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Advanced Procedures II (Sir Robert)
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What are the kVp and mAs for the carpal tunnel view?
60 kVp and 3.2 mAs
What is the kVp and mAs for Coyle Method?
70 kVp and 4 mAs
What is the kVp and mAs for Norgaard view?
60 kV and 3 mA
The AP humerus requires that the epicondyles are __________ to the IR?
parallel
What of the following AP projections demonstrates the lesser tubercle in profile?
internal
Which of AP shoulder projections demonstrates the greater tubercle in profile medially?
none. You can only get it in profile laterally using an external rotation
How much CR angle is used for an asthenic patient for an AP axial projection of the clavicle?
30 degrees
How much CR angulation is used for a scap Y projection?
none
Which of the following shoulder projections would place the glenoid cavity in profile?
Grashey
Which projection of the shoulder and proximal humerus is created by placing the affected palm facing the inner thigh?
neutral
Which rotation of the humerus will result in a lateral position of the proximal humerus?
internal rotation
Which joint has a ball and socket type movement?
scapular humeral joint
What is the term that describes the medial end of the clavicle?
sternal extremity
What's the best position to demonstrate a visible fat pad?
lateral with 90 degrees flexion
How should the epicondyles be aligned for a lateral projection of the elbow?
perpendicular
What projection of the elbow demonstrates the olecranon process in profile?
lateral
Which will cause the proximal radius to cross over the ulna?
Pronation
What specific anatomy is visualized in a fan lateral of the hand?
all of the digits are not superimposed
Localized or generalized infection of the bone marrow is called?
osteomyelitis
What is the CR placement for a PA 3rd digit?
PIP joint
A NON visible fat pad on a well exposed lateral elbow indicates?
nothing
The bending or forcing of the hand outward is called?
ulnar deviation
What two bony landmarks are felt when positioning the AP elbow?
humeral EPIcondyles
What is most posterior? coronoid, radial tuberosity, olecranon, trochlea
olecranon
Which is most proximal? Head of the ulna,olecranon, radial styloid or radial tuberosity?
olecranon
What anatomy should be demonstrated on the AC joints image?
both AC joints, clavicles and both SC joints
How can the with weights view of the AC joints be performed supine?
take the weights away and replace with a sheet. Place it around the patients feet and slowly extend the legs as tolerable
What is the kVp range for the AC joints?
70-80
Where is the CR centered for the AC joint exam?
midway between the AC joints and 1 inch above the jugular notch
AC joints should be a two image exam. What do you do differently between the two images?
One with weights and one without
Are AC joints done unilaterally or bilaterally?
bilaterally
What SID is recommended for AC joints?
a minimum of 72"
What is the positioning for a Coyle Method projection of the coronoid process?
Elbow flexed80 degrees from extended position, hand pronated, 45 degrees CR away from the shoulder directed to mid elbow joint
The two versions of the Coyle method looks at what two structures?
Radial head and the coronoid process
How much does the hand need to be dorsiflexed for the carpal tunnel view?
as close to 90 degrees to the forearm as possible
How much do the hands get internally rotated for both the Norgaard and ball catcher's view?
45 degrees
What is the positioning for a Coyle Method projection, looking at the radial head?
elbow flexed 90 degrees, hand pronated and a 45 degree CR angled toward shoulder and centered to radial head
Where is the CR directed for the Norgaard and ball catcher's views?
midpont between both hands at level of the fifth MCP joints
Why is the ball catcher's view done?
to check for rhumatoid arthritis in the metacarpal joints
Why is the Norgaard Method done?
to check for rheumatoid arthritis in the IP joints
Where is the CR directed for the carpal tunnel view?
1 inch distal to the base of the third metacarpal
How much is the CR angled in the carpal tunnel view?
25-30 degrees
How much and which ways is the hand rotated for a carpal tunnel view?
10 degrees internally
What is the official name for the carpal canal view?
Gaynor-Hart Method
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