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RAD POSI - RAD PROCED

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Radiographic Procedure Quiz

Test your knowledge on radiographic procedures with our comprehensive quiz designed for aspiring radiologic technologists and medical professionals. With 99 carefully crafted questions covering various aspects of radiographic positioning, you will challenge your understanding and retention of key concepts.

Whether you are preparing for a certification exam or simply wish to refresh your skills, this quiz includes:

Multiple-choice questions
Detailed coverage of radiographic protocols
Expert insights into standard practices

99 Questions25 MinutesCreated by ScanningSky99

A VCUG study is considered to be:

FUNCTIONAL

STRESSFUL

USELESS

NON-FUNCTIONAL

The patient positioned for an operative cholangiography is in a

15 to 20º LPO

15 to 20º RPO

45º LPO

45º RPO

Movement of a part toward the midline of the body is termed

Eversion

Inversion

Abduction

Adduction

Which of the following procedures would most likely follow an excretory urogram?

Retrograde pyelography

Amniography

Proctology

Cholangiography

A radiolucent sponge can be placed under the patient’s waist for a lateral projection of the lumbosacral spine to: 1. Make the vertebral column parallel with the IR 2. Place the intervertebral disk spaces perpendicular to the IR. 3. Decrease the amount of SR reaching the IR

2 AND 3

1 AND 2

1 ONLY

123

Which of the following techniques would provide a PA projection of the gastroduodenal surfaces of the barium-filled, high and transverse stomach?

Place the patient in a 35 to 40º RAO position.

Place the patient in a lateral position.

Angle the central ray 35 to 45º cephalad.

Angle the central ray 35 to 45º caudad

. Which of the following is (are) part of the bony thorax? 1. Manubrium 2. Clavicles 3. 24 ribs

1 ONLY

1 AND 2

1 AND 3

123

8. Which of the following positions will demonstrate the right axillary ribs? 1. RAO 2. LAO 3. RPO

A. 1, 2 and 3

B. 2 and 3

C. 1 and 2 only

D. 1only

The true lateral position of the skull uses which of the following principles? 1. Interpupillary line perpendicular to the film 2. MSP perpendicular to the film 3. Infraorbitomeatal line (IOML) parallel to the transverse axis of the film

(A) 1 only

(B) 1 and 2 only

(D) 1, 2, and 3

Which of the following criteria is (are) required for visualization of the greater tubercle in profile? 1. Epicondyles parallel to the film 2. Arm in external rotation 3. Humerus in AP position

(A) 1 only

(B) 1 and 3 only

(D) 1, 2, and 3

Obstruction or infection may be indicated if air is seen in the ____ on a radiograph of the abdomen.

A. Fundus of the stomach

B. Small intestine

C. Colon

d. rectum

Which of the following will best demonstrate the size and shape of the liver and kidneys?

(A) Lateral abdomen

(B) AP abdomen

(D) Ventral decubitus abdomen

To demonstrate esophageal varices, the patient must be examined in

(A) the recumbent position.

(B) the erect position.

(D) Fowler's position.

To reduce the amount of scattered radiation reaching the IR in CR/DR imaging of the lumbosacral region, which of the following is (are) recommended? 1. Close collimation 2. Lead mat on table posterior to the patient 3. Decreased SID

1 only

2 and 3

1 and 2

123

With the patient in the AP recumbent position on the x-ray table, Which of the following tube angle and direction combinations is correct for an axial projection of the clavicle?

(A) 10 to 15º caudad

(B) 10 to 15º cephalad

(D) 25 to 30º caudad

The junction of the sagittal and coronal sutures is the

a. Diploe

B. Bregma

C. Pterion

d. lambda

To determine the large bowel, which view separates the overlying loops of sigmoid colon?

A. Oblique, with tube angled 45-degree caudally

B. Right lateral decubitus

c. Supine, with the tube angled 45-degree caudally

D. prone

All of the following statements regarding an exact PA projection of the skull, with central ray perpendicular to the film, are true EXCEPT?

