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positioning review
bontrager chapters 1-3
| Question | Answer |
|---|---|
| What is the back half of the patient called? | Posterior |
| What is the front half of the patient called? | Anterior |
| What is the posterior aspect of the foot called? | Plantar |
| What is the anterior surface of the hand called? | Palmar |
| What does it mean to be in an upright position? | Erect |
| What is the placement of a body part referred to as? | Position |
| What is the path of the central ray called? | Projection |
| What does proximal mean? | Near the point of attachment to the trunk |
| What divides the body into equal right and left sides? | Midsagittal plane |
| What position is lying face down? | Ventral recumbent position |
| What position is lying on the back, facing upward? | Supine position |
| What is the space between the parietal and visceral peritoneum called? | Peritoneal cavity |
| What does recumbent mean? | Lying down in any position |
| What is the top or anterior surface of the foot called? | Dorsum pedis |
| What does caudad mean? | Away from the head |
| What is the degree of blackness or darkness controlled by mAs? | Density |
| What is the anatomical position? | Standing erect, facing forward with arms to the side with palms out |
| What is the oblique position? | The patient is placed at an angle to the x-ray beam |
| What is the Trendelenburg position? | Lying on back with body tilted so that the head is lower than the feet |
| What does the transverse plane do? | Divides the body into superior and inferior parts |
| What is the coronal or frontal plane? | Vertical division of the body into anterior and posterior portions |
| What happens to the diaphragm during inspiration? | It contracts, flattening and pulling air into the lungs |
| What happens to the diaphragm during expiration? | It relaxes, returning to an upward 'C' shape, forcing air out of the lungs |
| What structures are found in the right upper quadrant? | Liver, gallbladder, right hepatic flexure, duodenum, head of pancreas, right kidney, right suprarenal gland |
| What structures are found in the right lower quadrant? | Ascending colon, appendix, cecum, 2/3 of ileum, ileocecal valve |
| What structures are found in the left upper quadrant? | Spleen, stomach, left splenic flexure, tail of pancreas, left kidney, left suprarenal gland |
| What structures are found in the left lower quadrant? | Descending colon, sigmoid colon, 2/3 of jejunum |
| What position demonstrates the anterior and posterior aspects of the stomach on the same image? | Lateral position |
| What positions demonstrate the duodenal loop? | PA and RAO, AP and LPO |
| What positions demonstrate the fundus of the stomach? | AP and LPO |
| What instructions are given to the patient following a barium sulfate contrast examination? | Increase fluid and fiber intake, changes in stool color will occur, contact a physician if there is no bowel movement within 24 hours |
| What is required for a patient to drink in order to demonstrate the esophagus and pylorus of the stomach? | Barium sulfate suspension |
| What are the patient preparation instructions for an upper gastrointestinal (GI) examination? | NPO 8 hours before the examination |
| What examinations require a restriction of the patient's diet? | GI series and pyelogram |
| What parenteral route is usually used for the administration of contrast agents for radiographic purposes? | Intravenous |
| What type of drug should be given to a patient who develops hives after injection of an iodinated contrast agent? | Antihistamine |
| What is a normal blood urea nitrogen (BUN) range? | 8 to 25 mg/100 mL |
| What are synovial joints? | Freely movable joints that contain a fluid-filled joint capsule |
| What is an example of a ginglymus (hinge) joint? | Elbow joint, interphalangeal joints |
| What is an example of a plane (gliding) joint? | Intercarpal joints, intermetacarpal joints |
| What is an example of a trochoid (pivot) joint? | Proximal and distal radioulnar joints, C1-2 joint |
| What is an example of an ellipsoid (condyloid) joint? | 1st-5th metacarpophalangeal joints, wrist joint |
| What is an example of a sellar (saddle) joint? | 1st carpometacarpal joint at thumb, ankle joint |
| What is an example of a spheroidal (ball and socket) joint? | Shoulder, hip |
| What is an example of a bicondylar joint? | Knee, temporomandibular joint |
| What primarily affects radiographic contrast in the digital image? | Application of processing algorithms |
| What are the structures of the mediastinum from anterior to posterior? | Apex of heart, trachea, esophagus |
| What are the four major structures in the mediastinum? | Thymus gland, heart and great vessels, trachea, esophagus |
| What are the structures of the colon labeled in an x-ray with barium and air swallow? | Appendix, cecum, ascending colon, right hepatic flexure, transverse colon, left splenic flexure, descending colon, sigmoid colon, rectum |
