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RADT425 Ch. 5 &6
Question | Answer |
---|---|
For a neutral rotated shoulder, the ______ (greater/lesser) tubercle is partially seen in profile laterally. | greater |
For a neutral rotated shoulder, you should align the humeral epicondyles at a ________ degree angle with the IR. | 45 |
For a external rotation shoulder, the greater tubercle is seen in profile _________ (medially/laterally). | laterally |
For a external rotation shoulder, you should externally rotate the arm until the humeral epicondyles are aligned _______ with the IR. | parallel |
For a internal rotation shoulder, the lesser tubercle is seen in profile ______________ (laterally/medially). | medially |
For a internal rotation shoulder, you shoulder internally rotate the arm until the humeral epicondyles are aligned _______________ to the IR. | perpendicular |
T/F: If a patient has a possible shoulder dislocation, you should ask the patient to perform internal and external views. | False. Do the exam as laying |
T/F: If a patient has a possible fx of the shoulder or proximal humerus, you should do the exam as laying. | True |
A patient's left AP shoulder radiograph shows that the left SC joint is open. What likely occurred? | The patient rolled into an LPO position. |
A patient's right AP shoulder radiograph shows that the right clavicle is projected into the vertebrae. What likely occurred? | The patient rolled into an LPO position. |
A patient's AP shoulder radiograph shows that the scapula is far superior to the mid-clavicle. What likely occurred? | Anterior tilt |
A patients AP shoulder radiographs show that the scapula is far inferior to the mid-clavicle, what likely occurred? | Posterior tilt |
For a Lawrence method shoulder, the lesser tubercle should be seen ________ (anteriorly/posteriorly) on a radiograph. | anteriorly |
The Lawrence method is a good exam for what kind of injury? | Dislocation |
For a Grashey method, the patient should be rotated ________ degrees __________ (toward/away) from/to affected side. | 45 degrees toward affected side |
The Grashey method is used to visualize what? | The opened glenohumeral joint space |
How many borders does the scapula have? | 3 |
The __________ (vertebral/lateral) border is the thickest border of the scapula. | lateral |
For a Y-view shoulder, you notice the lateral border of the scapula is lateral to the vertebral border. Which positioning error occurred? | The patient was not obliqued enough. |
For a Y-view shoulder, you notice the lateral border of the scapula is medial to the vertebral border. Which positioning error occurred? | The patient was obliqued too much. |
For a proper AP Axial Clavicle, a ________ degree cephalic CR angle should be used. | 15-30 |
For a AP Axial clavicle on a thin asthenic patient, a ________ degree cephalic angle is preferred. | 25-30 |
For a AP Axial clavicle on a large hypersthenic patient, a ________ degree cephalic angle is preferred. | 15-20 |
For AC joints with weights, the weights should be held by the patient's __________. | wrists |
T/F: AC joint exams often involve with and without weight images. | True |
For an AP scapula, you should _________ (adduct/abduct) the patient's arm so the back of the hand is against the patients forehead. | abduct (this pulls the scapula out laterally away from the thorax) |
For an AP Y-view scapula, you notice the patient's lateral border of the scapula is lateral to the vertebral border, what likely occurred? | The patient was not obliqued enough. |
For an AP Y-view scapula, you notice the patient's lateral border of the scapula is medial to the vertebral border, what likely occurred? | The patient was obliqued too much. |
T/F: An AP toe should have equal concavity and soft tissue width. | True |
For an AP toe, you notice that the joint spaces are closed, what likely occurred? | You did not use a 10-15 degree cephalic angle, the toes were not fully extended, or you weren't centered to the MTP joint. |
For an AP Foot, a ______ angle should be used. | 10 degree cephalic |
The CR should be centered to the ______ for an AP Foot. | base of the 3rd metatarsal |
For an AP Foot, you should see equal space between the _________ metatarsals. | 2-5 |
A fx to the base of the 5th metatarsal is known as a ___________ fx. | Jones |
