• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/157

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

157 Cards in this Set

  • Front
  • Back

A patient comes into the emergency room with an injury to the distal femur. Which of the following imaging procedure routine would be indicated when a femur is requested?


A. AP and lateral distal femur to include area of injury on 14x17 IRs


B.AP and lateral proximal femur on 14x17s plus AP and lateral knee images on 10x12 IRs


C.AP and Lateral distal femurs on 14x17's plus AP and lateral hip on 10x12 IRs


D.AP distal femur to include knee and lateral femur to include hip

C. AP and Lateral distal femurs on 14x17's plus AP and lateral hip on 10x12 IRs

A patient has a pelvis x-ray which is questionable for a fractured acetabulum. Which projection (s) would you perform to demonstrate this area?

Judet Method

A patient with hip pain from a fall comes into the emergency room. The physician orders a left hip study. The patient states they have a great deal of pain in the hip and cannot stand on the leg. Which of the following is the best initial imaging routine for this patient?


A. AP Pelvis with internal rotation and frog lateral hip


B.AP Pelvis without leg rotation and frog lateral hip


C.AP Pelvis with internal leg rotation and axiolateral hip


D.AP Pelvis without leg rotation and axiolateral hip

D. AP Pelvis without leg rotation and axiolateral hip

An AP pelvis image is underexposed (underpenetrated). The technique factors used were 80 kV, 40 inch SID, Grid (table bucky) and AEC with the center chamber active. What change would improve the image?

Activate outer AEC chambers, deactivate center chamber

An elderly patient with an externally rotated lower limb may have:

A. Fracture of the proximal femur

A. base of patella


B. Apex of patella


C. tibial tuberosity


D. Neck of fibula


E. head of fibula


F. apex of head of fibula (styloid process)


G. superimposed medial and lateral condyles


H. Intercondylar sulcus (patellar surface)

A. medial condyle of tibia


B. Body or shaft of tibia


C. Medial malleolus


D. Lateral malleolus


E. body or shaft of fibula


F. Neck of fibula


G. Head of fibula


H. Styloid process of head of fibula


I. lateral condyle of tibia


J. Intercondylar eminence

The arrow in this picture denotes what structure?

The arrow in this picture denotes what structure?

Intercondylar Fossa

This image represents which knee projection?

This image represents which knee projection?

Medial (internal) oblique

What is the cassette placement for an axiolateral (inferio-superior) projection of the hip?

Parallel to femoral neck

What is the foot/leg position for this image of the pelvis?

What is the foot/leg position for this image of the pelvis?

Internal (medial) rotation

Where is the central ray placed for an AP projection of the knee?

1/2 inch distal to apex of the patella

Which of these descriptions best describes the image shown?
A. Lateral knee, over-rotated to IR
B.Lateral Knee, under-rotated to IR
C.Lateral knee with incorrect tube angle
D.Acceptable lateral knee

Which of these descriptions best describes the image shown?


A. Lateral knee, over-rotated to IR


B.Lateral Knee, under-rotated to IR


C.Lateral knee with incorrect tube angle


D.Acceptable lateral knee

A. Lateral knee, over-rotated to IR

How much knee flexion is required for the weight-bearing PA axial projection (Rosenberg method) of the knee?

45° flexion

Another term for the intercondylar sulcus is the:

patellar surface

The best method of evaluating injuries to the menisci and ligaments of the knee joint involves:

an MRI procedure

Which one of the labeled structures is the medial condyle?

Which one of the labeled structures is the medial condyle?

A

What CR angulation is required for an AP projection of the knee on a patient with an ASIS-to-tabletop measurement of 18 cm?

3° to 5° caudad

What is the major disadvantage of using 45° of flexion for the mediolateral projection of the knee?

Draws the patella into the intercondylar sulcus

How much flexion of the knee is recommended for the lateral projection of the patella?

5° to 10° or less

Situation: A radiograph of an AP knee reveals rotation with almost total superimposition of the fibular head and the proximal tibia. What must the technologist do to correct this positioning error on the repeat exposure?

Rotate the knee medially slightly.

