Question 1

Which of the following sets of exposure factors would be best for an adult hand study using a digital imaging system?

Accepted Answer

A)  80 kV, 600 mA, 1/60 seconds, large focal spot
B)  64 kV, 200 mA, 1/20 seconds, large focal spot
C)  78 kV, 600 mA, 1/60 seconds, large focal spot
D)  70 kV, 300 mA, 1/30 seconds, small focal spotE) A) and C)
F) C) and D)

Question 2

A radiograph of a PA oblique of the hand reveals that the midshaft of the fourth and fifth metacarpals is superimposed.What specific positioning error has been committed?

Accepted Answer

A)  Excessive rotation of the hand and/or wrist laterally
B)  Insufficient rotation of the hand and/or wrist laterally
C)  Incorrect CR angulation
D)  Fingers of the hand are not parallel to IRE) A) and D)
F) A) and B)

Question 3

A patient enters the ED in severe pain with a possible dislocation of the elbow.The patient has the elbow flexed more than 90°.Which one of the following routines should be performed to confirm the diagnosis?

Accepted Answer

A)  Partially flexed AP and limited lateral projections
B)  Jones method and limited lateral projection
C)  Coyle method and limited lateral projection
D)  Lateral elbow onlyE) All of the above
F) A) and B)

Question 4

A lateral elbow radiograph demonstrates about half of the radial head superimposed by the coronoid process of the ulna.Which of the following occurred?

Accepted Answer

A)  The hand was pronated rather than in a true lateral position.
B)  The hand and wrist were rotated laterally and not in a true lateral position.
C)  The shoulder was not dropped sufficiently to the tabletop level.
D)  No positioning errors occurred.E) A) and C)
F) A) and B)

Question 5

The radiographic criteria for a true lateral finger indicate equal concavity of the anterior and posterior aspects of the phalanges.

Accepted Answer

A) True 
 B)False

Question 6

Match each fracture description with the corresponding term.(Use each choice only once.) 
-Transverse fracture through fifth metacarpal neck

Accepted Answer

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

Question 7

How should the original analog kV range be changed with a fiberglass cast applied for a wrist or forearm radiographic procedure?

Accepted Answer

A)  No change
B)  Increase 3 to 4 kV
C)  Increase 5 to 7 kV
D)  Increase 8 to 10 kVE) B) and D)
F) C) and D)

Question 8

A "skier's thumb" is an injury of the:

Accepted Answer

A)  scaphoid.
B)  pronator fat stripe.
C)  ulnar collateral ligament.
D)  median nerveE) A) and B)
F) None of the above

Question 9

Local or generalized infection of bone or bone marrow caused by bacteria introduced by trauma or surgery is a condition termed:

Accepted Answer

A)  osteomyelitis.
B)  Paget's disease.
C)  osteoarthritis.
D)  cellulitis.E) A) and D)
F) All of the above

Question 10

The first metacarpophalangeal joint has a(n)  ____ type of joint movement.

Accepted Answer

A)  plane
B)  pivot
C)  saddle
D)  ellipsoidalE) A) and B)
F) A) and C)

Question 11

A radiograph of the elbow demonstrates the radius directly superimposed over the ulna and the coronoid process in profile.Which projection of the elbow has been performed?

Accepted Answer

A)  AP
B)  Lateral
C)  Lateral (external)  rotation oblique
D)  Medial (internal)  rotation obliqueE) A) and D)
F) A) and C)

Question 12

Which one of the following structures is NOT part of the ulna?

Accepted Answer

A)  Styloid process
B)  Radial notch
C)  Ulnar notch
D)  Coronoid tubercleE) All of the above
F) A) and C)

Question 13

Which carpal articulates with both the fourth and fifth metacarpals?

Accepted Answer

A)  Triquetrum
B)  Capitate
C)  Hamate
D)  TrapezoidE) A) and B)
F) A) and C)

Question 14

Which of the following bony structures is found on the distal aspect of the ulna?

Accepted Answer

A)  Coronoid process
B)  Head
C)  Olecranon process
D)  All of the aboveE) B) and C)
F) A) and D)

Question 15

Which of the following actions will lead to the proximal radius crossing over the ulna?