For a medial oblique foot, the _____________ should be open and visualized. | tarsal sinus |
For a lateral foot, the foot should be ______________ (plantarflexed/dorsaflexed). | dorsaflexed |
For an axial calcaneus view, the ___________________ joint should be open and visualized. | talocalcaneal |
A radiograph of an axial calcaneus shows the 1st and 2nd metatarsals are medially demonstrated, what occurred? | The patient's leg was internally rotated |
A radiograph of an axial calcaneus shows the 4th and 5th metatarsals are laterally demonstrated, what occurred? | The patients leg was externally rotated |
For an AP ankle, the ____________ (medial/lateral) mortise should be open. | medial |
For an AP ankle, the tibia should superimpose ______ of the distal fibula. | 1/2 |
An AP ankle radiograph shows that the tibia is superimposing more than 1/2 of the fibula, what occurred? | The patient's leg was externally rotated. |
An AP ankle radiograph shows that the tibia is superimposing less than 1/2 of the fibula, what occurred? | The patient's leg was internally rotated. |
A true AP oblique ankle should be rotated _________ degrees. | 45 |
An AP mortise ankle should be rotated _________ degrees. | 15-20 |
On an AP mortise ankle, both the __________ should be open. | medial and lateral mortises |
For an AP lower leg, the tibia should superimpose ___________ of the fibular head proximally, and _________ of the distal fibula. | 1/4, 1/2 |
On an AP lower leg radiograph you notice the fibula head is hidden behind the tibia, what occurred? | The patient's leg was externally rotated. |
On an AP lower leg radiograph you notice there is less of the fibula head that is superimposed by the tibia, what occurred? | The patient's leg was internally rotated. |
On an AP knee radiograph, you notice you can see more of the fibular head, what occurred? | The patient's knee was internally rotated. |
On an AP knee radiograph, you notice you can see the fibular head is superimposed into the tibia, what occurred? | The patient's knee was externally rotated. |
For a tunnel view of the knee, the Camp Coventry requires a _____________ degree knee flexion. | 40-50 degree. Remember - all of the 40-50 year old parents are taking their kids to swim camp. |
For a tunnel view of the knee, the Homblad requires a _____________ degree knee flexion. | 60-70 degree. Remember - at home you like to set the thermostat between 60-70 degrees. |
For all tunnel views of the knee, the CR should be _________ to the angle of the tibia. | perpendicular |
For an AP knee, the patient's ASIS to tabletop measurement is 18cm or less, what angle should be used? | 5 degree caudal |
For an AP knee, the patient's ASIS to tabletop measurement is 19-24cm, what angle should be used? | Perpendicular |
For an AP knee, the patient's ASIS to tabletop measurement is greater than 25cm, what angle should be used? | 5 degree cephalic |
Where is the adductor tubercle located on the knee? | The medial epicondyle. |
On a radiograph of a lateral knee, you notice the adductor tubercle is anterior to the other epicondyle, what occurred? | The patient's knee was externally rotated. |
On a radiograph of a lateral knee, you notice the adductor tubercle is posterior to the other epicondyle, what occurred? | The patient's knee was internally rotated. |
On a radiograph of a lateral knee, you notice that the fibula is completely superimposed over the tibia, what occurred? | The patient's knee was internally rotated. |
On a radiograph of a lateral knee, you notice that the tibial fibular joint is open and the fibular head is free of superimposition from the tibia, what occurred? | The patient's knee was externally rotated. |
___________ is the best projection to demonstrate the articular surfaces of the femoropatellar articulation joint. | Sunrise Knee view |
The sunrise view is a great view for the extent of a ________ fx of the patella. | stellate |
An optimal proximal femur radiograph should demonstrate the greater trochanter to be in profile: | laterally |
On a right proximal femur radiograph you notice that the right iliac wing seems to be open, what occurred? | The patient was laying RPO and not flat |
On a proximal femur radiograph ________ (external/internal) leg rotation causes the lesser trochanter to no longer be superimposed. | external |