Question 1

What additional maneuver must be added to the inferosuperior axial shoulder (Lawrence method)projection to best demonstrate a possible Hill-Sachs defect?

Accepted Answer

A)  Increase medial CR angulation. 
B)  Angle the CR 10° to 15° downward or posteriorly in addition to the medial angle. 
C)  Perform exaggerated external rotation of the affected upper limb. 
D)  Increase abduction of the affected upper limb. 
A)  Increase medial CR angulation. 
B)  Angle the CR 10° to 15° downward or posteriorly in addition to the medial angle. 
C)  Perform exaggerated external rotation of the affected upper limb. 
D)  Increase abduction of the affected upper limb.

Question 2

The arm should be abducted about 45° for an AP scapula.

Accepted Answer

A) True 
 B)False

Question 3

A patient enters the ED with a possible AC joint separation.The patient is paraplegic; therefore,the study cannot be done erect.Which of the following routines would be performed to diagnose this condition?

Accepted Answer

A)  Non-weight-bearing and weight-bearing type of projections performed with the patient recumbent by pulling down on the shoulders 
B)  Recumbent AP and AP axial projection of the clavicles to include AC joints 
C)  AP projections of shoulders with external and internal rotation performed recumbent 
D)  AP and AP apical oblique projection of the shoulder performed recumbent 
A)  Non-weight-bearing and weight-bearing type of projections performed with the patient recumbent by pulling down on the shoulders 
B)  Recumbent AP and AP axial projection of the clavicles to include AC joints 
C)  AP projections of shoulders with external and internal rotation performed recumbent 
D)  AP and AP apical oblique projection of the shoulder performed recumbent

Question 4

Part 10 refers to the vertebral border of the scapula.

Accepted Answer

A) True 
 B)False

Question 5

An inferosuperior axial projection (Clements modification)is performed on a patient with a nontraumatic shoulder injury.The patient cannot fully abduct the upper limb 90°.Which of the following modifications of the position should be performed for this patient?

Accepted Answer

A)  Angle CR 30° toward the axilla. 
B)  Angle CR 5 to 15° toward the axilla. 
C)  Angle CR 45° toward the elbow AC joint separation. 
D)  Rotate shoulder slightly anterior to open joint space. 
A)  Angle CR 30° toward the axilla. 
B)  Angle CR 5 to 15° toward the axilla. 
C)  Angle CR 45° toward the elbow AC joint separation. 
D)  Rotate shoulder slightly anterior to open joint space.

Question 6

MATCHING
Select the correct method name to match each shoulder projection.(Use each choice only once.)
-Tangential,supraspinatus outlet projection

Accepted Answer

A) Clements modification 
B) Neer method 
C) Fisk modification 
D) Hobbs modification 
E) Garth method
F)Grashey method 
A) Clements modification 
B) Neer method 
C) Fisk modification 
D) Hobbs modification 
E) Garth method
F)Grashey method

Question 7

How much CR angulation is required for an asthenic patient for an AP axial projection of the clavicle?

Accepted Answer

A)  15° 
B)  30° 
C)  45° 
D)  No CR angulation should be used for this projection. 
A)  15° 
B)  30° 
C)  45° 
D)  No CR angulation should be used for this projection.

Question 8

The Alexander method for AC joints requires a 15° cephalic CR angle.

Accepted Answer

A) True 
 B)False

Question 9

A patient enters the ED with multiple injuries including a possible fracture of the left proximal humerus.Which positioning rotation should be performed to determine the extent of the humerus injury?

Accepted Answer

A)  AP neutral shoulder rotation and carefully rotated internally proximal humerus 
B)  AP shoulder as is; show radiograph to the ED physician before attempting a rotational lateral projection 
C)  AP and horizontal beam transthoracic lateral shoulder projection 
D)  AP and apical oblique shoulder without any arm rotation 
A)  AP neutral shoulder rotation and carefully rotated internally proximal humerus 
B)  AP shoulder as is; show radiograph to the ED physician before attempting a rotational lateral projection 
C)  AP and horizontal beam transthoracic lateral shoulder projection 
D)  AP and apical oblique shoulder without any arm rotation

Question 10

The PA transaxillary projection (Hobbs modification)is performed to rule out possible shoulder dislocation.

Accepted Answer

A) True 
 B)False

Question 11

Where is the CR centered for a transthoracic lateral projection for proximal humerus?

Accepted Answer

A)  1 inch (2.5 cm) inferior to the acromion 
B)  Level of the greater tubercle 
C)  Level of surgical neck 
D)  Midaxilla 
A)  1 inch (2.5 cm) inferior to the acromion 
B)  Level of the greater tubercle 
C)  Level of surgical neck 
D)  Midaxilla

Question 12

The use of a grid during shoulder radiography will result in higher patient dose over nongrid procedures.

