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Advanced Procedures II (Sir Robert)
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What angle of oblique is used for the RAO and LAO SC joints?
10-15 degrees
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What is the SID for the AP and lateral airway?
AP is 40" and lateral is 72"
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Which SC joint is visualized on the anterior obliques when using the 10-15 degree oblique ?
the downside joint or joint closest to the IR
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What do you do with the patients arms during a lateral sternum x-ray?
draw them back
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What is the angle of oblique for the RAO of the sternum?
15-20 degrees
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A well positioned RAO will show the sternum superimposed over the ?
heart shadow
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In anterior obliques of the chest, which side of the body is the side of interest?
the side farthest away from the IR
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How long is the breathing technique for the RAO of the sternum? Answer should be in time and word for this technique.
2-3 seconds , orthostatic breathing technique
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What SID is used for all SC joint exams?
40 degrees
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What is the main image critique criteria for an AP Lordotic view?
clavicles above the apices
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All projections of the SC joints are done using what breathing instructions?
blow all air out and hold it out
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What is at the level of T2-T3 ?
jugular notch
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Where is the CR directed on a lateral sternum?
center of sternum, halfway between the jugular notch and the ziphoid process
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What is the CR angle and direction for a recumbent AP Lordotic view?
15-20 degree cephalic
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What is the best chest oblique projection and angle to visualize the air-filled trachea great vessels and heart outlines?
60 degree LAO
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The CR for the lateral upper airway should be directed to?
C6-C7
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In all SC joint projections, where is the CR located?
T2-T3 or 3 inches distal to the vertebra prominens
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What is the name of the cartilage that connects the anterior ribs to the sternum?
costocartilage
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What is the standard kVp range for adult CXR images?
110-125
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What is the SID for a standing AP Lordotic view?
72"
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What is the standard angulation used for an oblique CXR?
45 degrees
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Is the esophagus found behind or in front of the trachea?
behind
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Where is the CR directed for the AP Lordotic view?
3-4 inches below the jugular notch (mid sternum)
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What are the two other names for the jugular notch?
Suprasternal notch, manubrial notch
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What angle of oblique is used for the RAO of the sternum?
15-20 degrees
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What are the patient instructions for the orthostatic breathing technique?
breath normally
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How many inspirations should the patient take before the exposure of chest radiographs?
2 full inspirations
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Where is the CR directed for the RAO projection of the sternum?
1 inch from the midline and midway between the jugular notch and the xiphoid process
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In posterior obliques of the chest which side of the body is the side of interest?
The side closest to the IR
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How much of the population is hyposthenic?
35%
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Where is the CR directed for an RAO or LAO oblique CXR ?
T7 or 7-8 " below the vertebral prominens
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How far away from the board do you stand for a lordotic chest exam?
1 foot
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What is the maximum SID for rib X-rays?
40"
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What line is perpendicular to the IR for an AP upper airway projection?
acanthiomeatal line
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What is the CR angle and direction for a recumbent AP Lordotic view?
15-20 degree cephalic
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