Question 1

Where is the CR centered for a PA projection of the hand?

Accepted Answer

A)  At the third proximal interphalangeal joint
B)  At the third metacarpophalangeal joint
C)  At the base of the third metacarpal
D)  At the third distal interphalangeal jointE) B) and C)
F) A) and D)

Question 2

Grids are generally not required unless the anatomy measures greater than _____ cm in thickness.

Accepted Answer

A)  8
B)  10
C)  14
D)  5E) A) and D)
F) B) and D)

Question 3

The joint found between the base of the third metacarpal and carpal bone is the:

Accepted Answer

A)  intercarpal.
B)  interphalangeal.
C)  carpometacarpal.
D)  proximal metacarpophalangeal.E) B) and D)
F) None of the above

Question 4

Why is it important to keep the phalanges parallel to the IR for a PA oblique projection of the hand?

Accepted Answer

A)  Prevents foreshortening of phalanges and obscuring of interphalangeal joints.
B)  Prevents foreshortening of radiocarpal joint.
C)  Opens up the carpometacarpal joints.
D)  Demonstrates the sesamoid bones near the first interphalangeal joint.E) A) and B)
F) All of the above

Question 5

A ginglymus joint can also be referred to as a _____ joint.

Accepted Answer

A)  trochoid
B)  saddle
C)  hinge
D)  pivotE) A) and B)
F) B) and C)

Question 6

Which carpal bone is 1?

Accepted Answer

A)  Scaphoid
B)  Trapezium
C)  Hamate
D)  PisiformE) A) and B)
F) A) and C)

Question 7

Match each fracture description with the corresponding term.(Use each choice only once.) 
-Fracture of distal radius with posterior displacement

Accepted Answer

A)  Smith fracture
B)  Barton fracture
C)  Colles' fracture
D)  Bennett's fracture
E)  Boxer's fractureF) A) and B)
G) C) and D)

Question 8

Which routine projection of the elbow best demonstrates the radial head and tuberosity free of superimposition?

Accepted Answer

A)  AP
B)  Lateral
C)  AP oblique with internal rotation
D)  AP oblique with external rotationE) A) and B)
F) B) and D)

Question 9

Which specific anatomy is better visualized with a fan lateral as compared with the other lateral projections of the hand?

Accepted Answer

A)  Sesamoid bones
B)  Carpals
C)  Phalanges
D)  Carpometacarpal jointsE) A) and D)
F) B) and D)

Question 10

Why is it recommended that the PA oblique (with medial rotation)  projection be performed rather than the PA oblique (with lateral rotation)  for the second digit of the hand?

Accepted Answer

A)  Minimizes optimal immunomodulating dose (OI
D)  .
B)  Is more comfortable for the patient.
C)  Opens up joints better.
D)  Minimizes object image-receptor distance (OI
D)  .E) All of the above
F) C) and D)

Question 11

A radiograph of a tangential, inferosuperior projection of the carpal canal reveals that the hamular process is superimposed over the pisiform.Which of the following measures will correct this problem?

Accepted Answer

A)  Rotate the wrist and hand 10° internally.
B)  Increase the CR angle.
C)  Decrease the CR angle.
D)  Increase the extension of the hand and/or wrist.E) All of the above
F) B) and D)

Question 12

Which special projection of the wrist will open up the interspaces on the ulnar side of the wrist?

Accepted Answer

A)  Radial deviation
B)  Ulnar deviation
C)  Carpal canal
D)  Carpal bridgeE) B) and C)
F) C) and D)

Question 13

Which routine projection of the elbow will best demonstrate an elevated or visible posterior fat pad?

Accepted Answer

A)  True AP with no rotation
B)  True lateral with 90° flexion
C)  Lateral rotation oblique
D)  Coyle methodE) B) and C)
F) A) and D)

Question 14

Select the correct manual exposure adjustment for each disease or condition.
-Bursitis

Accepted Answer

A)  Increase (+) 
B)  Decrease (-) 
C)  No change (0) D) B) and C)
E) A) and C)

Question 15

A radiograph of an AP oblique elbow with medial rotation reveals that the radial head is superimposed over part of the coronoid process.What positioning error has been committed?

