | Off-level |
| What projection requires the use of a grid? | AP abdomen |
| The misrepusentaion of an objects size or shape projected on a radiograph is | Distortion |
| What factor minimizes distortion to the greatest degree? | 72in SID, and 3in OID |
| True or false: To best use the anode heel effect, the inner aspect of the anatomic part should be placed under the cathode aspect of the x-ray tube. | False |
| The best method to reduce distortion of the joints of the hand is to keep the fingers _____ to the IR | Parallel |
| What factors affects spatial resolution to the greatest degree? | Focal spot size |
| Each digital image is formed by 2D elements termed: | Pixels |
| Highly complex math problems used in creating digital images are | Algorithms |
| True or false: Changes in kV have little impact on patient dose with digital imaging. | False |
| True or false: kV and mAs do not have the same direct effect on image quality with digital imaging as they do with IR-screen imaging. | True |
| True or false: A wide exposure latitude associated with digital imaging systems will reduce repeat exposures. | True |
| The intensity of light that represents the individual pixels in the image on the monitor | Brightness |
| The primary controlling factor of contrast on the digital image | Processing algorithms |
| The greater the bit depth of a digital system the greater the | Contrast resolution |
| What term describes the minimum pixel size that can be displayed on a monitor | Display pixel size |
| True or false: OID and SID have little impact on spatial resolution of the digital image | False |
| True or false: The current range of spatial resolution for digital general radiographic imaging is between 2.5 to 5 line pairs per mm | True |
| A numeric value that is representative of the exposure the IR received is | Exposure indicator |
| Random disturbance that obscures or reduces clarity is | Noise |
| True or false: If an acceptable exposure indicator range is between 2.0 and 2.4, an exposure indicator of 4.0 would indicate overexposure of the image. | True |
| True or false: A high SNR results when insufficient mAs is used in creating a digital image. | False |
| What result is an increase in noise? | Scatter radiation |
| Changing or enhancing the electronic image to improve its diagnostic quality | Post processing |
| What is the application of a specific image processing that alters the pixel values across the image so as to present a more uniform image appearance. | Equalization |
| Window width controls the______ of the digital image. | Contrast |
| True or false: Post-processing can correct for a low-SNR image. | False |
| What statement is true in regard to PSP? | PSP provides a wide exposure latitude |
| What process is used to erase the PSP imaging plate following exposure? | Bright light |
| Patient information is linked to the image on the CR imaging plate by | Bar code reader |
| The PSP imaging plate is composed of | Photostimulable phosphor |
| The latent image recorded on the PSP image plate is read by a | Laser |
| True or false: Close collimation must be avoided when acquiring an image on a PSP IP. | False |
| True or false: Grids can't be used with a PSP system. | False |
| True or false: Grids are often used for extremity exams. | True |
| True or false: FPD-TFT often requires less exposure than film screen systems. | True |
| Close collimation should be avoided when using DR. | False |
| True or false: RIS is a digital network that permits viewing and storage of both digital and film-screen produced images. | False |
| True or false: FPD-TFT can be either cassette less or cassette based systems | True |
| What controls the brightness of a certain image (within a certain range) | Window level |
| The acronym DICOM refers to | A set of standards to ensure communication among digital imaging systems |
| A digital transmission system for transferring radiographic images to remote locations is | Teleradiography |
| CCD-based digital imaging systems have the advantage of ______ over other digital acquisitions systems. | Rapid display of the image |
| A series of "boxes" that give form to the image is | Display matrix |
| A 30 x 35 cm IR is equivalent to | 11 x 14 inches IR |
| The application of specific image processing to reduce the display of noise in an image is the definition for | Smoothing |
| The recorded sharpness of structures on the image is the definition for | Spatial Resolution |
| What is the SI unit of radiation measurement for absorbed dose? | Gray |
| Which term is replacing "exposure" to describe skin dose? | Air Kerma |
| What is the annual whole-body effective dose (ED) for technologist? | 50 mSv or 5 rem |
| What is the cumulative lifetime ED for a 25 year old technologist? | 250 mSv |
| What is the annual ED limit for an individual younger than 18 years of age? | 1 mSv or 0.1 rem |
| The federal set maximum limit on exposure rates for intensified fluoroscopy units is? | 10 R/minutes |
| For most modern equipment, the average fluoroscopy tabletop exposure rate is | 1 and 3 R/minutes |
| What is the primary purpose of x-ray tube filtration? | absorb lower (unusable) energy x-rays |
| What is the highest ED for females? | AP thoracic spine (14 x 17in collimation) |
| The use of a 1-mm lead equivalent gonadal shield reduces the gonadal dose by _________ if the gonads are within the primary x-ray field. | 50% to 90% |
| Which type of shield is ideal when the affected tissue is part of a sterile field? | Shadow shield |
| True or false: Low kV and high mAs techniques greatly reduce patient dose compared with high kV and low mAs techniques | False |
| True or false: The use of a positive beam limiting collimator is no longer required by the FDA for new x-ray equipment manufactured after 1994. | True |
| True or false: Collimators must be accurate within 5% of the selected SID. | False |
| What are the cardinal principles of radiation protection | Distance, Shielding, Time |
| What change will best reduce patient dose | Increase kV and decrease mAs |
| Where is the safest place for a tech to stand during a fluoroscopic procedure? | Behind the radiologist |