RAD 101, Chapter 5: Shoulder Girdle

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To obtain a more uniform IR density, the respiration phase for the AP projection of the clavicle should be: a. inspiration b. expiration c. shallow breathing d. suspended respiration

expiration

Which classification of bone is the clavicle? a. flat b. long c. short d. irregular

long

Which border of the scapula extends from the superior angle to the inferior angle? a. lateral b. medial c. costal d. superior

medial

For a transthoracic lateral projection of the shoulder, lung detail may be blurred to better visualize the shoulder area. Which exposure time is recommended to blur the lung structures? a. minimum of 1 second b. minimum of 2 seconds c. minimum of 3 seconds d. minimum of 5 seconds

minimum of 3 seconds

For an AP projection of the shoulder, the central ray should be directed: a. 15 degrees b. 30 degrees c. 15 to 30 degrees d. perpendicular to the IR

perpendicular to the IR

The respiration phase for an AP projection of the scapula is: a. inspiration b. expiration c. suspended respiration d. shallow breathing

shallow breathing

Of which part of the scapula is the acromion an extension? a. body b. spine c. glenoid cavity d. coracoid process

spine

When the Fisk modification is used for the tangential projection of the intertubercular groove, the patient is: a. prone b. supine c. sitting d. standing

standing

Where is the humerus generally demonstrated on a PA oblique shoulder (scapular Y) image if the shoulder is normal? a. superimposed on the junction of the acromion and coracoid process b. beneath the acromion c. beneath the coracoid process d. completely separated from the glenoid fossa (open joint space)

superimposed on the junction of the acromion and coracoid process

Where is the scapular notch located? a. lateral border b. superior border c. medial border d. dorsal border

superior border

Which position of the hand will place the humerus in external rotation? a. prone b. supine c. palm against the thigh d. back of the hand against the thigh

supine

Where should the center of the IR be positioned for a lateral projection of the shoulder? a. acromion process b. anatomical neck c. surgical neck d. greater tubercle

surgical neck

The respiration phase for an AP projection of the shoulder should be: a. inspiration b. expiration c. suspended d. shallow breathing

suspended

When performing the transthoracic later projection (Lawrence method) of the humerus, which breathing technique should be used to improve best the image contrast and decrease the exposure necessary to penetrate the body? a. rapid breathing b. shallow breathing c. suspended full expiration d. suspended full inspiration

suspended full inspiration

The scapulohumeral articulation is classified as a: a. cartilaginous joint, gliding type b. fibrous joint, gliding type c. synovial joint, ball and socket type d. synovial joint, condyloid type

synovial joint, ball and socket type

All of the joints of the shoulder girdle are: a. synovial—freely movable b. fibrous—slightly movable c. fibrous—immovable d. cartilaginous—immovable

synovial—freely movable

Which portion of the scapula articulates with the clavicle? a. acromion b. coracoid process c. coronoid process d. glenoid cavity

acromion

The large, rounded, elevated process prominently located on the lateral surface of the proximal humerus is the: a. greater tubercle b. lesser tubercle c. medial epicondyle d. lateral epicondyle

greater tubercle

Which of the following will be directly superimposed over the junction of the "Y" on the PA oblique (scapular Y) projection? a. humerus b. humeral head c. coracoid process d. acromion process

humeral head

Which classification of bone is the scapula? a. flat b. long c. short d. irregular

flat

The small, synovial fluid-filled sacs, which relieve pressure and reduce friction in joint tissues, are called: a. bursae b. ligaments c. tendons d. cartilage

bursae

With reference to the plane of the IR, how should the humeral epicondyles be positioned for the AP projection of the shoulder with the shoulder in neutral rotation? a. parallel b. perpendicular c. 45 degrees lateral oblique d. 45 degrees medial oblique

45 degrees medial oblique

When performing AP projections of the shoulder, where should the central ray be directed? a. 1 inch (2.5 cm) medial to the coracoid process b. 1 inch (2.5 cm) inferior to the coracoid process c. 2 inches (5 cm) medial to the coracoid process d. 2 inches (5 cm) inferior to the coracoid process

