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Radiology
Final review Sinuses
40
Other
Undergraduate 1
04/30/2014

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Term
What radiographic baseline should be parallel to the image receptor for a submentovertical (SMV) projection of the paranasal sinuses?
A. Orbitomeatal line
B. Infraorbitomeatal line
C. Acanthomeatal line
D. Glabellomeatal line
Definition
B. Infraorbitomeatal line
Term
On the parietocanthial (Water's) projection of the sinuses, the petrous ridges should:
A. Be projected just below the maxillary sinuses
B. Be projected in the lower third of the orbits
C. Completely fill the orbits
D. Not be demonstrated
Definition
A. Be projected just below the maxillary sinuses
Term
Which projection of the paranasal sinuses best demonstrates the maxillary sinuses?
A. PA (Caldwell) projection
B. Parietoacathial (Water's) projection
C. Lateral projection
D. SMV projection
Definition
B. Parietoacathial (Water's) projection
Term
Which of the following erect projections will demonstrate a fluid level in the sphenoid sinuses?
1. Parietoacanthial (Water's method)
2. Parietoacanthial (Open-mouth water's)
3. Submentocertical (SMV)

A. 1 and 2 only
B. 1 and 3 only
C. 2 and 3 only
D. 1, 2, and 3
Definition
C. 2 and 3 only
Term
The SMV projection of the sinuses best demonstrates the:
A. Frontal and sphenoidal sinuses
B. Ethmoidal and maxillary sinuses
C. Macillary and frontal sinuses
D. Sphenoidal and ethmoidal sinuses
Definition
D. Sphenoidal and ethmoidal sinuses
Term
Image evaluation of a parietoacanthial projection (Water's method) obtained for demonstration of the paranasal sinus revealed the petrous ridges projecting into the lower half of the maxillary sinuses. Which of the following would result in proper demonstration of the anatomy?
A. 10 degrees more extension of the neck
B. 10 degrees less extension of the neck
C. tilt the vertex of the head 5 degrees to the left
D. tilt the vertex of the head 5 degrees to the right
Definition
A. 10 degrees more extension of the neck
Term
Which anatomical structure does not belong with this group?
A. Maxillae
B. Nasal bones
C. Petrous pyramids
D. mandible
Definition
C. Petrous pyramids
Term
Which pair of paranasal sinuses are most posterior?
A. Ethmoid
B. Frontal
C. Maxillary
D. Sphenoid
Definition
D. Sphenoid
Term
Which bone forms the lower posterior part of the nasal septum?
A. Lacrimal
B. Maxilla
C. Palatine
D. Vomer
Definition
D. Vomer
Term
When viewing a SMV projection of the cranium for demonstration of certain paranasal sinuses, the ethmoidal sinuses are visualized?
A. Anterior to the sphenoidal sinuses
B. To the right of the sphenoidal sinuses
C. Posterior to the sphenoidal sinuses
D. To the left of the sphenoidal sinuses
Definition
A. Anterior to the sphenoidal sinuses
Term
Which of the following projections in best used to evaluate the nasal septum?
A. Lateral projection of the nasal bones
B. Parietocanthal projection
C. AP axial of the skull
D. AP oblique projection
Definition
B. Parietocanthal projection
Term
Why is it preferred to perform a sinus series erect?
A. Erect position will demonstrate air/fluid levels
B. Erect position will result in radiographs that have better contrast
C. This position is more comfortable for the patient
D. There is no difference between erect and supine sinuses
Definition
A. Erect position will demonstrate air/fluid levels
Term
What position will demonstrate all four groups of sinuses?
A. Posteroanterior axial projection
B. Parietoacanthal projection
C. SMV projection
D. Lateral projection
Definition
D. Lateral projection
Term
Which bones comprise the bridge of the nose?
A. Nasal
B. Palatine
C. Lacrimal
D. Maxillae
Definition
A. Nasal
Term
Where are the lacrimal bones located?
A. Inside the nasal cavity
B. On the medial wall of each orbit
C. On the lateral wall of each orbit
D. Inferior to the maxillary sinus
Definition
B. On the medial wall of each orbit
Term
Where is the vomer bone found?
A. Posterior to the nasal bone
B. On the lateral wall of the orbits
C. On the floor of the nasal cavity
D. In the posterior one fourth of the roof of the mouth
Definition
C. On the floor of the nasal cavity
Term
Which evaluation criteria pertains to the SMV projection for sinuses?
A. Petrous ridges should lie in the lower one-third of the orbits
B. Mandibular condyles should be anterior to the petrous ridges
C. Mandibular condyles should be posterior to the petrous ridges
D. Petrous ridges should lie immediately below the floor of the maxillary sinuses
Definition
B. Mandibular condyles should be anterior to the petrous ridges
Term
Which position line should be perpendicular to the cassette when positioning for the lateral facial bone?
A. Orbiomeatal
B. Interpupillary
C. Acanthiomeatal
D. Infraorbiomeatal
Definition
B. Interpupillary
Term
Which evaluation criterion pertains to the SMV projection for the sinuses?
A. Mandibular rami should be superimposed
B. Frontal and ethmoidal sinuses should be clearly seen
C. Mental protuberance should be superimposed anterior to frontal bone
D. Petrous ridges should lie immediately below the floor of the maxillary sinuses
Definition
C. Mental protuberance should be superimposed anterior to frontal bone
Term
Which evaluation criterion pertains to the parietoacanthial projection for sinuses?
A. Mandibular rami should be superimposed
B. Petrous ridges should lie in the lower one-third of the orbits
C. Mental protuberance should be superimposed anterior to frontal bone
D. Petrous ridges should lie immediately below the floor of the maxillary sinuses
Definition
D. Petrous ridges should lie immediately below the floor of the maxillary sinuses
Term
Which evaluation criterion pertains to the PA axial projection (Caldwell method) for sinuses?
A. Orbital roofs should be superimposed
B. Mandibular rami should be superimposed
C. Petrous ridges should lie in the lower one-third of the orbits
D. The mental protuberance should superimpose the anterior frontal bone
Definition
C. Petrous ridges should lie in the lower one-third of the orbits
Term
Which evaluation criterion pertains to the lateral projection of the sinuses?
A. The orbital roofs should be superimposed
B. The petrous pyramids should lie in the lower one-third of the orbits
C. The mandibular condyles should be anterior to the petrous ridges
D. The mental protuberance should superimpose the anterior frontal bone
Definition
A. The orbital roofs should be superimposed
Term

