Proximal Femur and Pelvis

d. 1½ inches (4 cm) below the midpoint of the imaginary line between the two bony landmarks.

Using the above hip localization method, the femoral head can be located: a. at the level of the symphysis pubis. b. 2½ inches (6 to 7 cm) below the midpoint of the imaginary line between the two bony landmarks. c. 1 inch (2.5 cm) below the midpoint of the imaginary line between the two bony landmarks. d. 1½ inches (4 cm) below the midpoint of the imaginary line between the two bony landmarks.

b. Pubis

Which bone of the pelvic girdle forms the anterior inferior aspect? a. Sacrum b. Pubis c. Ischium d. Ilium

b. Ischium, pubis, and ilium

Which bones fuse to form the acetabulum? a. Ischium and pubis b. Ischium, pubis, and ilium c. Pubis, ilium, and sacrum d. Ilium and ischium

b. Ischial spine

Which of the following bony structures cannot be palpated? a. ASIS b. Ischial spine c. Ischial tuberosity d. Symphysis pubis

c. Lesser trochanter

Which of the following structures is considered to be most inferior or distal? a. Fovea capitis b. Greater trochanter c. Lesser trochanter d. Neck

a. Obturator foramen

Which of the following structures is not an aspect of the proximal femur? a. Obturator foramen b. Lesser trochanter c. Fovea capitis d. Intertrochanteric crest

c. J

Which of the labeled structures is the anterior superior iliac spine (ASIS)? a. I b. B c. J d. K e. A

d. D

Which of the labeled structures is the body of the ischium? a. E b. O c. M d. D e. F

b. N

Which of the labeled structures is the ischial tuberosity? a. M b. N c. F d. P e. E

c. L

Which of the labeled structures is the obturator foramen? a. H b. E c. L d. O e. P

b. To place the femoral neck parallel to the image receptor

Why must the lower limb be rotated 15 to 20 degrees internally for AP hip projections? a. To open up the femoroacetabular joint b. To place the femoral neck parallel to the image receptor c. To separate the greater trochanter from the lesser trochanter d. To place the fovea capitis into a profiled position

b. synovial; amphiarthrodial

The sacroiliac joints are classified as ____ joints with ____ mobility. a. fibrous; amphiarthrodial b. synovial; amphiarthrodial c. cartilaginous; amphiarthrodial d. cartilaginous; synarthrodial

d. labor and delivery.

The symphysis pubis provides limited movement during pelvic trauma and during: a. flexing and extending. b. voiding. c. walking and running. d. labor and delivery.

a. False

The term pelvic girdle refers to the total pelvis including the sacrum and coccyx. a. False b. True

d. mid-teens

The three bones of the hip eventually fuse at what age? a. 21 years b. 3 years c. 40 years d. mid-teens

b. acetabulum

The three separate bones of the hip fuse at the: a. ischial tuberosities b. acetabulum c. symphysis pubis d. ala of the ilium

c. ASIS and the symphysis pubis.

The two bony landmarks that are palpated using the traditional hip localization method are the: a. symphysis pubis and the greater trochanter. b. ischial spine and the symphysis pubis. c. ASIS and the symphysis pubis. d. ASIS and the crest of ilium.

b. True

Generally, gonadal shielding for females cannot be used for an initial AP pelvis for pelvic trauma due to the probability of covering pertinent anatomy. a. False b. True

b. True

If a patient has excessive external rotation of one foot, a fractured hip may be indicated. a. False b. True

a. Male

Select the correct gender to correspond with the following pelvic characteristics. Acute angle of pubic arch: a. Male b. Female

a. Male

Select the correct gender to correspond with the following pelvic characteristics. More oval or heart-shaped pelvic inlet: a. Male b. Female

a. Male

Select the correct gender to correspond with the following pelvic characteristics. Narrower, deeper general shape of pelvis: a. Male b. Female

b. Female

Select the correct gender to correspond with the following pelvic characteristics. Obtuse angle of pubic arch: a. Male b. Female

a. Female

Select the correct gender to correspond with the following pelvic characteristics. Round and large pelvic inlet: a. Female b. Male

a. Female

Select the correct gender to correspond with the following pelvic characteristics. Wider and shallow general shape of pelvis: a. Female b. Male

c. Perform the axiolateral (inferosuperior) projection

Situation: A patient comes to radiology with a request for a right hip study. He is from an extended care facility and is confused about the cause of the injury. The technologist takes an AP pelvis, and when the lateral frog-leg projection is attempted, the patient complains loudly about the pain in his affected hip. What should the technologist do to complete the study? a. Perform the AP pelvis projection only b. Continue to position the patient, but move the affected limb more gently c. Perform the axiolateral (inferosuperior) projection d. Perform the anterior pelvis (Taylor) outlet projection

b. AP pelvis

Situation: Patient enters the ED having sustained trauma to the pelvis. The patient's main complaint is about her left hip. Which of the following projections should be taken first to rule out fracture or dislocation? a. AP projection of the left hip b. AP pelvis c. Lateral frog-leg projection of the left hip d. Axiolateral (inferosuperior) projection of the left hip

c. Ultrasound

The imaging modality that has thankfully replaced cephalopelvimetry is: a. Nuclear Medicine b. MRI c. Ultrasound d. CT

b. ischium.

The lesser sciatic notch is an aspect of the: a. ilium. b. ischium. c. sacrum. d. pubis.

a. form the actual birth canal

The primary function of the true pelvis is to: a. form the actual birth canal b. support the lower abdomen c. support the pregnant uterus d. provide for a gynecoid-shaped pelvis