Question 1

Part 3 refers to:

Accepted Answer

A) the scapulohumeral joint. 
B) the glenohumeral joint. 
C) the glenoid cavity or fossa. 
D) all of the above. 
A) the scapulohumeral joint. 
B) the glenohumeral joint. 
C) the glenoid cavity or fossa. 
D) all of the above. D

Question 2

A patient enters the ED with a dislocated shoulder.The technologist attempts to position the patient into the transthoracic lateral projection, but the patient is unable to raise the unaffected arm over his head completely.What can the technologist do to compensate for the patient's inability to raise his arm completely?

Accepted Answer

A) Perform the Grashey method instead. 
B) Use a breathing technique. 
C) Increase kV to penetrate through both shoulders. 
D) Angle the CR 10° to 15° cephalad. 
A) Perform the Grashey method instead. 
B) Use a breathing technique. 
C) Increase kV to penetrate through both shoulders. 
D) Angle the CR 10° to 15° cephalad. D

Question 3

All of the joints of the shoulder girdle are diarthrodial.

Accepted Answer

A) True 
 B)False  True

Question 4

A radiograph of a PA oblique (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 5

Which projection of the shoulder requires that the patient be rotated 45° to 60° toward the IR from a PA position?

Accepted Answer

A) Inferosuperior axiolateral projection 
B) AP oblique projection 
C) Lateral scapula projection 
D) None of the above 
A) Inferosuperior axiolateral projection 
B) AP oblique projection 
C) Lateral scapula projection 
D) None of the above

Question 6

The anterior surface of the scapula is referred to as the:

Accepted Answer

A) scapular surface. 
B) dorsal surface. 
C) supraspinous and infraspinous fossa. 
D) costal surface. 
A) scapular surface. 
B) dorsal surface. 
C) supraspinous and infraspinous fossa. 
D) costal surface.

Question 7

A patient is scheduled for an arthrogram.During the course of the study, the radiologist requests a projection to demonstrate the intertubercular sulcus.Which one of the following projections would best demonstrate this structure?

Accepted Answer

A) Fisk modification 
B) Garth method 
C) Grashey method 
D) Pearson method 
A) Fisk modification 
B) Garth method 
C) Grashey method 
D) Pearson method

Question 8

A radiograph of a transthoracic lateral projection reveals that it is difficult to visualize the proximal humerus due to the ribs and lung markings.The following analog exposure factors were used: 75 kV, 30 mAs, 40-inch (102 cm) SID, grid, and suspended respiration.Which of the following changes will improve the visibility of the proximal humerus?

Accepted Answer

A) Make the exposure on second inspiration. 
B) Use a compression band to prevent patient movement. 
C) Use a 72-inch (183-cm) SID. 
D) Use an orthostatic (breathing) technique. 
A) Make the exposure on second inspiration. 
B) Use a compression band to prevent patient movement. 
C) Use a 72-inch (183-cm) SID. 
D) Use an orthostatic (breathing) technique.

Question 9

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

Accepted Answer

A) True 
 B)False

Question 10

The AP humerus requires that the humeral epicondyles are _____ to the IR.

Accepted Answer

A) set at a 45° angle 
B) parallel 
C) perpendicular 
D) slightly oblique 
A) set at a 45° angle 
B) parallel 
C) perpendicular 
D) slightly oblique

Question 11

Another term for osteoarthritis is:

Accepted Answer

A) rheumatoid arthritis. 
B) bursitis. 
C) degenerative joint disease. 
D) osteoporosis. 
A) rheumatoid arthritis. 
B) bursitis. 
C) degenerative joint disease. 
D) osteoporosis.

Question 12

Which of the following joints is considered to have a ball and socket (spheroidal) type of movement?

Accepted Answer

A) Acromioclavicular joints 
B) Sternoclavicular joints 
C) Bicipital joint 
D) Scapulohumeral joint 
A) Acromioclavicular joints 
B) Sternoclavicular joints 
C) Bicipital joint 
D) Scapulohumeral joint

Question 13

What is a possible radiographic sign for impingement syndrome of the shoulder?

