Quiz 1

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Trapezium

"If you look under thumb, you will find ____."

Trapezium

1

Lunate

10

Scaphoid

11

Trapezium

12

Trapezoid

13

Trapezoid

2

Scaphoid

3

Lunate

4

Capitate

5

Hamate

6

Triquetral

6

Capitate

7

Pisiform

7

Hamate

8

Pisiform

8

Triquetral

9

Distal phalanx of the first digit of the right hand

A

15* Proximal

A "Modified Robert's" position has a ___ degree ___ angle on the tube.

Straight Lateral Hand

A PA thumb is also a ____.

uLNAR

A ____ deviation opens the lateral side & is best for viewing the scaphoid.

Phalanges

A fan lateral is good for viewing what?

Medial/ulnar

A radial deviation opens up the ____ side.

Metacarpals

A straight lateral is good for viewing what?

Interphalangeal joint of the first digit of the right hand

B

Proximal phalanx of the 1st digit of the right hand

C

1st metacarpophalangeal joint of the right hand

D

No

Do you use a grid for upper limbs?

1st metacarpal of the right hand

E

1st carpometacarpal joint of the right hand

F

Distal phalanx of the 5th digit of the right hand

G

Distal interphalangeal joint of the 5th digit of the right hand

H

8

How many carpals are in the hand?

5

How many metacarpals are in the hand?

14

How many phalanges are in the hand?

27

How many total bones are in the hand?

Body of the middle phalanx of the 5th digit of the right hand

I

Increase

If a patient has a cast, you must ____ the technical factors.

30% (30% Rule)

In CR, what percentage of the IR must be exposed?

Dorsiflex the hand 90* and rotate the fingers straight up.

In a Gaynor-Hart, how is the wrist positioned?

25-30* Proximal

In a Gaynor-Hart, what kind of angle does the CR have?

The base of the 3rd metacarpal.

In a Gaynor-Hart, where is the CR centered?

1) Pronate the hand with an ulnar deviation on a sponge. 2) No unar deviation

In a Modified Stecher, what are your two positioning options?

Scaphoid

In a Modified Stecher, where is the CR centered?

Concave or an hourglass shape

In a PA hand, how should the phalanges appear?

Curling the fingers

In a PA hand, what can decrease the OID?

Stacked, apart

In a fan lateral, the radius and ulna are ____ and the fingers are ____.

90*, straight

In a lateral wrist, the elbow should be flexed __* and the fingers should be ____.

The distal radius and ulna

In a radiograph of a hand, what must be included?

Separated

In a straight lateral, the fingers are not ____.

One side straightened and the other concave

In an oblique hand, how should the phalanges appear?

Open

In an oblique hand, the 2nd and 3rd metacarpal heads should be ____.

Superimposed

In an oblique hand, the 3rd, 4th, and 5th metacarpals should not be overly ____.

Trapezium and Scaphoid

In an oblique wrist, what carpals should be viewed nicely?

10-15* Proximal

In an ulnar deviation position, the CR has what kind of angle?

Scaphoid

In an ulnar deviation position, where is the CR centered? (It also happens to be the best viewed carpal bone in this position)

Mid-carpal

In any wrist position, where do you center?

Proximal interphalangeal joint of the 5th digit of the right hand

J

Body of the proximal phalanx of the 5th digit of the right hand

K

5th metacarpophalangeal joint of the right hand

L

Body of the 5th metacarpal of the right hand

M

5th carpometacarpal joint of the right hand

N

Scaphoid

Name this carpal: "Navicular," articulates with radius, most frequently fractured carpal, boat shaped

Hamate

Name this carpal: Has a hook-like process called the hamulus

Lunate

Name this carpal: Moon shaped, articulates with radius

Pisiform

Name this carpal: Pea shaped, smallest carpal bone

Fat pads/Fat bands

Soft tissue that, if there is an injury, appear darker and displaced on radiographs.

Radial

The (radial/ulnar) process extends more distally.

2

The 1st digit has how many phalanges?

3

The 2nd through 5h digits have how many phalanges?

Plane/gliding

The 2nd through 5th carpometaarpal joints are ____ joints

PA Stress View (Skier's Thumb)

The Folio position is also called what?

Bennett's

The Modified Robert's is used for what kind of fracture?

Ginglymus/hinge

The interphalangeal joints are ____ joints.

Capitate

The largest carpal bone

Long

The long axis of the part should run along the ____ axis of the IR.

Ellipsoidal/condyloid

The metacarpophalangeal joints are ____ joints.

Parallel

The part must be ____ to the IR.

Lateral (thumb side)

The radius is on the ____ side of the body.

Scaphoid fat pad Pronator fat pad

Two kinds of fat pads that are present in the wrist.

40

What SID is used for upper limb?

Trapezium

What articulates with the 1st metacarpal?

Trapezoid

What articulates with the 2nd metacarpal?

Capitate

What articulates with the 3rd metacarpal?

Hamate

What articulates with the 4th & 5th metacarpal?

Ulna

What bone does not articulate directly with the carpal bones?

45

What degree is used for an oblique hand?

The 1st metacarpal

What do you have to include on a radiograph of the thumb?

Carpometacarpal joint

What does CMC stand for?

Distal interphalangeal joint

What does DIP stand for?

Interphalangeal joint

What does IP stand for?

Metacarpophalangeal joint

What does MCP stand for?

Proximal interphalangeal joint

What does PIP stand for?

3rd Metacarpophalangeal joint

What is the centering point for a PA hand?

The fingers are flexed in a Ball Catcher's, but are straight in a Norgaard.

What is the difference between a Norgaard and Ball Catcher's position?

AP

What is the preferred projection of a thumb? PA or AP?

The carpal canal

What is viewed in a Gaynor-Hart?

50-70 k

What kV is used for the upper limb?

Bartin's Colles' Smith's

What kind of fractures are viewed nicely in a lateral wrist? (3)

Plane/gliding

What kind of joint are the intercarpals?

Sellar/saddle

What kind of joint is the 1st carpometacarpal joint?

Diarthrodial

What kind of joints are the joints of the hand and wrist?

1.25-2 mAs

What mAs is used for fingers?

1.6-3.2 mAs

What mAs should be used for a hand?

2-3.2 mAs

What mAs should be used for a wrist?

Nuclear Medicine

What modality assesses the physiological aspect of anatomy and is more sensitive than radiography?

CT

What modality is used for the soft tissue/skeletal involvement of lesions?

Arthrography

What procedure injects contrast into a joint capsule for diarthrodial joints?

Small

What size focal spot is used?

Some lovers try positions that they can't handle. Steve left the party to take Carol home.

What the the two mnemonics used to remember the carpals?

1st Metacarpophalangeal joint

Where is he centering point for an AP thumb?

The 2nd Metacarpophalangeal joint

Where should you center for a lateral hand?


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