Shared Flashcard Set

Details

Ch 6
Positioning
92
Health Care
Undergraduate 2
09/02/2011

Additional Health Care Flashcards

 


 

Cards

Term
What terms correctly describe the shoulder joint?
Definition
Scapulohumeral & glenohumeral
Term
Which specific joint is found on the lateral end of the clavicle ?
Definition
Acromionclavicular
Term
What angles are found on the scapula?
Definition
Inferior, lateral, & superior
Term
Which of the following structure of the scapula extends most anteriorly?
Gleniod cavity
Acromion
Scapulae spine
Coracoid process
Definition
Coracoid process
Term
T/F : the male clavicle is shorter and less curved than the female clavicle
Definition
False
Term
Which bony structure separates the supraspinous and infraspinous fossae?
Definition
Scapulae spine
Term
Which of the following structures is considered most posterior?
Scapular notch
Coracoid process
Acromion
Superior border of scapula
Definition
Acromion
Term
What type of movement is the scapulohumeral joint?
Definition
Spheroidal
Term
T/F : even though the amount of radiation exposure is minimal for most shoulder projections, gonadal shielding should be used for children and adults of child bearing age
Definition
True
Term
T/F: the greatest technical concern during a pediatric shoulder study is voluntary movement
Definition
True
Term
Which imaging modality or procedure provides a functional, or dynamic, study of the shoulder?
Definition
Ultrasound
Term
Acromioclavicular joint dislocation
Definition
Superior displacement of distal clavicle
X-ray appearance-abnormal widening of acromioclavicular joint space
Term
Which Projection and/or position best demonstrates signs of impigement syndrome?
Definition
Scapulae Y (neer method)
Term
Which Pathologic condition often produces narrowing of the joint space?
Definition
Osteoarthritis
Term
Which Pathologic condition may require a reduction in manual exposure factors?
Definition
Rheumatoid arthritis
Term
Which basic projection of the shoulder requires that the numeral epicondyles be parallel to the IR?
Definition
External rotation
Term
Where is the central ray centered for a AP projection of the shoulder?
Definition
1" superior to coracoid process
Term
Which position of the shoulder and Proximal humerus projects the lesser tubercle in profile medially?
Definition
Internal rotation
Term
What central ray angle should be used for the inferosuperior axial projection for the glenohumeral joint space?
Definition
25-30 degrees medially
Term
To best demonstrate the hill-sachs defect on the inferosuperior axial projection, which additional positioning maneuver must be used?
Definition
Use exaggereated external rotation
Term
How are the humeral epicondyles aligned for a rotational lateromedial projection of the humerus ?
Definition
Perpendular to the IR
Term
Which special projection of the shoulder places the glenoid cavity in profile for an open scapulohumeral joint?
Definition
Grashey method
Term
For the erect version of the tangential projection for the intertubercular groove, the patient lens forward ______ from vertical .
Definition
10-15 degrees
Term
What is the major advantage of the supine, tangential version of the intertubercular groove projection over the erect version ?
Definition
Reduced OID
Term
Which projection best demonstrates the supraspinatus outlet region?
Definition
Scapulae Y lateral (neer method)
Term
With which of the following projections is a breathing technique recommended ?
Grashey method
Thansthoracic lateral
Fisk modification
Garth method
Definition
Transthoracic lateral for humerus
Term
What central ray angulation is required for the supraspinatus outlet tangential projection (neer method)?
Definition
10-15 degrees caudad
Term
Which Pathologic feature is best demonstrated with the Garth method?
Definition
Scapulohumeral dislocations
Term
Which anatomy of the shoulder is best demonstrated with a superoinferior axial projection (hobbs modification)?
Definition
Scapulohumeral joint space
Term
If the patient cannot fully abduct the arm 90 for the inferosuperior axial projection (Clements modification), the technologist can angle the CR _____ degrees toward the axillary.
Definition
5-15
Term
Which of the following projections requires the CR to be centered 2" inferior and medial from the superolateral border of the shoulder?
Tangential projection(Fisk modification)
Inferosuperior axial(Clements projection)
Posterior oblique(Grashey method)
Scapula Y lateral projection
Definition
Posterior oblique (Grashey method)
Term
Which anatomy best demonstrated with the alexander method?
Definition
AC joints
Term
Which type of injury should be ruled out before the weight-bearing phase of an AC joint study?
Definition
Fractured clavicle
Term
What is the minimum amoun of weight a large adult should have strapped to each wrist for the weight-bearing phase of an AC joint study?
Definition
8-10 lbs
Term
T/F: a posteroanterior PA axial projection ofthe clavicle requires a 35-34 degree caudal central ray angle
Definition
False
Term
T/F: a 72" SID is recommended for acromioclavicular joint study
Definition
True
Term
The three aspects of the clavicle are the-
Definition
Sternal extremity, body,& acromial extremity
Term
The three angles of the scapula include-
Definition
Lateral, superior,& inferior
Term
He anterior surface of the scapula is referred to as -
Definition
The costal surface
Term
What is the anatomic name for the armpit?
Definition
Axilla
Term
What Re the names of the two fossae located on the posterior scapula ?
Definition
Infraspinous & supraspinus
Term
All of the joints of he shoulder girdle are classified as being-
Definition
Synovial (diarthrodial)
Term
Movement type for scapulohumeral -
Definition
Spheroidal
Term
Movement type for sternoclavicular joint -
Definition
Plane
Term
Mmovement type for acromioclavicular joint-
Definition
Plane
Term
External rotation-
Definition
Greater tubercle profiled laterally, supination of hand, epicondyles parallel to IR, proximal humerus in Position for an AP projection