Situation: A radiograph of a PA axial projection for the intercondylar fossa does not demonstrate the fossa well. It is foreshortened. The following positioning factors were used: patient prone, knee flexed 40° to 45°, CR angled to be perpendicular to the femur, 40-inch SID, and no rotation of the lower limb. Based on the factors used, what changes need to be made to produce a more diagnostic image?

CR must be perpendicular to lower leg

Situation: A patent enters the ER with a possible transverse fracture of the patella. Which of the following routines would safely provide the best images of the patella?

AP and horizontal beam lateral, no flexion

Which of the following knee projection requires the use of a special IR holding device


1.Hughston method


2.Béclere method


3.Bilateral Merchant method


4.Camp-Coventry method

3. Bilateral Merchant method

For the AP weight-bearing knee projection on an average patient, the CR should be:

perpendicular to the image receptor

Which one of the following projections will best demonstrate signs of Osgood-Schlatter disease


1.Plantodorsal (axial) and lateral calcaneus


2.AP bilateral weight-bearing knees


3.AP, lateral, and oblique ankle


perpendicular to the image receptor


4. AP and Lateral Knee

4. AP and Lateral Knee

A malformation of the acetabulum causing displacement of the femoral head is known as:

congenital hip dysplasia

A radiograph of an AP pelvis demonstrates that the right obturator foramen is foreshortened but the left foramen is open. Which one of the following positioning errors is present on this radiograph?


a.Left rotation


b.Excessive CR angle


c.Right rotation


d.Right tilt

c.Right rotation

A radiograph of an axiolateral (inferosuperior) projection reveals that there is an excessive amount of grid lines present. A 6:1 linear grid was used. Which of the following points will correct this problem on the repeat exposure?a.Decrease the SID.


b.Keep the image receptor parallel to the femoral neck and perpendicular to CR.


c.Keep the image receptor perpendicular to the femoral neck.


d.Use a screen rather than a grid.

b.Keep the image receptor parallel to the femoral neck and perpendicular to CR.

Flattening of the femoral head due to a vascular interruption is known as:

Legg-Calvé-Perthes disease

The tibial plateaus slope:

posteriorly 10 to 20 degrees

How much should the thighs be abducted for the AP oblique projection of the femoral necks (modified Cleaves method)?

45 degrees

How many degrees should the feet and lower limbs be internally rotated for an AP pelvis radiograph?

15 to 20 degrees

Which bones fuse to form the acetabulum?

Ischium, pubis, and ilium

Which projection of the hip is shown in the figure?

Which projection of the hip is shown in the figure?

axiolateral

What view of the Tib/Fib is this and what are its parts?

What view of the Tib/Fib is this and what are its parts?

Anterior View


A- Anterior crest


B- Articular facets (tibialplateau)


C- Body of fibula


D- Fibular notch (of tibia)


E- Intercondylareminence (medial and distal intercondylartubercles)


F- Lateral condyle


G- Lateral malleolus


H- Medial condyle


I- Body or shaft of Tibia


J- Proximal Tibiofibular Joint


K- Distal Tibiofibular Joint


L- Medial Malleolus

What view is this of the Tib/Fib and what are its parts?

What view is this of the Tib/Fib and what are its parts?

Lateral View


A- Articular facets (tibialplateau) (10°-20° )


B- Apex of styloidprocess


C- Body (shaft) of fibula


D- Body (shaft) of tibia


E- Fibular head


F- Lateral malleolus


G- Medial malleolus


H- Fibular neck


I- Tibial tuberosity



A- Medial Condyle of the Tibia


B- Body or shaft of Tibia


C- Medial Malleolus


D- Lateral Malleolus


E- Body or shaft of Fibula


F- Neck of Fibula


G- Head of Fibula


H- Apex (styloid process) of head of Fibula


I- Lateral Condyle of Tibia


J- Intercondylar eminence ( tibial spine)

A- Intercondylar Eminence (tibial spine)


B- Tibial Tuberosity


C- Body or shaft of Tibia


D- Body or shaft of Fibula


E- Medial Malleolus


F- Lateral Malleolus

What view of the Patella is this and what are its parts?

What view of the Patella is this and what are its parts?

Lateral View


A- Patellar Surface


B- Patella (Sesamoid Bone)


C- Popliteal Surface

What view of the Patella is this and what are its parts?

