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Skeletal & Ch.5
Question | Answer |
---|---|
How Many carpal bones do humans have? | 16. 8 on each side. |
Total # of phalanges(hand)? | 28. 14 on each side. |
Total # of metacarpals? | 10. 5 on each side. |
Total # of tarsals? | 14. 7 on each side. |
Total # of metatarsals? | 10. 5 on each side. |
Total # of phalanges(foot)? | 28. 14 on each side. |
Total # of bones in the cranium? | 8 |
Total # of auditory ossicles? | 6 |
Ulnar deviation? | To turn or bend toward the ulnar side. |
Radial Deviation? | To turn or bend toward the radial side. |
Dorsiflexion? | Decrease the angle between dorsal aspect of foot and ankle. |
Plantar flexion? | Extending the ankle joint. Pointing toes away from body. |
Eversion? | Outward stress movement of the foot at the ankle joint. Only done by a doctor. |
Inversion? | Inward stress movement of the foot at the ankle joint. Only done by a doctor. |
Medial Rotation? | Moving the anterior part of the body toward the inside/median. |
Lateral Rotation? | Moving the anterior part of the body toward the outside/lateral. |
Abduction? | Lateral movement away from the body(arm or leg). |
Adduction? | Movement toward the body(arm or leg). |
Supination? | Rotational movement of the hand into the anatomic position. Only done with hand. |
Pronation? | Rotation of the hand palm down. |
Axial projection? | Refers to the long axis of a structure or part used to describe any angle of the CR more than 10 degrees along the axis of the body. |
Tangential projection? | Touching a curve or surface at only one point-skimming a body part to project it into profile and away from other body structures. |
Routine/Basic projections? | Those projections commonly taken on all average patients who can cooperate fully. |
Special/Alternate projections? | Those projections most commonly taken to better demonstrate specific anatomic parts on a patient that cannot cooperate fully. |
What is the basic requirement for any x-ray procedure? | A minimum of two projections taken at 90* angles from each other. AP or PA and lateral. |
How many projections are required when a joint is the area of interest? | A minimum of three. AP or PA, lateral, and oblique. |
Oblique? | Any angle between 0-90. An angled posidtion in which neither the sagittal nor the coronal planes are at right angles to the IR. |
Position? | Patients general physical position. |
Projection? | The path of the central ray? |
Ap Axial projrection-Lordotic position? | Specific AP chest projection for demonstrating the apices of the lungs. The long axis of the body is angled rather than the CR. |
Lordosis? | "Swayback". Type of curvature, most commonly of the lumbar spine region. |
Kyphosis? | "Humpback". Type of curvature, most usually of the thoracic spine region. |
Scoliosis? | Abnormal lateral curvature of the spine. |
Recumbent position? | Lying in any position the patient chooses. |
Trendelenburg position? | Lying with head below feet. |
Fowler position? | Lying with head above the feet. |
Sim's position? | Lying on the left side with right leg in frot of left. (Barium enema position) |
Lithomy position? | Supine with hips and knees flexed(gyn). |
Decubitus position? | To lie on a horizontal surface and is described by the surface on which the body is resting-back(dorsal), front(ventral), side(right or left lateral). Always used with a horizontal beam in x-ray. |
Why is it essential to use the decubitus position to detect air fluid levels in the lungs? | Air rises and fluid sinks in the body. |
What is the corresponding vertebral level for the VERTEBRA PROMINENS? | C7-T1 |
What is the corresponding vertebral level for the JUGULAR NOTCH? | T2-3 |
What is the corresponding vertebral level for the STERNAL ANGLE? | T4-5 |
What is the corresponding vertebral level for the XIPHOID PROCESS? | T9-10 |
What is the corresponding vertebral level for the INFERIOR COSTAL RIB MARGIN? | L2-3 |
What is the corresponding vertebral level for the ILLIAC CREST? | L4-5 interspace |
What is the corresponding vertebral level for the ANTERIOR SUPERIOR ILLIAC SPINE(ASIS)? | S1-2 |
What is the corresponding vertebral level for the GREATER TROCHANTER? | Distal coccyx |
What is the corresponding vertebral level for the SYMPHYSIS PUBIS? | One inch inferior to coccyx. |
What is the corresponding vertebral level for the ISCHIAL TUBEROSITY? | 1-2 inches inferior to distal coccyx. |
Simple Fracture? | Bone breaks cleanly, but does not penetrate the skin. Sometimes called a closed fracture. |
Compound or Open Fracture? | Broken ends of the bone protrude through soft tissues and the skin. May result in serious bone infection. |
Comminuted Fracture? | Bone fragments into many pieces(2 or more). Common in old people whose bones are more brittle. |
Compression FractureCompression Fracture? | Bone is crushed. Only in spine. |
Depressed Fracture? | Broken bone portion is pressed inward. Only in skull. |
Impacted Fracture? | Broken bone ends are forced into each other. |
Spiral Fractures? | Ragged break occurs when excessive twisting forces are applied to a bone. Common sports fracture. |
Greenstick Fracture? | Bone breaks incompletely, much in the way a green twig breaks. Most common child fracture. |
The integumentary system consists of? | The skin, hair, nails, and various glands. |
What are the 5 major functions of integumentary system? | Protection, Temperature maintenance, Synthesis and storage of nutrients, Sensory reception, Excretion and Secretion. |
How many layers is there in thick skin and where is it found? | Found on the palms of the hands and soles of the feet. It contains 5 layers(thickness of the epidermis only). |
