How is the CR aligned for the acanthiomeatal (reverse Waters) projection for the facial bones?

Parallel to the mentomeatal line

What abdominal projection(s) should be performed on a patient with a history of recent abdominal surgery?

erect and lateral decubitus abdomen

Radiography of the liver and biliary system includes:

contrast study of the liver, gallbladder, biliary ducts, & pancreatic ducts

A patient enters the ED with a possible Monteggia fracture. Which positioning routines should be performed?

Horizontal beam PA and lateral forearm projections

Which of the following statements concerning surgical cholangiography is correct?

may demonstrate gallstones in the gallbladder and bile ducts

Asepsis is defined as a(n):

absence of infectious organisms

The abbreviation ORIF refers to:

open reduction internal fixation

All of the following factors are causes of childhood cancer EXCEPT?

smaller body mass and surface area

Which of the following immobilization techniques is age appropriate for a 5-year-old pediatric patient?

a plexiglass paddle or compression band separated by a sponge

The horizontal beam lateral lumbar spine projection requires a CR position that is:

perpendicular to the image receptor

Ankylosing spondylitis

causes fusion of joints such as the SI joints and the spine

What projection(s) for a dislocated shoulder should be performed on a patient that is unable to stand or sit erect ?

AP and horizontal beam transthoracic lateral of the shoulder

How much rotation of the body is generally required for an AP oblique, lateral scapular Y projection?

25° to 30° from AP projection

Which of the following is NOT an essential attribute for the surgical radiographer?

mastery of essential nursing skills

What is the appropriated action of a technologist whose patient is showing moderate to severe symptoms of anaphylaxis?

stay with the patient and monitor his/her vital sign

The female bony pelvis differs from the male bony pelvis. Which of the following statements is correct?

The true pelvis of the female is wider and more rounded than the male

What projections would you perform on a patient immobilized on a backboard with a possible orbital blow-out fracture?

AP modified acanthioparietal & horizontal beam lateral facial bone images

A hysterosalpingogram should be undertaken:

7-10 day following commencement of menstruation

A health professional who prepares the operating room by supplying it with the appropriate supplies and instruments is a

certified surgical technologist (CST)

What is the centering point for a KUB?

