IMAG-Chatper 5 Quiz
The anterior surface of the scapula is referred to as the what surface?
costal surface
For the erect version of the tangential projection for the intertubercular sulcus, the patient lean forward________________ degrees from vertical.
10-15 degrees
The supine version of the tangential projection for the intertubercular sulcus requires that the central ray be angle by how many degrees posteriorly from the horizontal plane.
10-15 degrees
What central ray angulation is required for the tangential projection-supraspinatus outlet (Neer method)? A. 10-15 degrees caudad, B. 25 degrees anteriorly and medially, C.45-degrees caudad, D. None;central ray is perpendicular
10-15 degrees caudad
What CR angle is required for the AP axial projection (Alexander method) for AC joints? A. 5-10 degrees caudad B. 25-degrees cephalad C. 45-degrees caudad D. 15- degrees cephalad
15-degrees cephalad
What type of CR angle is required for the Alexander method for AC joint? A. 25-30 degrees cephalad B. 10-degrees cephalad C. 10-degrees caudad D. 15-degrees cephalad
15-degrees chephalad
What type of central ray angle should be used for the inferosuperior axial projection for the scapulohumeral joint space?
25-30 degrees medially
What type of central ray angulation is required for the inferosuperior axial projection for the shoulder? A. 25-30 degrees medially B. 35-45 degrees medially C. 25-degrees anterior and 25-degrees medially D. Central ray perpendicular to IR
25-30 degrees medially
What type of CR angle is required for the apical AP axial shoulder projection? A. 15-degree cephalad, B. 30-degree caudad, C. 10-15 degree caudad, D. 45-degree caudad
30-degree caudad
What type of CR angle is required for the Apical AP Axial Shoulder projection? A. 10-15 degrees caudad B. 30 degrees caudad C. 45-degrees caudad D. 5-10 degrees cephalad
30-degrees caudad
How much is the CR angles for the inferosuperior axial projection (Clements modification) if the patient cannot fully abduct the arm 90 degrees? A. 25-30 degrees B. 20 degrees C. 45-degrees D. 5-15 degrees
5-15 degrees
If the patient cannot fully abduct the affected arm 90 degrees for the inferosuperior axial projection (Clements modification), the technologist can angle the CR by how many degrees toward the axilla? A. 5-15 degrees, B. 20-25 degrees, C. 25-30 degrees, D. 45 degrees
5-15 degrees
What is the minimum amount of weight a large adult should have strapped to each wrist for the weight-bearing phase of an AC joint study?
8-10 ib.
Which of the following kV ranges (digital) should be used for a shoulder series on an average adult using a grid? A. 70-80 kV B. 55-60 kV C. 80-90 kV D. 65-75 kV
80-90 kV
Situation: A patient with a possible shoulder dislocation enters the emergency room. A neural AP projection of the shoulder has been taken. Which additional projections should be taken? A. Inferosuperior axial (Clemens modification) B. Alexander method C. AP apical oblique axial (Garth method) D. AP, External rotation
AP apical oblique axial (Garth method)
Which special projection of the shoulder requires that the affected side be rotated 45 degrees toward the cassette and uses a 45 degree caudad central ray angle?
AP apical oblique axial projection.
Situation: A patient with a possible fracture of the right proximal humerus from an automobile accident enters the emergency room. The patient has other injuries and is unable to stand or sit erect. Which positioning routine should be used to determine the extent of the injury?
AP right shoulder and humerus no rotation, and supine horizontal beam, right thoracic shoulder
Superior displacement of the distal clavicle: A. We got the meats: Arbys B. Bankart lesion C. Hill-Sachs defect D. Rotator Cuff Tear E. Osteoporosis F. Impingement syndrome G. Acromioclavicular joint disclocation H. Tendonitis
Acromioclavicular joint dislocation
What is Superior displacement of distal clavicle? Osteoporosis, Bankart lesion, Idiopathic chronic capsulitis, Rotator cuff tear, Osteoporosis, Acromioclavicular joint dislocation, Hill-Sachs defect, or Rheumatoid arthritis
Acromioclavicular joint dislocation
What pathology does "Abnormal widening of acromioclavicular joint space" indicate: A. Rheumatoid arthritis B. Bankart lesion C. Hill-Sachs defect D. Osteoarthritis E. Bursitis F. Osteoporosis G. Impingement syndrome H. Acromioclavicular joint separation I. Tendonitis
Acromioclavicular joint seperation
Situation: A patient with a possible right shoulder separation enters the emergency room. Which of the following routines should be used? A. Acromioclavicular joint series: non-weight bearing projections B. AP neutral projections and AP apical oblique axial (Garth method) C. AP neutral and transthoracic lateral projections D. AP internal and external projections
Acromioclavicular joint series: non-weight bearing projections
Of the following structures which one is considered the most posterior: Scapular notch, Coracoid process, Acromion, or Glenoid process ?
