Question 1

For an average-size adult, which of the following would receive the highest skin dose?

Accepted Answer

A) AP "wagging jaw" cervical spine, 3-second exposure time 
B) AP thoracic spine 
C) Lateral cervical spine at 72-inch (183-cm) SID 
D) Lateral thoracic spine 
A) AP "wagging jaw" cervical spine, 3-second exposure time 
B) AP thoracic spine 
C) Lateral cervical spine at 72-inch (183-cm) SID 
D) Lateral thoracic spine D

Question 2

A lateral projection of the thoracic spine reveals that the upper aspect, which is a primary area of interest on this patient, is obscured by the patient's broad shoulders.Which of the following options will best demonstrate this region of the spine?

Accepted Answer

A) Use a compensating (wedge) filter and repeat the exposure with increased kV. 
B) Angle the CR 10° to 15° cephalad. 
C) Perform the projection with the patient erect and holding weights in hand during exposure. 
D) Perform a cervicothoracic (swimmer's) lateral position. 
A) Use a compensating (wedge) filter and repeat the exposure with increased kV. 
B) Angle the CR 10° to 15° cephalad. 
C) Perform the projection with the patient erect and holding weights in hand during exposure. 
D) Perform a cervicothoracic (swimmer's) lateral position. D

Question 3

The most prominent aspect of the thyroid cartilage corresponds to the vertebral level of:

Accepted Answer

A) C5. 
B) C1-2. 
C) C6-7. 
D) C7-T1. 
A) C5. 
B) C1-2. 
C) C6-7. 
D) C7-T1. A

Question 4

Which of the following is NOT a correct evaluation criterion for the AP axial C-spine projection?

Accepted Answer

A) C3-T2 vertebral bodies should be visualized. 
B) Spinous processes are seen to be equal distances from the vertebral body lateral borders. 
C) CR is at the lower margin of the thyroid cartilage. 
D) All of the above are correct criteria. 
A) C3-T2 vertebral bodies should be visualized. 
B) Spinous processes are seen to be equal distances from the vertebral body lateral borders. 
C) CR is at the lower margin of the thyroid cartilage. 
D) All of the above are correct criteria.

Question 5

A patient enters the ED due to an MVA.He is on a backboard and in a cervical collar.The initial lateral cervical spine projection demonstrates C1-6.The patient has broad and thick shoulders.Because the hospital is in a rural setting, no CT scanner is available.Which of the following modifications would best demonstrate the lower cervical spine safely?

Accepted Answer

A) Repeat the exposure and increase kV. 
B) Repeat the exposure but ask the patient to stand up and do the lateral projection erect. 
C) Repeat the exposure but have a student pull down on the arms during the exposure. 
D) Perform the horizontal beam cervicothoracic (swimmer's) lateral position. 
A) Repeat the exposure and increase kV. 
B) Repeat the exposure but ask the patient to stand up and do the lateral projection erect. 
C) Repeat the exposure but have a student pull down on the arms during the exposure. 
D) Perform the horizontal beam cervicothoracic (swimmer's) lateral position.

Question 6

Which of the following will best demonstrate a compression fracture of the thoracic spine?

Accepted Answer

A) AP projection 
B) Lateral projection 
C) Posterior oblique positions 
D) Anterior oblique positions 
A) AP projection 
B) Lateral projection 
C) Posterior oblique positions 
D) Anterior oblique positions

Question 7

Along with the upper incisors, what other bony landmark must be aligned for the AP open-mouth projection?

Accepted Answer

A) Base of skull 
B) Tip of mandible 
C) Inferior margin of lower incisors 
D) Thyroid cartilage 
A) Base of skull 
B) Tip of mandible 
C) Inferior margin of lower incisors 
D) Thyroid cartilage

Question 8

Match the vertebra with the corresponding terms and/or structures. (You may use an answer more than once.)
-Anterior arch

Accepted Answer

A)  C7 
B)  C2 
C)  C1 
D)  C4 
E)  T1
F) T7 
A)  C7 
B)  C2 
C)  C1 
D)  C4 
E)  T1
F) T7

Question 9

A patient comes to radiology for a thoracic spine routine.The patient has a history of arthritis of the spine.The radiologist requests that additional projections be taken to demonstrate the zygapophyseal joints.What position(s) and/or projection(s) would be ideal to demonstrate these structures?

