Pelvis
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show | Femur
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show | Fovea Capitis
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show | Medial
Posterior
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Because of the alignment between the femoral head and pelvis, the lower limb must be rotated ______ degrees internally to place the femoral neck parallel to the plane of the image receptor to achieve a true anteroposterior (AP) projection. | show 🗑
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The terms pelvis and pelvic girdle are not synonymous. | show 🗑
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show | Rt & Lt hip bones, sacrum, coccyx
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List the two bones that make up the pelvic gridle. | show 🗑
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show | ossa coxae or innominate bones
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List the three divisions of the hip bone | show 🗑
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All three divisions of the hip boneeventually fuse at the ________ at the age of _______. | show 🗑
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what are the 2 important radiographic landmarks found on the ilium? | show 🗑
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which bony landmark is found on the most inferior aspect of the posterior pelvis? | show 🗑
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what is the name of the joint found between the superior rami of the pubic bones? | show 🗑
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the _____ of the pelvis is the largest foramen in the skeletal system | show 🗑
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show | A. 1 inch
B. 1 1/2 - 2 inches
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An imaginary plane that divides the pelvic region into the greater and lesser pelvis is called the | show 🗑
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List the alternate terms for the greater and lesser pelvis. A. Greater pelvis ______ B. Lesser pelvis _______ | show 🗑
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List the major function of the greater pelvis and the lesser pelvis. A. Greater pelvis_____ B. Lesser pelvis _____ | show 🗑
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List the three aspects of the lesser pelvis, which also describe the birth route during the delivery process | show 🗑
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Chatacteristics of the female pelvis | show 🗑
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Characteristics of the male pelvis | show 🗑
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List the four bones that make up the pelvis | show 🗑
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show | A. ASIS
B. Symphysis pubis (or greater trochanter if palpation of this landmark is not permitted by institution)
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show | Approximately 2.5 inches (6to 7 com) below the midpoint of the line
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A second method for locating the femoral head is to palpate the______ and go ____ inches (____ cm) medial at the level of the _____, which is ____ inches (____ cm) distal to the original palpation point. | show 🗑
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To achieve a true AP position of the proximal femur, the lower limb must be rotated ______ internally. | show 🗑
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Which structures on an AP pelvis or hip radiograph indicate whether the proximal head and neck are in position for a true AP projection? | show 🗑
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Which physical sign may indicate that a patient has a hip fracture? | show 🗑
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show | AP pelvis
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show | It covers anatomic structures of primary interest
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Should a gonadal shield be used for a hip study on a young female? ___________ If yes, describe how it should be placed on the patient. | show 🗑
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show | Yes. The top of the shield should be placed at the inferior margin of the symphysis pubis.
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What is the advantage of using 90 kV rather than a lower kV range for hip and pelvis studies with an analog imaging system on younger patients? | show 🗑
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What is the disadvantage of using 90 kV for hip and pelvis studies with an analog imaging system, especially for older patients with some bone mass loss? | show 🗑
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Which of the following conditions is a common clinical indication for performing pelvic and hip examinations on a pediatric (newborn) patient? A. Osteoporosis B. Developmental dysplasia of hip (DDH) C. Ankylosing spondylitis D. Osteoarthritis | show 🗑
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Geriatric patients are often more prone to hip fractures because of their increased incidence of osteoporosis. | show 🗑
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The soft-tissue of an obese patient is indicative of the actual size of the bony pelvis. | show 🗑
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Which of the following devices will improve overall visibility of the proximal hip demonstrated on an axiolateral (inferosuperior) projection? A. Small focal spot B. 6:1 grid C. Compensating filter D. Shadow Shield | show 🗑
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show | True
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show | Midway between ASIS and symphysis puis.