| What are the structures labeled in an IVU x-ray? | Minor calyx, major calyx, renal pelvis, pelviureteric junction, right ureter, pelviureteric brim, vesico ureteric junction, left kidney, left ureter, urinary bladder |
| What are the four basic types of tissue in the human body? | Epithelial, connective, muscular, nervous |
| How many separate bones are found in the adult human body? | 206 |
| Which system distributes oxygen taken in by the lungs to where it is needed in the body? | Circulatory system |
| Which system maintains the acid fluid base balance of the body? | Urinary system |
| Which system is the largest organ system in the human body? | Integumentary system |
| What are the two divisions of the human skeleton? | Axial and appendicular |
| How many bones are in the axial skeleton? | 80 |
| How many bones are in the appendicular skeleton? | 126 |
| Which portion of the long bones is responsible for the production of red blood cells? | The spongy or cancellous portion in the medullary aspect |
| Which part of long bone is responsible for bone growth, repair, and nutrition? | Periosteum |
| What is the primary growth center for long bones? | Diaphysis (body) |
| What is the secondary growth center for long bones? | Epiphysis |
| What are the three functional classifications of joints? | Synarthrosis, amphiarthrosis, diathrosis |
| What are the three structural classifications of joints? | Fibrous, cartilaginous, synovial |
| What are examples of fibrous joints? | Roots of teeth, skull sutures |
| What are examples of cartilaginous joints? | Epiphyses, intervertebral disc space, symphysis pubis |
| What position demonstrates the apices of lungs without superimposition of clavicles? | Lordotic position |
| How many projections are required when joints are in the prime interest area? | Three |
| What are the minimum two projections needed for every radiographic exam? | When anatomic structures are superimposed, localization of lesions or foreign bodies, determination of alignment of fractures |
| How many projections do long bones require? | Two |
| How many projections are necessary for the foot? | Three |
| How many projections are necessary for the chest? | Two |
| How many projections do knees require? | Two |
| What percentage of patients does the sthenic body habitus make up? | 35% |
| What percentage of patients does the hyposthenic body habitus make up? | 10% |
| What percentage of patients does the asthenic body habitus make up? | 5% |
| What percentage of patients does the hypersthenic body habitus make up? | 11% |
| What type of tissue covers the ends of long bones? | Hyaline and articular cartilage |
| What is the narrow space between the inner and outer table of flat bones in the cranium called? | Diploë |
| What is the primary center for endochondral ossification in long bones? | Epiphyses |
| What are the secondary growth centers of endochondral ossification found in long bones called? | Metaphysis |
| Where does bone growth in length occur in long bones? | At the epiphyseal plate |
| What are some examples of flat bones? | Sternum, scapulae, calvarium |
| What are some examples of long bones? | Femur, fibula, tibia, radius, ulna, humerus |
| What are some examples of short bones? | Carpals, tarsals |
| What are some examples of irregular bones? | Pelvic bones, sacrum, vertebrae |
| What does circumduction mean? | To move around in the form of a circle |
| What does contralateral mean? | On the opposite side of the body |
| What is abduction? | Movement of an extremity away from the midline |
| What is Fowler's position? | Head higher than feet position |
| What does LAO refer to? | Left Anterior Oblique position |
| What position is performed when a patient is recumbent facing down with the left side turned 30 degrees toward the image receptor? | LAO position |
| What position is performed when the x-ray tube is directed horizontally entering the left side and exiting the right side? | RPO position |
| What is the name of the projection in which the CR merely skims a body part? | Tangential projection |
| What is the primary controlling factor for radiographic contrast? | kVp |
| What techniques can reduce scatter radiation striking the IR? | Collimation, lower kVp, grids |
| What best controls involuntary cardiac motion artifact? | Shortening the exposure time |
| What is the term for the misrepresentation of an object's size or shape on a radiograph? | Distortion |
| What controls the contrast of a digital image? | Window width |
| What is the common name for the sternum? | Breast bone |
| What is the common name for the thyroid cartilage of the larynx? | Adam's apple |
| What is the common name for the larynx? | Voice box |
| What is the 7th cervical vertebra also known as? | Vertebra prominens |
| Where does the trachea bifurcate? | At the carina to form the right and left bronchi |
| What is the area of each lung where the bronchi and blood vessels enter and leave called? | Hilum |
| What are the structures within the lung where gas exchange occurs called? | Alveoli |
| What is the condition called when blood fills the potential space between the layers? | Hemothorax |