Accepted Answer

A) Calcified tendons 
B) Fluid-filled joint space 
C) Fracture of the glenoid rim 
D) Bone spurring in acromiohumeral space 
A) Calcified tendons 
B) Fluid-filled joint space 
C) Fracture of the glenoid rim 
D) Bone spurring in acromiohumeral space

Question 14

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 15

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

Accepted Answer

A) True 
 B)False

Question 16

What medial central ray (CR) angle is required for the inferosuperior axial shoulder (Lawrence method)?

Accepted Answer

A) 5° to 10° 
B) 40° to 45° 
C) 25° to 30° 
D) 10° to 15° 
A) 5° to 10° 
B) 40° to 45° 
C) 25° to 30° 
D) 10° to 15°

Question 17

Part 10 refers to the vertebral border of the scapula.

Accepted Answer

A) True 
 B)False

Question 18

A patient comes to the emergency department (ED) with a possible right AC joint separation.Right clavicle and AC joint examinations are ordered.The clavicle is taken first, and a small linear fracture of the midshaft of the clavicle is discovered.What should the technologist do in this situation?

Accepted Answer

A) Perform the weight-bearing phase as ordered. 
B) Reduce the amount of weight that would normally be given to the patient and perform the weight-bearing study. 
C) Consult with the ED physician before continuing with the AC joint study. 
D) Slowly give the patient more weight to hold until he begins to complain and then complete the AC joint study. 
A) Perform the weight-bearing phase as ordered. 
B) Reduce the amount of weight that would normally be given to the patient and perform the weight-bearing study. 
C) Consult with the ED physician before continuing with the AC joint study. 
D) Slowly give the patient more weight to hold until he begins to complain and then complete the AC joint study.

Question 19

Select the correct method name to match each shoulder projection.(Use each choice only once.)
-PA transaxillary 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 20

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

Part 3 refers to:

All of the joints of the shoulder girdle are diarthrodial.

Which projection of the shoulder requires that the patient be rotated 45° to 60° toward the IR from a PA position?

The anterior surface of the scapula is referred to as the:

A patient is scheduled for an arthrogram.During the course of the study, the radiologist requests a projection to demonstrate the intertubercular sulcus.Which one of the following projections would best demonstrate this structure?

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

The AP humerus requires that the humeral epicondyles are _____ to the IR.

Another term for osteoarthritis is:

Which of the following joints is considered to have a ball and socket (spheroidal) type of movement?

What is a possible radiographic sign for impingement syndrome of the shoulder?

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

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

What medial central ray (CR) angle is required for the inferosuperior axial shoulder (Lawrence method)?

Part 10 refers to the vertebral border of the scapula.

A patient comes to the emergency department (ED) with a possible right AC joint separation.Right clavicle and AC joint examinations are ordered.The clavicle is taken first, and a small linear fracture of the midshaft of the clavicle is discovered.What should the technologist do in this situation?

Select the correct method name to match each shoulder projection.(Use each choice only once.) -PA transaxillary projection

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?

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 Thoraxsternum and Ribs

Cranium, Facial Bones, and Paranasal Sinuses

Biliary Tract and Upper Gastrointestinal System

Lower Gi 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

Part 3 refers to:

All of the joints of the shoulder girdle are diarthrodial.

Which projection of the shoulder requires that the patient be rotated 45° to 60° toward the IR from a PA position?

The anterior surface of the scapula is referred to as the:

A patient is scheduled for an arthrogram.During the course of the study, the radiologist requests a projection to demonstrate the intertubercular sulcus.Which one of the following projections would best demonstrate this structure?

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

The AP humerus requires that the humeral epicondyles are _____ to the IR.

Another term for osteoarthritis is:

Which of the following joints is considered to have a ball and socket (spheroidal) type of movement?

What is a possible radiographic sign for impingement syndrome of the shoulder?

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

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

What medial central ray (CR) angle is required for the inferosuperior axial shoulder (Lawrence method)?

Part 10 refers to the vertebral border of the scapula.

A patient comes to the emergency department (ED) with a possible right AC joint separation.Right clavicle and AC joint examinations are ordered.The clavicle is taken first, and a small linear fracture of the midshaft of the clavicle is discovered.What should the technologist do in this situation?

Select the correct method name to match each shoulder projection.(Use each choice only once.) -PA transaxillary projection

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?

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 Thoraxsternum and Ribs

Cranium, Facial Bones, and Paranasal Sinuses

Biliary Tract and Upper Gastrointestinal System

Lower Gi 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