Accepted Answer

A) Pillar view projection of interest region 
B) Swimmer's lateral projection 
C) Spot AP and lateral projections of interest region 
D) 70° oblique projections 
A) Pillar view projection of interest region 
B) Swimmer's lateral projection 
C) Spot AP and lateral projections of interest region 
D) 70° oblique projections

Question 10

The zygapophyseal joints for the typical cervical vertebra lie at an angle of ____ in relation to the midsagittal plane.

Accepted Answer

A) 45° 
B) 60° 
C) 70° to 75° 
D) 90° 
A) 45° 
B) 60° 
C) 70° to 75° 
D) 90°

Question 11

Which of the following statements is true?

Accepted Answer

A) All adult vertebrae are separated by intervertebral disks. 
B) All thoracic vertebrae have at least one facet for rib articulation. 
C) The intervertebral disks are tightly bound to the vertebral bodies to prevent movement within the vertebral column. 
D) All of the above are true statements. 
A) All adult vertebrae are separated by intervertebral disks. 
B) All thoracic vertebrae have at least one facet for rib articulation. 
C) The intervertebral disks are tightly bound to the vertebral bodies to prevent movement within the vertebral column. 
D) All of the above are true statements.

Question 12

A patient comes to radiology for a follow-up study for a clay shoveler's fracture.Which of the following projections will best demonstrate the extent of this fracture?

Accepted Answer

A) AP cervical spine 
B) Lateral thoracic spine 
C) Lateral cervical spine 
D) AP axial-vertebral arch 
A) AP cervical spine 
B) Lateral thoracic spine 
C) Lateral cervical spine 
D) AP axial-vertebral arch

Question 13

What type of CR angulation is required for the AP axial projection for the cervical spine?

Accepted Answer

A) None.CR is perpendicular to the image receptor. 
B) 5° to 10° cephalad. 
C) 15° to 20° cephalad. 
D) 15° to 20° caudad. 
A) None.CR is perpendicular to the image receptor. 
B) 5° to 10° cephalad. 
C) 15° to 20° cephalad. 
D) 15° to 20° caudad.

Question 14

Which factor is most important to open up the intervertebral joint spaces for a lateral thoracic spine projection?

Accepted Answer

A) Use sufficiently high kV. 
B) Collimate the spine region to reduce scatter. 
C) Keep the vertebral column parallel to the tabletop. 
D) Angle the central ray (CR) 5° to 10° caudad. 
A) Use sufficiently high kV. 
B) Collimate the spine region to reduce scatter. 
C) Keep the vertebral column parallel to the tabletop. 
D) Angle the central ray (CR) 5° to 10° caudad.

Question 15

The spinal cord tapers off to a point distally at the vertebral level of:

Accepted Answer

A) lower L5. 
B) L3-4 intervertebral space. 
C) L1-2. 
D) L4-5 intervertebral space. 
A) lower L5. 
B) L3-4 intervertebral space. 
C) L1-2. 
D) L4-5 intervertebral space.

Question 16

Which of the following factors does not apply to a lateral projection of the cervical spine?

Accepted Answer

A) Use a 72-inch (183-cm) SID. 
B) Suspend respiration upon full inspiration prior to exposure. 
C) Perform horizontal beam lateral projection if trauma is suspected. 
D) Center CR to thyroid cartilage. 
A) Use a 72-inch (183-cm) SID. 
B) Suspend respiration upon full inspiration prior to exposure. 
C) Perform horizontal beam lateral projection if trauma is suspected. 
D) Center CR to thyroid cartilage.

Question 17

Which aspect of the intervertebral disk is composed of semigelatinous material?

Accepted Answer

A) Nucleus pulposus 
B) Annulus fibrosus 
C) Conus medullaris 
D) Cauda equina 
A) Nucleus pulposus 
B) Annulus fibrosus 
C) Conus medullaris 
D) Cauda equina

Question 18

The gonion corresponds to the vertebral level of:

Accepted Answer

A) C1. 
B) C4-5. 
C) C3. 
D) C7. 
A) C1. 
B) C4-5. 
C) C3. 
D) C7.