Acromion
Situation: A patient with a possible right shoulder dislocation enters the emergency room. The technologist attempts to perform an erect thransthoracic lateral projection, but the patient is unable to raise the left arm and shoulder high enough. The resultant radiograph reveals that the shoulders are superimposed, and the right shoulder and humeral head are not well visualized. What can be done to improve this image during the repeat exposure?
Angle CR 10-15 degrees cephalad to separate shoulders
Which of the following projections requires the CR to be centered 2 inches (5 cm) inferior and medial from the superolateral border of the shoulder? A. Anterior oblique (Grashey method), B. Tangential projection (Fisk modification), C. Inferosuperior axial (Clements projection), or D. Posterior oblique-scapula Y lateral projection
Anterior oblique (Grashey method)
Which of the following projections and/or positions best demonstrates signs of the impingement syndrome in the acromiohumeral space? "Apical AP axial projection", or "AP and Lateral shoulder external rotation", or "Inferosuperior axial"
Apical AP axial projection
Which specific joint is found on the lateral end of the clavicle?
Aromioclavicular
What is the anatomic name for the armpit?
Axilla
What pathology does "Fluid-filled joint space" indicate: A. Rheumatoid arthritis B. Bankart lesion C. Hill-Sachs defect D. Osteoarthritis E. Bursitis F. Osteoporosis G. Impingement syndrome H. Acromioclavicular joint separation I. Tendonitis
Bursitis
Where is the CR centered for the AP scapula position?
CR is perpendicular to the mid scapula, 2-inches below the coracoid process or to level of axilla, 2-inches medial from lateral border of patient
Which structures of the scapula extends most anteriorly?
Caracoid process
What is an alternative CR centering technique for an AP shoulder projection on an obese patient if unable to palpate the coracoid process? (A.) Center 2 inches (5 cm) below the AC joint, ( B.) Center 2 inches (5cm) below the level of vetebra prominens, (C.) Center at level of jugular notch, (D.) Center at level of xiphoid process
Center 2 inches (5 cm) below the AC joint
A radiograph of an AP scapula reveals that the scapula is within the lung field and difficult to see. Which two things can the technologist do to improve the visibility of the scapula during the repeat exposure?
Ensure the affected arm is abducted 90 degrees and make sure to use a breathing technique
Which routine projection of the shoulder requires that the humeral epicondyles be parallel to the IR? External rotation, Internal Rotation, Neutral Rotation, or Anterior oblique-Grashey method?
External rotation
Indicate whether the following positioning and technical consideration is True or False for the shoulder girdle: True/False: A 72-inch (183-cm) source image distance (SID) is recommended for most shoulder girdle studies.
False
Indicate whether the following positioning and technical consideration is True or False for the shoulder girdle: True/False: Large focal spot setting should be selected for most adult shoulder studies.
False
Indicate whether the following positioning and technical consideration is True or False for the shoulder girdle: True/False: Low mA with short exposure times should be used for adult shoulder studies.
False
Indicate whether the following positioning and technical consideration is True or False for the shoulder girdle: True/False: The kV range for adult shoulder projections is between 60 and 70 kV for analog and 100 to 110 kV for digital imaging systems.
False
True/False: A central ray angle of 10-15 degrees caudad may be used for the transthoracic lateral shoulder projection if the patient is unable to elevate the uninjured arm and shoulder sufficiently.
False
True/False: A posterioranterior (PA) axial projection of the clavicle requires a 35-45 degree caudal central ray angle
False
True/False: Magnetic Imaging (MRI) is an excellent modality for demonstrating bony injuries of the shoulder girdle.
