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Proc pelvis
front 1 Refer to the image. What anatomy is labeled as letter C? | back 1 ASIS |
front 2 Situation: A patient comes to radiology with a request for a right hip study. He is from an extended care facility and is confused about the cause of the injury. The technologist takes an AP pelvis, and when the lateral frog-leg projection is attempted, the patient complains loudly about the pain in his affected hip. What should the technologist do to complete the study? Continue to position the patient, but move the affected limb more
gently | back 2 Perform the axiolateral (inferosuperior) projection |
front 3 The term pelvic girdle refers to the total pelvis including the
sacrum and coccyx. | back 3 False |
front 4 Refer to the image. What projection and anatomy of interest is
depicted? | back 4 AP oblique (modified Cleaves); femoral necks |
front 5 A radiograph of an AP pelvis reveals that the right iliac wing is
foreshortened as compared with the left side. What specific
positioning problem is present on this radiograph? | back 5 Left rotation |
front 6 The internal oblique position of the AP oblique projection (Judet
method) demonstrates the: | back 6 iliopubic column and posterior rim of acetabulum |
front 7 What CR angle is required for the AP axial, inlet projection? | back 7 40 degrees caudad |
front 8 The letter B on the illustration below identifies the : ilioischel column | back 8 iliopubic column |
front 9 The angle of the SI joints is ____ degrees relative to the
midsagittal plane. | back 9 25 to 30 degrees |
front 10 A radiograph of an AP pelvis reveals that the left obturator foramen
is more open or elongated as compared with the right. What is the
specific positioning error present on this radiograph? | back 10 Right rotation |
front 11 A radiograph of an AP pelvis demonstrates that the right obturator
foramen is foreshortened but the left foramen is open. Which one of
the following positioning errors is present on this radiograph? | back 11 Right rotation |
front 12 Which of the following imaging modalities will best detect early
signs of bone infection of the pelvis? | back 12 Nuclear medicine |
front 13 The below pictured projection is called the: | back 13 Bridgeman Method |
front 14 Unless contraindicated, the lower limb and leg should be internally
rotated for an axiolateral projection of the hip (Danelius-Miller).
How many degrees of rotation are required? | back 14 15 to 20 degrees |
front 15 Which projection of the hip is shown in the figure above? | back 15 axiolateral |
front 16 The posterior oblique (Judet method) for the acetabulum requires a
10- to 15-degree rotation of the body. | back 16 False |
front 17 Which of the following describes the direction of the central ray for
an axiolateral projection of the hip (Danelius-Miller)? | back 17 1 and 2 |
front 18 A radiograph of an AP axial (Taylor) “outlet” projection reveals that
the obturator foramina are not symmetric. What type of positioning
problem is present on this radiograph? | back 18 Rotation of the pelvis |
front 19 A radiograph of an LPO projection for sacroiliac joints reveals that
the ilium is superimposed over the involved joint. What type of
positioning error is present on this radiograph? | back 19 Excessive rotation or obliquity |
front 20 The body is placed at what angle for the AP oblique projection (Judet
method) of the acetabulum? | back 20 45 degrees |
front 21 The following projection is being demonstrated in the image below: Ilium Projection | back 21 Inlet Projection |
front 22 For the AP oblique femoral necks (modified Cleaves method), the
central ray is directed: | back 22 0 degrees |
front 23 How much is the central ray angled for the AP oblique projection
(Judet method) of the acetabulum? | back 23 0 degrees |
front 24 Examine this AP oblique (Judet) image of the right hip obtained with
the patient positioned for the internal oblique. What is the anatomy
of interest? | back 24 posterior acetabular rim and iliopubic column |
front 25 The following projection is being demonstrated in the image below: Bridgeman Method Projection | back 25 Bridgeman Method Projection |
front 26 How much should the thighs be abducted for the AP oblique projection
of the femoral necks (modified Cleaves method)? | back 26 45 degrees |
