Radiography Positioning Final Exam
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| Partial displacement of a bone from the joint | Subluxation
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| Best demonstrates a right lung pneumothorax on a patient who cannot stand | Left lateral decubitus chest
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| CR skims a body surface | Tangential
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| Exams that use a non-ionic iodinated contrast | ERCP, Arthrogram, Cholangiogram
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| Location of BaSO4 in the RAO stomach | Body and pylorus
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| IR placement for the Danelius Miller Hip | Parallel to the femoral neck
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| Divides the body into anterior and posterior sections | Coronal plane
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| Describe the male pelvis | Heavier, deeper, more narrow, pelvic inlet more oval/heart shaped, pubic arch <90
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| Bones between the phalanges and the carpals | Metacarpals
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| Path of the beam | Projection
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| Head lower than the feet | Trendelenburg
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| Posterior BE obliques best demonstrate | Upside flexures
RPO-left colic LPO-right colic
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| Joint between the proximal and distal phalanx of the thumb | Interphalangeal joint
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| Routine calcaneus | Plantodorsal axial and lateral
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| Fracture of the distal radius with posterior displacement | Colle's
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| Best demonstrates the scaphoid | Ulnar deviation
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| TRUE or FALSE: The head of the ulna is proximal | False
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| Hand position for an AP forearm | Supinated
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| Study to evaluate the biliary and pancreatic ducts | ERCP
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| Study that demonstrates the menisci, bursae and ligaments of a joint after the injection of positive and/or negative contrast | Arthrography
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| Location of the stomach in the hyposthenic patient | elongated and J-shaped
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| A patient with fluid in the left lung who cannot stand would require a... | Lt lateral decubitus chest
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| Reason to roll shoulders forward on a CXR | To remove scapula from the lung field
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| What does the head of the radius articulate with | Capitulum
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| CR for Camp Coventry method | Perpendicular to lower leg
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| Functional study of the anus and rectum | DP
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| Phases observed during fluoro on the DP | Evacuation (straining) and resting phases
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| What is the CR placed parallel to for the AP and OBL knees | Tibial plateau
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| Best demonstrated on an AP internal rotation shoulder | Lesser tubercle in profile medially
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| CR for the Decubitus Abdomen | 2" above the iliac crest to include the diaphragm
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| What is COPD | Chronic Obstructive Pulmonary Disease
Includes Chronic Bronchitis and Emphysema
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| What hand position would best demonstrate a foreign body | Extension lateral
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| Angle toward the head | Cephalic or Cephalad
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| Prep for an UGI, adult, child and infant | NPO after midnight, 6 hours, 4 hours
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| Where the ilium, ischium, and pubis fuse | Acetabulum
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| CR for AP toes | 10-15 degrees toward the heel and to the MTP
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| Routine for an ACBE | Bilat Decubs, sigmoid, xtl rectum, obl's, AP or PA,
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| Breathing instructions for a routine chest | Second full inspiration
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| kVp for an ACBE | 90
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| Why is a chest x-ray performed erect | drop diaphragm, reduce magnification of the heart, demonstrate air/fluid levels
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| Pathologies visualized on a BE | Colon Ca, polyps, diverticula, volvulus, intussusception, colitis
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| Best demonstrates the base of the 5th metatarsal | Medial Obl Foot
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| Divides the body into equal right and left halves | Mid-sagittal plane
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| The tunnel projection demonstrates | The intercondylar fossa
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| What separates the true and the false pelvis | Pelvic Brim or Superior Aperture
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| Explain Jones method elbow trauma views | Elbow is flexed more than 90 degrees, take one image centered to elbow joint and perpendicular to forearm, one to humerus
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| What will provide uniform density on images of long bones like the femur | Anode heel
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| Position of the foot for AP hip/pelvis | Inverted 15 degrees
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| Done post GB sx, to rule out residual stones | T-Tube cholangiogram
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| Rule for angling the tube for AP/Obl knees | <19 cm, 3-5 caudad, 19-24 cm perpendicular beam, >24 cm 3-5 cephalad
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| ERCP Indications | Biliary stones, stenosis, tumors
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| Bones that make up the ankle joint | Talus, tibia and fibula
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| Routine chest positions/projections | PA/Lat
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| Best demonstrated on elbow obliques | Med Obl-coronoid process, Lat Obl-radial head and neck
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| Location of Barium on an AP Stomach | Fundus
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| Proper position of a lateral elbow | Humerus and forearm in same plane, epicondyles superimposed, thumb up, 90 degrees
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| Additive disease processes | Ascites, pulmonary effusion, lung cancer, TB, Atelectasis
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| The esophagus is located | Anterior to the spine and posterior to the trachea
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| What is anatomic position | Erect with hands and palms facing forward
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| Position with the patients left side against the IR, beam enters the right side of the body | LT lateral
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| Position of the thumb on a PA Hand | Med Obl
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| CR for the PA Chest | MSP and level of T-7
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| SID for Chest radiography | 72"
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| Demonstrates free air in the abdomen | Upright, LT Lat Decubitus, (dorsal or ventral decub), PA Chest