MSP at the level of the iliac crest

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RADR 233 final review

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Answers

1
How is the CR aligned for the acanthiomeatal (reverse Waters) projection for the facial bones?
15° cephalad angle to the orbitomeatal line
Parallel to the mentomeatal line
a.Parallel to the lips-meatal line
Perpendicular to the plane of the IR
2
Which procedure may require the use of Luque or Harrington rods?
Internal reduction of long bone
Microdiskectomy
Scoliosis corrective procedure
Arthroplasty
3
What abdominal projection(s) should be performed on a patient with a history of recent abdominal surgery?
erect and lateral decubitus abdomen
PA supine KUB
AP and bilateral "frog-leg" pelvis
lateral chest
4
Radiography of the liver and biliary system includes:
non-contrast studies of the pancreas
non-contrast study of the gallbladder and biliary ducts
contrast study of the liver, gallbladder, biliary ducts, & pancreatic ducts
upper abdominal contrasted venography
5
The marker on this image demonstrates what anatomical part?
crista galli
frontal sinus
frontal bone
superior orbital margins
6
Which of the following is an indication for having an x-ray of the pelvis?
lower abdominal pain
evaluation of constipation/fecal loading, bowel obstruction, or perforation
paralysis of the diaphragm
trauma
7
A patient enters the ED with a possible Monteggia fracture. Which positioning routines should be performed?
Horizontal beam PA and lateral forearm projections
AP and lateral cervical spine projections
PA and lateral thumb projectionsCorrect
AP and horizontal beam lateral skull projections
8
What radiographic projection is demonstrated in this image?
lateral oblique projection
AP projection
lateral projection
medial oblique projection
9
Which of the following statements concerning surgical cholangiography is correct?
may demonstrate gallstones in the gallbladder and bile ducts
occurs only during open surgery
occurs only during laparoscopic surgery
is useful for demonstrating the bile ducts and part of the ileum
10
What is the medical term used to describe a partial dislocation of a joint?
angulation
luxation
subluxation
apposition
11
Electrohydraulic shock wave used to break apart calcifications in the urinary system is the definition for:
ERCP
HTO
ESWL
ORIF
12
Asepsis is defined as a(n):
clean environment
proper handwashing
sterile dressing and covers
absence of infectious organisms
13
When performing imaging during an operative cholangiogram, the IR is placed in a special metal tray called a:
"pizza pan" tray
Smith tray
Meyer's tray
cholangiogram tray
14
Because of radiation exposure to the head & neck region, a C-arm should not be used in the PA projection tube alignment.
False
True
15
The abbreviation ORIF refers to:
orthopedic rodding internal fixation
open reduction internal fracture.
open reduction internal fixation
orthopedic reduction internal fixation
16
All of the following factors are causes of childhood cancer EXCEPT?
postnatal cardiogenic exposure
smaller body mass and surface area
all the above
prenatal carcinogenic exposure
17
What type of fracture is also called a "march fracture"?
trimalleolar
stress
burst
Pott's
18
Post-reduction projections of the upper and lower limbs generally require only the joint nearest to the fracture site.
True
False
19
What is used to create an x-ray beam that activates at timed increments to reduce exposure during c-arm fluoroscopy?
boost digital spot
pulse mode
road mapping
magnification mode
20
Which of the following immobilization techniques is age appropriate for a 5-year-old pediatric patient?
utilizing staff to hold arms and legs
a plexiglass paddle or compression band separated by a sponge
have the pregnant parent hold the child
use of radiopaque safety vest
21
An internal pacemaker implantation can be performed under local anesthetic.
True
False
22
The horizontal beam lateral lumbar spine projection requires a CR position that is:
a.angled 5° to 7° caudad
perpendicular to the image receptor
angled 5° to 7° cephalic
perpendicular to the coronal plane
23
Which of the following projections best demonstrates free abdominal air on the patient who cannot stand or sit erect?
dorsal decubitus abdomen
AP supine KUB
right lateral decubitus abdomen
left lateral decubitus abdomen
24
Which one of the following devices is classified as an external fixator?
interbody fusion
compression screw
intrmedullary nail
Ilizarov device
25
Where should the operator or surgeon stand when using a C-arm unit in a horizontal central ray (CR) position?
Midway between the x-ray tube and the intensifier
X-ray tube end of the C-arm
Must stand back at least 6 feet from the patient
Intensifier end of the C-arm
26
Which of the following fractures involves the distal fifth metacarpal?
Pott's
Smith's
Barton's
Boxer's
27
Ankylosing spondylitis
causes chest pain
affects the hips
causes fusion of joints such as the SI joints and the spine
causes acute inflammation
28
Which of the following fractures usually involves the spine?
Comminuted
Compression
Depression
Stellate
29
Soaking of moisture through a sterile drape, cover, or protective barrier permitting bacteria to reach sterile areas is:
transmission
strike-through
aseptic leakage
sterile violation
30
What projection(s) for a dislocated shoulder should be performed on a patient that is unable to stand or sit erect ?
AP and horizontal beam transthoracic lateral of the shoulder
AP and trans-axillary projections of the shoulder
AP and AP axial projections of the shoulder
AP projections with internal and external rotation of the shoulder
31
A 64-year old patient, is unable to sit or stand but needs an x-ray for free air. What projection must you perform?
dorsal decubitus abdomen
ventral decubitus abdomen
left lateral decubitus abdomen
right lateral decubitus chest
32
What structure is identified with an arrow in the following image?
Ovary
uterus
left fallopian tube
right fallopian tube
33
How much rotation of the body is generally required for an AP oblique, lateral scapular Y projection?
45° to 60° from AP projection
35° to 40° from AP projection
25° to 30° from AP projection
10° to 15° from AP projection
34
Which of the following is NOT an essential attribute for the surgical radiographer?
mastery of positioning and technical concepts
problem-solving skills
mastery of essential nursing skills
confidence
35
How much rotation is required for an AP oblique projection of the sternum on a hypersthenic patient?
25°
30°
20°
15°
36
Focused grids are recommended for mobile chest studies.
False
True
37
Retrograde urography is classified as a non-functional study of the urinary system.
True
False
38
What is the appropriated action of a technologist whose patient is showing moderate to severe symptoms of anaphylaxis?
administration of epinephrine
suction of fluids
RUN!
stay with the patient and monitor his/her vital sign
39
The female bony pelvis differs from the male bony pelvis. Which of the following statements is correct?
The iliac wings of the male pelvis are more flared than the female pelvis
The symphysis pubis is longer on the female pelvis than on the male pelvis
The true pelvis of the female is wider and more rounded than the male
The pubic arch is wider on the male pelvis than the female pelvis
40
A patient enters the ED with a possible sternum fx - supine & unable to lie prone. What projections should you perform?
LPO and horizontal beam lateral
RPO and lateral recumbent
AP and horizontal beam lateral
AP and LPO
41
The horizontal beam lateral projection for the cervical spine requires a ____ source image receptor distance (SID).
35 to 40-inch (89 to 102-cm)
96-inch (245-cm)
40 to 44-inch (102 to 113-cm)
60 to 72-inch (153 to 183-cm)
42
What projections would you perform on a patient immobilized on a backboard with a possible orbital blow-out fracture?
AP acanthioparietal & horizontal beam lateral facial bone images
AP 0° & horizontal beam lateral skull
AP modified acanthioparietal & horizontal beam lateral facial bone images
AP 30° & axial and horizontal beam lateral skull
43
The following image from an esophagram demonstrates what pathology?
esophagitis
diverticula
achalasia
carcinoma
44
Meconium ileus is:
usually seen in adults
thought to create a blockage of the distal ileum
thickening of the intestinal wall
commonly seen in neonates
45
A hysterosalpingogram should be undertaken:
5 days prior to menstruation
21 days following commencement of menstruation
during menstruation
7-10 day following commencement of menstruation
46
Typically, how much contrast media is injected by the surgeon during an operative cholangiogram?
6 to 8 mL
1 to 2 mL
10 to 12 mL
15 to 20 mL
47
The frequency of x-ray examinations for patients of all ages in the United States has increased by ___ times since 1950.
20
15
10
5
48
Which of the following fractures is described as an incomplete fracture with the cortex broken on one side of the bone?
Torus
Greenstick
a.Avulsion
Bayonet
49
A health professional who prepares the operating room by supplying it with the appropriate supplies and instruments is a
circulator
certified surgical technologist (CST)
surgical assistant
scrub
50
What is the CR angulation on an AP axial projection of the clavicle on an asthenic patient?
40 degrees cephalad
20 degrees cephalad
15 degrees caudad
10 degrees cephalad
51
What is the centering point for a KUB?
MSP at the level of the iliac crest
MCP
MCP at the level of the iliac cres
MSP at the lower costal margin
52
A surgical procedure to remove a small portion of the bone that is impinging the nerve root is termed:
vertebroplasty
spinal fusion
diskectomy
laminectomy
53
A fracture that occurs through the pedicles of C2, with or without displacement of C2 or C3, is termed a ____ fracture.
Jefferson
odontoid
clay shoveler's
Hangman's
54
How is the CENTRAL RAY (CR) aligned for an axiolateral, inferosuperior (Danelius-Miller) projection of the hip?
Perpendicular to femoral neck
At a 20° angle to the femoral neck
Parallel to femoral neck
a.At a 45° angle to the femoral neck
55
A fracture in which the bone is broken into three pieces, with the middle fragment broken at both ends is what?
impacted fracture
splintered fracture
segmental fracture
butterfly fracture
56
If a patients' heartbeat is substantially elevated, you would describe this condition using the term:
angioderma
a.cardiac arrest
bradycardia
tachycardia
57