False
True/False: Radiography is more sensitive than nuclear medicine for demonstrating physiologic aspects of the shoulder girdle.
False
True/False: Rheumatoid arthritis is more prevalent in men over women.
False
True/False: The affected arm must be placed into an external rotation for the transthoracic lateral projection.
False
True/False: The lateral scapula and posterior oblique (Scapular Y) projections are the same projection?
False
True/False: The male clavicle is shorter and less curved than the female clavicle?
False
True/False: The scapular Y lateral (posterior oblique) position requires the body to be rotated 25-30 degrees anteriorly toward the affected side.
False
Match the projection with the method name: Tangential for intertubercular (bicipital) sulcus projection A. Neer method B. Grashey method C. Lawrence method D. Fisk modification E. Garth method
Fisk modification
Which of the following projections produces a tangential projection of the intertubercular sulcus (groove)? A. Fisk modification B. Grashey method C.Hobbs modification D. Lawrence method
Fisk modification
What must be ruled out before performing the weight-bearing study for acromioclavicular joints?
Fracture of the clavicle
Which type of injury must be ruled out before the weight-bearing phase of an AC joint study? A. Shoulder separation, B. Fractured clavicle C. Bursitis of the scapulohumeral joint D. Bankart lesion
Fractured Clavicle
Match the projection with the method name: AP apical oblique axial projection A. Neer method B. Grashey method C. Lawrence method D. Fisk modification E. Garth method
Garth method
The "Anterior Oblique projection" of the shoulder produces an image of the glenoid process in profile. This projection is also referred to as what method?
Grashey Method
Match the projection with the method name: Anterior oblique for glenoid cavity projection A. Neer method B. Grashey method C. Lawrence method D. Fisk modification E. Garth method
Grashey method
Which special projection of the shoulder places the glenoid cavity in profile for an "open" scapulohumeral joint? A. Grashey method, B. Garth method, C. Henryk Method, D. Fisk Modification
Grashey method
A radiograph of an AP axial clavicle taken on an asthenic-type patient shows that the clavicle is projected in the lung field below the top of the shoulder. The following positioning factors were used: erect position, central ray angled 15-degrees cephalad, 40-inch (102-cm) SID, and respiration suspended at the end of expiration. Which of the following modifications should be made during the repeat exposure? A. Increase central ray angulation B. Suspend respiration at end of inspiration C. Reverse central ray angulation D. Use 72-inch (183-cm) SID
Increase central ray angulation
A radiograph of the AP oblique (Grashey method) taken with a 30 degree rotation of the affected shoulder toward the IR reveals that the borders of the glenoid cavity are not superimposed. The patient has large, rounded shoulders. What must be done to get better superimposition of the cavity during the repeat exposure?
Increase rotation of affected shoulder toward IR closer to 45 degrees
Situation: A patient with a clinical history of chronic shoulder dislocation comes to the radiology department. The orthopedic physician suspects that a Hill-Sachs defect may be present. Which specific position(s) may be used to best demonstrate this pathologic feature?
Inferosuperior axial projection with exagerated external rotation
Which position of the shoulder and proximal humerus projects the lesser tubercle in profile medially? External rotation, Internal Rotation, Neutral Rotation, or Exaggerated Rotation?
Internal rotation
Match the projection with the method name: Inferosuperior axial projection A. Neer method B. Grashey method C. Lawrence method D. Fisk modification E. Garth method
Lawrence method
Match the projection with the method name: Transthoracic lateral projection A. Neer method B. Grashey method C. Lawrence method D. Fisk modification E. Garth method
Lawrence method
The following analog factors were used to produce a radiograph of an AP projection of the shoulder: 95 kV, 20 mAs, high-speed screens, 40-inch (102-cm) SID, grid, and suspended respiration The resultant radiograph demonstrated poor radiographic contrast between bony and soft tissue structures. Which of these factors can be altered during the repeat exposure to improve radiographic quality?
Lower kV to 70-76, increase contrast
Situation: A patient with a possible rotator cuff tear comes to the radiology department. Which of the following imaging modalities would best demonstrate this injury? A. Arthrography B. MRI C. Nuclear medicine D. Radiography
MRI
An asthenic patient requires (More or Less) CR angle for an AP axial clavicle?
