Ch. 4 HAND ExamReview questions (Procedures)

b. trochlear notch.

The area identified on the bone in the figure above is the: a. radial notch. b. trochlear notch. c. coronoid process. d. olecranon process.

c. 3 only

The arm is made up of which of the following bones? 1. Ulna 2. Radius 3. Humerus a. 1 only b. 2 only c. 3 only d. 1, 2, and 3

c. radial head.

The aspect of bone identified in the figure above is the: a. trochlea. b. capitulum. c. radial head. d. olecranon process.

d. humerus.

The bone identified in the figure above is the: a. radius. b. tibia. c. ulna. d. humerus.

b. radius.

The bone identified in the figure above is the: a. ulna. b. radius. c. fibula. d. humerus.

a. ulna.

The bone identified in the figure above is the: a. ulna. b. radius. c. tibia. d. humerus.

a. ulna

The bone or bone part identified in the figure above is the: a. ulna. b. radius. c. humerus. d. olecranon process.

c. coronoid process.

The bone part identified in the figure above is the: a. radial notch. b. trochlear notch. c. coronoid process. d. olecranon process.

d. olecranon process.

The bone part identified in the figure above is the: a. trochlea. b. capitulum. c. radial head. d. olecranon process.

b. proximal ulna.

The bone part shown in the figure above is the: a. distal ulna. b. proximal ulna. c. distal radius. d. proximal radius.

a. radial head.

The capitulum of the humerus articulates with the: a. radial head. b. trochlea. c. lateral epicondyle. d. ulnar coronoid process.

a. 1 only

The carpal bones articulate with the: 1. radius. 2. ulna. 3. phalanges. a. 1 only b. 2 only c. 3 only d. 1, 2, and 3

c. midcarpal area.

The central ray for a PA projection of the wrist is directed to the: a. radiocarpal joint. b. scaphoid. c. midcarpal area. d. third CMC joint.

a. 0

The central-ray angle for a PA oblique projection of the wrist is _____ degrees. a. 0 b. 5 c. 12 d. 0 to 5

a. 0

The central-ray angulation for the PA axial projection of the wrist (Stecher method) is _____ degrees. a. 0 b. 5 c. 8 d. 10

a. 0

The central-ray angulation for the PA projection of the hand is _____ degrees. a. 0 b. 5 c. 7 d. 5 to 7

c. 25 to 30

The central-ray angulation for the tangential projection (inferosuperior) of demonstrating the carpal canal is _____ degrees. a. 25 b. 30 c. 25 to 30 d. 35 to 45

d. scaphoid.

The first bone located on the proximal row and lateral side of the wrist is called the: a. trapezoid. b. trapezium. c. lunate. d. scaphoid.

a. 1 and 2

The forearm consists of which of the following bones? 1. Ulna 2. Radius 3. Humerus a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

a. proximal IP

The anatomy labeled as letter D in the figure above is the _____ joint. a. proximal IP b. distal IP c. metacarpophalangeal d. carpometacarpal

b. Two

How many phalanges are there in the thumb? a. One b. Two c. Three d. Four

c. 20

If the IR and wrist are placed flat on the table for the PA axial projection of the wrist (Stecher method), the central ray must be angled _____ degrees. a. 5 b. 10 c. 20 d. 15 to 20

b. F.

In the figure above, the hamate is labeled as letter: a. D. b. F. c. G. d. H.

b. distal; second

Letter B in the figure above labels the _____ phalanx of the _____ digit. a. distal; first b. distal; second c. proximal; first d. first; second

c. fifth metacarpal.

Letter D in the figure above labels the: a. first metacarpal. b. proximal phalanx of the fifth digit. c. fifth metacarpal. d. proximal phalanx of the first digit.

b. ulna.

Letter E in the figure above labels the: a. pisiform. b. ulna. c. radius. d. scaphoid.

a. radial styloid.

Letter J in the figure above labels the: a. radial styloid. b. ulnar styloid. c. humeral styloid. d. radial head.

c. fat pads.

Soft tissue radiographs of the elbow in the lateral position are often ordered to demonstrate: a. veins. b. nerves. c. fat pads. d. fractures.

d. 20 degrees

The IR must be elevated how many degrees for the PA axial projection of the wrist (Stecher method)? a. 5 degrees b. 10 degrees c. 15 degrees d. 20 degrees

c. scaphoid.