Only sterile items are allowed within the sterile field.
True
False
58
What imaging modality is often used to diagnose pulmonary emboli?
MRI
nuclear medicine
radiation therapy
ultrasound
59
Along with a decline in memory, dementia patients may also experience changes in:
communication
motor function
recognition
all of the above
60
A patient arrives in the ED unable to walk after falling off a balcony. The following radiograph obtain represents:
a double expose pelvis x-ray
a normal AP projection of the pelvis
AP pelvis with osteoporosis
bilateral hip fractures
61
A possible complication when performing an arthrogram is:
infection
thrombosis formation
hearth arrhythmia
CVA
62
A 45 year old female has bloating of the abdomen and difficulty passing stools. The following image represents:
volvulus
tumor
pneumoperitoneum
constipation
63
With high-level fluoroscopy (HLF), the maximum exposure rate cannot exceed 20 R/min.
False
True
64
A plane that divides the body into mirror images is:
midsagittal plane
transverse plane
coronal plane
frontal plane
65
Arthroplasty is a formal term describing a(n):
total hip replacement
internal reduction of a long bone fracture
debridement of loose bodies in a joint
removal of damaged meniscus in the knee
66
The retrograde pyelogram is intended to demonstrate the collecting structures of the kidney only
False
True
67
Which of the following projections of the abdomen best demonstrates an abdominal aortic aneurysm?
dorsal decubitus
right lateral decubitus
AP kidneys, ureter, bladder (KUB)—supine
erect abdomen
68
Which of the following devices is an alternative to traditional spinal fusion procedures?
Harrington rods
Ilizarov device
Cortical screw
Interbody fusion cage
69
A laparoscope is used during the retrograde urogram.
True
False
70
Closer to the point of origin or closer to the body is termed:
distal
proximal
cranial
caudal
71
A patient enters the ED with a possible greenstick fracture. Which age group does this type of fracture usually affect?
Geriatric
Young adult
Middle-age
Pediatric
72
Which imaging modality is often used to diagnose an ectopic pregnancy?
ultrasound
CT
MRI
nuclear medicine
73
The PA Axial "Butterfly" projection of the rectosigmoid requires a CR angulation of:
30 -40 degrees caudad
the x-ray beam is perpendicular to the IR
30 degrees cephalad
10 degrees caudad
74
How would you radiograph the abdomen of a hypersthenic man?
two cassettes lengthwise
two cassettes crosswise
one cassette lengthwise
one cassette crosswise
75
A bruise type of injury with a possible avulsion fracture is termed a(n):
apposition
subluxation
luxation
contusion
76
What is the primary disadvantage of performing a PA thumb over an AP projection?r
required the use of a higher kVp and greater exposure to the patient
is more difficult to position
results in an increase in object to image receptor distance (OID)
may not demonstrate the entire thumb
77
The urologist will withdraw the urethral catheter before imaging begins for a retrograde pyelogram.
True
False
78
“Boost” exposures used during C-arm procedures are intended to:
provide a road map effect
increase brightness of the image
decrease the technologist's dose
decrease patient dose
79
Which of the following fractures is often called a reverse Colles’ with anterior displacement of the distal radius?
Trimalleolar
Tripod
Pott's
Smith's
80
A fragment of bone that is separated or pulled away by the attached tendon or ligament is termed a(n) _____ fracture.
chip
avulsion
epiphyseal
depressed
81
You perform a forearm with 55 kV & 5 mAs. After placement of a fiberglass cast, what technical factors should you use?
67 kV; 5 mAs
59 kV; 5 mAs
72 kV; 5 mAs
62 kV; 5 mAs
82
Shoe covers are NOT required in the pre-surgical, surgical or recovery areas.
False
True
83
A 30° tilt of the C-arm tube from vertical will increase radiation exposure to the face & neck by a factor of what?
6
3
2
4
84
What should a technologist do if the sterile environment is violated during a surgical procedure?
Notify a member of the surgical team immediately
Note the violation on the examination requisition
Tell a member of the surgical team once the procedure has been completed
Inform the radiology supervisor
85
Colitis is:
inflammation of the small bowel
inflammation of the large bowel
a blockage of the bowel
a perforated bowel
86
What radiographic projection is represented in the accompanying image?
AP right hip
AP coccyx
AP bilateral "frog-leg" pelvis
AP lateral distal femurs
87
A self-propelled, battery-driven mobile (portable) x-ray unit will generally go up a maximum incline of:
7°
10°
2°
15°
88
Which of the cardinal rules of radiation protection is the most effective at reducing exposure during mobile & surgical
distance
none of the above
time
shielding
89
During an ERCP, which of the following steps is part of the radiologic technologists role?
ensures proper radiation protection measures during fluoroscopy
instruct the radiologist what contrast to use and the concentration
direct the administration of contrast media
perform the overhead and rapid sequences (fluoro) images
90
The primary clinical indication for an operative cholangiogram is:
biliary calculi
jaundice
pancreatitis
hepatitis

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