Term
Internal rotation-
Definition
Epicondyles perpendicular to IR, lesser tubercle profiled medially, proximal humerus in a lateral position
Term
Neutral rotation-
Definition
Humeral epicondyles angled 45 degrees to IR,palm of hang against thigh
Term
T/F: the use of a grid is not required for a should that measures less than 10 cm
Definition
True
Term
T/F: the kV range for adult shoulder projections is between 80-90 kV
Definition
False
Term
T/F: low mA with short exposure times should be used for adult shoulder studies
Definition
False
Term
T/F: large focal spot setting should be selected for most adult shoulder studies
Definition
False
Term
T/F: a high speed screen-IR system is recommended for shoulder studies when using a grid
Definition
True
Term
T/F: a 72" SID is recommended for most shoulder girdle studies
Definition
False: 40" SID
Term
T/F: re gonadal dose for most shoulder projections is .1 mrad or less
Definition
True
Term
T/F: the use of contact shields over the breast, lung, and thyroid regions is recommended for most shoulder projections
Definition
True
Term
Which kV range should be used for a shoulder series on an average adult?
Definition
70-80 kV
Term
If physical immobilization is required, which individual should be ask to restrain a child fora shoulder series?
Definition
Parent or guardian
Term
T/F: CT arthrography of the shoulder joint requires the us of iodinated contrast to be injected into the joint
Definition
True
Term
T/F: MRI is an excellent modality for demonstrating nondisplaced fractures of the shoulder girdle
Definition
False
Term
T/F: nuclear medicine bone scans can demonstrate signs of osteomyelitis and cellulitis
Definition
True
Term
T/F: radiography is more sensitive than nuclear medicine for demonstrating physiologic aspects of the shoulder girdle
Definition
False
Term
T/F: ultrasound can provide a functional evaluation of joint movement that MRI cannot
Definition
True
Term
Which two basic shoulder projections are routinely taken for a shoulder( with no trauma) and proximal humerus ?
Definition
AP external & AP internal
Term
Specifically wher is the central ray placed for an AP projection of the shoulder?
Definition
Midscapulohumeral joint
Term
Which lateral projection can be preformed to demonstrate the ENTIRE humerus for a Patient with a midhumeral fracture?
Definition
Transthoracic lateral projection
Term
To best demonstrate a possible Hill-Sachs defect, which additional positioning technique can be added to the inferosuperior axial projection?
Definition
Rotate affected arm externally approximate 45 degrees
Term
What type of CR angulation is required for he inferosuperior axial projection for the shoulder?
Definition
25-30 degrees medially
Term
The _______ projection of the shoulder produces an image of the glenoid process in profile
Definition
AP oblique
Term
Which projection produces a tangential projection of the intertubcular groove?
Definition
Tangential projection (Fisk modification)
Term
The supine version o the tangential projection of the intertubercular groove requires that the CR be angled _______ posteriorly from the horizontal plane
Definition
10-15 degrees
Term
Which projection would be best for demonstrating a possible dislocation of the proximal humerus?
Definition
Scapular Y
Term
Corresponding method:Neer method
Definition
Supraspinatus outlet tangential
Term
Corresponding method: Grashey method
Definition
AP oblique for glenoid cavity
Term
Corresponding method: Lawrence method
Definition
Inferosuperior axial or transthoracic lateral
Term
Corresponding method: Fisk modification
Definition
Tangential for intertubercular groove
Term
Corresponding method: Garth method
Definition
AP apical oblique axial
Term
Which nontrauma projections can be preformed erect to provide a lateral view of the proximal humerus in relationship to the glenohumeral joint?
Definition
Superoinferior axial projection (Hobbs modification)
Term
How much CR angled for the inferosuperior axial projection (Clements modification) if the patient cannot fully abduct the arm 90 degrees?
Definition
5-15 degrees
Term
What CR angle is required for the AP axial projection (Alexander method) for AC joints?
Definition
15 degrees cephalad
Term
T/F: the superoinferior axial projection (Hobbs modification) requires no CR angle
Definition
True
Term
T/F: the transthoracic lateral projection can be preformed for possible fractures or dislocations of the proximal humerus
Definition
True
Term
T/F: the use of breathing technique is recommended for the transthoracic lateral humerus projection
Definition
True
Term
T/F: the affected arm must be placed into external rotation for the transthoracic lateral projection
Definition
False
Term
T/F: a CR angle of 10-15 caudad maybe used for the transthoracic lateral projection if the patient is unable to elevate the uninjured arm and shoulder sufficiently
Definition
False
Term
T/F: the scapular Y lateral (anterior oblique) position requires the body to be rotated 45-60 degrees anteriorly toasted the affected side
Definition
True
Term
Which shoulder projection delivers the greatest skin dose to the Patient ?
Definition
Transthoracic lateral
Term
Which of the following requires the smallest And highest thyroid dose?
AP neutral rotation
Transthoracic lateral
AP clavicle
Scapular Y lateral
Definition
Scapular Y lateral
Transthoracic lateral
Term
Which special projection ofthe shoulder girdle requires that the affected side be rotated 45 degrees toward the cassette and uses a 45 degrees caudad central ray angle?
Definition
AP apial oblique axial
Term
A thin shouldered patient requires (more or less) CR angle for an AP axial clavicle projection than a large shouldered patient
Definition
More
Term
A posterior dislocation of the humerus projects the humeral head (superior or inferior) to the glenoid cavity with the AP apial oblique axial
Definition
Superior
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