A. The orbitomeatal line is perpendicular to the film

B. The petrous pyramids fill the orbits

C. The midsagittal plane (MSP) is parallel to the film

D. The central ray exits at the nasion

19. Which of the following is (are) distal to the tibial plateau? 1. Intercondyloid fossa 2. Tibial condyles 3. Tibial tuberosity

a. 1 only

B. 1 and 2

C. 2 and 3

D. 1, 2, and 3

. Barium meal is contraindicated to patient with:

a. Hypertension

B. Asthma

C. Complete large bowel obstruction

D. ulcer

Which of the following projections is most likely to demonstrate the carpal pisiform free of superimposition?

(A) Radial flexion

(B) Ulnar flexion

(D) AP

During a gastrointestinal examination, the AP recumbent projection of a stomach of average shape will usually demonstrate 1. Anterior and posterior aspects of the stomach. 2. barium-filled fundus. 3. double-contrast body and antral portions.

(A) 1 only

(B) 1 and 2 only

(D) 1, 2, and 3

Radiographs with the patient in the decubitus position are produced following an air-contrast barium enema examination. The radiographer fails to properly label the radiograph. To identify the right lateral decubitus image, the radiographer should see:

A. Air in the lateral descending colon and medial ascending colon.

B. Barium in the lateral descending colon medial descending colon

C. Air in the stomach and barium in the lateral descending colon.

D. Air in the descending colon and barium in the stomach.

Which projection of the chest best demonstrates lung apices free from superimposition with the clavicles?

Left lateral projection

PA projection

AP projection, left lateral decubitus position

AP axial projection, lordotic position

Which of the following is NOT seen on an IV radiography 5 minutes after injection

Urinary bladder

Renal pyramid

Calyces

Renal pelvis

Which of the following projections of the abdomen may be used to demonstrate air or fluid levels? 1. Dorsal decubitus 2. Lateral decubitus 3. AP trendelendurg

1 ONLY

1 AND 2

123

2 ONLY

Evaluation criteria for a lateral projection of the humerus include: 1. Epicondyles parallel to the IR 2. Lesser tubercle in profiel 3. Superimposed epicondyles

1 AND 3

1 AND 2

123

2 AND 3

A scout film radiograph on a large hypersthenic patient reveals that the entire abdomen is not included on the 14 x 17 inches IR. What can be done to correct this on the repeat radiograph?

A.) Use two cassettes placed lengthwise

B.) Use two cassettes placed crosswise

C.) Expose during deep inspiration

D.) Perform KUB with patient in the erect position

Which of the following contrast agent is/are employed to visualize the gallbladder in oral chole? 1. Telepaque 2. Biloptin 3. Telebrix

2 ONLY

123

1 AND 2

2 AND 3

A patient with acute hip injury will have his hip radiographed after 2 months from his vehicular accident. What method should be used for this person?

LAUENSTEIN METHOD

HSIEH METHOD

JUDETH METHOD

HICKEY METHOD

When better visualization or filling of the upper urinary system is desired, ______ can be used

KUB

VCUG

Relaxation

Compression

Fluoroscopic imaging of the ileocecal valve is generally part of an:

Esophagram

upper GI series

Small-bowel series

ERCP

During an air-contrast BE, the Transverse part of the colon is air most likely to be visualized with the body in the AP recumbent position

True

False

Which projection(s) of the abdomen would be used to demonstrate pneumoperitoneum? 1. Right lateral decubitus 2. Left lateral decubitus 3. Upright

1 and 2

3 only

123

1 and 3

Which radiographic projection of the large intestine best demonstrates the rectum?

OBLIQUE

LATERAL RECUMBENT

Which of the following projections will best demonstrate the carpal scaphoid?

Radial flexion

Ulnar deviation

Radial deviation

Ulnar flexion

Which of the following urographic procedures is/are considered a non-functional direct study? 1. Retrograde pyelography 2. Excretory urography 3. Infusion pyelography

1 only

123

1 and 3

2 only

. The left sacroiliac joint is positioned perpendicular to the film when the patient is positioned in a:

(A) left lateral position.

(B) 25 to 30º LAO position.

(D) 30 to 40º LPO position.