Accepted Answer

A)  Supination of the hand
B)  Placing epicondyles parallel to the image receptor
C)  Pronation of the hand
D)  External rotation of the elbowE) C) and D)
F) All of the above

Question 16

Which one of the following is the most common primary cancerous bone tumor?

Accepted Answer

A)  Multiple myeloma
B)  Osteochondroma
C)  Osteosarcoma
D)  OsteocarcinomaE) All of the above
F) B) and C)

Question 17

The AP oblique-bilateral hands projection ("ball-catcher's position")  is performed to evaluate for early signs of:

Accepted Answer

A)  gout.
B)  osteoporosis.
C)  rheumatoid arthritis.
D)  bursitis.E) A) and B)
F) A) and C)

Question 18

A young child comes to radiology with an elbow injury.The basic elbow projections demonstrate a possible nondisplaced fracture of the coronoid process.Beyond the medial oblique projection, what additional projection(s)  can be performed to demonstrate the coronoid process in profile?

Accepted Answer

A)  Coyle method with 45° CR angle toward shoulder
B)  Radial head lateral projections
C)  Coyle method with 45° CR angle away from shoulder
D)  Acute flexion projectionE) C) and D)
F) B) and C)

Question 19

How much rotation of the humeral epicondyles is required for the AP medial oblique projection of the elbow?

Accepted Answer

A)  30°
B)  90°
C)  45°
D)  20°E) None of the above
F) A) and B)

Question 20

An ellipsoidal joint allows movement in ____ directions.

Accepted Answer

A)  two
B)  all
C)  four
D)  sixE) A) and C)
F) A) and D)

Exam 4: Upper Limb

A lateral elbow radiograph demonstrates about half of the radial head superimposed by the coronoid process of the ulna.Which of the following occurred?

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Which of the following actions will lead to the proximal radius crossing over the ulna?

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How much rotation of the humeral epicondyles is required for the AP medial oblique projection of the elbow?

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A "skier's thumb" is an injury of the:

Correct AnswerverifiedShow Answer

A young child comes to radiology with an elbow injury.The basic elbow projections demonstrate a possible nondisplaced fracture of the coronoid process.Beyond the medial oblique projection, what additional projection(s) can be performed to demonstrate the coronoid process in profile?

Correct AnswerverifiedShow Answer

A radiograph of a PA oblique of the hand reveals that the midshaft of the fourth and fifth metacarpals is superimposed.What specific positioning error has been committed?

Correct AnswerverifiedShow Answer

Which one of the following is the most common primary cancerous bone tumor?

Correct AnswerverifiedShow Answer

Which of the following bony structures is found on the distal aspect of the ulna?

Correct AnswerverifiedShow Answer

The first metacarpophalangeal joint has a(n) ____ type of joint movement.

Correct AnswerverifiedShow Answer

How should the original analog kV range be changed with a fiberglass cast applied for a wrist or forearm radiographic procedure?

Correct AnswerverifiedShow Answer

The AP oblique-bilateral hands projection ("ball-catcher's position") is performed to evaluate for early signs of:

Correct AnswerverifiedShow Answer

The radiographic criteria for a true lateral finger indicate equal concavity of the anterior and posterior aspects of the phalanges.

Correct AnswerverifiedShow Answer

A patient enters the ED in severe pain with a possible dislocation of the elbow.The patient has the elbow flexed more than 90°.Which one of the following routines should be performed to confirm the diagnosis?

Correct AnswerverifiedShow Answer

Which one of the following structures is NOT part of the ulna?

Correct AnswerverifiedShow Answer

An ellipsoidal joint allows movement in ____ directions.

Correct AnswerverifiedShow Answer

Which carpal articulates with both the fourth and fifth metacarpals?

Correct AnswerverifiedShow Answer

A radiograph of the elbow demonstrates the radius directly superimposed over the ulna and the coronoid process in profile.Which projection of the elbow has been performed?

Correct AnswerverifiedShow Answer

Match each fracture description with the corresponding term.(Use each choice only once.) -Transverse fracture through fifth metacarpal neck

Correct AnswerverifiedShow Answer

Which of the following sets of exposure factors would be best for an adult hand study using a digital imaging system?

Correct AnswerverifiedShow Answer

Local or generalized infection of bone or bone marrow caused by bacteria introduced by trauma or surgery is a condition termed:

Correct AnswerverifiedShow Answer

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