What view of the Patella is this and what are its parts?

Inferior View


A- Patellofemoral Joint


B- Medial Epicondyle


C- Medial Condyle


D- Intercondylar Fossa (notch)


E- Lateral Condyle


F- Lateral Epicondyle


G- Patellar Surface (intercondylar sulcus) (trochlear groove)

What are the 4 major ligaments of the knee joint?

•Posteriorcruciate


•Anteriorcruciate


•Fibularcollateral


•Tibialcollateral

What view of the Knee Joint is this and what are its parts?

What view of the Knee Joint is this and what are its parts?

Oblique


A- Femur


B- Posterior Cruciate Ligament


C- Fibular Collateral Ligament


D- Tendon of Popliteus Muscle


E- Lateral Meniscus


F- Proximal Tibiofibular Joint


G- Fibula


H- Tibia


I- Patellar Ligament


J- Anterior Cruciate Ligament

What view of the Knee Joint is this and what are its parts?

What view of the Knee Joint is this and what are its parts?

Anterior View


A- Patellar Surface


B- Femur


C- Posterior Cruciate Ligament


D- Medial Condyle


E- Medial Meniscus


F- Transverse Ligament


G- Tibial (medial) Collateral Ligament


H- Tibia


I- Fibula


J- Fibular Collateral Ligament


K- Lateral Meniscus


L- Lateral Condyle


M- Anterior Cruciate Ligament

A- Medial and Lateral Intercondylar Tubercles


B- Lateral Epicondyle of Femur


C- Lateral Condyle of Femur


D- Lateral Condyle of Tibia


E- Articular Facets of Tibia


F- Medial Condyle of Tibia


G- Medial Condyle of Femur


H- Medial Epicondyle of Femur


I- Patella

A- Patella


B- Femoropatellar Joint


C- Lateral Condyle


D- Patellar Surface


E- Medial Condyle

What x-ray is being taken?

What x-ray is being taken?

AP TIB/FIB

What x-ray is being taken?

What x-ray is being taken?

Lateral TIB/FIB

What x-ray is being taken?

What x-ray is being taken?

AP Knee

For an AP TIB/FIB, where is the CR?

CR to midpoint of leg

For an Lateral TIB/FIB, where is the CR?

CR to midpoint of leg

For an AP Knee, where is the CR?

CR parallel to tibialplateaus


CR ½ inch (1.25 cm) distal to apex ofpatella

AP Knee CR Angle-


What is the CR angle for 18 cm and below?


What is the CR angle for 19-24 cm?


What is the CR angle for 25 cm and above?

18 cm and below- 5 degrees caudad


19-24 cm- perpendicular


25 cm and above- 5 degrees cephalad

What pathology is demonstrated in this picture?

What pathology is demonstrated in this picture?

Benign Bone Lesion

What x-ray is being performed?

What x-ray is being performed?

AP Medial Oblique Knee

For an Medial Oblique Knee, where is the CR?

CR ½ inch (1.25 cm) distal apex ofpatella

What x-ray is being taken?

What x-ray is being taken?

Lateral Knee

For a Lateral Knee, where is the CR?

CR 5°-7° cephalad


CR 1 inch (2.5 cm) distal to medialepicondyle

Do you angle for a Cross Table Lateral of the knee?

No

For weight bearing knees, where is the CR?

Perpendicular

PA Axial Weight-Bearing Bilateral KneeProjection is also known as the __________.

Rosenberg Method

What is the name of this x-ray method?

What is the name of this x-ray method?

Camp-Coventry Method (PA AxialProjection)

What is the name of this x-ray method?

What is the name of this x-ray method?

HolmbladMethod

What is the name of this x-ray method?

What is the name of this x-ray method?

AP Axial (BÉclere)

What are the different ways to view a "sunrise" projection?

Merchant Bilateral Method


InferosuperiorProjection


HughstonMethod


SettegastMethod


Hobbs ModificationSuperoinferiorSitting Tangential


What pathology is seen on this picture?

What pathology is seen on this picture?

Calcified Popliteal artery

What pathology is seen on this picture?

What pathology is seen on this picture?

Fabella

What pathology is seen on this picture?

What pathology is seen on this picture?

