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Advanced Procedures II Spine (Sir Robert)
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PA scoliosis view can decrease breast dose by ?
90%
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What CR angulation should be used for an AP Axial L5-S1 on a male patient?
30 degrees cephalic
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There is an average of _______ segments that make up the adult coccyx?
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Where is the CR for an AP L-spine with a 14x17 IR?
level of the crest
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Why are patients hips and knees flexed for an AP L-spine?
Patient comfort and OID
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The average degree of rotation is used to demonstrate L3-L4 zygopop joint?
45 degree
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What vertebrae is at the level of the ASIS?
S1-S2
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Which landmark corresponds to L4-L5 ?
crest
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The zygopop joints of the upper lumbar vertebrae are _________ in relationship to the MSP?
50 degrees
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Which best shows a compression fracture of the T-spine?
lateral
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Which projection would project the Dens into the shadow of the foramen magnum?
Fuch's
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Which enhances the visibility of the vertebral bodies of the T-spine?
breathing technique
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What CR angle is recommended for an AP Axial c-spine projection ERECT ?
20 degrees cephalic
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What projection best demonstrates C4-C5 zygopop joints of the c-spine?
lateral
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A radiograph of the left SI joint demonstrates it open and clearly seen. Which position is the patient in?
RPO
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What CR angle should be used for a lateral sacrum/coccyx?
0 degrees
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What type of CR angle is required for AP projection of the coccyx?
caudal
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Where is the CR centered for the AP Axial of the sacrum?
2 " above symphysis pubis
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What type of CR angle is used for AP Axial of the c-spine?
15-20 degrees cephalic
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Along with the upper incisors, what other bony landmark must be aligned for the AP Open Mouth?
Base of skull
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Which c-spine projection demonstrates the zygopophyseal joints of C1-C2?
AP Open Mouth
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Which clinical conditions would require a decrease in analog manual technique?
osteoporosis
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The gonion corresponds to what vertebral level?
C 3
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At what level is the T 2-T 3 intervertebral disc space found? (Hint* what landmark?)
jugular notch
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The most prominent aspect of the thyroid cartilage lies at the vertebral level of?
C- 5
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The zygopophyseal joints for a typical cervical vertebrae lie at an angle of?
90* to the MSP
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What thoracic vertebrae possesses no facets or controtransverse joints?
T11- T12
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Along with decreasing the source of SID what other factors can improve the spacial resolution of the c-spine?
small focal spot
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Is there a vertebral body of C1 ? Y or N
NO
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How is the cervical vertebrae unique compared to other types of vertebrae?
bifid spinous process, transverse foramen, overlapping vertebral bodies, presence of zygopophyseal joints
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The joints between articular processes of vertebrae are termed what?
zygopophyseal
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What is true about thoracic vertebrae?
all of the thoracic vertebrae have at least one facet for rib articulation
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What is kyphosis?
an abnormal thoracic curvature with increased convexity
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On average how many separate bones make up the adult vertebral column?
26
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The apex of the sacrum is at the top of the sacrum? T or F ?
False
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What term is used interchangeably with the term zygopophyseal joint?
facet
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The lumbar vertebra are the strongest in the spine because they have to support most body weight. T or F
True
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How many lumbar vertebra are there?
5
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What landmark is at the level of T2-T3 ?
jugular notch
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How much angle would be required on an oblique position of the thoracic spine to demonstrate the zygopophyseal joints.
70-75 degrees
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Which vertebrae have controtransverse joints?
T1-T10
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Which set of thoracic vertebrae are considered typical thoracic vertebrae?
T 5-T 6
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How many thoracic vertebrae are there?
12
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What is C 2 known as?
axis
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What is C 1 known as?
atlas
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What part of the vertebrae extends posteriorly at the midline junction of the two lamina?
spinous process
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What is the exaggerated lateral curvature of the spine called?
scoliosis
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How many sections is the spine divided into?
5
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Where is the CR directed in an SI joint posterior oblique?
1 " medial to the upside ASIS
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What degree of body rotation is for the posterior obliques of the SI joints?
25-30 Degrees
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What side are you looking at in a posterior oblique of the SI joint?
upside joint
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What is the KV range for the posterior obliques of the SI joints?
85-95 kV
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The PA axial SI joint projection would be centered where?
level of L4 or slightly above the iliac crest
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The axial SI joint can be done PA with what angle?
30-35 degree caudal
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Where is the CR directed for the AP axial SI joint?
2 " below the level of the ASIS
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What is the CR angle for the AP axial SI joint projection?
30-35 degrees, 30 for males and 35 for females
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What is the KV range for an AP axial SI joint projection?
85 +/- 5
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