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Questions and Answers

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
List the three structures that make up the bony thorax?   show
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What is the term for the long,middle aspect of the sternum?   show
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The most distal aspect of the sternum does not ossify until a person is approximately _______ years of age.   show
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show 6 Inches  
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The xiphoid end of the sternum is at the approximate level of the ________ vertebra.   show
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show T4 and T5  
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What is the name of the joint that connects the upper limb to the bony thorax (the only bony connection between the bony thorax and upper limbs?)   show
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show The Costocartilage.  
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What distinguishes a true rib from a false rib?   show
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show They are connected to the sternum via the costocartilage of the seventh rib.  
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show True  
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show False It is called the sternal end.  
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Which aspect of the ribs articulates with the transverse process of the thoracic vertebrae?   show
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List the three structures found within the costal groove of each rib.   show
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show The eighth or ninth.  
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How many posterior ribs are shown above the diaphragm?   show
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What type of movement does the first sternocostal joint have?   show
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show Movable--diarthrodial  
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show Immovable--synarthrodial  
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show Movable--diarthrodial  
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show Movable--diarthrodial  
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What type of joint movement does the sixth through tenth interchondral joints have?(Between anterior sixth through tenth costal cartilage.)   show
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(True/False)It is virtually impossible to visualize the sternum with a direct PA or anteroposterior (AP) projection.   show
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show False (less obliquity)  
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show Approximately 15 degrees.  
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show It blurs lung markings and ribs which improves the visibility of the sternum.  
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What is the primary reason that a source image receptor distance(SID) of less than 40 inches should "NOT" be used for sternum radiography.   show
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show CT or Nuclear Medicine.  
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Identify the perfered positioning factors to demonstrate an injury to the ribs found BELOW the diaphragm:   show
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show ABOVE  
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show Away from  
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show PA and anterior obliques (Placing the area of interest closest to the I.R. is one recomended routine).  
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show AP and RPO (To shift spine away from area of interest).  
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show By taping a small, metallic "BB" over the site of the injury.  
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If the physician suspects a pneumothorax or hemothorax has occured as a result of a rib fracture, which additional radiographic projection(s) should be performed in addition to the routine rib projections?   show
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show Pulmonary injury caused by blunt trauma to two or more ribs.  
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Osteolytic metastases of the ribs produce which of the following radiographic appearances?   show
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show Depressed sternum due to congential defect.  
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show Osteoblastic  
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(True/False)MRI provides a more diagnostic image of rib metastases as compared with a nuclear scan.   show
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show True  
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show RAO  
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show It places the sternum over the heart to provide a uniform background for added visibility of the sternum.  
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Where is the central ray centered for the oblique and lateral projections of the sternum?   show
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show LPO (oblique supine position)  
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show 60 to 72 Inches.  
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Why is the recommended SID for a lateral projection of the sternum 60 to 72 inches?   show
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show The entire sternum should lie over heart shadow and be adjacent to the spinal column.  
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Where is the Central Ray centered for a PA projection of the sternoclavicular joints?   show
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show Suspend respiration on inspiration.  
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show 15 Degrees  
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show LAO Left Anterior Oblique  
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show A.The nature of the trauma or patient complaintB. The location of the rib pain or injuryC.Wether or not the patient has been coughing up blood.  
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show 3 to 4 inches below the jugular notch, the level of T7.  
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show RAO or LPO elongates the left axillary ribs, and shifts the spine away from the injury site.  
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How many degrees of rotation are needed for a routine oblique projection of the ribs.   show
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show The 1 to 5 mrad range.  
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(True/False) The thyroid dose for an anterior oblique rib projection is only about 5 percent of what it would be for a posterior oblique rib projection.   show
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show True  
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show True  
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show Underrotation of the patient.  
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show Lower the kilovoltage to 65 for higher contrast and to prevent overrotation of the sternum.  
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