front 27 Which bones fuse to form the acetabulum? | back 27 Ischium, pubis, and ilium |
front 28 Where is the IR centered for an AP pelvis? | back 28 midway between the ASIS and the pubic symphysis |
front 29 Using the above hip localization method, the femoral head can be
located: | back 29 1½ inches (4 cm) below the midpoint of the imaginary line between the two bony landmarks. |
front 30 Which bone of the pelvic girdle forms the anterior inferior
aspect? | back 30 Pubis |
front 31 The following position is demonstrating which of the following Methods ? Bridgeman Method | back 31 Clements-Nakayama Method |
front 32 Which of the following methods demonstrate the hip in an axiolateral
projection? | back 32 Danelius-Miller |
front 33 How much is the image receptor tilted from the horizontal for the
modified axiolateral (Clements-Nakayama) projection? | back 33 15 to 20 degrees |
front 34 The respiration phase for the axiolateral projection of the hip
(Danelius-Miller) is: | back 34 suspended respiration |
front 35 Examine this AP oblique (Judet) image of the right hip obtained with
the patient positioned for the internal oblique. What patient position
is depicted in this image? | back 35 45 degrees LPO |
front 36 Refer to the image. What anatomy is labeled as letter B? | back 36 lesser trochanter |
front 37 Situation: A patient comes to the ED with a possible pelvic ring
fracture. The initial AP pelvis projection is inconclusive. What other
projection can be taken to assist with the diagnosis? | back 37 AP axial inlet projection |
front 38 The image receptor must be placed parallel to the femoral neck for
the axiolateral (inferosuperior) projection of the hip. | back 38 True |
front 39 A radiograph of a right SI joint demonstrates it open and clearly
seen. Which of the following positions was performed? | back 39 LPO |
front 40 The below pectured projection is called the : Cleaves Method | back 40 Taylor Method |
front 41 The radiograph below best demonstrates which area the best: acetabulum column | back 41 ilioischel column |
front 42 A radiograph of an axiolateral (inferosuperior) projection of the hip
reveals a soft tissue artifact seen across the affected hip. This
artifact prevents a clear view of the femoral head and neck. What must
the technologist do to eliminate this artifact or its effect during
the repeat exposure? | back 42 Increase the elevation and flexion of the patient’s unaffected leg. |
front 43 Which of the following describes the position of the IR for the
axiolateral projection of the hip (Danelius-Miller)? | back 43 1 and 2 |
front 44 Which of the following lateral hip projections cannot be performed on
a trauma patient with a possible hip fracture? | back 44 Modified Cleaves method |
front 45 Which of the following methods will demonstrate the hip in a lateral
projection? | back 45 Lauenstein, Hickey |
front 46 Situation: A patient enters the ED with a possible separation of the
symphysis pubis due to trauma. The AP pelvis projection is
inconclusive for determining the extent of the injury. What other
projection can be taken to evaluate this region? | back 46 AP axial (Taylor) outlet projection |
front 47 The proper name of the method used for the unilateral frog-leg
projection is the: | back 47 modified Cleaves. |
front 48 Which of the following projections can be performed with one exposure
if a compensating filter is used? | back 48 axiolateral hip (Danelius-Miller method) |
front 49 The radiograph below best demonstrates which area the best: ischeopubic column | back 49 iliopubic column |
front 50 Refer to the image. What projection (method) is demonstrated? | back 50 axiolateral (Danelius-Miller) |
front 51 A radiograph of an axiolateral (inferosuperior) projection reveals
that there is an excessive amount of grid lines present. A 6:1 linear
grid was used. Which of the following points will correct this problem
on the repeat exposure? | back 51 Keep the image receptor parallel to the femoral neck. |
front 52 Refer to the image. What positioning error is evident? | back 52 The lower limbs were not internally rotated |
front 53 The following projection is being demonstrated in the image below : Acetabulum Projection | back 53 Outlet Projection |
front 54 Which of the following bony structures cannot be palpated? | back 54 Ischial spine |
front 55 Situation: A patient enters the ED with possible bilateral fractured
