Week 1
Wk1 - Wk2 review
Week 3
Fractures/other conditions
Myelography/spine trauma
100
The tubercle portion of a typical rib connects the anterior end of the rib to the sternum
False
100
anterior arch of the atlas is labeled what?
H
100
The zygapophyseal joints for the typical cervical vertebra lie at an angle of ____ in relation to the midsagittal plane.
90 degree
100
Clay shoveler's fracture?
Avulsion fracture of the spinous process of any vertebra C6 - T1
100
Myelogram
Radiographic study of the spinal cord and its nerve root branches that employ a contrast medium
200
Which of the following ribs is considered to be a false rib
9th
200
The joints between articular processes of vertebra are termed _____ joints
zygapophyseal
200
What vertebral body is seen here
C 1
200
Hangman's fracture
Fracture of the anterior C2 arch, usually also with anterior subluxation of C2 on C3
200
Myelography Contraindications, name them
Blood in the cerebrospinal fluid (CSF)
Arachnoiditis (inflammation of the arachnoid membrane)
Increased intracranial pressure
Recent lumbar puncture (within 2wks of current procedure)
300
There are __________ divisions in the adult sternum
3
300
The structure labeled iii is the costocartilage of what?
the sixth rib
300
What view will show the dens best
Ap open mouth
300
Jefferson Fracture
Fracture of the anterior C2 arch, usually also with anterior subluxation of C2 on C3
300
Myelography contrast media and dosage
Nonionic, water-soluble, iodine-based media due to relatively low osmolarity
9 -15 ml
400
The patient comes in with right anterior rib pain what oblique should be done in your rib series
LAO
400
Which of the following vertebral areas have a lordotic curve: 1) cervical, 2) thoracic, 3) lumbar
1 and 3
400
What angle do we use for the AP axial C-spine
15 -20 degree cephalad
400
Odontoid fracture
Fracture line through the base of the dens and possibly extending into lateral masses arches of C1
400
Needle placement
Lumbar (L3-L4) is the most common (safer and easier)
Cervical (C1-C2)
Prone or Erect
(Radiologist may use fluoroscopy to facilitate needle placement after the puncture site has been selected)
500
Which of the following structures connects the anterior aspect of the ribs to the sternum
Costocartilage
500
How much rotation of the body is required for an LAO projection of the Cervical spine when the MSP is perpendicular to the IR
45°
500
What SID should be used for the lateral C-spine
72 inches
500
Herniated nucleus pulposus (HNP)
Possible narrowing in disk spacing between vertebrae and protrusion of disk into spinal canal on CT or MRI
500
Why is a Lateral C-spine the most important trauma view?
See all of C1-C7 to make sure everything is lined up and not displaced or any fracture of the spinous processes or through the bodies
600
All professional decisions in radiologic technology and other health care practices involve a consideration of ___________ to guide providers
1.trust and respect
2.humanity and compassion
3.ethical and moral responsibility
4. beneficence and nonmaleficence
5.All answers given
4. beneficence and nonmaleficence
600
The anterior oblique positions of the ribs are done using ___ degrees _____ side closest to the IR
45, unaffected
600
The bony structures connected directly to the vertebral body are the
pedicles
600
Kyphosis
Abnormal or exaggerated convex thoracic curvature
600
T/F doctors will want to clear the lateral view of the C spine before they remove the surgical collar?
T
700
The term veracity refers to
telling the truth
700
LPO
700
Where is the articular pillar located on a cervical vertebra?
Between the superior and inferior articular processes
700
Scoliosis
Abnormal or exaggerated lateral curvature of the spine
700
T/F - After the doctor gives the Okay and everything looks good on the lateral C-spine the technologist can then remove the collar off the patient
F. ONLY THE DOCTOR CAN REMOVE after the lateral view of the c-spine looks good
800
Which aspect of the rib articulates with the thoracic vertebral body
Head
800
Which positions will best demonstrate the right zygapophyseal joints of the C-spine?
Lateral
800
What type of CR angle is recommended when performing the AP axial C-spine projection erect
20° cephalad
800
Spondylitis, ankylosing spondylitis
Calcification with ossification (formation of bony ridges between vertebrae), creating stiffness and lack of joint mobility.
800
what is the horizontal beam also called when the patient is supine on the table?
Cross-table lateral
900
in two different oblique projections with position and what ribs would be shown in each projection
RAO shows the left anterior ribs and LPO shows the left posterior ribs
900
How should the patient's arm's be positioned on the lateral sternum
drawn back
900
What view of the T-spine will demonstrate the IVF
Lateral
900
Osteoarthritis
Degeneration of cartilage and formation of osteophytes (bony outgrowths)
900
When doing a trauma C-spine lateral you want to get all of C1-C7, but if you can't get all seven, then what other views should you do on the patient?
Swimmers view
1000
The widest aspect of the bony thorax generally occurs at the level of
8th or 9th ribs
1000
How many degrees should you rotate the patient for SC joints to be open
10 -15
1000
The zygapophyseal joints for the typical Thoracic vertebra lie at an angle of ____ degrees in relation to the midsagittal plane
70° to 75°
1000
Osteoporosis
BMD (bone mineral density) loss
1000
T/F. In a Thoracic and Lumbar trauma spine view with possible spinal trauma injury or severe trauma, you can attempt to move the patient ONLY with the patient's verbal permission or thumbs up?
F. DO NOT ATTEMPT TO MOVE THE PATIENT