1 inch (2.5 cm) inferior to the coracoid process

How should the central ray be angled for the AP projection (Pearson method) of the AC joints? a. 0 degrees b. 5 degrees cephalad c. 7 degrees cephalad d. 5 to 7 degrees cephalad

0 degrees

The centralray angulation for a lateral scapula is: a. 0 degrees b. 5 degrees caudad c. 10 degrees cephalad d. 5 to 10 degrees cephalad

0 degrees

For the lateral projection of the scapula, the body is placed in which position? a. true lateral b. 15 degrees oblique c. RAO or LAO d. RPO or RAO

RAO or LAO

When the Fisk modification is used for the tangential projection of the intertubercular groove, the vertical humerus is placed at an angle of: a. 0 degrees b. 5 degrees c. 5 to 10 degrees d. 10 to 15 degrees

10 to 15 degrees

The AP projection of the AC joints places the joints at an increased OID. Which of the following is the recommended SID to compensate for this distance? a. 40" b. 48" c. 72" d. 120"

72"

Which projection demonstrates the scapulohumeral joint space open and the glenoid cavity in profile? a. PA oblique projection (scapular Y) b. AP projection with external rotation c. AP oblique projection (Grashey method) d. inferosuperior axial projection (Lawrence method)

AP oblique projection (Grashey method)

Which projection of the shoulder best demonstrates the lesser tubercle of the humerus in profile and pointing toward the glenoid cavity? a. transthoracic lateral projection b. AP projection with neutral rotation c. AP projection with internal rotation d. AP projection with external rotation

AP projection with internal rotation

Which of the following projections are improved significantly with the use of a compensating filter? 1.) AP shoulder 2.) lateral scapula 3.) PA oblique (scapular Y) a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

1, 2, and 3

What would be the required patient position to demonstrate the left shoulder using the AP oblique projection (Grashey method)? a. 10 to 15 degrees RPO b. 10 to 15 degrees LPO c. 35 to 45 degrees RPO d. 35 to 45 degrees LPO

35 to 45 degrees LPO

How many degrees is the body rotated for the AP oblique projection (Grashey method) of the shoulder joint? a. 20 degrees toward the affected side b. 20 degrees away from the affected side c. 35 to 45 degrees away from the affected side d. 35 to 45 degrees toward the affected side

35 to 45 degrees toward the affected side

For an AP projection of the shoulder with the arm in a neutral position, the epicondyles of the humerus should be: a. parallel with the plane of the IR b. perpendicular with the plane of the IR c. 45 degrees with the plane of the IR d. 60 degrees with the plane of the IR

45 degrees with the plane of the IR

For the PA oblique projection (scapular Y) of the shoulder, the body is rotated so that the midcoronal plane is how many degrees from the IR? a. 25 degrees b. 45 degrees c. 45 to 60 degrees d. 25 to 60 degrees

45 to 60 degrees

How much is the body rotated for a lateral projection of the shoulder? a. 30 degrees b. 45 degrees c. 60 degrees d. 45 to 60 degrees

45 to 60 degrees

Which projection best demonstrates the humeral head in profile? a. transthoracic lateral projection b. AP projection with neutral rotation c. AP projection with internal rotation d. AP projection with external rotation

AP rotation with external rotation

Which projection of the shoulder best demonstrates the greater tubercle of the humerus in profile? a. transthoracic lateral projection b. AP projection with neutral rotation c. AP projection with internal rotation d. AP projection with external rotation

AP rotation with external rotation

The scapula is classified as a(n): a. flat bone b. short bone c. long bone d. irregular bone

flat bone

Which of the following must be considered when using computed radiography for AP projections of the shoulder? 1.) mA settings above 200 2.) kVp must penetrate the most dense tissue area 3.) very close collimation must be used a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