More
Match the projection with the method name: Supraspinatus outlet tangential projection A. Neer method B. Grashey method C. Lawrence method D. Fisk modification E. Garth method
Neer method
What type of CR angle is required for the lateral scapula position? A. 5-15 degrees caudad B. None C. 10-15 degrees caudad D. 10-15 degrees cephalad
None
Which of the following analog technical considerations does not apply for adult shoulder radiography? High-speed IR, Nongrid, 40- to 44-inch (102- to 113-cm) SID, 70- to 80-kV
Nongrid
Which of the following imaging modalities or procedures best demonstrate osteomyelitis? Ultrasound, MRI, CT arthrography, or Nuclear medicine
Nuclear medicine
What pathology does "Narrowing of joint space" indicate: A. Rheumatoid arthritis B. Bankart lesion C. Hill-Sachs defect D. Osteoarthritis E. Bursitis F. Osteoporosis G. Impingement syndrome H. Acromioclavicular joint separation I. Tendonitis
Osteoarthritis
Which of the following pathological conditions often produces narrowing of the joint space? Osteoarthritis, Osteoporosis, Bursitis, or Idiopathic chronic adhesive capsulitis
Osteoarthritis
Atrophy of skeletal tissue: A. Halloween B. Bankart lesion C. Hill-Sachs defect D. Rotator Cuff Tear E. Osteoporosis F. Impingement syndrome G. Acromioclavicular joint disclocation H. Tendonitis
Osteoporosis
What is Reduction in the quantity of bone? Osteoporosis, Bankart lesion, Idiopathic chronic capsulitis, Rotator cuff tear, Osteoporosis, Acromioclavicular joint dislocation, Hill-Sachs defect, or Rheumatoid arthritis
Osteoporosis
What pathology does "Thin bony cortex" indicate: A. Rheumatoid arthritis B. Bankart lesion C. Hill-Sachs defect D. Osteoarthritis E. Bursitis F. Osteoporosis G. Impingement syndrome H. Acromioclavicular joint separation I. Tendonitis
Osteoporosis
Which of the following clinical indications requires a decrease in manual exposure factors? A. Impingement syndrome B. Bankart lesion C. Bursitis D. Osteoporosis
Osteoporosis
Which of the following nontrauma projections can be performed erect to provide a lateral view of the proximal humerus in relationship to the scapulohumeral joint? A. Tangential projection (Fisk modification) B. AP projection-neutral rotation C. PA transaxillary projection (Hobbs modification) D. Anterior oblique position (Grashey method)
PA transaxillary projection (Hobbs modification)
A radiograph of a lateral scapula position reveals that it is not a true lateral projection. (Considerable separation exists between the axillary and vertebral borders.) The projection was taken using the following factors: erect position, 40-inch (102 cm) SID, 45 degree rotation toward IR from posteroanterior (PA), central ray centered to the midscapula, and no central ray angulation. Based on these factors, how can this position be improved during the repeat exposure?
Palpate the superior angle of the scapula and AC joint articulation and ensure that the imaginary plane between these points is perpendicular to the IR
If physical immobilization is required, which individual should be asked to restrain a child for a shoulder series? A. Parent or Guardian B. Radiologic technologist C. Radiography student D. Nurse aide
Parent or Guardian
Which bony structure separates the supraspinous and the infraspinous fossae?
Scapular spine
Which term(s) correctly describe(s) the shoulder joint?
Scapulohumeral and Glenohumeral
Which clinical indication is best demonstrated with the Garth method? A. Bursitis, B. Scapulohumeral dislocations, C. Rheumatoid arthritis, D. Signs of shoulder impingement
Scapulohumeral dislocations
Which anatomy of the shoulder is best demonstrated with PA transaxillary projection (Hobbs modification)? A. Scapulohumeral joint space, B. Coracoacromial arch, C. Coracoid process, D. Scapula in profile
Scapulohumeral joint space
A posterior disclocation of the humerus projects the humeral head (superior or inferior) to the glenoid cavity with the AP apical oblique axial projection.
