Bontragers - ch 4

What process is best visualized in an internal oblique of the elbow.

Select one:
A. Trochlear process
B. Olecranon
C. Coronoid process
D. none of the above

The posterior fat pad is normally visible on an uninjured elbow exam.

Select one:
a. True
b. False

What is another name for the scaphoid bone?

Select one:
A. pisiform
B. hamate
C. navicular
D. lunate

A wrist is routinely exposed as a PA projection.

Select one:
a. True
b. False

When radiographing an oblique of the middle finger the part should be placed in contact with the cassette.

Select one:
a. True
b. False

What ligament attaches to the styloid process of the ulna and fans out to attach to the triquetrum and pisiform?

Select one:
A. ulnar collateral ligament
B. palmar radiocarpal ligament
C. lunotriquetral ligament
D. dorsal radiocarpal ligament

When performing a rotation lateral projection of the humerus the epicondlyes of the elbow are _________________ to the imaging receptor.

Select one:
a. parallel
b. perpendicular

What passes through the carpal sulcus?

Select one:
A. supinator fat pad
B. capitulum
C. median nerve and tendons
D. trochlear sulcus

What does the letter "J" represent on this graphic of the bone of the forearm?

Select one:
A. coronoid process
B. radial styloid process
C. radial tuberosity
D. ulnar notch
E. olecranon process

Match the following on this AP radiograph of the elbow:

Placing the wrist on a 20 degree sponge with ulnar deviation is called the:

Select one:
A. Carpal bridge postion
B. Gaynor Hart position
C. Modified Stecher Method
D. Tangential projection

Which carpal is the smallest?

Select one:
A. trapezium
B. navicular
C. pisiform
D. lunate

What ligament extends from the styloid process of the radius and primarily attaches to the lateral side of the navicular?

Select one:
A. ulnar collateral ligament
B. radial collateral ligament
C. triangular fibrocartilage complex (TFCC)
D. none of the above

What is the total number of bones in the hand and wrist?

Select one:
A. 27
B. 25
C. 26
D. 28

The fan lateral of the hand is more prevalent than a straight lateral.

Select one:
a. True
b. False

Which carpal is moon-shaped?

Select one:
A. lunate
B. hamate
C. pisaform
D. navicular

The digits should be parallel to the Imaging Receptor (IR) when exposing a hand radiograph.

Select one:
a. True
b. False

Does this graphic represent radial or ulnar deviation?
Select one:
a. Ulnar deviation
b. Radial deviation

This lateral radiograph of the elbow is not extended enough.

Select one:
True
False
True False

Which digit has only two phalanges?

Select one:
A. 2nd
B. 1st
C. 4th
D. 3rd
E. 5th

What type of kVp is used for upper limb radiography?

Select one:
A. 50-70 kVp
B. >70 kVp
C. 40-50 kVp
D. <40 kVp

A humerus radiograph may be performed supine or erect.

Select one:
a. True
b. False

When performing film/screen radiography, extremity radiographs should be exposed with detail cassettes.

Select one:
a. True
b. False

What does the letter "N" represent on this lateral radiograph of the elbow?

Select one:
A. Radial neck
B. Trochlear notch
C. Radial tuberosity
D. Radial head
E. Olecranon process

When performing an AP projection of the forearm what is the minimum distance that should be shown on either side of the joint (at the wrist and elbow)?

Select one:
A. 1 - 1 1/2 inches
B. 2 inches
C. 1/2 inches
D. 4 inches

When referring to an oblique of the elbow, lateral rotation and an external oblique could both describe the same thing.

Select one:
a. True
b. False

The Jones method is used when the arm is fully extended.

Select one:
a. True
b. False

Which of the following is typical of a standard projection:

Select one:
A. special projection
B. non-routine projection
C. common projection
D. routine projection

Check the two fat pads associated with the wrist.

Select one or more:
a. pronator
b. supinator
c. scaphoid
d. posterior

A fat pad sign can be used to evaluate soft tissues damage.

Select one:
a. True
b. False

The elbow should be at a 90 degree angle when exposing a lateral forearm.

Select one:
a. True
b. False

Can a sponge be used to support the wrist when performing a lateral x-ray of the wrist?

Select one:
a. Yes
b. No

Should the Gaynor Hart Method be used on a patient that has possible injured wrist?

Select one:
a. No, not unless a fracture has been ruled out first
b. Yes

When performing an AP projection of the humerus the epicondlyes of the elbow are _________________ to the imaging receptor (IR).

Select one:
A. at a 45 degree angle
B. equidistance
C. rotated towards
D. none of the above

What is the degree of obliquity for a properly positioned hand radiograph?

Select one:
A. 45
B. 20
C. 40
D. 50
E. 30

What bone is fractured in this PA radiograph of the wrist?

Select one:
A. there is no fracture; rather it is a growth plate
B. radius
C. ulna
D. navicular

How much is the CR angled for a properly positioned navicular (ulnar deviation) position of the wrist?

Select one:
A. 10-15 degrees distally
B. 10-15 degrees proximally
C. 5-10 degrees distally
D. 5-10 degrees proximally

What position is represented in this radiograph of the wrist?


Select one:
a. radial deviation
b. ulnar deviation

The movement type of the interphalangeal joints is:

Select one:
A. ellipsoidal
B. sellar
C. ginglymus
D. trochoidal

The metacarpals in this image are aligned correctly?

Select one:
True
False
True False

How much flexion should be evident on a true lateral of the elbow?

Select one:
A. there should be no flexion
B. 90 degrees
C. 45 degrees
D. 30 degrees

Generally an upper limb radiograph is done with the patient seated at the side of the x-ray table instead of at the end of the x-ray table.

Select one:
a. True
b. False

The 2nd digit should be rotated medially when performing the PA oblique projection?

Select one:
a. True
b. False

What is the common source-image receptor distance for a hand radiograph.

Select one:
A. 30 inches
B. 40 cm
C. 40 inches
D. 100 cm
E. both c and d are correct

What is the term used for the most distal bones of the hands?

Select one:
A. digits
B. phalanges
C. metacarpals
D. metatarsals

An AP of the elbow with medial rotation will show a separation of the radius and ulna.

Select one:
a. True
b. False

Which direction is the wrist rotated for a PA oblique projection of the wrist?

Select one:
a. medially
b. laterally

The radius should generally not be radiographed in the supinated position (an AP projection).

Select one:
a. True
b. False

The Coyle method can be used when a patient cannot extend the elbow fully for medial or lateral obliques.

Select one:
a. True
b. False

What two bones comprise the forearm?

Select one:
A. ulna and radius
B. ulna and humerus
C. radius and ethmoid
D. radius and capitate

Why would a physician order "Ball-Catcher's Position" the "Norgaard Method" as an order?

Select one:
A. because the patient is a baseball player
B. the ball catcher's hands are normally in that position
C. to diagnose rheumatoid arthritis
D. to diagnose a fracture of the base of the 5th metacarpal
E. both c and d

Which is located more medially the capitulum or the trochlea?

Select one:
a. trochlea
b. capitulum

Which of the following will best demonstrate the navicular?

Select one:
A. neither
B. Radial Deviation
C. Ulnar Deviation

A humerus radiograph may be performed supine or erect.

Select one:
a. True
b. False

Match the following on the PA radiograph of the hand:

Is Radial deviation performed to visualize the carpals on the medial or lateral side of the wrist?

Select one:
A. Lateral
B. Medial
C. Neither

What anatomy comprises the (3) concentric arcs when evaluating a true lateral elbow?

Fat pads of elbow

What process is best visualized in an internal oblique of the elbow?