Calcifications in bakers cyst

What pathology is seen on this picture?

What pathology is seen on this picture?

Osgood Schlatters

What pathology is seen on this picture?

What pathology is seen on this picture?

Spiral Fracture

What pathology is seen on this picture?

What pathology is seen on this picture?

Giant Cell Tumor

What pathology is seen on this picture?

What pathology is seen on this picture?

Ricketts

What pathology is seen on this picture?

What pathology is seen on this picture?

Sarcoma

What pathology is seen on this picture?

What pathology is seen on this picture?

Avulsion Fracture

What are the repeatable error(s) on
this image? 

What are the repeatable error(s) onthis image?

Improper Flexion


Over Rotated

What are the repeatable error(s) on this image?

What are the repeatable error(s) on this image?

Under Rotation- the Fibula is almost covered by the Tibia

What are the repeatable error(s) on this image?

What are the repeatable error(s) on this image?

Improper Tuber Angle

What is the most likely diagnosis for
this image? Is it malignant?

What is the most likely diagnosis forthis image? Is it malignant?

Non Malignant Osteochondroma

What is the most likely diagnosis for
this image? Is it malignant?

What is the most likely diagnosis forthis image? Is it malignant?

Malignant Osteogenic Sarcoma

What are the repeatable error(s) on this image?

What are the repeatable error(s) on this image?

Over Rotation

What are the repeatable error(s) on this image?

What are the repeatable error(s) on this image?

Hardware cutoff

What kind of fracture is this?

What kind of fracture is this?

Compound

Label the parts

Label the parts

A- Sacroiliac Joint


B- Hip Joint


C- Symphysis Pubis


D- Foot


E- Leg


F- Femur


G- Pelvic Girdle

Femur

Classifiedas a long bone


Largestbone in the body

Head of Femur

Proximal,rounded end


Articulateswith acetabulum of pelvis to form hip joint

What aspect of the Femur is this and what are its parts?

What aspect of the Femur is this and what are its parts?

Anterior Aspect


A- Head


B- Neck


C- Lesser Trochanter


D- Medial Epicondyle


E- Medial Condyle


F- Patellar Surface


G- Lateral Condyle


H- Lateral Epicondyle


I- 5-15 degree of medial angle of body


J- Body


K- Greater Trochanter

What aspect of the Femur is this and what are its parts?

What aspect of the Femur is this and what are its parts?

Posterior Aspect


A- Head


B- Neck


C- Lesser Trochanter


D- Body


E- Popliteal Surface


F- Adductor Tubercle


G- Medial Epicondyle


H- Medial Condyle


I- Intercondylar Fossa


J- Lateral Condyle


K- Lateral Epicondyle


L- Greater Trochanter



A- Greater Trochanter


B- Neck


C- Head


D- Fovea Capitis


E- Greater Trochanter


F- Intertrochanteric Crest


G- Lesser Trochanter


H- Body or Shaft



A- Ossa Coxae/ Innominate Bones


B- Sacrum


C- Coccyx

What is the Pelvis composed of?

Innominate Bones


Sacrum


Coccyx

What are the 3 parts of the Hip (innominate) bone?

Ilium


Pubis


Ischium

A- Ilium


B- Acetabulum


C- Pubis


D- Ischium

What body part is this and what are its parts?

What body part is this and what are its parts?

Ilium


A- Iliac Crest


B- Ala (wing)


C- Body


D- Posterior Superior Iliac Spine (PSIS)


E- Posterioer Inferior Iliac Spine


F- Acetabulum


G- Anterior Inferior Iliac Spine


H- Anterior Superior Iliac Spine (ASIS)

What body part is this and what are its parts?

What body part is this and what are its parts?

Ischium


A- Upper Body


B- Acetabulum


C- Ramus


D- Lower Body


E- Ischial Tuberosity


F- Lesser Sciatic Notch


G- Ischial Spine


H- Greater Sciatic Notch

What body part is this and what are its parts?

What body part is this and what are its parts?

Pubis/Pubic Bone


A- Symphysis Pubis


B- Ischial Spine


C- Obturator Foramina


D- Body


E- Superior Ramus


F- Inferior Ramus


G- Obturator Foramen

What is this an image of and what are its parts?