Which of the following is a radiologic procedure that functions to dilate a stenotic vessel?

A Percutaneous nephrolithotomy

B Percutaneous angioplasty

C Renal arteriography

D Surgical nephrostomy

Flattening” of the hemidiaphragms is characteristic of which of the following conditions?

A. Pneumothorax

B. Pleural effusion

C. Emphysemsa

D. Pneumonia

To determine stomach habitus is one of the purposes of one hour delayed film in upper GI series examination.

True

False

42. Which of the following statements is (are) correct regarding the parietoacanthial projection (Water’s method) of the skull? 1. The head is rested on the extended chin 2. The OML is perpendicular to the film 3. The maxillary antra should be projected above the petrosa

1 and 3

123

2 and 3

1 and 2

Which of the following statements is (are) true regarding lower-extremity venography? 1. The patient is often examined in the semi-erect position 2. Contrast medium is injected through a vein in the foot 3. Filming begins at the hip and proceeds inferiorly

1 and 2

123

2 only

1 and 3

In which projection of the foot are the sinus tarsi, cuboid, and tuberosity of the fifth metatarsal best demonstrated?

A. Lateral oblique foot

B. Medial oblique foot

D. Weight-bearing foot

45. Angulation of the central ray may be required. 1. To avoid superimposition of overlying structures 2. To avoid foreshortening or self-superimposition 3. In order to project through certain articulations

1 and 2

2 and 3

123

1 and 3

Which of the following structures is/are delineated on a properly exposed scout film of the abdomen? . Psoas muscle 2. Kidney 3. Inferior margin of the liver

2 only

2 and 3

1 and 2

123

AP stress studies of the ankle may be performed 1. To demonstrate fractures of the distal tibia and fibula 2. Following inversion or eversion injuries 3. To demonstrate a ligament tear

123

2 and 3

1 only

1 and 2

Which of the following radiographic procedures is/are used to demonstrate an obstruction in the common bile duct prior to surgery? 1. PTC 2. T-tube cholangiography 3. IV cholangiography

1 only

1 and 2

2 and 3

1 and 3

In order to better demonstrate the mandibular rami in the PA position, the:

(A) skull is obliqued toward the affected side.

(B) skull is obliqued away from the affected side.

(D) central ray is angled caudad

The advantages of digital subtraction angiography over film angiography include 1. Greater contrast medium sensitivity 2. Immediately available images 3. Increased resolution

123

2 and 3

1only

1 and 2

The Term icterus is related term for?

Peritonitis

Jaundice

Abscess

Plague

What portion of the humerus articulates with the ulna to help form the elbow joint?

Ulnar notch

Capitulum

Trochlea

Glenoid cavity

Which of the following should be performed to rule out subluxation or fracture of the cervical spine?

A. Oblique cervical spine, seated

B. AP cervical spine, recumbent

C. Horizontal beam lateral

D. Laterals in flexion and extension

Which evaluation criterion pertains to the PA projection radiograph of the chest?

A. The ribs should appear distorted

B. The sternum should be lateral, not rotated

C.10 posterior ribs should be visible above the diaphragm

D. The ribs posterior to the vertebral column should be superimposed

Which of the following is the correct examination scheduling sequence?

IVU, BE, UPPER GI

BE, UPPER GI, IVU

IVU,UPPER GI, BE

UPPER GI, IVU, BE

In which the following positions can sesamoid bones of the foot be demonstrated to be free of superimposition with the metatarsal or phalanges?

A. Dorsoplantar metatarsals/toes

B. Tangential metatarsals/toes

C. 30° medial oblique foot

D. 30° lateral oblique foot

. Which of the following structures should be visualized through the foramen magnum in the AP axial projection (Grashey method) of the skull for the occipital bone? 1. Posterior clinoid processes 2. Dorsum sella 3. Posterior arch of C1

A. 1 only

B. 2 only

C. 1 and 2 only

D. 2 and 3 only

Which of the following tube angle and direction combination is correct for an axial projection of the clavicle, with the patient in the AP recumbent position on the x-ray table?