Superior
Which two landmarks are placed perpendicular to the IR for the scapular Y lateral projection?
Superior Angle of the Scapula, and the AC Joint Articulation
Which two positioning landmarks are aligned perpendicularly to the IR for the lateral scapula projections? A. Scapular spine and greater tubercle, B. Superior angle and AC joint, C. AC joint and greater tubercle, D. Acromion and coracoid process
Superior angle and AC joint
A radiograph of an AP projection (with external rotation) of a shoulder (with no traumatic injury) reveals that neither the greater nor lesser tubercles are profiled. What must be done to correct this during the repeat exposure?
Supinate the hand and ensure that the epicondyles are parallel to the IR for a true Ap
The most common injury to the rotator cuff is to which tendon? A. Supraspinatus B. Infraspinatus C. Teres minor D. Subscapularis
Supraspinatus
What is the most common clinical indication to perform the Alexander method for the AC joints? A. Possible fracture of the distal clavicle B. Possible fracture of coracoid process C. Suspected AC joint subluxation D. Suspected subacromial spurs
Suspected AC joint subluxation
What is the special projection of the shoulder that best demonstrates the acromiohumeral space for possible subacromial spurs, which create shoulder impingement symptoms (more than one answer possible)?
Tangential projection
Situation: A patient comes to the radiology department with a history of tendonitis of the bicep tendon. Which of the following projections will best demonstrate calcification of the tendon within the intertubercular sulcus? A. AP apical oblique axial (Garth method) B. AP oblique (Grashey method) C. PA transaxillary projection (Hobbs modification) D. Tangential projection (Fisk modification)
Tangential projection (Fisk modification)
Which of the following projections best demonstrates the supraspinatus outlet region? A. Tangential projection (Neer method), B. Fisk method, C. Inferosuperior axial projection, D. Ability to use automatic exposure control (AEC)
Tangential projection (Neer method)
Inflammatory condition of the tendon: A. Vitamin-E not Vitamin-A B. Bankart lesion C. Hill-Sachs defect D. Rotator Cuff Tear E. Osteoporosis F. Impingement syndrome G. Acromioclavicular joint disclocation H. Tendonitis
Tendonitis
What pathology do "Calcified tendons" indicate: A. Rheumatoid arthritis B. Bankart lesion C. Hill-Sachs defect D. Osteoarthritis E. Bursitis F. Osteoporosis G. Impingement syndrome H. Acromioclavicular joint separation I. Tendonitis
Tendonitis
With which of the following projections can an orthostatic (breathing) technique be used? A. Grashey method, B. Transthoracic lateral for humerus, C. Scapular Y lateral, D. Garth Method
Transthoracic lateral for humerus
Which lateral projection can be performed to demonstrate the entire humerus for a patient with a midhumeral fracture?
Transthoracic lateral projection of humerus
Indicate whether the following positioning and technical consideration is True or False for the shoulder girdle: True/False: A high-speed screen-IR system is recommended for analog shoulder studies when using a grid.
True
Indicate whether the following positioning and technical consideration is True or False for the shoulder girdle: True/False: The use of a grid is not required for shoulder studies that measure less than 10 cm.
True
Indicate whether the following positioning and technical consideration is True or False for the shoulder girdle: True/False: The use of contact shields over the breast, lung, and thyroid regions is recommended for most shoulder projections.
True
True/False: A 72-inch (183-cm) SID is recommended for adult acromioclavicular joint studies
True
True/False: A patient with a possible Bankart lesion comes to the radiology department. The following three projections that can be performed that may demonstrate signs of this injury. A. AP internal rotation B. Posterior oblique lateral (Scapular Y) C. Anterior oblique (Grayshey method)
True
True/False: CT arthography of the shoulder joint often requires the use of iodinated contrast media injected into the joint space
True
True/False: Even though the amount of radiation exposure is minimal for most shoulder projections, gonadal shielding should be used for children and adults of childbearing age.
True
True/False: Nuclear medicine bone scans can demonstrate signs of osteomyelitis and cellulitis.
True
True/False: Orthostatic (breathing) technique is recommended for the AP projection of scapula
True
True/False: Sonography (ulstrasound) can provide a functional (dynamic) evaluation of joint movement that MRI cannot.