The PA axial projection of the wrist (Stecher method) clearly demonstrates the: a. lunate. b. capitate. c. scaphoid. d. distal row of carpal bones.

d. 45

The PA oblique projection of the wrist in lateral rotation requires a wrist angulation of _____degrees. a. 25 b. 30 c. 40 d. 45

What anatomy is labeled as number 2 in the image below? a. Lunate b. Pisiform c. Hamate d. Capitate

c. Hamate

d. scaphoid.

The PA projection of the wrist in ulnar deviation clearly demonstrates the: a. trapezium. b. trapezoid. c. hamate. d. scaphoid.

c. 27

1. The hand consists of how many bones? a. 8 b. 14 c. 27 d. 32

b. first

At the lateral (thumb) side of the hand, the digit is called the _____ digit. a. lateral b. first c. medial d. fifth

a. 14

How many phalanges are there in the hand? a. 14 b. 27 c. 30 d. 32

b. Placement of the carpal bones closer to the IR

Flexing the fingers for a PA projection of the wrist causes which of the following? a. Placement of the carpal bones farther from the IR b. Placement of the carpal bones closer to the IR c. Less pain for the patient when the wrist is broken d. Greater resolution of the carpal interspaces

b. prone

For a PA oblique projection of the first digit (thumb), the hand is placed in the _____ position. a. supine b. prone c. medial rotation d. lateral rotation

b. third MCP

For a PA projection of the hand, the central ray is directed to the _____ joint. a. second MCP b. third MCP c. fourth MCP d. third PIP

b. proximal interphalangeal

For a PA projection of the second digit, the central ray is directed to the _____ joint. a. distal interphalangeal b. proximal interphalangeal c. metacarpophalangeal d. carpometacarpal

a. second digit MCP joint.

For a lateral projection of the hand, the central ray is directed to the: a. second digit MCP joint. b. PIP joint. c. distal PIP joint. d. midmetacarpal area.

a. 0 degrees.

For a lateral projection of the second through fifth digits, the central ray is directed: a. 0 degrees. b. 5 degrees caudad. c. 5 degrees cephalad. d. 2 to 5 degrees cephalad.

d. 90

For a lateral projection of the wrist, the elbow must be flexed _____ degrees. a. 0 b. 25 c. 45 d. 90

b. 45-degree foam wedge

For exact positioning of the PA oblique wrist, and to ensure duplication in follow-up examinations, which of the following is required? a. 30-degree foam wedge b. 45-degree foam wedge c. 2-inch block d. 3-inch block

d. 10 to 15 degrees

For the AP projection of the thumb, Lewis suggests angling the central ray toward the wrist to demonstrate the first metacarpal free of the sesamoids and of the soft tissue of the palm. What is the suggested central-ray angle? a. 10 degrees b. 15 degrees c. 5 to 10 degrees d. 10 to 15 degrees

a. 0

For the PA projection of the wrist in ulnar deviation, the central ray is angled _____ degrees. a. 0 b. 5 c. 7 d. 5 to 7

b. scaphoid.

For the PA projection of the wrist in ulnar deviation, the central ray is directed to the: a. pisiform. b. scaphoid. c. radiocarpal joint. d. midcarpal area.

c. 45

How many degrees is the hand rotated for a PA oblique projection of the digit? a. 25 b. 40 c. 45 d. 40 to 45

b. with the fingers extended and parallel with the IR.

The hand in the figure above was positioned: a. with the fingers flexed and resting on the IR. b. with the fingers extended and parallel with the IR. c. in radial deviation. d. supinated.

d. radial notch.

The head of the radius articulates on the medial side with the: a. coronoid process. b. trochlear notch. c. ulnar styloid process. d. radial notch.

d. PA; lateral

The most common oblique projection of the second through fifth digits is _____ with _____ rotation. a. AP; medial b. AP; lateral c. PA; medial d. PA; lateral

b. five metacarpals.

The palm of the hand is formed by: a. five carpals. b. five metacarpals. c. eight carpals. d. eight metacarpals.

c. sitting at the end of the table.

The patient position most commonly used to perform a radiograph of a finger (digit) is : a. AP. b. PA. c. sitting at the end of the table. d. standing at the end of the table.

c. C.

The scaphoid in the figure above is labeled as letter: a. A. b. B. c. C. d. H.

d. capitate.