Question 19

The body of C2 is labeled _____.

Accepted Answer

The answer of The body of C2 is labeled _____....

Question 20

The part vertebral foramen is labeled _____.

Accepted Answer

The answer of The part vertebral foramen is labeled _____....

For an average-size adult, which of the following would receive the highest skin dose?

A lateral projection of the thoracic spine reveals that the upper aspect, which is a primary area of interest on this patient, is obscured by the patient's broad shoulders.Which of the following options will best demonstrate this region of the spine?

The most prominent aspect of the thyroid cartilage corresponds to the vertebral level of:

Which of the following is NOT a correct evaluation criterion for the AP axial C-spine projection?

Which of the following will best demonstrate a compression fracture of the thoracic spine?

Along with the upper incisors, what other bony landmark must be aligned for the AP open-mouth projection?

Match the vertebra with the corresponding terms and/or structures. (You may use an answer more than once.) -Anterior arch

A patient comes to radiology for a thoracic spine routine.The patient has a history of arthritis of the spine.The radiologist requests that additional projections be taken to demonstrate the zygapophyseal joints.What position(s) and/or projection(s) would be ideal to demonstrate these structures?

The zygapophyseal joints for the typical cervical vertebra lie at an angle of ____ in relation to the midsagittal plane.

Which of the following statements is true?

A patient comes to radiology for a follow-up study for a clay shoveler's fracture.Which of the following projections will best demonstrate the extent of this fracture?

What type of CR angulation is required for the AP axial projection for the cervical spine?

Which factor is most important to open up the intervertebral joint spaces for a lateral thoracic spine projection?

The spinal cord tapers off to a point distally at the vertebral level of:

Which of the following factors does not apply to a lateral projection of the cervical spine?

Which aspect of the intervertebral disk is composed of semigelatinous material?

The gonion corresponds to the vertebral level of:

The body of C2 is labeled _____.

The part vertebral foramen is labeled _____.

Terminology, Positioning, and Imaging Principles

Chest

Abdomen

Upper Limb

Humerus and Shoulder Girdle

Lower Limb

Femur and Pelvic Girdle

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 8: Cervical and Thoracic Spine

For an average-size adult, which of the following would receive the highest skin dose?

A lateral projection of the thoracic spine reveals that the upper aspect, which is a primary area of interest on this patient, is obscured by the patient's broad shoulders.Which of the following options will best demonstrate this region of the spine?

The most prominent aspect of the thyroid cartilage corresponds to the vertebral level of:

Which of the following is NOT a correct evaluation criterion for the AP axial C-spine projection?

Which of the following will best demonstrate a compression fracture of the thoracic spine?

Along with the upper incisors, what other bony landmark must be aligned for the AP open-mouth projection?

Match the vertebra with the corresponding terms and/or structures. (You may use an answer more than once.) -Anterior arch

A patient comes to radiology for a thoracic spine routine.The patient has a history of arthritis of the spine.The radiologist requests that additional projections be taken to demonstrate the zygapophyseal joints.What position(s) and/or projection(s) would be ideal to demonstrate these structures?

The zygapophyseal joints for the typical cervical vertebra lie at an angle of ____ in relation to the midsagittal plane.

Which of the following statements is true?

A patient comes to radiology for a follow-up study for a clay shoveler's fracture.Which of the following projections will best demonstrate the extent of this fracture?

What type of CR angulation is required for the AP axial projection for the cervical spine?

Which factor is most important to open up the intervertebral joint spaces for a lateral thoracic spine projection?

The spinal cord tapers off to a point distally at the vertebral level of:

Which of the following factors does not apply to a lateral projection of the cervical spine?

Which aspect of the intervertebral disk is composed of semigelatinous material?

The gonion corresponds to the vertebral level of:

The body of C2 is labeled _____.

The part vertebral foramen is labeled _____.

Terminology, Positioning, and Imaging Principles

Chest

Abdomen

Upper Limb

Humerus and Shoulder Girdle

Lower Limb

Femur and Pelvic Girdle

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