1 and 2

PA oblique projection of the shoulder (scapular Y) is performed to evaluate: a. carcinoma b. fractures c. dislocations d. soft tissue swelling

dislocations

How is the arm positioned for an AP scapula? a. abducted 90 degrees, forearm flexed b. abducted 90 degrees, forearm extended c. adducted, lateral rotation d. adducted, medial rotation

abducted 90 degrees, forearm flexed

What is the proper position of the humerus for the inferosuperior axial projection? a. adduction b. adduction and externally rotated c. abducted to a right angle d. abducted to a right angle and externally rotated

abducted to a right angle and externally rotated

The lesser tubercle is situated on which surface of the humerus? a. medial b. lateral c. anterior d. posterior

anterior

Which position of the hand will place the humerus in internal rotation? a. prone b. supine c. palm against the thigh d. back of the hand against the thigh

back of the hand against the thigh

When the arm cannot be rotated or abducted due to injury, which of the following methods can be used to perform a lateral projection of the shoulder? a. Settegast b. Holmblad c. Lawrence d. Pearson

Lawrence

Which of the following methods best demonstrates the supraspinatus "outlet" (coracoacromial arch)? a. Neer b. Alexander c. West Point d. Stryker "notch"

Neer

Which projection of the shoulder joint requires the patient to be rotated until the midcoronal plane forms an angle of 45 to 60 degrees with the plane of the IR? a. transthoracic lateral projection b. PA oblique projection (scapular Y) c. AP oblique projection (Grashey method) d. AP projection with external rotation

PA oblique projection (scapular Y)

The PA oblique projection of the shoulder joint (scapular Y) is performed in which of the following positions? a. AP b. lateral c. RAO or LAO d. RPO or LPO

RAO or LAO

If the patients condition permits, which joint should be demonstrated with the patient in an upright position? a. glenohumeral b. scapulohumeral c. sternoclavicular d. acromioclavicular

acromioclavicular

The Pearson method is an AP projection of the: a. shoulder joint b. proximal humerus c. scapulohumeral joint d. acromioclavicular articulation

acromioclavicular articulation

The acromial extremity of the clavicle articulates with the: a. glenoid cavity b. coracoid process c. sternal extremity of the clavicle d. acromion process of the scapula

acromion process of the scapula

Two exposures are commonly made of the AC joints—one without weights and one with weights. How are the weights applied? a. affixed to the elbows b. affixed to the wrists c. held in the hands d. held by the fingers

affixed to the wrists

What should be adjusted from the regular procedure for the transthoracic lateral projection (Lawerence method) of the humerus if the patient is unable to elevate the unaffected arm? a. breathing procedure b. central ray angulation c. placement of the IR d. rotation of the patient

central ray angulation

For an AP projection of the clavicle, the IR should be centered to the level of the: a. acromion b. coracoid process c. fourth rib d. sternoclavicular articulation

coracoid process

For delineation of the body of the scapula for the lateral projection, the arm is positioned as follows: a. flex the elbow and place the hand on the anterior abdomen b. flex the elbow and place the hand on the posterior thorax c. extend the arm straight down at the side d. extend the arm upward and rest the forearm on the head

extend the arm upward and rest the forearm on the head

For delineation of the acromion and coracoid processes of the scapula in the lateral projection, the arm is positioned as follows: a. flex the elbow and place the hand on the anterior abdomen b. flex the elbow and place the hand on the posterior thorax c. extend the arm upward and rest the forearm on the head d. extend the arm straight down at the side in the anatomical position

flex the elbow and place the hand on the posterior thorax

If a breathing technique cannot be used for the transthoracic lateral projection of the shoulder, the exposure should be made using: a. full expiration b. full inspiration c. partial inspiration d. partial expiration

full inspiration

In order to elevate the clavicle above the ribs and scapula for the AP axial projection, the phase of respiration should be: a. full inspiration b. full expiration c. shallow breathing d. suspended respiration

full inspiration

The rounded head of the humerus fits into an oval depression on the lateral aspect of the scapula called the: a. neck b. acromion c. lateral angle d. glenoid cavity

glenoid cavity

Which portion of the scapula articulates with the humeral head? a. acromion b. coracoid process c. coronoid process d. glenoid cavity

glenoid cavity

Which of the following is prominently shown "in profile" on an AP projection of the shoulder with the humerus in external rotation? a. lesser tubercle b. greater tubercle c. scapulohumeral joint d. acromioclavicular joint

greater tubercle

When performing the AP projection of the scapula, the central ray should be directed toward a point 2 inches ___________ to the coracoid process. a. lateral b. medial c. inferior d. superior

inferior

Which projection of the shoulder requires that a horizontal central ray be directed 15 to 30 degrees medially and enter the axilla of the affected arm? a. AP projection b. PA oblique (scapular Y) projection c. inferosuperior axial projection (Lawrence method) d. transthoracic lateral projection (Lawrence method)

inferosuperior axial projection (Lawrence method)

