Question 1

The trapezium is demonstrated without superimposition of other anatomy on a lateral wrist projection when the patient

Accepted Answer

A)  positions the wrist in slight internal rotation. 
B)  hyperextends the wrist. 
C)  depresses the distal first metacarpal. 
D)  ulnar-deviates the wrist. 
A)  positions the wrist in slight internal rotation. 
B)  hyperextends the wrist. 
C)  depresses the distal first metacarpal. 
D)  ulnar-deviates the wrist.

Question 2

An IR that is large enough to extend at least 1 inch (2.5 cm) beyond the elbow and wrist joints for a forearm projection is

Accepted Answer

A)  needed to record the elbow and wrist on the image. 
B)  needed so the beam can be tightly collimated. 
C)  not a required positioning procedure. 
D)  needed only when a joint problem is suspected. 
A)  needed to record the elbow and wrist on the image. 
B)  needed so the beam can be tightly collimated. 
C)  not a required positioning procedure. 
D)  needed only when a joint problem is suspected.

Question 3

What is the projection for the lateral finger?

Accepted Answer

A)  Phalanges demonstrate equal concavity. 
B)  Phalanges demonstrate more concavity on one side than on the other. 
C)  Phalanges demonstrate concavity on one side and convexity on the other. 
A)  Phalanges demonstrate equal concavity. 
B)  Phalanges demonstrate more concavity on one side than on the other. 
C)  Phalanges demonstrate concavity on one side and convexity on the other.

Question 4

How is a patient positioned for a PA wrist projection to superimpose the anterior and posterior margins of the distal radius and obtain open radioscaphoid and radiolunate joint spaces?

Accepted Answer

A)  Align the third metacarpal with the forearm. 
B)  Ulnar-flex the wrist. 
C)  Depress the proximal forearm. 
D)  Flex the hand until the metacarpals are at a 10- to 15-degree angle with the IR. 
A)  Align the third metacarpal with the forearm. 
B)  Ulnar-flex the wrist. 
C)  Depress the proximal forearm. 
D)  Flex the hand until the metacarpals are at a 10- to 15-degree angle with the IR.

Question 5

When the patient ulnar-deviates for a PA axial, ulnar-deviated wrist projection, the
1)first metacarpal and radius are aligned.
2)distal scaphoid shifts anteriorly.
3)lunate is demonstrated distal to the radius.
4)distal scaphoid shifts posteriorly.

Accepted Answer

A)  1 and 2 only 
B)  3 and 4 only 
C)  1, 3, and 4 only 
D)  1, 2, and 3 only 
A)  1 and 2 only 
B)  3 and 4 only 
C)  1, 3, and 4 only 
D)  1, 2, and 3 only

Question 6

The IP joint spaces on finger projections are open and demonstrated without distortion when the
1)central ray is aligned parallel with the IP joint spaces.
2)central ray is aligned perpendicular to the IP joint spaces.
3)IP joints are aligned parallel with the IR.
4)IP joints are aligned perpendicular to the IR.

Accepted Answer

A)  1 and 3 only 
B)  1 and 4 only 
C)  2 and 3 only 
D)  2 and 4 only 
A)  1 and 3 only 
B)  1 and 4 only 
C)  2 and 3 only 
D)  2 and 4 only

Question 7

A less than optimal lateral elbow projection demonstrating the radial head positioned posterior to the coronoid process

Accepted Answer

A)  will be obtained when the distal forearm is elevated. 
B)  will be obtained when the proximal humerus is depressed. 
C)  will also demonstrate the capitulum distal to the trochlea. 
D)  could also result if the central ray were angled proximally with the humerus. 
A)  will be obtained when the distal forearm is elevated. 
B)  will be obtained when the proximal humerus is depressed. 
C)  will also demonstrate the capitulum distal to the trochlea. 
D)  could also result if the central ray were angled proximally with the humerus.

Question 8

A lateral wrist projection obtained with the elbow flexed 90 degrees and the humerus placed parallel with the IR demonstrates
1)the ulnar styloid distal to the midline of the ulnar head.
2)superimposition of the radius and ulna.
3)superimposition of the distal scaphoid and pisiform.
4)the ulnar styloid in profile.

