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Positioning Review
Chest, Ribs, and Sternum
| Question | Answer |
|---|---|
| Which of the following forms the Bony Thorax? | Sternum,12 pairs of ribs, 12 thoracic vertebrae |
| The ribs lie in an oblique plane in the thorax. How are the anterior ends situated in comparison to the posterior ends? | 3 to 5 inches lower |
| The space between each of the rib is called the_______. | intercostal spaces |
| Which joints articulate with the vertebra? | costovertebral, costotransverse |
| For which type of body habitus will the diaphragm be at the highest level in the body? | hypersthenic |
| For which type of body habitus will the diaphragm be at the lowest position in the body? | hyposthenic |
| What is the distance of movement of the diaphragm between deep inspiration and deep expiration? | 1 1/2 inches |
| The total movement of the diaphragm will be less for which type of the body habitus? | hypersthenic |
| Which of the following is the reccommended breathing technique that should be used when examining the ribs that lie at the level of the diaphragm? | two deep expiration (or inspiration) and hold |
| Which of the following is the essential projection and body position for demonstration of the sternum? | PA oblique, RAO |
| Which projection and body position will demonstrate the sternum through the heart? | PA oblique, RAO |
| Which of the following projection would be used to demonstrate the sternum on a trauma pt who must remain relatively supine? | AP projection, LPO |
| How much should the body be rotated fora PA oblique projection of the sternum? | 15-20 degrees |
| Where is the IR centered for the PA oblique sternum? | seventh thoracic vertebra |
| Which breathing techniques can be used when performing an oblique projection of the sternum? | expiration and slow shallow breathing |
| The central ray angle for the PA oblique projection of the sternum is________. | perpendicular |
| Which SID is recommended for the lateral projection of the sternum for management of magnification? | 72inches |
| Where should the pt's hands be positioned for an upright lateral sternum? | locked behind the back |
| What is the respiration phase for a lateral projection of the sternum? | deep inspiration |
| The central ray angle for a lateral sternum is_______. | perpendicular |
| Where is the center of the IR positioned for a PA projection of sternoclavicular joints? | 3rd thoracic vertebra |
| How is the head positioned for a PA projection of both sternoclavicular articulations? | with the midsagittal plane vertical |
| How is the pt's head positioned for a PA projection of one sternoclavicular joint? | turn the head to face the affected |
| The phase of respiration for a PA projection of the sternoclavicular joints is_______. | expiration |
| The central ray angulation for a PA projection of the sternoclavicular joint is________. | 0 degrees |
| How much is the body rotated for the PA oblique projection of the sternoclavicular articulation (body rotation technique) is____________. | 10 to 15 degrees |
| The central ray angulation forthe PA oblique projection of the sternoclavicular articulation (body rotation technique) is___________. | perpendicular |
| When performing the PA oblique projection (body rotation techn) of the SC articulations, which of the joints would be demonstrated? | the joint closest to the IR |
| Which of the following body positions will project the left ribs clear of the heart? | LAO & RPO |
| Which of the following is the reccommended position for optimal demonstration of the upper anterior ribs? | Standing & seated upright |
| How far is the top of the 35 x 43cm IR placed above the upper border of the shoulder for projections of the ribs? | 1 1/2 inches |
| How are the hands placed for a PA projection of the ribs so that the scapulae are rotated away from the rib cage? | back of the hands against the hips |
| What is the respiration phase for the PA projection of the upper ribs? | full inspiration |
| The central ray for a PA projection of the upper ribs is ________. | 0 degrees |
| What is the respiration phase for the AP projection of the ribs below the diaphragm? | full expiration |
| Where is the bottom o the IR positioned for an AP projection of the ribs (below the diaphragm)? | at the iliac crest |
| How much is the body rotated for an AP or PA axillary projection of the ribs? | 45 degrees |
| Which ribs are demonstrated on an AP oblique projection? | side closest to the IR |
| The sternum is how long? | 6 inches |
| The easy palpable superior border of the manubrium is called the_______. | jugular notch |
| How many ribs attach directly to the sternum? | 7 |
| The costal cartilage of the 8th through 10th ribs attach to________. | the costal cartilage of the 7th rib |
| Which ribs are called the true ribs? | 1 to 7 |
| Which ribs are called the false ribs? | 8 to 12 |
| Which ribs are attached to the vertebrae only? | 11 and 12 |
| The 12 costovertebral joints of the ribs are_______. | synovial-gliding |
| The 10 costochondral joints of the ribs are_______. | Cartilaginous-synchondroses |
| What degree of the xray tube angulation is required to demonstrate the sternum on a pt whose thorax measures 30cm? | 12 degrees |
| What degree of xray tube angulation is required to demonstrate the sternum on a pt whose thorax measures 15cm? | 22 degrees |
| What is the reccommended SID necessary to blur the posterior ribs on a PA oblique projection of the sternum? | 30 inches |
| How is the IR positioned for a lateral sternum? | top of the IR is 1 1/2 inches above the jugular notch |
| To obtain a more uniform density, the respiration phase for the PA oblique projection of the SC joints is_______. | expiration |
| Where is the top of the IR positioned for an AP oblique projection of the lower ribs? | 35 x 43cm crosswise |