hips. Which of the following routines should be performed? | back 55 AP pelvis and modified axiolateral (Clements-Nakayama method) projections for both hips |
front 56 The following projection is being demonstrated in the image below : Clements-Nakayama Projection | back 56 Taylor Method Projection |
front 57 Which of the following devices are necessary to perform an
axiolateral projection of the hip (Danelius-Miller)? | back 57 1, 2, and 3 |
front 58 Where is the central ray directed for the AP oblique projection
(modified Cleaves) of the femoral necks? | back 58 1 inch superior to the pubic symphysis |
front 59 In the below illustration, the Right acetabulum is demonstated in the which of the follolwing None of the above | back 59 Internal Oblique Position |
front 60 Which of the following projections provides the greatest amount of
gonadal dose for a male patient (without the use of shielding)? | back 60 Axiolateral (inferosuperior) projection |
front 61 The below pictured projection is called the : Taylor Method | back 61 Judet Method |
front 62 Which of the following positions will best demonstrate the superior
and posterior rim of the acetabulum? | back 62 Posterior oblique (Judet method) |
front 63 Refer to the image. What anatomy is labeled as letter C? | back 63 femoral head |
front 64 The AP axial projection (Bridgeman method) requires the central ray
be directed: | back 64 40 degrees caudad |
front 65 What is the central-ray entrance point for the AP oblique projection
(Judet method) of the acetabulum? | back 65 2 inches inferior to the ASIS |
front 66 Which part of the acetabulum is being best demonstrated ? Anterior rim of the acetabulum | back 66 Posterior rim of the acetabulum |
front 67 The use of the 80 kV technique (as opposed to 90) with a
corresponding mAs change for an AP pelvis projection will result in
higher contrast but will have what effect on the male and female
gonadal dose? | back 67 Will increase dose by 20% to 30% |
front 68 Which part of the acetabulum is being best demonstrated ? Anterior rim of the acetabulum | back 68 Anterior rim of the acetabulum |
front 69 During a repeat study of the AP axial (Taylor) outlet projection,
both obturator foramina are symmetric but foreshortened. Which of the
following positioning modifications must be performed to correct this
error? | back 69 Increase the cephalic CR angulation. |
front 70 What CR angle must be used for an AP axial (Taylor method) “outlet”
projection for a male patient? | back 70 20 to 35 degrees cephalad |
front 71 The radiograph below best demonstrates the Right hip in which of the
following | back 71 Exteranl Oblique Position |
front 72 A radiograph of an AP pelvis reveals that the lesser trochanters are
not visualized. This pelvis projection was performed for nontraumatic
reasons. What should the technologist do (if anything) to correct this
on the repeat exposure? | back 72 Do nothing. Accept the radiograph and don’t repeat the exposure. |
front 73 The lesser sciatic notch is an aspect of the: | back 73 ischium |
front 74 Which of the following projections would be best for a patient with
trauma to both proximal femurs (in addition to the AP pelvis)? | back 74 Modified axiolateral (Clements-Nakayama) |
front 75 How much obliquity of the body is required for posterior oblique
positions for the sacroiliac joints? | back 75 25 to 30 degrees |
front 76 The letter A on the illustration below identifies the : iliopubic column | back 76 ilioischel column |
front 77 The LPO position for sacroiliac joints will best demonstrate the
right joint. | back 77 True False |
front 78 Situation: A patient enters ED with a possible pelvic ring fracture
due to a MVA. The initial pelvis projections do not reveal any
fracture or dislocation, but the ED physician is concerned about a
possible right acetabular fracture. Which of the following projections
will best demonstrate the right acetabulum? | back 78 Posterior oblique pelvis projection (Judet method) |
front 79 Only a small part of the lesser trochanter, if any, will be visible
on a well-positioned axiolateral (inferosuperior) lateral hip. | back 79 True |
front 80 The external oblique position of the AP oblique projection (Judet
method) demonstrates the: | back 80 ilioischial column and anterior rim of acetabulum |
front 81 Refer to the image. What anatomy is labeled as letter A? | back 81 acetabulum |