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Part 3 refers to: Part 3 refers to:   A) the scapulohumeral joint. B) the glenohumeral joint. C) the glenoid cavity or fossa. D) all of the above.


A) the scapulohumeral joint.
B) the glenohumeral joint.
C) the glenoid cavity or fossa.
D) all of the above.

E) None of the above
F) A) and B)

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D

The AP humerus requires that the humeral epicondyles are _____ to the IR.


A) set at a 45° angle
B) parallel
C) perpendicular
D) slightly oblique

E) B) and C)
F) A) and B)

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Another term for osteoarthritis is:


A) rheumatoid arthritis.
B) bursitis.
C) degenerative joint disease.
D) osteoporosis.

E) None of the above
F) A) and C)

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A radiograph of a PA oblique (scapular Y) lateral position reveals that the scapula is slightly rotated (the vertebral and axillary borders are not superimposed) .The axillary border of the scapula is determined to be more lateral compared with the vertebral border.Which of the following modifications should be made for the repeat exposure?


A) Decrease rotation of thorax.
B) Decrease CR angle.
C) Increase rotation of thorax.
D) Abduct the arm more and flex it at the elbow.

E) A) and D)
F) B) and C)

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All of the joints of the shoulder girdle are diarthrodial.

A) True
B) False

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True

A radiograph of a transthoracic lateral projection reveals that it is difficult to visualize the proximal humerus due to the ribs and lung markings.The following analog exposure factors were used: 75 kV, 30 mAs, 40-inch (102 cm) SID, grid, and suspended respiration.Which of the following changes will improve the visibility of the proximal humerus?


A) Make the exposure on second inspiration.
B) Use a compression band to prevent patient movement.
C) Use a 72-inch (183-cm) SID.
D) Use an orthostatic (breathing) technique.

E) A) and B)
F) B) and D)

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The Hill-Sachs defect is a fracture of the articular surface of the glenoid cavity.

A) True
B) False

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The use of a grid during shoulder radiography will result in higher patient dose over nongrid procedures.

A) True
B) False

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Which projection of the shoulder requires that the patient be rotated 45° to 60° toward the IR from a PA position?


A) Inferosuperior axiolateral projection
B) AP oblique projection
C) Lateral scapula projection
D) None of the above

E) All of the above
F) C) and D)

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What is a possible radiographic sign for impingement syndrome of the shoulder?


A) Calcified tendons
B) Fluid-filled joint space
C) Fracture of the glenoid rim
D) Bone spurring in acromiohumeral space

E) C) and D)
F) B) and C)

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Part 10 refers to the vertebral border of the scapula. Part 10 refers to the vertebral border of the scapula.

A) True
B) False

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A patient enters the ED with multiple injuries including a possible fracture of the left proximal humerus.Which positioning rotation should be performed to determine the extent of the humerus injury?


A) AP neutral shoulder rotation and carefully rotated internally proximal humerus
B) AP shoulder as is; show radiograph to the ED physician before attempting a rotational lateral projection
C) AP and horizontal beam transthoracic lateral shoulder projection
D) AP and apical oblique shoulder without any arm rotation

E) B) and C)
F) A) and D)

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A patient is scheduled for an arthrogram.During the course of the study, the radiologist requests a projection to demonstrate the intertubercular sulcus.Which one of the following projections would best demonstrate this structure?


A) Fisk modification
B) Garth method
C) Grashey method
D) Pearson method

E) All of the above
F) A) and B)

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A patient comes to the emergency department (ED) with a possible right AC joint separation.Right clavicle and AC joint examinations are ordered.The clavicle is taken first, and a small linear fracture of the midshaft of the clavicle is discovered.What should the technologist do in this situation?


A) Perform the weight-bearing phase as ordered.
B) Reduce the amount of weight that would normally be given to the patient and perform the weight-bearing study.
C) Consult with the ED physician before continuing with the AC joint study.
D) Slowly give the patient more weight to hold until he begins to complain and then complete the AC joint study.

E) A) and B)
F) B) and D)

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Which of the following joints is considered to have a ball and socket (spheroidal) type of movement?


A) Acromioclavicular joints
B) Sternoclavicular joints
C) Bicipital joint
D) Scapulohumeral joint

E) None of the above
F) A) and B)

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The anterior surface of the scapula is referred to as the:


A) scapular surface.
B) dorsal surface.
C) supraspinous and infraspinous fossa.
D) costal surface.

E) All of the above
F) B) and C)

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What additional maneuver must be added to the inferosuperior axial shoulder (Lawrence method) projection to best demonstrate a possible Hill-Sachs defect?


A) Increase medial CR angulation.
B) Angle the CR 10° to 15° downward or posteriorly in addition to the medial angle.
C) Perform exaggerated external rotation of the affected upper limb.
D) Increase abduction of the affected upper limb.

E) A) and D)
F) A) and C)

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Select the correct method name to match each shoulder projection.(Use each choice only once.) -PA transaxillary projection


A) Clements modification
B) Neer method
C) Fisk modification
D) Hobbs modification
E) Garth method
F) Grashey method

G) C) and E)
H) E) and F)

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A patient enters the ED with a dislocated shoulder.The technologist attempts to position the patient into the transthoracic lateral projection, but the patient is unable to raise the unaffected arm over his head completely.What can the technologist do to compensate for the patient's inability to raise his arm completely?


A) Perform the Grashey method instead.
B) Use a breathing technique.
C) Increase kV to penetrate through both shoulders.
D) Angle the CR 10° to 15° cephalad.

E) All of the above
F) A) and C)

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D

What medial central ray (CR) angle is required for the inferosuperior axial shoulder (Lawrence method) ?


A) 5° to 10°
B) 40° to 45°
C) 25° to 30°
D) 10° to 15°

E) C) and D)
F) B) and D)

Correct Answer

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