What is this an image of and what are its parts?

Bony landmarks of the pelvis


A- Crest of Ilium


B- Anterior Superior Iliac Spine (ASIS)


C- Crest of Ilium


D- Symphysis Pubis


E- Greater Trochanter


F- Ischial Tuberosity


G- Ischial Tuberosity


H- Symphysis Pubis

Label these parts

Label these parts

A- Greater or False Pelvis


B- Lesser or True Pelvis


C- Brim of Pelvis



Name the 3 gender differences of the pelvis

•Generalshape


•Angleof pubic arch


•Shapeof inlet

What is the angle of the pubic arch for a female?

> 90 degrees (obtuse angle)

What is the angle of the pubic arch for a male?

< 90 degrees (acute angle)

What is this an image of and what are its parts?

What is this an image of and what are its parts?

Birth Canal


A- Inlet


B- Outlet


C- Plane of Inlet


D- Cavity


E- Plane of Outlet

What is this an image of and what are its parts?

What is this an image of and what are its parts?

AP PELVIS


A- Iliac Crest


B- ASIS


C- Body of Left Ischium


D- Ischial Tuberosity


E- Symphysis Pubis


F- Inferior Ramus of Right Pubis


G- Superior Ramus of Right Pubis


H- Right Ischial Spine


I- Acetabulum of Right Hip


J- Neck of Right Femur


K- Greater Trochanter of Right Femur


L- Head of Right Femur


M- Ala (wing) of Right Ilium

Label these joints

Label these joints

A- Sacroiliac Joints


B- Union of Acetabulum


C- Hip Joints


D- Pubis Symphysis

Sacroiliac Joint


What is its classification?


What is its movement?


What is its mobility?

Synovial


Amphiarthrodial


Limited

Hip Joint


What is its classification?


What is its movement?


What is its mobility?

Synovial


Diarthrodial


Spheroidal



Symphysis Pubis


What is its classification?


What is its movement?


What is its mobility?

Cartilaginous


Amphiarthrodial


Limited

Union of Acetabulum


What is its classification?


What is its movement?


What is its mobility?

Cartilaginous


Synarthrodial


Immovable

What rotation is this?

What rotation is this?

Internal

What rotation is this?

What rotation is this?

External

FemurPositioning Considerations

-Include both joints on initial exam


-Dependingon site of injury/other factors: you include an additional AP/Lat ofjoint (knee, hip)that is not included onAP femur


-Hardwareor area of injury should always be on contiguous film

What position is this?

What position is this?

AP (mid and distal) Femur

What is the leg rotation and position of CR on an AP (mid and distal) Femur?

Rotateleg 5° internally


CR tomidpoint of IR

What is this position?

What is this position?

Lateral (mid and distal) Femur

What is the leg rotation and position of CR on an Lateral (mid and distal) Femur?

•Truelateral


•CR tomidpoint of IR

What is this position?

What is this position?

AP Pelvis

What is the leg rotation and position of CR on an AP Pelvis?

•Rotatelimbs internally (nontrauma)


•CRmidway between level of ASIS and symphysis pubis


•Checkiliac crest and trochanter

In what position is the Lesser Trochanter visible for a Pelvis?

Anatomic

In what position is the Lesser Trochanter in Profile for a Pelvis?

External Rotation, relaxed position

For an APAxial Outlet Projection (Taylor Method), how is the CR positioned?

-CR20°-35° cephalad (males), 30°-45° cephalad (females)


-CRcentered to 1-2 inches (3-5 cm) distal to symphysis pubis

For an APAxial Inlet Projection, how is the CR positioned?

CR40° caudad at level of ASIS

What projection is this?

PosteriorOblique—Acetabulum (JudetMethod)



What position is this?

What position is this?

AP Hip

A- Ilium


B- Acetabulum


C- Femoral Head


D- Greater Trochanter


E- Femoral Neck


F- Pubic Symphysis


G- Lesser Trochanter


H- Femoral Body

ModifiedCleaves Method is also known as...

Unilateral Frog-Leg Projection

What method is this?

What method is this?