29. If the patient places the back of the hand against the hip, the humerus will be in: a. external rotation b. internal rotation c. abduction d. adduction

internal rotation

Which border of the scapula extends from the glenoid cavity to the inferior angle? a. medial b. lateral c. superior d. vertebral

lateral

Where is the coracoid process located in reference to the body of the scapula? a. medial and superior b. medial and inferior c. lateral and superior d. lateral and inferior

lateral and superior

In which body position should the patient be placed to demonstrate the left shoulder with the PA oblique projection (scapular Y)? a. left anterior oblique b. left posterior oblique c. right anterior oblique d. right posterior oblique

left anterior oblique

Which of the following is prominently shown "in profile" on an AP projection of the shoulder with the humerus in internal rotation? a. lesser tubercle b. greater tubercle c. glenoid cavity d. acromioclavicular joint

lesser tubercle

The clavicle is classified as a(n): a. short bone b. long bone c. flat bone d. irregular bone

long bone

If the patient places the palm of the hand against the thigh, the humerus will be in: a. lateral position b. external rotation c. internal rotation d. neutral position

neutral position

When demonstrating the intertubercular groove with the Fisk modification of the tangential projection, how should the affected humerus be positioned? a. the humerus should be rotated laterally b. the humerus should be rotated medially c. the vertical humerus should form an angle of 10 to 15 degrees d. the humerus should be abducted to a right angle with the body

the vertical humerus should form an angle of 10 to 15 degrees

A lateral projection of the shoulder and proximal humerus can be obtained with which of the following: a. PA oblique (scapular Y) b. inferosuperior axial (Lawrence) c. inferosuperior axial (West Point) d. transthoracic lateral (Lawrence)

transthoracic lateral (Lawrence)

Which projection of the upper limb should be performed to demonstrate a fracture of the proximal humerus when that arm cannot be abducted? a. tangential projection, Fisk modification b. AP projection of the shoulder with internal rotation c. AP projection of the shoulder with external rotation d. transthoracic lateral projection (Lawrence method) of the humerus

transthoracic lateral projection (Lawrence method) of the humerus

Patients often arrive in the radiology department with trauma to the shoulder. Which of the following positions is recommended for xray examination of the shoulder on these patients? a. supine b. upright c. lateral recumbent d. lateral decubitus

upright

A HillSachs defect is a: a. fracture due to posterior dislocation of the humeral head b. wedgeshaped compression fracture of the articular surface of the humeral head c. congenital deformity of the humeral head d. congenital deformity of the glenoid cavity

wedgeshaped compression fracture of the articular surface of the humeral head

The SC articulation is formed by the sternal extremity of the clavicle and the: 1.) manubrium 2.) sternum 3.) first rib cartilage a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

1 and 3

Which borders of the scapula unite to form the superior angle? 1. medial 2. lateral 3. superior a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3

1 and 3 only

For an AP projection of the shoulder, the central ray should enter: a. 1 inch inferior to the coracoid process b. 1 inch inferior to the acromion c. 2 inches inferior to the coracoid process d. 2 inches inferior to the acromion

1 inch inferior to the coracoid process

Which of the following are clearly demonstrated on the inferosuperior axial projection of the shoulder joint? 1.) proximal humerus 2.) scapulohumeral joint 3.) acromioclavicular articulation a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

1, 2, and 3

Which of the following positions of the humerus are commonly used when performing an AP projection of the shoulder? 1.) external rotation 2.) neutral rotation 3.) internal rotation a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