How many layers is there in thin skin and where is it found? | Covers all of the body except for the palms of hands and soles of feet. Contains 4 layers(thickness of the epidermis only). |
Stratum corneum? | The most superficial layer of the epidermis and it consists of 15-30 layers of dead epithelial cells. |
Keratin? | Extremely durable and water resistant. Coats the surface of the skinbut also forms the basic structure of hair, calluses, and nails. |
What are two pigments that the epidermis contains? | Carotene and Melanin. |
Carotene? | An orange-yellow pigment that normally accumulates in epidermal cells. |
Melanin? | Brown, yellow-brown, or black pigment produced by melanocytes. Helps prevent skin damage by absorbing UV radiation before it reaches the deep layers of the epidermis and dermis. |
Melanocytes? | Manufacture and store melanin within intracellular vesicles. |
Cyanosis? | When the skin takes on a bluish coloration due to skin loosing oxygen. Most apparent in lips, ears, or beneath nails. |
Papillary layer? | Consists of loose connective tissue that supports and nourishes the epidermis. Contains capillaries and nerves supplying the surface of the skin. |
Reticular layer? | Consists of interwoven meshwork of dense, irregular connective tissue. Provide flexability. |
Hypodermis? | Contains no vital organs and few capillaries. Useful method for administering drugs. |
Keloid? | Thickened area of scar tissue covered by a shiny, smooth, epidermal surface. |
5 Primary functions of the skeletal system? | Support, Storage, Blood cell production, Protection, Leverage. |
What are the outer surfaces of bone covered by? | Periosteum |
What lines the marrow cavity and other inner surfaces? | Endosteum |
What are the three primary cell types that occur in bone? | Osteocytes, Osteoclasts, Osteoblasts |
Osteocytes? | Maintain normal bone structure by recycling the calcium salts in the bony matrix around themselves and by assisting in repairs. |
Osteoclasts? | Release stored minerals andhelp regulate calcium and phosphate concentrations in body fluids. |
Osteoblasts? | Responsible for the production of new bone. |
The process of replacing other tissues with bone is called? | Ossification |
Most of the bones of the skeleton are formed through? | Endochondral ossification |
What are the two divisions the skeletal system is divided into? | Axial and appendicular divisions |
Inverse Square Law | Describes how the intensity of the radiation gets less as you get further from the source and increases the closer to the source you get. |
15% Rule | If kVp is increased by 15% density will be double image receptor exposure. If kVp is decreased by 15% density will be 1/2 image receptor exposure. |
Density Maintenance Formula | There is a direct relationship. The formula to compensate for a necessary change in distance. Increase distance= Increased technical factors to compensate and vice versa. SID increases -> mAs increases. |
If you 1/2 mAs it is equal to ______ density. | 1/2x |
If you 2x mAs it is equal to______ density. | 2x |
If you increase 15% kVp it is equal to______ density. | Doubling; 2x |
If you decrease 15% kVp it is equal to ______ density. | Halving; 1/2x |
If you increase 15% kvp and 2x mAs it is equal to ______ density. | 4x |
If you decrease 15% kvp and 2x mAs it is equal to______ density. | Equal or the same |
Contrast | Difference between adjacent densities on a radiograph. |
Density | Degree of darkening of exposed and processed photographic or radiographic film. |
What does ALARA stand for and what is the definition? | As Low As Reasonably Achievable. Mnemonic meaning to keep radiation exposures as low as possible. |
What are the 3 cardinal rules and which is the best one for reducing radiation to us? | Time, distance, and shielding. Distance is the best one for us. |
If you double your distance what happens to the intensity of the beam? | Intensity decreases 1/4 of the original. |
What accounts for almost 2/3 of the weight of bone? | Calcium phosphate |
What are the 5 general shapes of the bones in a human skeleton? | Long bones, short bones, flat bones, irregular bones, sessamoid bones. |
Where are sessamoid bones found? | tendons: ex. patella, in thumb and big toe |
What do tendons attach? | muscle to bone |
What do ligaments attach? | bone to bone |
Bone Trabeculae | Webbing effect we look for on an x-ray. |
Lamellae | Calcified matrix that is cylendrical and oriented parallel to the long axis of the central canal. |
What is the basic functional unit of compact bone? | osteon |
When does skeletal growth begin? | 6 weeks after fertilization. |
Ossification | The process of replacing other tissues with bone. |
Most of the bones are formed through _______? | Endochondral ossification |
Open Reduction | The limb has to be surgically opened to have the bone put back to normal. |
Closed Reduction | No surgery required to set the bone. Doctors set the fracture and put it in a cast. |
Internal Fixation | Things placed inside the bone to put it back together. Ex. rods and screws. |
Pathalogic Fracture | Fracture due to a disease. Ex. osteoporosis. |
Smiths Fracture | Distal radius is fractured anteriorly. |
Colles Fracture | Distal radius is fractured posteriorly. |
Fracture hematoma | A large blood clot that forms where bone is fractured. |
How long does remodeling of spongy bone at the fracture site take? | 4 months to 1 year |
Osteopenia | Inadequate ossification. All humans become slightly osteopenic as we age. |
True Ribs are what #'s? | 1-7 |
False Ribs are what #'s? | 8-12 |