True
True/False: The PA transaxillary projection (Hobbs modification) requires no CR angle.
True
True/False: The greatest technical concern during a pediatric shoulder study is voluntary motion.
True
True/False: The shoulder is the most common joint to develop bursitis due to repetitive motion.
True
True/False: The transthoracic lateral projection can be performed for possible fractures or dislocations of the proximal humerus.
True
True/False: The use of a breathing technique can be performed for the transthoracic lateral humerus projection.
True
True/False: It is recommended to perform shoulder positions on obese patients in the erect position when possible.
True (reduces OID, part distortion)
Situation: A patient with a clinicial history of tendon injury in the shoulder region comes to the radiology department. The orthopedic physician needs a functional study of the shoulder joint performed to determine the extent of the tendon injury. Which of the following modalities would best demonstrate this injury? A. Arthrography B. MRI C. Nuclear medicine D. Ultrasound
Ultrasound
Which of the following imaging modalities or procedures provides a functional, or dynamic, study of the shoulder joint? Ultrasound, Radiography, Nuclear medicine or MRI
Ultrasound
To best demonstrate the Hill-Sachs defect on the inferosuperior axial projection, which additional positioning maneuver must be used? A. Angle central ray 35 degrees medially, B. Use exaggerated external rotation, C. Use exagerated internal rotation, D. Abduct arm 120 degrees rotation from mid sagittal plan (MSP)
Use exaggerated external rotation
Which of the following is not an angle found on the scapula?
medial angle
What are the three aspects of the clavicle?
sternal extremity, body, and acromial extremity
What are the names of the two fossae located on the posterior scapula?
supraspinous and infraspinous
All of the joints of the shoulder girdle are classified as being:
synovial
Where is the central ray centered for an AP projection-external rotation of the shoulder? (A) 1-inch (2.5cm) inferior to the caracoid process, (B) Acrimion, (C) 1-inch (2.5 cm) superior to caracoid process, or (D) 2-inches (5 cm) inferior to acromioclavicular joint
1-inch (2.5 cm) inferior to the carcoid process
For the following critique question, see Figure C5.104, an AP scapula radiograph on page 210 (More than one answer may be selected) 1. Which positioning error(s) is(are) visible on this AP left clavicle radiograph? (more than one answer may be selected) 2. Which error(s) identified are considered repeatable A. All esssential anatomic structures are not demonstrated B. Central ray is centered incorrectly C. Collimation is not evident D. Exposure factors are incorrect E. No anatomic marker is visible on the radiograph F. Excessive rotation toward the right is evident G. Excessive rotation toward the left is evident
A, B, C, D, E
For the following critique question, see Figure C5.104, an AP scapula radiograph on page 210 (More than one answer may be selected) Which of the following modifications must be made during the repeat exposure? (More than one answer may be selected) A. Increase collimation B. Center central ray more inferiorly C. Decrease exposure factors D. Increase exposure factors E. Place anatomic side marker in IR before exposure F. Rotate body slightly toward left G. Rotate body slightly toward right
A, B, D, G
For the following critique question, see Figure C5.102, an AP clavicle radiograph on page 210 (More than one answer may be selected) Which of the following modifications must be made during the repeat exposure? (more than one answer may be selected) A. Increase collimation B. Center central ray correctly C. Decrease exposure factors D. Increase exposure factors E. Place anatomic marker on image receptor (IR) before exposure F. Ensure that no rotation occurs to left or right
A, B, F
Which anatomy is best demonstrated by the Alexander method? A. AC joints, B. Scapulohumeral joint, C. Coracoid process, D. Proximal humerus
AC joints
Which two routine shoulder projections are routinely taken for a shoulder (with no traumatic injury) and proximal humerus?
