Shoulder Girdle and Bony Thorax Review Instructor Questions – Followed by questions provided by campus students 2012 1. Which functional classification of articulations are synovial joints? a. diarthrosis b. synarthrosis c. amphiarthroses d. piarthrosis 2. Which evaluation criterion indicates that the humerus is properly positioned for the AP projection? a. The epicondyles are superimposed b. The lesser tubercle is seen in profile c. The greater tubercle is superimposed over the humeral head. d. The humeral head and greater tubercle are both in profile. 3. What is the name of the anterior superior fossa of the scapula? a. subscapularis b. infraspinatous c. supraspinatous d. anteriorspinatous 4. When performing the AP projection of the scapula, the central ray should be directed toward what point in relation to the coracoid process? a. 2 in lateral b. 2.5 in medial c. 2 in inferior d. 2.5 in superior 5. How many degrees and in which direction should the central ray be directed for the PA axial projection of the clavicle? a. 15-30 degrees cuadad b. 15-30 degrees cephalad c. 25-35 degrees caudad d. 25-35 degrees cephalad 6. In a PA projection, what patient position best demonstrates the left ribs? a. RAO b. LAO c. RPO d. LPO 7. In the superior inferior axial projection of the shoulder, how many degrees should the CR be angled toward the elbow? a. 20-25 degrees b. 30-45 degrees c. 5- 15 degrees d. no angulation required 8. Which of the following describes radiographic imaging of the AC joints? a. SID 40 inches b. CR 1 in below the mid clavicular line c. completed with and without weights d. requires bilateral oblique positioning 9. Interchondral joints between ribs 9-10 are classified as which of the following? a. freely moveable b. fibrous syndesmosis c. synovial gliding d. immovable 10. When imaging the sternum, how should a patient with a deep chest be positioned? a. less angulation b. more angulation c. no angulation d. images in LAO position 11. Which of the following defines pectus excavatum? a. protruding chest b. normal chest c. sunken chest d. lobulated chest 12. Which of the following ribs should be demonstrated upright and with full inspiration? a. upper ribs b. lower ribs c. axial ribs d. diaphragmatic ribs 13. When imaging the ribs below the diaphragm, the lower edge of the IR should be placed at which anatomical landmark? a. xiphoid process b. iliac crest c. pubic symphysis d. rib angle 14. In a AP projection, what patient position best demonstrates the left ribs? a. RAO b. LAO c. RPO d. LPO Shoulder and Thorax Review Questions Campus Students 2012 1. All of the following are parts of the sternum EXCEPT: a. Xiphoid process b. Body of the sternum c. Manubrium d. Costal cartilage e. Sternal angle Ans: d 2. The sternal ends of the clavicle are supported by which structure of the sternum? a. Xiphoid process b. Manubrium c. Jugular notch d. Body of the sternum Ans: b 3. When the heart shadow is used for background density when radiographing the sternum, which positions are preferred? (Select all that apply) a. Lateral b. PA Oblique c. LAO d. RAO Ans: b,d 4. With what part of the vertebral column do ribs articulate? (Select all that apply) a. Spinous process b. Transverse process c. Vertebral body d. Shaft e. Transverse foramina f. Costotransverse joint g. Spinal column h. Costal cartilage Ans: b, c, f 5. Rib 12 is which of the following? (Select all that apply) a. True rib b. False rib c. Floating rib d. There is no 12th rib Ans: b, c 6. True or False. Rib 5 radiographs should be taken at the end of expiration. Ans: False 7. What bones connect at the AC Joints? (Select all that apply) a. Clavicle b. Scapula c. Sternum d. Humerus Ans: a,b 8. What is the SID for the AC joint AP view? a. 48” b. 40” c. 72” d. 60” Ans: c 9. When imaging the trauma shoulder with the patient in supine position, at what angle is the AP axial projection directed? a. 35 degrees cephalic b. No angle c. 15 degrees cephalic d. 35 degrees caudad Ans: a 10. A patient has an anterior dislocation of the humeral head; where on the scapular Y view does the humeral head appear? a. Inferior to the acromion process b. Inferior to the corocoid process c. Inferior to the coronoid process d. Inferior to the SC joint Ans: b 11. In