The third metacarpal of the hand articulates with the: a. lunate. b. scaphoid. c. hamate. d. capitate.

c. Middle phalanx

What anatomy of the third digit is labeled as letter C in the figure above? a. Distal phalanx b. Proximal phalanx c. Middle phalanx d. Metacarpal

b. Proximal IP joint

What anatomy of the third digit is labeled as letter D in the figure above? a. Distal IP joint b. Proximal IP joint c. Metacarpophalangeal joint d. Carpometacarpal joint

b. Proximal phalanx

What anatomy of the third digit is labeled as letter E in the figure above? a. Distal phalanx b. Proximal phalanx c. Middle phalanx d. Metacarpal

b. PA oblique

What projection of the hand is demonstrated in the figure above? a. PA b. PA oblique c. Lateral, fan lateral position d. Lateral, in extension

a. PA

What projection of the third digit is demonstrated in the figure above? a. PA b. PA oblique c. Mediolateral d. Lateromedial

d. 1, 2, and 3

Which anatomy is well demonstrated in this projection of the hand in the figure above? 1. Joint spaces 2. Distal phalanges 3. Middle phalanges a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

c. Trapezoid

Which bone is labeled as letter B in the figure above? a. Capitate b. Hamate c. Trapezoid d. Trapezium

d. Lunate

Which bone is labeled as letter E in the figure above? a. Capitate b. Scaphoid c. Triquetrum d. Lunate

c. Triquetrum

Which bone is labeled as letter G in the figure above? a. Pisiform b. Scaphoid c. Triquetrum d. Lunate

d. Trapezium

Which bone is labeled as letter G in the figure above? a. Scaphoid b. Pisiform c. Sesamoid d. Trapezium

c. 2 and 3

Which of the following are well demonstrated on a PA oblique projection of the wrist? 1. Capitate 2. Trapezium 3. Scaphoid a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

c. Eight carpals

Which of the following bones make up the wrist? a. Five carpals b. Five metacarpals c. Eight carpals d. Eight metacarpals

a. 0 degrees

Which of the following central-ray angles is used for the lateral projection of the wrist? a. 0 degrees b. 5 degrees c. 7 degrees d. 0 to 5 degrees

a. Capitate

Which of the following is the largest carpal bone? a. Capitate b. Hamate c. Scaphoid d. Triquetrum

c. Lateral

Which of the following is the primary projection used to demonstrate anterior or posterior displacement of fractures of the hand or wrist? a. AP b. PA c. Lateral d. AP oblique

d. Gaynor-Hart (tangential)

Which of the following methods is used to demonstrate the carpal canal? a. Stecher (PA axial) b. Norgaard (AP oblique) c. Lawrence (inferosuperior axial) d. Gaynor-Hart (tangential)

c. 2 and 3

Which of the following objects would be needed to perform a PA oblique projection of a finger? 1. 2-inch block 2. Lead shield 3. 45-degree foam wedge a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

d. Median nerve

Which of the following passes through the carpal tunnel? a. Radial vein b. Radial nerve c. Median vein d. Median nerve

d. 1, 2, and 3

Which of the following positions are used to demonstrate the hand in the lateral projection? 1. Ulnar surface down, hand extended 2. Radial surface down, hand extended 3. Ulnar surface down, finger in "fan lateral" a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

b. 1 and 3

Which of the following projections clearly demonstrates the scaphoid? 1. PA in ulnar flexion 2. PA oblique in lateral rotation 3. PA axial (Stecher method) a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

d. PA in ulnar deviation

Which of the following projections corrects foreshortening of the scaphoid? a. PA b. PA oblique in lateral rotation c. PA in radial deviation d. PA in ulnar deviation

a. AP

Which of the following projections would be used to better demonstrate the carpal interspaces? a. AP b. PA c. Lateral d. PA oblique with lateral rotation

d. 1, 2, and 3

Which of the following should be in contact with the tabletop for a PA projection of the wrist? 1. Arm 2. Axilla 3. Forearm a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

c. 2 and 3

Which of the following tangential projections is used to demonstrate the carpal canal? 1. Axial 2. Inferosuperior 3. Superoinferior a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

a. Proximal phalanx

Which portion of the first digit is labeled as letter C in the figure above? a. Proximal phalanx b. Middle phalanx c. Distal phalanx d. Metacarpal

b. PA oblique

Which projection of the first digit is demonstrated in the figure above? a. PA b. PA oblique c. Mediolateral d. Lateromedial

What anatomy is labeled as number 1 in the image below? a. First metacarpal b. Fifth metacarpal c. Proximal phalange, fifth digit d. Proximal phalange, first digit

b. Fifth metacarpal

What anatomy is labeled as number 6 in the image below? a. Trapezoid b. Lunate c. Scaphoid d. Capitate

d. Capitate