AP External Rotation and AP Internal Rotation
Situation: A patient enters the ER with a proximal and midhumeral fracture. The patient is in extreme pain. Which of the following positioning routines would demonstrate the entire humerus without excessive movement of the limb? A. AP and mediolateral humerus B. AP and transthoracic lateral (Lawrence method) C. AP and transthoracic lateral of humerus D. AP and scapular Y lateral
AP and transthoracic lateral of humerus
For the following critique question, see Figure C5.102, an AP clavicle radiograph on page 210 (More than one answer may be selected) Which positioning error(s) is(are) visible on this AP left clavicle radiograph? (more than one answer may be selected) A. All essential anatomic structures are not demonstrated B. Central ray is centered incorrectly C. Collimation is not evident D. Exposure factors are incorrect E. No anatomic Marker is visible on the radiograph F. Slight rotation toward the right is evident G. Slight rotation toward the left is evident
B, C, E, G
What is the joint movement for Scapulohumeral?
Ball and socket
What type of joint movement for the scapulohumeral joint? Plane, Ellipsoidal, Ball and Socket, or Pivot (trochoidal)
Ball and socket
Injury of the anteroinferior glenoid labrum: A. Mom makes great Brussel sprouts B. Bankart lesion C. Hill-Sachs defect D. Rotator Cuff Tear E. Osteoporosis F. Impingement syndrome G. Acromioclavicular joint disclocation H. Tendonitis
Bankart lesion
What is injury to the anteroinferior glenoid labrum? Osteoporosis, Bankart lesion, Idiopathic chronic capsulitis, Rotator cuff tear, Osteoporosis, Acromioclavicular joint dislocation, Hill-Sachs defect, or Rheumatoid arthritis
Bankart lesion
What pathology does "Avulsion fracture of the glenoid rim" indicate: A. Rheumatoid arthritis B. Bankart lesion C. Hill-Sachs defect D. Osteoarthritis E. Bursitis F. Osteoporosis G. Impingement syndrome H. Acromioclavicular joint separation I. Tendonitis
Bankart lesion
What type of compensating filter is recommended for use on an AP shoulder projection for a hypersthentic patient? Boomerang, Wedge, Trough or Gradient
Boomerang
Which of the following devices permits good visualization of soft-tissue and bony anatomy for adult shoulder radiography? A. Wedge compensating filter B. Aluminum added filtration C. Trough compensating filter D. Boomerang compensating filter
Boomerang compensating filter
What is Compression fracture of humeral head? Osteoporosis, Bankart lesion, Idiopathic chronic capsulitis, Rotator cuff tear, Osteoporosis, Acromioclavicular joint dislocation, Hill-Sachs defect, or Rheumatoid arthritis
Hill-Sachs defect
What pathology does "Compression fracture of humeral head" indicate: A. Rheumatoid arthritis B. Bankart lesion C. Hill-Sachs defect D. Osteoarthritis E. Bursitis F. Osteroporosis G. Impingement syndrome H. Acromioclavicular joint separation I. Tendonitis
Hill-Sachs defect
Compression Fracture of the the articular surface of the humeral head : A. Time to walk Jack B. Bankart lesion C. Hill-Sachs defect D. Rotator Cuff Tear E. Osteoporosis F. Impingement syndrome G. Acromioclavicular joint disclocation H. Tendonitis
Hills-Sachs defect
What is disability of the shoulder joint caused by chronic inflammation in and around the joint? Osteoporosis, Bankart lesion, or Idiopathic chronic capsulitis
Idiopathic chronic capsulitis
Compression between the greater tuberosity and soft tissues on the caracoacromial ligamentous and osseous arch: A. Put the whole bag in Jimmy B. Bankart lesion C. Hill-Sachs defect D. Rotator Cuff Tear E. Osteoporosis F. Impingement syndrome G. Acromioclavicular joint disclocation H. Tendonitis
Impingement syndrom
What pathology do "Subacronial spurs" indicate: A. Rheumatoid arthritis B. Bankart lesion C. Hill-Sachs defect D. Osteoarthritis E. Bursitis F. Osteoporosis G. Impingement syndrome H. Acromioclavicular joint separation I. Tendonitis
Impingement syndrome
A radiograph of an AP axial clavicle projection reveals that the clavicle is projected below the superior border of the scapula. What can the technologist do to correct this problem during the repeat exposure?
Increase CR cephalad angle
Situation: A patient is referred to radiology for a nontrauma shoulder series. The routine calls for a PA transaxillary projection (Hobbs modification) to be included. But the patient is unable to stand and is confined to a wheelchair. What should the technologist do? A. Ask another technologist to hold the patient erect for the projection. B. Perform the projection with the patient's upper chest prone on the table. C. Perform a recumbent AP posterior oblique projection (Grashey method) instead. D. Eliminate projection from the positioning routine.