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| Where will an aspirated foreign body most likely lodge | Right main stem bronchus
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| Structures located in the LUQ | Stomach, spleen, Lt colic flexure, Tail of pancreas, left kidney
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| Joints that have a capsule | Synovial
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| Three parts of the small intestine | Duodenum, Jejunum, and Ileum
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| Direction of the enema tip when placing | Anteriorly, toward the umbilicus
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| Bone of the lower leg that bears the weight of the body | Tibia
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| CR for lateral knee is directed | 5-7 degrees cephalad, 1" distal to the medial epicondyle
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| Transthoracic lateral best demonstrates | Lateral of the proximal humerus
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| Routine Single BE | Scout, AP/PA, both Anterior or Posterior OBL's, Sigmoid, Lat Rectum, Post-Evac
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| Fluoro room set up includes | Position monitor, bucky to end of table, overhead tube to side, pedal available, timer reset, kVp set
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| Routine finger images | PA, (thumb AP) OBL (med 1,2 lat 3,4,5) and Lat (med 1,2 lat 3,4,5)
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| Define involuntary motion | Patient cannot control. Requires short exposure time and high mA, -heartbeat, muscle spasm
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| Makes up the shoulder joint | Glenoid fossa, head of the humerus
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| Tube inserted to keep a duct open during an ERCP | Stent placement
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| Routine hip positions/projections | AP Pelvis, Frog Lateral Hip
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| CR for a KUB | MSP and level of the Iliac crest
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| Shape of the thorax for the hypersthenic patient | broad and deep from front to back
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| Explain the timing sequence for the SBS | Timing begins when the patient ingests the first cup of barium. Images taken every 15 minutes for the first hour, 30 after that
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| Before imaging a patient the tech must | Identify the patient, get LMP, verify order with req, remove opaque items from area of interest, get hx, explain procedure
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| Routine for a clavicle | AP and AP Axial centered to mid-clavicle and collimated to the clavicle
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| Position in which the patient is supine with the left side elevate and the right side in contact with the table | RPO
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| Routine positions/projections of the thumb | AP, med obl, lat
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| Determines a good inspiratory chest | 10 posterior ribs above the diaphragm
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| What should you do if the patient cannot extend their arm for an AP elbow | 2 in partial flexion centered to the elbow joint, 1 with the forearm in contact with the IR, 1 with the humerus in contact
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| What must the patient complete prior to the BE | A cathartic bowel prep
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| CR Location for a PA hand | 3rd MCP joint
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| Routine femur positions/projections | AP and Lateral, Proximal and Distal
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| Degree of rotation for oblique knees | 45 degrees
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| Study that requires patient to ingest Ba, PA images taken at 15 minute intervals until it reaches the TI | SBS
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| What must be included on the KUB | Symphysis pubis
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| What must be included on the upright abdomen | Diaphragm
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| Distal portion of the tibia | Medial malleolus
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| Common GB abnormality | Cholelithiasis
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| Demonstrated with a 15-20 medial rotation of the ankle | Mortise joint
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| Common location for ulcers | Stomach and duodenum
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| CR for a lateral scapula | Mid-medial (vertebral) border
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| Decreasing the angle of a joint | Flexion
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| The flat superior surfaces of the proximal tibia | Tibial plateaus
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| CR for AP shoulder projections | 1" inferior to the coracoid process
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| Position/projection that best demonstrates the Esophagus | RAO
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| Chest position/projection that will best demonstrate a pneumothorax | Expiration
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| How are AC joints performed | Bilateral, with and without weights at 72" SID
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| Method of demonstrating a tangential patella with the patient prone | Settegast, Hughston
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| Indications for an UGI | GERD, gastritis, nausea, vomiting, ulcer
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| Most superior portion of the large intestine | LT Colic flexure
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| Term describing nearness to a source | Proximal
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| Rotation is seen on a chest x-ray as | Ribs that are not superimposed, Clavicles are not equal distance from the sternum
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| Rounded bump on the anterior, proximal tibia | Tibial tuberosity
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| CR on the AP Foot | 10 toward the heel, to the base of the 3rd metatarsal
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| Demonstrates the lungs free of clavicular superimposition | Apical Lordotic Chest
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| Rule for alignment of fractures | 2 views, 90 degrees apart
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| Position of the epicondyles on a lateral humerus | Perpendicular to the IR
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| The asthenic body habitus is | The smallest body type, may be emaciated
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| Bony landmarks used to locate the femoral head and neck | ASIS and symphysis pubis
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| Name the proximal and distal row of carpals | Proximal-Scaphoid, Lunate, Triquetrum, Pisiform
Distal-Trapezium, Trapezoid, Capitate, Hamate
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| Toward the midline or center | Medial
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| Anatomy that is not visible on a properly positioned AP Hip or Pelvis | Lesser Trochanters
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| Radiation protection includes | Shielding, asking and documenting LMP, ruling out pregnancy
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| Position/projection that will best demonstrate a shoulder dislocation | Scapular Y
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| What must be ruled out prior to performing AC joints | Shoulder fx
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| Term for flexing the foot back toward the ankle | Dorsiflexion
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