the AP projection of the shoulder, in internal rotation, what anatomy of the humerus is visualized in profile? a. Greater tubercle b. Intertubercle groove c. Lesser tubercle d. Acromion Ans: c 12. Which of the following apply to ribs: a. There are 7 pairs of true ribs b. There are 3 pairs of floating ribs c. False ribs are directly attached to the sternum d. The head of the rib is attached anteriorly e. True ribs are attached to the sternum and the vertebra Ans: a,e 13. When imaging the lower ribs, what breathing technique should be instructed? a. Inhalation, diaphragm moved superior b. Exhalation, diaphragm moved superior c. Normal breathing d. Exhalation, diaphragm moves inferior Ans: b 14. True/False In a PA position of the ribs, the side that is affected should be on the IR. Ans: False 15. The sternum is approximately how long? a. 5 in b. 6 in c. 7 in d. 8 in Ans: b 16. External rotation of the shoulder puts what bony projection inprofile? a. Greater trochanter b. Medial epicondyle c. Greater tubercle d. Lesser tubercle Ans: b 17. In what position should the patient be placed to best demonstrate the affected SC joint? a. Head turned toward the affected side b. Head turned away from the affected side c. Head in the center d. Chin resting on the chest Ans: a 18. For the PA oblique projection of the sternum, what degree of body rotation is utilized? a. 5-10 degrees b. 15-20 degrees c. 45-50 degrees d. 25-30 degrees Ans: b 19. What patient position shows the glenoid cavity best? a. Scapular Y b. Trans-thoracic lateral c. Grashey Method d. PA Ans: c 20. In what radiographic position does the patient need to be placed for a PA image of the sternum? a. RAO b. LAO c. RPO d. LPO Ans: a 21. Why is suspended respiration utilized when imaging upper ribs? (Choose all that apply) a. The diaphragm is contracted b. The diaphragm is relaxed c. Increased contrast d. Increased grey scale Ans: a,c 22. What type of joint is the sternoclavicular articulation? a. Synovial hinge b. Fibrous saddle c. Cartilaginous pivot d. Synovial gliding Ans: d 23. For bilateral procedure of the SC Joint examination, how should the patient head be positioned? a. Toward the affected side b. To the left c. To the right d. Resting on the chin Ans: d 24. True/False The clavicles should be demonstrated in their entirety for an SC Joint examination. Ans: False 25. How many degrees should the patient be rotated for the oblique projection of the SC Joint? a. 10-15 degrees b. 15-20 degrees c. 45 degrees d. 60 degrees Ans: a 26. What anatomic structure appears lateral to the crest of the scapular spine? a. Glenoid fossa b. Coracoid process c. Scapular notch d. Acromion Ans: d 27. During an AP projection for the scapula, what breathing instructions should be given to the patient? a. Hold on inspiration b. Hold on expiration c. Normal slow breathing d. None of the above Ans: c 28. All of the following are criteria for the scapular Y, EXCEPT: a. Superimposed glenoid cavity and humeral head b. Scapula in AP positioning c. Acromion projected laterally d. No superimposition of the scapular body over the bony thorax Ans: b 29. The clavical articulates with all of the following EXCEPT: a. Manubrium of the sternum b. Acromion process c. 1st costal cartilage d. Coracoid process Ans: d 30. What affect does the axial view have on the image of the clavicle? a. Easier for the patient b. Foreshortens ribs c. Demonstrated genoid articulation d. Clavicle isolated from ribs and scapula Ans: d 31. In order to demonstrate the true anatomic curvature of the clavicle, what projection should be utilized? a. Lordotic b. AP c. AP axial d. Both a and c Ans: b 32. What type of joint is the shoulder? a. Synarthrodial b. Diamphiarthrodial c. Diarthrodial d. Amphiarthrodial Ans: c 33. A lateral view of the acromion, scapula, and coracoid process make up which view? a. AP projection internal b. PA projection internal c. Y view d. AP projection external Ans: c 34. Which structure of the rib articulates with the transverse process of the vertebrae? a. Head b. Tubercle c. Shaft d. Facet of vertebral end Ans: b 35. On an AP axial projection of the clavicle, where should the CR enter the patient? a. Mid clavicle b. 2 “ below the clavicle c. SC joint d. 2 “ above clavicle Ans: b