Axiolateral (Inferosuperior) (Danelius-MillerMethod)

Identify an obvious repeatable positioning error

Identify an obvious repeatable positioning error

Legs not inverted

•Identify
one obvious repeatable positioning error. 
 •Was
the gonadal shield correctly placed? 

•Identifyone obvious repeatable positioning error.


•Wasthe gonadal shield correctly placed?

- hand in picture


- no its not even on the gonads

Whereis the CR centered for an AP pelvis projection?

Level of ASIS

Tominimize distortion of the femoral neck for an AP bilateral frog-legprojection, the lower limbs should be abducted:

45 degrees

Howis the cassette aligned for an axiolateral (Danelius-Miller method) projection?

Parallel to femoral neck

Describe this fracture

Describe this fracture

pelvic ring fracture of pubis

What is the recommended collimated field size for an AP hip?

10 X 12 in

A common condition of the femur that develops in elderly patients, leading to frequent fractures of the hip is:

Osteoporosis

The incomplete or avulsion of the tibial tuberosity is known as:

Osgood Schlatter Disease

Paget's Disease

disrupts new bone growth resulting in overproduction of very dense yet soft bone

Osteomalacia

"rickets"


bone softening caused by lack of bone mineralization secondary to deficiency of calcium, phosphorus, or vitamin D in diet or inability to absorb these minerals

Osteosarcoma

highly malignant primary bone tumors that occur from childhood to young adulthood


-usually seen in long bones and may cause gross destruction of bones

Where is the central ray directed for the tangential projection (settegast method) of the patella?

through the patellofemoral joint space

A patient with hip pain from a fall comes into the emergency room. The physician orders a left hip study. The patient states they have a great deal of pain in the hip and cannot stand on the leg. Which of the following is the best initial imaging routine for this patient?


A. AP Pelvis with internal rotation and frog lateral hip


B. AP Pelvis with out leg rotation and frog lateral hip


C. AP Pelvis with internal leg rotation and axiolateral hip


D. AP Pelvis without leg rotation and axiolateral hip

D. AP Pelvis without leg rotation and axiolateral hip

The symphysis pubis provides limited movement during pelvic trauma and during:

Labor and Delivery

A radiographic appearance of a highly malignant and extensive destructive lesion that usually occurs in long bones and produces a sunburst pattern describes:

Osteogenic Sarcoma

How much should the thighs be abducted for the AP Oblique projection of the femoral neck (modified Cleaves method)?

45 degrees

Which projections will best demonstrate signs of Osgood-Schlatter disease?

AP and Lateral Knee

Which bones fuse to form the acetabulum?

Ischium, Pubis, Ilium

Which of the following will be shown "in profile" if the lower limbs are in correct position for an AP pelvis?


A. lesser trochanters


B. anterior superior iliac spines


C. greater trochanters


D. anterior inferior iliac spines

C. greater trochanters

What is the cassette placement for an axiolateral (inferio-superior) projection of the hip?

Parallel to Femoral neck

Which of the following methods demonstrates the hip in an axiolateral projection?

Danelius-Miller

Which of the following projections of the knee best demonstrates the narrowing of joint space?

AP of both knees with weight-bearing

When the ASIS to tabletop measurements is greater than 24 cm, the central ray angulation for an AP knee is:

5 degrees cephalad

How much flexion of the knee is recommended for the lateral projection of the patella?

5 to 10 degrees or less

Where is the central ray placed for an AP projection of the knee?

1/2 inch distal to apex of the patella

Another term for osteochondroma is:

Exostosis

The most common routine projection(s) for the pelvis include:

AP only

Situation: A patient comes to the radiology department for a knee study with special interest in the region of the proximal tibiofibular joint and the lateral condyle of the tibia. Which of the following positioning routines should the technologist obtain?

AP, Lateral, and Medial Oblique

A radiograph of an AP pelvis reveals that the lesser trochanters are not visualized. This pelvis projection was performed for nontraumatic reasons. What should the technologist do (if anything) to correct this on the repeat exposure?

DO nothing. Accept the radiograph and do not repeat the exposure.

Which of the following knee projection requires the use of a special IR holding device?

Bilateral Merchant Method

How many degrees should the feet and lower limbs be internally rotated for an AP pelvis radiograph?

15-20 degrees