| What is the extreme, outermost lower corner of each lung called? | Costophrenic angle |
| What body habitus is characterized by a narrow thorax that is shallow from front to back but long in vertical dimension? | Asthenic |
| What is the name of the specialized immobilization device used for pediatric chest studies? | Pigg-O-Stat |
| What is the best kV and SID level for adult chest radiography? | 125 kV, 72-inch SID |
| What kV is recommended for a chest study for a young pediatric patient? | 70-85 kV |
| Why are the shoulders pressed downward and toward the IR for a PA projection of the chest? | To reduce chest rotation |
| Why are the shoulders rolled forward for a PA projection of the chest? | To remove scapulae from lung fields |
| Where is the CR placed for an AP supine projection of the chest? | 3 to 4 inches below the jugular notch |
| What term is defined as shortness of breath? | Dyspnea |
| What is the condition called when all or a portion of the lung is collapsed? | Atelectasis |
| What is the condition called when excess fluid builds in the lungs due to obstruction of the pulmonary circulation? | Pulmonary edema |
| What is a sudden blockage of an artery in the lung called? | Pulmonary emboli |
| What should be done to manual exposure factors for a patient with a large pneumothorax? | Be reduced |
| What specific positioning error occurs if a PA chest radiography reveals that the left sternoclavicular joint is superimposed over the spine? | Rotation into a LAO position |
| What should be performed if a radiograph of an AP lordotic projection reveals the clavicles projected within the apices? | Perform an AP semiaxial projection |
| What specific position or projection can be performed to confirm the presence of pneumothorax in a patient unable to stand or sit erect? | Left lateral decubitus |
| What is indicated if a PA lateral chest study reveals a suspicious mass located near the heart in the right lung? | 60º LAO |
| What does a PA lateral chest study reveal? | A suspicious mass located near the heart in the right lung. |
| Which position should be used to delineate a mass from the heart? | Anterior oblique position. |
| What projection should be used for a patient with pulmonary edema suspected of having fluid in the left lung? | Left lateral decubitus. |
| What is the double-walled membrane lining the abdominal cavity called? | Peritoneum. |
| What is the first portion of the small intestine? | Duodenum. |
| What is located at the junction of the small and large intestine? | Ileocecal valve. |
| What are the accessory organs of the digestive system? | Liver, gallbladder, pancreas. |
| Which structure stores and releases bile? | Gallbladder. |
| Which structure connects the small intestine to the posterior abdominal wall? | Mesentery. |
| Which region of the abdomen contains the spleen? | Left hypochondriac. |
| What are the three peritoneum compartments? | Intraperitoneum, retroperitoneum, infraperitoneum. |
| What structures are in the intraperitoneal space? | Cecum, jejunum, liver, gallbladder. |
| What structures are in the retroperitoneal space? | Ascending colon, adrenal gland, duodenum, pancreas. |
| What structures are in the infraperitoneal space? | Ovaries, urinary bladder. |
| At which vertebral level does the xiphoid process correspond? | T9-T10. |
| What is the iliac crest of the ilium corresponding to? | L4-L5 vertebral interspace. |
| At what level is the pubic symphysis located? | Same level as the greater trochanter of the femur. |
| What level does the thyroid cartilage of the larynx correspond to? | C5. |
| What level does the jugular notch correspond to? | T2-3. |
| At what level is the sternal angle of the sternum located? | T4-T5. |
| At what level is the inferior angle of the scapula located? | T7. |
| What is the central ray centered to for a supine AP projection of the abdomen? | Iliac crest. |
| What is the kVp range for chest radiography? | 110-125. |
| What is the kVp range for abdomen radiography? | 70-80. |
| What is the kVp for foot radiography? | 55 kVp. |
| What breathing instructions should be followed for abdomen radiography? | End of expiration to avoid compression of organs. |
| What breathing instructions should be followed for chest radiography? | Second full inspiration. |
| What is the term for the twisting of the bowel on itself, causing obstruction? | Volvulus. |
| What is the chronic disease involving inflammation of the large intestine? | Ulcerative colitis. |
| What is free air or gas in the peritoneal cavity called? | Pneumoperitoneum. |
| What condition is demonstrated radiographically as distended, air-filled loops of the small bowel? | Ileus. |
| What is the appearance of distended loops of air-filled small intestine in Crohn's disease? | Air-filled 'coiled spring' appearance. |
| What imaging modality provides the quickest method for confirming the presence of gallstones? | Sonography. |
| Which imaging modality is most effectively used to evaluate GI motility and reflux? | Nuclear Medicine. |