Accepted Answer

A) True 
 B)False

Question 13

MATCHING
Select the correct method name to match each shoulder projection.(Use each choice only once.)
-Tangential,intertubercular groove projection

Accepted Answer

A) Clements modification 
B) Neer method 
C) Fisk modification 
D) Hobbs modification 
E) Garth method
F)Grashey method 
A) Clements modification 
B) Neer method 
C) Fisk modification 
D) Hobbs modification 
E) Garth method
F)Grashey method

Question 14

The Hill-Sachs defect is a fracture of the articular surface of the glenoid cavity.

Accepted Answer

A) True 
 B)False

Question 15

A radiograph of an AP oblique projection for the glenoid cavity reveals that the anterior and posterior rims of the glenoid process are not superimposed.Which of the following modifications should produce a more acceptable image?

Accepted Answer

A)  Angle CR 5° to 10° caudad. 
B)  Angle CR 5° to 10° cephalad. 
C)  Increase rotation of the body. 
D)  Abduct the arm slightly. 
A)  Angle CR 5° to 10° caudad. 
B)  Angle CR 5° to 10° cephalad. 
C)  Increase rotation of the body. 
D)  Abduct the arm slightly.

Question 16

What is the name of the insertion point for the deltoid muscle located on the anterolateral surface of the humerus?

Accepted Answer

A)  Surgical neck 
B)  Deltoid protuberance 
C)  Deltoid tuberosity 
D)  Intertubercular groove 
A)  Surgical neck 
B)  Deltoid protuberance 
C)  Deltoid tuberosity 
D)  Intertubercular groove

Question 17

A patient enters the ED with multiple injuries.The physician is concerned about a dislocation of the left proximal humerus.The patient is unable to stand.Which of the following routines is advisable to best demonstrate this condition?

Accepted Answer

A)  AP shoulder and inferosuperior axiolateral projection 
B)  AP shoulder and 35° to 45° LPO position (Grashey method) 
C)  AP shoulder and Neer projection 
D)  AP shoulder and recumbent AP oblique scapular Y projection 
A)  AP shoulder and inferosuperior axiolateral projection 
B)  AP shoulder and 35° to 45° LPO position (Grashey method) 
C)  AP shoulder and Neer projection 
D)  AP shoulder and recumbent AP oblique scapular Y projection

Question 18

Which of the following projections can be performed using a breathing technique?

Accepted Answer

A)  Scapular Y lateral projection 
B)  Inferosuperior axiolateral projection 
C)  AP clavicle 
D)  AP scapula 
A)  Scapular Y lateral projection 
B)  Inferosuperior axiolateral projection 
C)  AP clavicle 
D)  AP scapula

Question 19

A radiograph of a scapular Y lateral position reveals that the scapula is slightly rotated (the vertebral and axillary borders are not superimposed).The axillary border of the scapula is determined to be more lateral compared with the vertebral border.Which of the following modifications should be made for the repeat exposure?

Accepted Answer

A)  Decrease rotation of thorax. 
B)  Decrease CR angle. 
C)  Increase rotation of thorax. 
D)  Abduct the arm more and flex it at the elbow. 
A)  Decrease rotation of thorax. 
B)  Decrease CR angle. 
C)  Increase rotation of thorax. 
D)  Abduct the arm more and flex it at the elbow.

Question 20

A patient enters the ED with a possible bony defect of the midwing area of the scapula.The patient is able to stand and move the upper limb freely.In addition to the routine AP scapula projection with the arm abducted,which of the following would best demonstrate the involved area?

Accepted Answer

A)  Take an apical oblique projection of the shoulder. 
B)  Take a transthoracic lateral projection of the shoulder region. 
C)  Have the patient reach across the chest and grasp the opposite shoulder for a lateral scapula projection. 
D)  Have the patient drop the affected arm behind him or her and take a lateral scapula projection. 
A)  Take an apical oblique projection of the shoulder. 
B)  Take a transthoracic lateral projection of the shoulder region. 
C)  Have the patient reach across the chest and grasp the opposite shoulder for a lateral scapula projection. 
D)  Have the patient drop the affected arm behind him or her and take a lateral scapula projection.

What additional maneuver must be added to the inferosuperior axial shoulder (Lawrence method)projection to best demonstrate a possible Hill-Sachs defect?

The arm should be abducted about 45° for an AP scapula.

A patient enters the ED with a possible AC joint separation.The patient is paraplegic; therefore,the study cannot be done erect.Which of the following routines would be performed to diagnose this condition?

Part 10 refers to the vertebral border of the scapula.

An inferosuperior axial projection (Clements modification)is performed on a patient with a nontraumatic shoulder injury.The patient cannot fully abduct the upper limb 90°.Which of the following modifications of the position should be performed for this patient?

MATCHING Select the correct method name to match each shoulder projection.(Use each choice only once.) -Tangential,supraspinatus outlet projection

How much CR angulation is required for an asthenic patient for an AP axial projection of the clavicle?

The Alexander method for AC joints requires a 15° cephalic CR angle.