(A) 10 to 15º caudad

(B) 10 to 15º cephalad

(D) 25 to 30º caudad

The following are guidelines for AP knee positioning, except?

The collimation field should align with the long axis of the IR.

CR is 3-5 degrees cephalad for thin thighs and buttocks

NO rotation will be evidenced by the symmetric appearance of the femoral and tibial condyles and the joint space.

The distal femur and the proximal tibia and fibula are shown.

Which of the following is valid criteria for a lateral projection of the forearm? 1. The radius and the ulna should be superimposed distally. 2. The coronoid process and the radial head should be partially superimposed. 3. The humeral epicondyles should be superimposed.

2 AND 3 ONLY

1 ONLY

1 AND 3

123

Place the following anatomic in order from anterior to posterior? 1.Trachea 2.Apex of heart 3.Esophagus

2-1-3

1-2-3

2-3-1

1-3-2

The following are the evaluation criteria for the lateromedial projection of the knee, except?

-Under-rotation indicates lesser superimposition of the femoral head

What instructions might a patient be given following an upper GI examination? 1. Drink plenty of fluids. 2. Take a mild laxative. 3. Increase dietary fiber.

1 ONLY

2 ONLY

1 AND 2

123

Aspirated foreign bodies in older children and adults are most likely to lodge in the?

A. Right main stem bronchus

B. Left main stem bronchus

C. esophagus

D. Proximal stomach

A lateral projection of the hand in extension is often recommended to evaluate. 1. A fracture 2. A foreign body 3. Soft tissue

1 AND 3

1 ONLY

2 AND 3

123

Which pathologic condition of the lungs is best demonstrated with the AP chest, left lateral decubitus position?

A. Free air in both sides of the chest

B. Fluid levels in both sides of the ches

C. Free air in the left side or fluid levels in the right side

D. Fluid levels in the left side or free air in the right side

Which PA oblique projection of the chest may be used to evaluate the heart and great vessels?

A. 45 degree RAO

B. 45 degree LAO

C. 55-60 degree LAO

D. 10-20 degree RAO and LAO

Which projection of the foot will best demonstrate the longitudinal arch?

A. Mediolatera

B. Lateromedial

C. Lateral weight-bearing

D. 30° medial oblique

The following statements are not true regarding the Teufel method, Except?

Center CR to downside hip (acetabulum).

35° to 40° of the body

12° cephalad CR angulation

NOTA

What is the position of the gallbladder in an asthenic patient?

A: Superior and medial

B: Superior and lateraL

C: Inferior and medial

D: Inferior and lateral

During IV urograhy, the prone position generally is recommended to demonstrate: 1. The filling of the ureters 2. The renal pelvis 3. The superior calyces

1 ONLY

1 AND 2

2 ONLY

2 AND 3

What should the patient be instructed to remove prior to x-ray examination of the chest?

Hairclip

Wedding ring

Earrings

Necklaces

Fibula is associated with condyles

TRUE

FALSE

Which projection would best demonstrates the hepatic flexure?

PA projection

Lateral projection

AP projection

AP oblique projection

Which position of the shoulder demonstrates the lesser tubercle in profile medially

Internal rotation

Hyperflexion

Hyperextension

External rotation

The usual patient preparation for an upper GI series is:

A nothing by mouth (NPO) 8 hours before the examination.

B light breakfast only on the morning of the examination.

C clear fluids only on the morning of the examination.

D 2 oz of castor oil and enemas until clear.

During myelography, contrast medium is introduced into the:

A. Subdural space

B. Subrachnoid space

C. Epidural space

D. Epidermal space

Patient is given gas-producing substance, then given a small amount of high density barium, then placed recumbent.

Patient is placed recumbent, given a small amount of high-density barium, then given a gas-producing substance.

Patient is given a gas-producing substance, placed recumbent, then given a small amount of high-density barium.

Patient is given a small amount of high-density barium, placed recumbent, then given a gas-producing substance.

All of the following are methods used to help reduce colonic spasms during radiographic examination of the barium-filled large bowel, EXCEPT?

Lowering the enema bag a few inches

Administering glucagon prior to the exam.