Which evaluation criteria pertains to the lateral projection of the sinuses?

A. All four sinus groups should be included B. The petrous pyramids should lie in the lower one-third of the orbits C. The mental protberance should superimpose the anterior frontal bone D. The petrous pyramids should lie immediately below the floor of the maxillary sinuses

Definition
A. All four sinus groups should be included
Term
Where on the patient's head should the CR be directed for a lateral view of the sinuses?
A. 2 inches above the EAM
B. 2 inches below the EAM
C. 1/2 to 1 inch anterior to outer canthus
D. 1/2 to 1 inch posterior to the outer canthus
Definition
D. 1/2 to 1 inch posterior to the outer canthus
Term
For the parietoacanthal projection for the sinuses, how should the CR be directed?
A. Perpendicular
B. 37 degrees cephalically
C. 37 degrees caudally
D. 15 degrees caudally
Definition
A.Perpendicular
Term
Which of the following are evaluation criteria for the SMV for sinuses?
1. The mandibular condyles should be anterior to the petrous pyramids.
2. The maxillary sinuses should be visualized clearly.
3. The mental protuberance should superimpose the anterior frontal bone.

A. 1 and 2 only
B. 1 and 3 only
C. 2 and 3 only
D. 1, 2, and 3
Definition
B. 1 and 3 only
Term
Which of the following are evaluation criteria for the open-mouth parietoacanthial projection?
1. The sphenoid sinuses should be seen projected through the open-mouth
2. The maxillary sinuses should be visualized clearly
3. The orbits and maxillary sinuses should be symmetric on both sides

A. 1 and 2 only
B. 1 and 3 only
C. 2 and 3 only
D. 1, 2, and 3
Definition
D. 1, 2, and 3
Term
Which positioning line should form an angle of 37 degrees with the IR for the parietoacanthial projection, Water's method?
A. OML
B. Glabellomeatal
C. Acanthiomeatal
D. Infraorbiomeatal
Definition
A. OML
Term
With reference to the IR, how should the CR be directed for the parietoacanthial projection, Water's method?
A. Perpendicular
B. 15 degrees caudad
C. 23 degrees caudad
D. 37 degrees caudad
Definition
A. Perpendicular
Term
In which projection of the sinuses is the IR centered to the nasion? A. Lateral B. PA Axial Caldwell C. SMV D. Parietoacanthial, Water's projection
Definition
B. PA Axial Caldwell
Term
In which projection of the sinuses must the OML form an angle of 15 degrees with the plane of the IR?
A. Lateral
B. PA Axial, Caldwell method
C. SMV
D. Parietoacanthial, Water's method
Definition
B. PA Axial, Caldwell method
Term
Which paranasal sinus group is superior to the other sinus groups?
A. Frontal
B. Maxillary
C. Ethmoidal
D. Sphenoidal
Definition
A. Frontal
Term
Which paranasal sinuses are mostly inferior to the orbits?
A. Frontal
B. Maxillary
C. Ethmoidal
D. Sphenoidal
Definition
B. Maxillary
Term
Which paranasal sinuses are located directly below the sella turcica?
A. Frontal
B. Maxillary
C. Ethmoidal
D. Sphenoidal
Definition
D. Sphenoidal
Term
Which paranasal sinus group is posterior to the ethmoidal sinuses?
A. Frontal
B. Maxillary
C. Ethmoidal
D. Sphenoidal
Definition
D. Sphenoidal
Term
In which body position should the patient be placed for radiographs of the paranasal sinuses?
A. Prone
B. Supine
C. Upright
Definition
C. Upright
Term
Which sinus stuctures are primarily demonstrated in the PA Axial Caldwell method for sinuses?
A. Frontal sinuses and anterior ethmoid air cells
B. Frontal sinuses and posterior ethmoid air cells
C. Maxillary sinuses and anterior ethmoidal air cells
D. Maxillary sinuses and posterior ethmoidal air cells
Definition
A. Frontal sinuses and anterior ethmoid air cells
Term
Which sinus group is not well demonstrated in the image produced by the parietoacanthial projection, Water's method?
A. Frontal
B. Maxillary
C. Ethmoidal
D. Sphenoidal
Definition
D. Sphenoidal
Term
For the PA axial projection, Caldwell method, of the sinuses, which positioning line, in addition to the MSP, should be perpendicular to the IR?
A. Orbiomeatal
B. Interpupillary
C. Glabellomeatal
D. Infraorbitomeatal
Definition
A. Orbiomeatal
Term
How should you instruct your patient when you are positioning them for a PA open-mouth Water's method?
A. Open your mouth
B. Hold still
C. Drop your jaw
D. Don't breath
Definition
C. Drop your jaw
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