A patient enters the ED with multiple injuries including a possible fracture of the left proximal humerus.Which positioning rotation should be performed to determine the extent of the humerus injury?

The PA transaxillary projection (Hobbs modification)is performed to rule out possible shoulder dislocation.

Where is the CR centered for a transthoracic lateral projection for proximal humerus?

The use of a grid during shoulder radiography will result in higher patient dose over nongrid procedures.

MATCHING Select the correct method name to match each shoulder projection.(Use each choice only once.) -Tangential,intertubercular groove projection

The Hill-Sachs defect is a fracture of the articular surface of the glenoid cavity.

A radiograph of an AP oblique projection for the glenoid cavity reveals that the anterior and posterior rims of the glenoid process are not superimposed.Which of the following modifications should produce a more acceptable image?

What is the name of the insertion point for the deltoid muscle located on the anterolateral surface of the humerus?

A patient enters the ED with multiple injuries.The physician is concerned about a dislocation of the left proximal humerus.The patient is unable to stand.Which of the following routines is advisable to best demonstrate this condition?

Which of the following projections can be performed using a breathing technique?

A patient enters the ED with a possible bony defect of the midwing area of the scapula.The patient is able to stand and move the upper limb freely.In addition to the routine AP scapula projection with the arm abducted,which of the following would best demonstrate the involved area?

Terminology, Positioning, and Imaging Principles

Chest

Abdomen

Upper Limb

Lower Limb

Femur and Pelvic Girdle

Cervical and Thoracic Spine

Lumbar Spine, Sacrum, and Coccyx

Bony Thorax-Sternum and Ribs

Cranium, Facial Bones, and Paranasal Sinuses

Biliary Tract and Upper Gastrointestinal System

Lower Gastrointestinal System

Urinary System and Venipuncture

Trauma, Mobile, and Surgical Radiography

Pediatric Radiography

Angiography and Interventional Procedures

Computed Tomography

Special Radiographic Procedures

Diagnostic and Therapeutic Modalities

Filters

Exam 5: Humerus and Shoulder Girdle

What additional maneuver must be added to the inferosuperior axial shoulder (Lawrence method)projection to best demonstrate a possible Hill-Sachs defect?

The arm should be abducted about 45° for an AP scapula.

A patient enters the ED with a possible AC joint separation.The patient is paraplegic; therefore,the study cannot be done erect.Which of the following routines would be performed to diagnose this condition?

Part 10 refers to the vertebral border of the scapula.

An inferosuperior axial projection (Clements modification)is performed on a patient with a nontraumatic shoulder injury.The patient cannot fully abduct the upper limb 90°.Which of the following modifications of the position should be performed for this patient?

MATCHING Select the correct method name to match each shoulder projection.(Use each choice only once.) -Tangential,supraspinatus outlet projection

How much CR angulation is required for an asthenic patient for an AP axial projection of the clavicle?

The Alexander method for AC joints requires a 15° cephalic CR angle.

A patient enters the ED with multiple injuries including a possible fracture of the left proximal humerus.Which positioning rotation should be performed to determine the extent of the humerus injury?

The PA transaxillary projection (Hobbs modification)is performed to rule out possible shoulder dislocation.

Where is the CR centered for a transthoracic lateral projection for proximal humerus?

The use of a grid during shoulder radiography will result in higher patient dose over nongrid procedures.

MATCHING Select the correct method name to match each shoulder projection.(Use each choice only once.) -Tangential,intertubercular groove projection

The Hill-Sachs defect is a fracture of the articular surface of the glenoid cavity.

A radiograph of an AP oblique projection for the glenoid cavity reveals that the anterior and posterior rims of the glenoid process are not superimposed.Which of the following modifications should produce a more acceptable image?

What is the name of the insertion point for the deltoid muscle located on the anterolateral surface of the humerus?

A patient enters the ED with multiple injuries.The physician is concerned about a dislocation of the left proximal humerus.The patient is unable to stand.Which of the following routines is advisable to best demonstrate this condition?

Which of the following projections can be performed using a breathing technique?

A patient enters the ED with a possible bony defect of the midwing area of the scapula.The patient is able to stand and move the upper limb freely.In addition to the routine AP scapula projection with the arm abducted,which of the following would best demonstrate the involved area?

Terminology, Positioning, and Imaging Principles

Chest

Abdomen

Upper Limb

Lower Limb

Femur and Pelvic Girdle

Cervical and Thoracic Spine

Lumbar Spine, Sacrum, and Coccyx

Bony Thorax-Sternum and Ribs

Cranium, Facial Bones, and Paranasal Sinuses

Biliary Tract and Upper Gastrointestinal System

Lower Gastrointestinal System

Urinary System and Venipuncture

Trauma, Mobile, and Surgical Radiography

Pediatric Radiography

Angiography and Interventional Procedures

Computed Tomography

Special Radiographic Procedures

Diagnostic and Therapeutic Modalities

Filters