Accepted Answer

A)  Excessive medial rotation
B)  Flexion of the elbow
C)  Excessive lateral rotation
D)  Incorrect CR angulationE) A) and B)
F) A) and D)

Question 16

Which two structures primarily form the hinge-like structure and movement of the elbow joint?

Accepted Answer

A)  Trochlea and olecranon process
B)  Capitulum and trochlea
C)  Coronoid process and coronoid fossa
D)  Coronoid fossa and trochleaE) None of the above
F) B) and D)

Question 17

Which wrist ligament is attached to the styloid process of the ulna and continues to the triquetrum and pisiform?

Accepted Answer

A)  Radial collateral ligament
B)  Dorsal radiocarpal ligament
C)  Palmar radiocarpal ligament
D)  Ulnar collateral ligamentE) A) and B)
F) A) and D)

Question 18

This projection is correctly referred to as:

Accepted Answer

A)  carpal canal, inferosuperior projection.
B)  carpal tunnel, inferosuperior projection.
C)  Gaynor-Hart method.
D)  all of the above.E) B) and D)
F) B) and C)

Question 19

Carpal tunnel syndrome is more common in middle-aged women than in middle-aged men.

Accepted Answer

A) True 
 B)False

Question 20

A radiograph of a PA projection of the hand reveals that the distal radius and ulna and the carpals were cut off.What should the technologist do to correct this problem?

Accepted Answer

A)  Accept the radiograph.Carpals and distal radius and ulna are not part of a hand study.
B)  Make sure the carpals, distal radius, and ulna are included on the lateral projection.
C)  If the injury to the patient did not involve the carpal region and distal forearm, do not repeat it.
D)  Repeat the PA projection to include all the carpals and about 1 inch (2.5 cm)  of the distal radius and ulna.E) None of the above
F) C) and D)

Exam 4: Upper Limb

Which special projection of the wrist will open up the interspaces on the ulnar side of the wrist?

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Where is the CR centered for a PA projection of the hand?

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Carpal tunnel syndrome is more common in middle-aged women than in middle-aged men.

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This projection is correctly referred to as:

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Select the correct manual exposure adjustment for each disease or condition. -Bursitis

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Which wrist ligament is attached to the styloid process of the ulna and continues to the triquetrum and pisiform?

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A radiograph of a tangential, inferosuperior projection of the carpal canal reveals that the hamular process is superimposed over the pisiform.Which of the following measures will correct this problem?

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Which routine projection of the elbow will best demonstrate an elevated or visible posterior fat pad?

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A radiograph of an AP oblique elbow with medial rotation reveals that the radial head is superimposed over part of the coronoid process.What positioning error has been committed?

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Grids are generally not required unless the anatomy measures greater than _____ cm in thickness.

Correct AnswerverifiedShow Answer

The joint found between the base of the third metacarpal and carpal bone is the:

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A ginglymus joint can also be referred to as a _____ joint.

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Which carpal bone is 1?

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A radiograph of a PA projection of the hand reveals that the distal radius and ulna and the carpals were cut off.What should the technologist do to correct this problem?

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Which two structures primarily form the hinge-like structure and movement of the elbow joint?

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Which specific anatomy is better visualized with a fan lateral as compared with the other lateral projections of the hand?

Correct AnswerverifiedShow Answer

Why is it important to keep the phalanges parallel to the IR for a PA oblique projection of the hand?

Correct AnswerverifiedShow Answer

Why is it recommended that the PA oblique (with medial rotation) projection be performed rather than the PA oblique (with lateral rotation) for the second digit of the hand?

Correct AnswerverifiedShow Answer

Which routine projection of the elbow best demonstrates the radial head and tuberosity free of superimposition?

Correct AnswerverifiedShow Answer

Match each fracture description with the corresponding term.(Use each choice only once.) -Fracture of distal radius with posterior displacement

Correct AnswerverifiedShow Answer

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