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show | 2 inches (5cm)
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Which specific positioning error is present when the left iliac wing is elongated on an AP pelvis radiograph? | show 🗑
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show | Rotation toward right side
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Which of the following projections is recommended to demonstrate the superoposterior wall of the acetabulum? A. AP axial inlet B. PA axial oblique C. Axiolateral Inferosuperior D. Modified axiolateral | show 🗑
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when gonadal shielding is not used, ______ (males or females) receive a greater gonadal dose with an AP pelvis projection | show 🗑
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How many degrees are the femurs abducted (from vertical plane) for the bilateral frog-leg projection? | show 🗑
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where is the central ray placed for a bilateral frog-leg (modified Cleaves method) projection? | show 🗑
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which size of analog image receptor should be used for an adult bilateral frog-leg projection? | show 🗑
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show | Midfemoral neck
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show | B. 30 to 45˚ cephalad
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which type of pthology is best demostrated with the posterior oblique (Judet method)? A. Acetabular fractures B. Anterior pelvic bone fractures C. Proximal femur fractures D. Femoral neck fractures | show 🗑
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How much obliquity of the body is required for the posterior oblique projection (Judet method)? A. None (CR perpendicular) B20˚ C. 30˚ D. 45˚ | show 🗑
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show | D. 12˚ cephalad
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How is the pelvis (body) positioned for a PA axial oblique (Teufel) projection? A. PA with 45 degrees rotated away from affected side B. Prone or erect PA—no rotation C. PA 35 to 40˚ toward affected side D. AP with 40˚ away from affected side. | show 🗑
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Any orthopedic device or appliance of the hip should be seen in its entirety on an AP hip radiograph. | show 🗑
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show | Traumatic
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How is the unaffected leg positioned for the axiolateral hip projection? | show 🗑
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show | C. use gonadal shielding
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show | True
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The unaffected foot during an axiolateral (inferosuperior) projection can be burned if allowed to rest on the collimator. | show 🗑
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The modified axiolateral (Clements-Nakayama method) projection requires the CR to be angled ______ degrees posteriorly from horizontal. | show 🗑
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Which special projection of the hip demonstrates the anterior and posterior rims of the acetabulum and the ilioischial and iliopubic columns? (Include the projection name and the method name.) A. ______________________ B. which CR angle is used? _______ | show 🗑
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show | AP axial outlet projection (Taylor Method)
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show | D. 20-30˚ from vertical
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show | True
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How much is the IR tilted for the modified axiolateral projection of the hip? | show 🗑
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show | False
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A radiograph of an AP pelvis projection shows that the lesser trochanters are readily demonstrated on the medial side of the proximal femurs. The patient is ambulatory but has a history of early osteoarthritis in both hips. Which positioning modification | show 🗑
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show | The patient is rotated toward the left- LPO
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A radiograph of a unilateral frog-leg (modified Cleaves) projection produces distortion of the femoral neck. Based on the AP hip projection, the radiologist suspects a nondisplaced fracture of the femoral neck. What can the technologist do to define this | show 🗑
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show | If possible elevate the pt at least 2 inches by placing sheets or blankets beneath the pelvis.
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show | A greater central ray angle is required. Female patients require a central ray angle of 30 to 45˚
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A patient enters the ER with a pelvis injury resulting from a motor vehicle accident. The initial AP pelvis projection demonstrates a possible defect or fracture of the left acetabulum. No other fractures are detected and the patient is able to move comfo | show 🗑
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show | When using AEC for an AP pelvis projection, the left and right ionization chambers must be activated. The center chamer is over the less dense pelvic cavity, which may lead to an underexposed image.
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A radiograph from a modified axiolateral projection of the hip shows excessive grid lines on the image, which also appears underexposed. What can be done to avoid this problem during the repeat exposure? | show 🗑
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show | Yes. Any orthopedic appliance or prosthesis must be seen in its entirety in both projections.
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A patient with hip pain from a fall enters the emergency room. The physician orders a left hip study. When moved to the radiographic table, the patient complains loudly about the pain in the left hip. Which positioning routine should be used for this pati | show 🗑
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A patient has just been moved to his hospital room after a bilateral hip replacement surgery. The surgeon has ordered a postoperative hip routine for both hips. Which specific positioning routine should be used? (The patient can be brought to the radiolog | show 🗑
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show | Posterior oblique (Judet method). CT is often judget superior in detecting pelvic ring fraqctures.
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show | AP axial for pelvic "outlet" (Taylor method) and AP axial for pelvic "inlet" projections and possibly the posterior oblique (Judet method) projections to provide another perspective of the inlet and outlet regions of the pelvis. (if unsure of the request
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A technologist notices that his AP pelvis projections often demonstrate a moderate degree of rotation. What positioning technique can the technologist perform to eliminate (or at least minimize) rotation on his AP pelvis projections? | show 🗑
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show | AP pelvis and bilateral "frog-leg" (Modified Cleaves) projections
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