1, 2, and 3

Which of the following projections can be used to demonstrate the clavicle? 1.) AP or PA 2.) AP axial 3.) PA axial a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

1, 2, and 3

The centralray angle for an AP axial projection of the clavicle when performed on a patient in the supine position is: a. 15 degrees b. 25 degrees c. 15 to 25 degrees d. 15 to 30 degrees

15 to 30 degrees

How many degrees and in which direction should the central ray be directed for the PA axial projection of the clavicle? a. 15 to 30 degrees caudad b. 15 to 30 degrees cephalad c. 25 to 35 degrees caudad d. 25 to 35 degrees cephalad

15 to 30 degrees caudad

How many degrees and in which direction should the central ray be directed for the AP axial projection of the clavical with the patient supine? a. 15 to 30 degrees caudad b. 15 to 30 degrees cephalad c. 25 to 35 degrees caudad d. 25 to 35 degrees cephalad

15 to 30 degrees cephalad

How is the central ray directed for an inferosuperior axial projection of the shoulder joint? a. 5 degrees horizontally b. 15 to 30 degrees horizontally c. 5 degrees cephalad d. 15 to 30 degrees cephalad

15 to 30 degrees horizontally

A HillSachs defect may be demonstrated using which of the following projections: 1.) inferosuperior axial (Lawrence) 2.) inferosuperior axial (Rafert modification) 3.) AP axial (Stryker "notch") a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

2 and 3

Which of the following are achieved when the transthoracic lateral projection of the shoulder is done on full inspiration? 1.) wide latitude 2.) higher contrast 3.) decrease in exposure a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

2 and 3

Which of the following bones makes up the shoulder girdle? 1.) humerus 2.) scapula 3.) clavicle a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

2 and 3

How should the humerus be positioned for an inferosuperior axial projection of the shoulder joint? 1.) internal rotation 2.) external rotation 3.) neutral rotation a. 1 only b. 2 only c. 3 only d. 1, 2, and 3

2 only

For an AP projection of the scapula, the IR size and its position should be: a. 8 ́ 10 inches (18 ́ 24 cm) lengthwise b. 24 ́ 30 cm lengthwise c. 8 ́ 10 inches (18 ́ 24 cm) crosswise d. 24 ́ 30 cm crosswise

24 ́ 30 cm lengthwise

How far should the head, shoulders, and elbow be elevated for the inferosuperior axial projection of the shoulder? a. 2 to 3 inches b. 3 to 4 inches c. 4 to 5 inches d. 5 to 6 inches

3 to 4 inches

When performing a lateral projection of the scapula with the patient positioned RAO or LAO, approximately hoe much body rotation is necessary for the average patient? a. 15 to 20 degrees b. 25 to 30 degrees c. 35 to 40 degrees d. 45 to 60 degrees

45 to 60 degrees

How many pounds of weight should be affixed to each wrist for the AP projection of the AC joint? a. 2 lb b. 5 lb c. 2 to 4 lb d. 5 to 8 lb

5 to 8 lb

The IR size commonly used for an AP projection of the shoulder is: a. 8 ́ 10 inch (18 ́ 24 cm) b. 24 ́ 30 cm c. 30 ́ 35 cm d. 18 ́ 43 cm

8' 10 inch (18' 24 cm)

How far should the arm be abducted for an inferosuperior projection of the shoulder joint? a. 15 degrees b. 30 degrees c. 45 degrees d. 90 degrees

90 degrees

Which of the following projections clearly demonstrates the glenoid cavity? a. AP b. PA oblique (scapular Y) c. AP oblique (Grashey) d. transthoracic lateral (Lawrence)

AP oblique (Grashey)

Which projection of the shoulder is being performed when the patient is supine with the right shoulder centered on the IR, a vertical central ray is being directed perpendicular to the center of the IR, and the humeral epicondyles are parallel? a. transthoracic lateral projection b.PA oblique (scapular Y) projection c. AP projection with internal rotation d. AP projection with external rotation

