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RADT 425
Ch 6 - LOWER EXTREMITY
Question | Answer |
---|---|
In an AP axial toes projection, the ____ _____ width and midshaft ______ are equal on both sides of the phalanges. | soft tissue, concavity |
In an AP axial toes projection, the ___ and ____ joints are open and the phalanges are seen without foreshortening. | IP, MTP |
In an AP axial toes projection, the ____ joint is at the center of the exposure field for a toe projection and ____ MTP joint is at the center when all toes are imaged. | MTP, 3rd |
If the toe is medially rotated for a right AP axial toe projection, the ______ side of the toe demonstrates the greatest soft tissue width and the ______ side demonstrates the greatest phalangeal midshaft concavity | lateral, lateral |
To obtain open joint spaces on an AP axial toe projection, align the CR _______to the joint space and align the joint space ______to the IR. | parallel, perpendicular |
In an AP oblique toes projection, twice as much soft tissue width and more phalangeal and metatarsal concavity are present on the side of the digit rotated ____ _____ the IR. | away from |
In an AP oblique toes projection, _____ joint is at the center of the exposure field for a toe projection and 3rd MTP joint is at the center when all toes are imaged. | MTP |
What degree of patient toe obliquity is used for an AP oblique toe projection? | 45 degrees |
In what direction are the foot and toe rotated for a 1st through 3rd AP oblique toe projection? | medially |
In a lateral toe projection, _______surface of the proximal phalanx demonstrates more concavity than the ________surface and the condyles of the proximal phalanx are superimposed. | posterior, anterior |
In an AP axial foot projection, joint spaces between the _____ and _______ cuneiforms is open and about ____of the talus is superimposing the calcaneus. | medial, intermediate, 1/3 |
Will medial or lateral foot rotation result in the talus moving away from the calcaneus? | medial |
Will medial or lateral foot rotation result in increased superimposition of the MT bases? | lateral |
What degree of proximal CR angulation is required for an AP axial foot projection to demonstrate open TMT joint spaces? | 5-15 |
In an AP oblique foot projection, the ____ _____ and the _-___ intermetatarsal joint spaces are open. | cuboid-cuneiform and the 2nd-5th |
In an AP oblique foot projection, tarsi sinus and ____metatarsal tuberosity are visualized. | 5th |
As a foot is rotated medially from an AP projection, the 1st MT base rotates _______ the 2nd MT base and the 2nd-3rd MT heads move (closer to/farther away from) one another. | beneath, closer to |
In a lateral foot projection, talar domes are superimposed, the _____________ joint is open and the distal fibula is superimposed by the posterior half of the distal tibia. | tibiotalar |
The height of the medial longitudinal arch can be determined on a lateral foot projection with accurate positioning by measuring the amount of cuboid that appears ______to the ________. | posterior, navicular |
The average foot projection demonstrates approximately____inch of the cuboid posterior to the navicular. | 1/2 |
Against what aspect of the foot is the IR placed for a standing lateromedial projection of the foot/ | medial |
What surface of the foot is aligned parallel with the IR for a lateromedial projection of the foot with accurate positioning? | lateral |
In an axial calcaneus projection, the ____________joint is open and the calcaneal tuberosity is demonstrated without distortion. | talocalcaneal |
When the CR and foot are accurately aligned, the CR is aligned ____ to the talocalcaneal joint space and ____to the calcaneal tuberosity. | parallel, perpendicular |
Accurate centering on an axial calcaneal projection is accomplished by centering the CR tot he midline of the foot at the level of the ____ ___ _____. | 5th metatarsal base |
In a lateral calcaneus projection, the tibiotalar joint space is open and the distal fibula is superimposed by the ______half of the ditsal tibia. | posterior |
In a lateral calcaneus projection, the long axis of the foot is positioned at a 90 degree angle with the____ ____. | lower leg |
In an AP ankle projection, the medial mortise is open and the tibia superimposes _____ of the distal fibula. | half |
In an AP ankle projection, the tibiotalar joint space is _____and the tibia is demonstrated without foreshortening. | open |
In an AP oblique ankle projection, mortise oblique (15-20 degree) the distal fibula is demonstrated without _____superimposition demonstrating an open _____mortise and the lateral and medial malleoli are in profile. The tibia superimposes 1/4 of the ___. | talar, lateral, fibula |
In an AP oblique ankle projection, the calcaneus is visualized _____to the mortise and fibula. | distal |
Approximately how much ankle obliquity is needed for a mortise AP oblique ankle projection with accurate positioning? | 15-20 degrees |