Placing the patient in Trendelenburg.

Slowing or stopping the floe of barium.

Which of the following fracture classifications describes a small bony fragment pulled from a bony process?

A. Avulsion fracture

B. Torus fracture

C. Comminuted fracture

D. Compound fracture

Which of the following radiographic procedures is best designed for hypertensive patients secondary to renal problem?

IVE

UGIS

Simple IVP

Which of the following are demonstrated in the oblique position of the cervical spine? 1. Intervertebral foramina 2. Apophyseal joints 3. Intervertebral joints

1 only

3 only

123

1 and 2

Which pathologic condition of the lungs is best demonstrated with the AP chest, right lateral decubitus position?

A. Free air in both sides of the chest

B. Fluid levels in both sides of the ches

C. Free air in the left side or fluid levels in the right side

D. Fluid levels in the left side or free air in the right side

Which of the following criteria are used to evaluate a PA projection of the chest? 1. Ten posterior ribs should be visualized. 2. Sternoclavicular joints should be symmetrical. 3. The scapulae should be lateral to the lung fields.

1 and 3

2 and 3

1 only

123

In which of the following positions/projections will the talocalcaneal joint be visualized?

A. Dorsoplantar projection of the foot

B. Plantodorsal projection of the os calcis

C. Medial oblique position of the foot

D. Lateral foot

What CR angulation is used to visualize the rotundum foramen?

45 degrees

37 degrees

30 degrees

28 degrees

Which of the following projections of the ankle would best demonstrate the distal tibiofibular joint?

A. Medial oblique 15° to 20°

B. Lateral oblique 15° to 20°

C. Medial oblique 45°

D. Lateral oblique 45

All the following positions may be used to demonstrate the sternoclavicular articulations except:

A.) Weight bearing

B.) RAO

C.) LAO

D.) PA

When examining a patient whose elbow is in partial flexion, how should the AP projection be obtained? 1. With humerus parallel to film, central ray perpendicular 2. With forearm parallel to film, central ray perpendicular 3. Through the partially flexed elbow, resting on the olecranon process, central ray perpendicular

1 and 3

1 and 2

3 only

123

The sternoclavicular joints are best demonstrated with the patient PA and:

A. In a slight oblique position, affected side adjacent to the image receptor.

B. In a slight oblique position, affected side away from the image receptor.

C. Erect and weight bearing.

D. erect, with and without weights.

What should you do if you discover while taking the patient history that a patient scheduled for an intravenous pyelogram (IVP) takes Glucophage (metformin hydrochloride) daily? 1. Proceed with the exam. 2. Reschedule the exam until the patient has been off Glucophage for 48 h. 3. Instruct the patient to withhold the Glucophage for 48 h after the exam. -

2 and 3

1 and 3

123

3 only

The usual dose of contrast agent for adult having an IVP x-ray examinations approximately:

100-150 mLaad

90-120 mLaad

110-130-mLaad

80-110 mLaad

T-tube cholangiography is a post-operative exam. Of the biliary system via a special catheter

TRUE

FALSE

To obtain an AP projection of the right ilium, the patient’s

A. Left side is elevated 40°.

B. Right side is elevated 40°.

C. Left side is elevated 15°.

D. Right side is elevated 15°.

Which of the following positions is required in order to demonstrate small amounts of fluid in the pleural cavity?

A) Lateral decubitus, affected side up

(B) Lateral decubitus, affected side down

(D) AP supine

Which of the following articulations may be described as diarthrotic? 1. Knee 2. Intervertebral joints 3. Temporomandibular joint (TMJ)

123

1 only

2 and 3

1 and 3

In which projection of the knee proximal fibula is seen free of superimposition?

A. Lateral projection

B. PA oblique projection

C. AP oblique projection

Both B and C

Which of the following conditions is limited specifically to the tibial tuberosity?

A. Ewing sarcoma

B. Osgood-Schlatter disease

C. Gout

D. Exostosis

What is the central ray used for a right PA Axial Weight bearing projection of the knee?

10 degrees cephalad

25 degrees caudad

10 degrees caudad

25 degrees cephalad

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