Perform the projection with the patient's upper chest prone on the table.
Specifically, where is the central ray placed for an AP projection of the shoulder?
Perpedicular to IR, 1-inch below coracoid process
How are the humeral epicondyles aligned for a rotational lateromedial projection of the humerus? (A.) Perpendicular to IR, (B.) 45 degrees to IR, (C.) Parrallel to IR, or (D.) 20-degree angle to IR
Perpendicular to IR
What is the joint movement for the Acromioclavicular?
Plane
What is the joint movement for the Sternoclavicular?
Plane
Which of the following projections is best for demonstrating a possible dislocation of the proximal humerus? A. Fisk modification B. Anterior oblique (Grashey method) C.Inferosuperior axial (Clement modification) projection D. Posterior oblique (Scapular Y) projection
Posterior oblique (Scapular Y) projection
What is the major advantage of the supine, tangential version of the intertubercular sulcus projection over the erect version? A. Less Radiation, B. Reduced OID, C. Less risk for motion, D. Ability to use automatic exposure control (AEC)
Reduced OID
What is Chronic Systemic Disease with Arthritic Inflammatory changes throughout the body? Osteoporosis, Rheumatoid arthritis, Bankart lesion, Idiopathic chronic capsulitis, Rotator cuff tear, Osteoporosis, Acromioclavicular joint dislocation, or Hill-Sachs defect
Rheumatoid arthritis
What pathology does "Closed joint space" indicate: A. Rheumatoid arthritis B. Bankart lesion C. Hill-Sachs defect D. Osteoarthritis E. Bursitis F. Osteoporosis G. Impingement syndrome H. Acromioclavicular joint separation I. Tendonitis
Rheumatoid arthritis
Which of the following pathologic conditions may require a reduction in manual exposure factors? Rheumatoid arthritis, Rotator cuff tear, Bursitis, or Bankart lesion
Rheumatoid arthritis
To best demonstrate a possilbe Hill-Sachs defect, which additional positioning technique can be added to the inferosuperior axial (Lawrence method) projection? A. Angle central ray 10-15 degrees caudal B. Rotate affected arm externally approximately 45 degrees C.Angle central ray 3-5 degrees caudad D. Place humeral epicondyles parallel to IR
Rotate affected arm externally approximately 45 degrees
A radiograph of an anterior oblique (Grashey method) shows that the anterior and posterior glenoid rims are not superimposed. The following positioning factors were used: erect position, body rotated 25 to 30 degrees toward the affected side, central ray perpendicular to the scapulohumeral joint space, and affected arm slightly abducted in the neutral rotation. Which of the following modifications will superimpose the glenoid rims during the repeat exposure? A. Angle central ray 10-15 degrees caudad, B. Rotate body less toward the affected side, C. Place affected arm in external rotation position, D. Rotate body more toward affected side
Rotate body more to affected side
Traumatic injury to one or more of the supportive muscles of the shoulder girdle: A. Time for more coffee B. Bankart lesion C. Hill-Sachs defect D. Rotator Cuff Tear E. Osteoporosis F. Impingement syndrome G. Acromioclavicular joint disclocation H. Tendonitis
Rotator cuff tear
What is Traumatic injury to one or more muscles of the shoulder joint? Osteoporosis, Bankart lesion, Idiopathic chronic capsulitis, Rotator cuff tear, Osteoporosis, Acromioclavicular joint dislocation, Hill-Sachs defect, or Rheumatoid arthritis
Rotator cuff tear
An AP apical oblique axial (Garth method) radiographic image demonstrates poor visability of the shoulder joint. The technologist used the following factors: patient erect, facing the x-ray tube, 45-degree of rotation of affected shoulder toward the IR, 45 degree cephalad angle, and the CR centered to the scapulohumeral joint. Which of the following factors would have contributed to this poor Garth position? A. Wrong direction of CR angle B. Incorrect CR centering C. Position must be performed recumbent D. Shoulder rotated in wrong direction
Wrong direction of CR angle