Accepted Answer

A)  1 and 2 only 
B)  3 and 4 only 
C)  1, 2, and 3 only 
D)  2, 3, and 4 only 
A)  1 and 2 only 
B)  3 and 4 only 
C)  1, 2, and 3 only 
D)  2, 3, and 4 only

Question 9

A lateral elbow projection demonstrates the radial head situated anterior and proximal to the coronoid process. How was the patient positioned for such an image to be obtained?
1)The distal forearm was too high.
2)The distal forearm was too low.
3)The proximal humerus was too high.
4)The proximal humerus was too low.

Accepted Answer

A)  1 and 3 only 
B)  1 and 4 only 
C)  2 and 3 only 
D)  2 and 4 only 
A)  1 and 3 only 
B)  1 and 4 only 
C)  2 and 3 only 
D)  2 and 4 only

Question 10

What is the central ray angulation used for the PA axial, ulnar-deviated wrist projection: a scaphoid wrist fracture is suspected, and the patient is able to ulnar-deviate until the first metacarpal and radius are aligned?

Accepted Answer

A)  15 degrees 
B)  20 degrees 
C)  5 to 10 degrees 
D)  20 to 25 degrees 
A)  15 degrees 
B)  20 degrees 
C)  5 to 10 degrees 
D)  20 to 25 degrees

Question 11

A lateral elbow projection with accurate positioning demonstrates
1)an open elbow joint space.
2)the radial head distal to the coronoid process.
3)the radius superimposing the radial tuberosity.
4)the anterior fat pad.

Accepted Answer

A)  2 and 3 only 
B)  1 and 4 only 
C)  1, 3, and 4 only 
D)  1, 2, 3, and 4 
A)  2 and 3 only 
B)  1 and 4 only 
C)  1, 3, and 4 only 
D)  1, 2, 3, and 4

Question 12

Which of the following is not true about an optimal axiolateral elbow projection (Coyle method)?

Accepted Answer

A)  The elbow is flexed 90 degrees. 
B)  The proximal aspects of the radial head and the coronoid process are aligned. 
C)  The capitulum-radial joint is open. 
D)  The capitulum and medial trochlea demonstrate slight superimposition. 
A)  The elbow is flexed 90 degrees. 
B)  The proximal aspects of the radial head and the coronoid process are aligned. 
C)  The capitulum-radial joint is open. 
D)  The capitulum and medial trochlea demonstrate slight superimposition.

Question 13

For an externally rotated AP oblique elbow projection with accurate positioning, the
1)capitulum is in profile.
2)capitulum-radial joint space is open.
3)coronoid process is in profile.
4)ulna is demonstrated without radial head superimposition.

Accepted Answer

A)  1, 2, and 4 only 
B)  2, 3, and 4 only 
C)  2 and 3 only 
D)  1 and 4 only 
A)  1, 2, and 4 only 
B)  2, 3, and 4 only 
C)  2 and 3 only 
D)  1 and 4 only

Question 14

What is the projection for the PA finger?

Accepted Answer

A)  Phalanges demonstrate equal concavity. 
B)  Phalanges demonstrate more concavity on one side than on the other. 
C)  Phalanges demonstrate concavity on one side and convexity on the other. 
A)  Phalanges demonstrate equal concavity. 
B)  Phalanges demonstrate more concavity on one side than on the other. 
C)  Phalanges demonstrate concavity on one side and convexity on the other.

Question 15

What is the projection for the PA oblique finger?

Accepted Answer

A)  Phalanges demonstrate equal concavity. 
B)  Phalanges demonstrate more concavity on one side than on the other. 
C)  Phalanges demonstrate concavity on one side and convexity on the other. 
A)  Phalanges demonstrate equal concavity. 
B)  Phalanges demonstrate more concavity on one side than on the other. 
C)  Phalanges demonstrate concavity on one side and convexity on the other.

