Anatomy of the Bony Thorax

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Questions and Answers

Which part of the sternum is located in the upper portion?

  • Body
  • Xiphoid process
  • Sternal angle
  • Manubrium (correct)

What distinguishes true ribs from false ribs?

  • True ribs connect directly to the vertebrae.
  • False ribs do not attach to any structure.
  • True ribs connect directly to the sternum via costocartilage. (correct)
  • False ribs connect directly to the sternum.

At which vertebral level is the jugular notch located?

  • T3-T4
  • T4-T5
  • T1-T2
  • T2-T3 (correct)

Which ribs are classified as floating ribs?

<p>Ribs 11-12 (D)</p> Signup and view all the answers

What is the recommended SID for lateral sternum imaging?

<p>40 inches (B)</p> Signup and view all the answers

Which ribs connect indirectly to the sternum via the costocartilage of rib 7?

<p>False ribs (A)</p> Signup and view all the answers

What is the proper positioning for the central ray when imaging the sternum?

<p>Centered midway between xiphoid process and jugular notch (A)</p> Signup and view all the answers

During a PA sternoclavicular joint examination, what is the size of the IR used?

<p>8 x 10 inches (C)</p> Signup and view all the answers

What is the appropriate CR location for the SC joints?

<p>Level T2-T3 or 3 inches distal to the vertebra prominens (B)</p> Signup and view all the answers

Which ribs are demonstrated in the AP projection above the diaphragm?

<p>Ribs 1-9 (B)</p> Signup and view all the answers

In a posterior oblique position, which ribs are best demonstrated below the diaphragm?

<p>Ribs 10-12 (A)</p> Signup and view all the answers

When performing the PA bilateral anterior ribs, what is the recommended KVP range?

<p>75-85 (D)</p> Signup and view all the answers

For a left posterior oblique rib projection, how is the affected side positioned?

<p>Toward the IR (B)</p> Signup and view all the answers

What respiration technique should be used when imaging the ribs above the diaphragm?

<p>Suspend on deep inspiration (A)</p> Signup and view all the answers

What is the IR size for the anterior oblique projections of the SC joints?

<p>8 x 10 inches (A)</p> Signup and view all the answers

Which anatomical structures are best visualized in a right anterior oblique (RAO) position?

<p>Medial portion of clavicles and manubrium (C)</p> Signup and view all the answers

Flashcards

Bony Thorax Components

The bony thorax is composed of the sternum, thoracic vertebrae, and 12 pairs of ribs.

Sternum Parts

The sternum is a flat bone with three parts: manubrium (upper), body (middle), and xiphoid process (lower).

Rib Types

Ribs are categorized as true (1-7), false (8-10), and floating (11-12) based on their connection to the sternum.

True Ribs

Ribs 1-7 directly attach to the sternum via costocartilage.

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False Ribs

Ribs 8-10 indirectly connect to the sternum via costocartilage of rib 7; ribs 11-12 have no connection to the sternum.

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Jugular Notch

The jugular notch is an indentation at the top of the sternum, roughly at the level of T2-T3 vertebrae.

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Sternal Angle

The sternal angle (manubriosternal joint) is at the level of the intervertebral disk between T4 and T5.

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Xiphoid Process

The xiphoid process is the inferior tip of the sternum, located around T9-T10 vertebrae.

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Inferior Rib Angle

The inferior costal margin (inferior rib angle) is located at the level of L2-L3.

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Sternoclavicular Joints PA

PA projection for viewing the sternoclavicular joints, requiring specific technique factors.

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Sternoclavicular Joint (SC Joint)

The joint where the clavicle meets the sternum.

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Midsagittal Plane

An imaginary vertical plane that divides the body into left and right halves.

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Vertebra Prominens (C7)

The most prominent bony projection in the neck—easily palpable.

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Inspiration

The act of inhaling air into the lungs.

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Expiration

The act of exhaling air from the lungs.

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Grid

A device used in radiography to reduce scatter radiation and improve image contrast.

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SID

Source to Image Distance; the distance between the x-ray tube and the image receptor.

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CR

Central Ray in radiography, the x-ray beam's central axis.

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KVp

Kilovoltage Peak, the peak voltage during the x-ray exposure.

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Posterior Oblique

A radiographic position in which the patient is positioned on their side with X-ray beam angled from the front.

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Anterior Oblique

A radiographic position in which the patient is positioned on their side with X-ray beam angled from the back.

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Study Notes

Bony Thorax

  • Composed of the sternum (anteriorly) and thoracic vertebrae (posteriorly).
  • 12 pairs of ribs connect the sternum to the vertebral column.

Sternum

  • Flat bone divided into three parts: manubrium (upper), body (middle), and xiphoid process (inferior).
  • Approximately 7 inches long in adults.

Ribs

  • Numbered 1-12, based on the thoracic vertebrae they attach to.
  • True ribs (1-7): connect directly to the sternum via costal cartilage.
  • False ribs (8-10): connect indirectly to the sternum via costal cartilage of rib 7.
  • Floating ribs (11-12): lack connection to the sternum, no costal cartilage.

Palpable Landmarks

  • Jugular notch: level of T2-T3 vertebrae.
  • Sternal angle: manubriosternal joint, level of intervertebral disk between T4 and T5.
  • Xiphoid process: inferior tip of sternum, located at T9-T10.
  • Inferior rib (costal) angle: aka inferior costal margin, L2-L3.

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