AP projection with external rotation

The greater tubercle will be partially superimposed over the humeral head on which of the following projections and positions? a. AP, external rotation b. AP, neutral rotation c. AP, internal rotation d. PA oblique, scapular Y

AP, neutral rotation

If the patient can be positioned properly, the centralray angle for the transthoracic lateral projection of the shoulder is: a. 0 degrees b. 5 degrees cephalad c. 10 degrees cephalad d. 15 degrees cephalad

0 degrees

What is the centralray angle for the PA oblique projection (scapular Y) of the shoulder joint? a. 0 degrees b. 5 degrees caudad c. 10 degrees caudad d. 15 degrees caudad

0 degrees

What is the centralray angulation for the AP oblique projection (Grashey method) of the shoulder joint? a. 0 degrees b. 5 degrees c. 0 to 5 degrees d. 5 to 10 degrees

0 degrees

1. Which of the following bones connects the upper limb to the trunk? 1.) clavicle 2.) scapula 3.) humerus a. 1 and 2 b. 1 and 3 c. 2 and 3 d. 1, 2, and 3

1 and 2

Which borders of the scapula unite to form the inferior angle? 1. medial 2. lateral 3. superior a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3

1 and 2 only

Which of the following structures is projected in "lateral profile" on a PA oblique (scapular Y) projection? a. humerus b. scapula c. clavicle d. acromion

scapula

Which joint is ball and socket joint? a. acromioclavicular b. humeroulnar c. scapulohumeral d. sternoclavicular

scapulohumeral

The articulation between the glenoid cavity and head of the humerus is called the: a. synovial joint b. spheroidal joint c. acromioclavicular joint d. scapulohumeral joint

scapulohumeral joint

What is the name of the fossa on the anterior surface of the scapula? a. subscapular b. infraspinous c. supraspinous d. scapular notch

subscapular

When the tangential projection of the intertubercular groove is performed with the patient supine, the position of the hand is: a. supinated b. pronated c. lateral d. neutral

supinated

Which projection of the shoulder girdle is performed with the patient supine, an IR placed vertically against the superior surface of the shoulder, and the central ray angled 10 to 15 degrees posteriorly (downward from horizontal)? a. tangential for the intertubercular (bicipital) groove b. AP axial, lordotic postion, for the clavicle c. transthoracic lateral, Lawerence method, for the shoulder d. inferosuperior axial, Lawrence method, for the shoulder

tangential for the intertebercular groove

When the patient is positioned properly for a lateral projection of the scapula, the body of the scapula will be: a. perpendicular to the plane of the IR b. parallel with the plane of the IR c. at a 30degree angle to the plane of the IR d. at a 60degree angle to the plane of the IR

perpendicular to the plane of the IR

Which position of the hand will place the humerus in neutral position? a. prone b. supine c. palm against the thigh d. back of the hand against the thigh

palm against the thigh

With reference to the plane of the IR, how should the humeral epicondyles be positioned for the AP projection of the shoulder with the shoulder in external rotation? a. parallel b. perpendicular c. 45 degrees lateral oblique d. 45 degrees medial oblique

parallel

In order to demonstrate the greater tubercle of the humerus on an AP projection of the shoulder, the epicondyles must be: a. in a neutral position b. at a 45degree angle with the plane of the IR c. parallel with the plane of the IR d. perpendicular with the plane of the IR

parallel with the plane of the IR

With reference to the plane of the IR, how should the humeral epicondyles be positioned for the AP projection of the shoulder with the shoulder in internal rotation? a. parallel b. perpendicular c. 45 degrees lateral oblique d. 45 degrees medial oblique

perpendicular

How should the central ray be directed for the PA oblique projection (scapular Y) of the shoulder? a. cephalically 10 to 15 degrees b. cephalically 15 to 25 degrees c. cephacially 25 to 30 degrees d. perpendicular to the IR

perpendicular to the IR

For an AP projection of the shoulder with the humerus in internal rotation, the epicondyles of the humerus should be: a. perpendicular to the plane of the IR b. parallel to the plane of the IR c. 45 degrees with the plane of the IR d. 60 degrees with the plane of the IR

perpendicular to the plane of the IR


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