Question 16

An optimal internally rotated AP oblique elbow projection will demonstrate all of the following except the

Accepted Answer

A)  radial head and neck superimposing the ulna. 
B)  radioulnar articulation as an open space. 
C)  trochlea-coronoid process articulation as an open space. 
D)  trochlear notch and medial trochlea in profile. 
A)  radial head and neck superimposing the ulna. 
B)  radioulnar articulation as an open space. 
C)  trochlea-coronoid process articulation as an open space. 
D)  trochlear notch and medial trochlea in profile.

Question 17

To properly position an AP humerus, place the elbow at the _____ end of the tube, _____ the hand and wrist, and align the humeral condyles _____ with the IR.

Accepted Answer

A)  anode; supinate; parallel 
B)  cathode; supinate; perpendicular 
C)  anode; pronate; perpendicular 
D)  cathode; supinate; parallel 
A)  anode; supinate; parallel 
B)  cathode; supinate; perpendicular 
C)  anode; pronate; perpendicular 
D)  cathode; supinate; parallel

Question 18

An AP forearm projection obtained with the wrist and elbow in lateral rotation demonstrates
1)superimposed first and second metacarpal bases.
2)the proximal radius superimposed over the ulna by more than 0.25 inch (0.6 cm).
3)superimposed fourth and fifth metacarpal bases.
4)the proximal radius and ulna without superimposition.

Accepted Answer

A)  1 and 2 only 
B)  1 and 4 only 
C)  2 and 3 only 
D)  3 and 4 only 
A)  1 and 2 only 
B)  1 and 4 only 
C)  2 and 3 only 
D)  3 and 4 only

Question 19

An AP forearm projection with accurate positioning demonstrates the
1)radial styloid in profile laterally.
2)radial head superimposing the ulna by 0.25 inch (0.6 cm).
3)ulnar styloid in profile laterally.
4)humeral epicondyles in profile.

Accepted Answer

A)  1 and 3 only 
B)  2, 3, and 4 only 
C)  1, 2, and 4 only 
D)  1, 2, 3, and 4 
A)  1 and 3 only 
B)  2, 3, and 4 only 
C)  1, 2, and 4 only 
D)  1, 2, 3, and 4

Question 20

A PA wrist projection with accurate positioning demonstrates
1)an open radioulnar articulation.
2)the radial styloid in profile.
3)the long axes of the third metacarpal aligned with the midforearm.
4)open second through fifth MC joint spaces.

Accepted Answer

A)  1 and 2 only 
B)  1, 2, and 3 only 
C)  3 and 4 only 
D)  1, 2, 3, and 4 
A)  1 and 2 only 
B)  1, 2, and 3 only 
C)  3 and 4 only 
D)  1, 2, 3, and 4

The trapezium is demonstrated without superimposition of other anatomy on a lateral wrist projection when the patient

An IR that is large enough to extend at least 1 inch (2.5 cm) beyond the elbow and wrist joints for a forearm projection is

What is the projection for the lateral finger?

How is a patient positioned for a PA wrist projection to superimpose the anterior and posterior margins of the distal radius and obtain open radioscaphoid and radiolunate joint spaces?

When the patient ulnar-deviates for a PA axial, ulnar-deviated wrist projection, the 1)first metacarpal and radius are aligned. 2)distal scaphoid shifts anteriorly. 3)lunate is demonstrated distal to the radius. 4)distal scaphoid shifts posteriorly.

A less than optimal lateral elbow projection demonstrating the radial head positioned posterior to the coronoid process

What is the central ray angulation used for the PA axial, ulnar-deviated wrist projection: a scaphoid wrist fracture is suspected, and the patient is able to ulnar-deviate until the first metacarpal and radius are aligned?

A lateral elbow projection with accurate positioning demonstrates 1)an open elbow joint space. 2)the radial head distal to the coronoid process. 3)the radius superimposing the radial tuberosity. 4)the anterior fat pad.

Which of the following is not true about an optimal axiolateral elbow projection (Coyle method)?

For an externally rotated AP oblique elbow projection with accurate positioning, the 1)capitulum is in profile. 2)capitulum-radial joint space is open. 3)coronoid process is in profile. 4)ulna is demonstrated without radial head superimposition.

What is the projection for the PA finger?

What is the projection for the PA oblique finger?