In which direction is the patient's leg rotated for a mortise AP oblique ankle with accurate positioning? | medially (internally) |
In a lateral ankle projection, the talar domes are superimposed, the tibiotalar joint is ______ and the distal fibula is superimposed by the posterior half of the ____ _____. | open, distal tibia |
In a lateral ankle projection, the ______ ______ is at the center of the exposure field. | tibiotalar |
To obtain a lateral ankle projection with accurate positioning, the patient's leg is extended, the lower leg is positioned ____ to the imaging table and the foot is dorsiflexed with its lateral surface aligned parallel to the IR. | parallel |
In an AP lower leg projection, the tibia superimposes ____of the fibular head and ____of the distal tibia. | 1/4, 1/2 |
In an AP lower leg projection, the fibular midshaft is _____of tibial superimposition. | free |
Are the femorotibial and tibiotalar joint spaces closed on an AP lower leg projection with accurate positioning? | yes |
The ankle joint is located at the level of the _____ _____. | medial malleolus |
The knee joint is located 1 inch ____to the ___ _____. | distal, medial epicondyle |
In a lateral lower leg projection, the tibia superimposes____ of the fibular head and the ______ aspects of the distal tibia and fibula are aligned. | 1/2, posterior |
In a lateral lower leg projection, the fibular ______ is free of tibial superimposition. | midshaft |
The _____ _____ is centered to the collimated field on a lateral lower leg projection with accurate positioning. | tibial midshaft |
In an AP knee projection, the medial and lateral femoral epicondyles are in _______, the femoral condyles are symmetrical, the intercondylar eminence is centered withing the intercondylar fossa and the tibia is superimposed over _____if the fibular head. | profile, 1/2 |
In an AP knee projection, the knee joint space is open, the anterior and posterior distal tibial margins are aligned and the fibular head is demonstrated approximately 1/2 inch distal to the _____ _____. | tibial plateau |
In an AP knee projection, the patella lies just ______ to the patellar surface of the femur and i situated slightly ______to the knee midline. | proximal, lateral |
A grid is used for a knee projection if the patient's knee measures more than _______cm. | 10 |
An AP knee projection is obtained by placing the patient supine with the knee _______and leg internally rotated until the femoral epicondyles are placed _______to the IR. | extended, parallel |
In a lateral knee projection, contrast and density are adequate to demonstrate the _________fat pad. | suprapatellar |
In a lateral knee projection, the patella is situated ______ to the patellar surface of the femur and the patellofemoral joint is open | proximal |
In a lateral knee projection, the distal articulating surfaces of the medial and lateral ______ _______ are aligned and the knee joint space is open. | femoral condyles |
In a lateral knee projection, the anterior and posterior surfaces of the the medial and lateral femoral condyles are aligned and the tibia superimposes 1/2 of the ______ ______. | fibular head |
When a patient is erect, the distal femoral condylar surfaces are aligned ______ to the floor and the femoral shaft inclines ______ approximately 10-15 degrees. | parallel, medially |
A patient who demonstrates the greatest femoral inclination will have a_______ pelvis and ______ femoral shaft length. | wide, short |
In a tangential (merchant method) patella projection, the patellae, anterior femoral condyles and intercondylar sulci are seen superiorly and the _______femoral condyle demonstrates slightly more height than the ______condyle. | lateral, medial |
In a tangential (merchant method) patella projection, the patellofemoral joint spaces are______ with no superimposition of the upper anterior thigh soft tissue, patellae or tibial tuberosities. | open |
In an AP distal femur projection, the medial and lateral epicondyles are in ______, the femoral condyles are symmetrical in shape and the tibia superimposes 1/2 of the fibular head | profile |
In an AP proximal femur projection, the ischial spine is aligned with the _____ _____ and the obturator foramen is open. | pelvic brim |
In an AP proximal femur projection, the femoral neck is demonstrated without foreshortening, the ____trochanter is in profile laterally and the ______trochanter is comletey superimposed by the proximal femur. | greater, lesser |
In a lateral distal femur projection, the anterior and posterior margins of the ______and ______ condyles are aligned. | lateral and medial |
In a lateral proximal femur projection, the lesser trochanter is in profile _______ and the femoral neck and head are superimposed over the ______ _______. | medially, greater trochanter |
A lateral distal femur projection is obtained by rotating the patient onto the ______aspect of the affected femur until an imaginary line connecting the femoral epicondyles is aligned _______to the IR. | lateral, perpendicular |