An optimal internally rotated AP oblique elbow projection will demonstrate all of the following except the

To properly position an AP humerus, place the elbow at the ___ end of the tube, _ the hand and wrist, and align the humeral condyles ___ with the IR.

An AP forearm projection with accurate positioning demonstrates the 1)radial styloid in profile laterally. 2)radial head superimposing the ulna by 0.25 inch (0.6 cm). 3)ulnar styloid in profile laterally. 4)humeral epicondyles in profile.

A PA wrist projection with accurate positioning demonstrates 1)an open radioulnar articulation. 2)the radial styloid in profile. 3)the long axes of the third metacarpal aligned with the midforearm. 4)open second through fifth MC joint spaces.

Guidelines for Image Analysis

Visibility of Details

Image Analysis of the Chest and Abdomen

Image Analysis of the Shoulder

Image Analysis of the Lower Extremity

Image Analysis of the Hip and Pelvis

Image Analysis of the Cervical and Thoracic Vertebrae

Image Analysis of the Lumbar Vertebrae, Sacrum, and Coccyx

Image Analysis of the Sternum and Ribs

Image Analysis of the Cranium

Image Analysis of the Digestive System

Filters

Exam 4: Image Analysis of the Upper Extremity

The trapezium is demonstrated without superimposition of other anatomy on a lateral wrist projection when the patient

An IR that is large enough to extend at least 1 inch (2.5 cm) beyond the elbow and wrist joints for a forearm projection is

What is the projection for the lateral finger?

How is a patient positioned for a PA wrist projection to superimpose the anterior and posterior margins of the distal radius and obtain open radioscaphoid and radiolunate joint spaces?

When the patient ulnar-deviates for a PA axial, ulnar-deviated wrist projection, the 1)first metacarpal and radius are aligned. 2)distal scaphoid shifts anteriorly. 3)lunate is demonstrated distal to the radius. 4)distal scaphoid shifts posteriorly.

A less than optimal lateral elbow projection demonstrating the radial head positioned posterior to the coronoid process

What is the central ray angulation used for the PA axial, ulnar-deviated wrist projection: a scaphoid wrist fracture is suspected, and the patient is able to ulnar-deviate until the first metacarpal and radius are aligned?

A lateral elbow projection with accurate positioning demonstrates 1)an open elbow joint space. 2)the radial head distal to the coronoid process. 3)the radius superimposing the radial tuberosity. 4)the anterior fat pad.

Which of the following is not true about an optimal axiolateral elbow projection (Coyle method)?

For an externally rotated AP oblique elbow projection with accurate positioning, the 1)capitulum is in profile. 2)capitulum-radial joint space is open. 3)coronoid process is in profile. 4)ulna is demonstrated without radial head superimposition.

What is the projection for the PA finger?

What is the projection for the PA oblique finger?

An optimal internally rotated AP oblique elbow projection will demonstrate all of the following except the

To properly position an AP humerus, place the elbow at the _____ end of the tube, _____ the hand and wrist, and align the humeral condyles _____ with the IR.

An AP forearm projection with accurate positioning demonstrates the 1)radial styloid in profile laterally. 2)radial head superimposing the ulna by 0.25 inch (0.6 cm). 3)ulnar styloid in profile laterally. 4)humeral epicondyles in profile.

A PA wrist projection with accurate positioning demonstrates 1)an open radioulnar articulation. 2)the radial styloid in profile. 3)the long axes of the third metacarpal aligned with the midforearm. 4)open second through fifth MC joint spaces.

Guidelines for Image Analysis

Visibility of Details

Image Analysis of the Chest and Abdomen

Image Analysis of the Shoulder

Image Analysis of the Lower Extremity

Image Analysis of the Hip and Pelvis

Image Analysis of the Cervical and Thoracic Vertebrae

Image Analysis of the Lumbar Vertebrae, Sacrum, and Coccyx

Image Analysis of the Sternum and Ribs

Image Analysis of the Cranium

Image Analysis of the Digestive System

Filters

To properly position an AP humerus, place the elbow at the ___ end of the tube, _ the hand and wrist, and align the humeral condyles ___ with the IR.