C-Spine and T-Spine Quiz

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40 Questions

What view should be done to photograph the anatomy correctly if C7 is clipped?

Swimmers view

What is the length of the Image receptor for AP axial C-spine?

10-12 inches lengthwise

In AP axial C-spine, where should the Central ray be positioned?

@ level of C4 in the Midsagittal plane

What is the name of the plane where the occlusal plane and mastoid tips should be aligned in AP axial C-spine?

Midsagittal plane

What positioning is used when imaging the intervertebral foramina of the C-spine?

45-degree oblique

What is the breathing instruction for AP axial C-spine?

Suspend

How should the patient be positioned when imaging the zygapophyseal joints of the C-spine?

Lateral

What is the recommended source to image distance for a Left Lateral C-spine X-ray?

72-inch

What are the structures seen in 45-degree axial oblique C-spine?

Intervertebral foramina, open disc spaces, elevated chin

Where should the central ray be positioned in a Left Lateral C-spine X-ray?

@ C4 - posterior to the External acoustic meatus

What is the position for AP open mouth C-spine?

True AP

In which method is the dens free of superimposition by the occipital bone?

Fuch's method

What breathing instructions are given to the patient during a Left Lateral C-spine X-ray?

suspended expiration

What size is the Left Lateral C-spine image receptor?

10" x 12" lengthwise

Where should the marker be placed in a Left Lateral C-spine X-ray?

on wall bucky just below the chin level in light field

What is the recommended position for the patient in a Left Lateral C-spine X-ray?

true left lateral (Midsagittal plane parallel to Image receptor) - shoulders depressed - chin slightly lifted

What is the purpose of AP soft tissue neck breathing?

Inspiration or Valsalva maneuver

Where should the Central ray be positioned for an AP T-spine X-ray?

T7 (halfway between the jugular notch and xiphoid process)

What is the purpose of the Swimmer's view X-ray?

Left lateral projection of cervicothoracic region

How many thoracic vertebrae are typically visualized in a left lateral T-spine X-ray?

All thoracic vertebrae (T4-T12 being best visualized)

What is the main function of the vertebral column?

Encloses and protects the spinal cord, supports the trunk, supports the skull superiorly, and serves as an attachment for the deep muscles of the back and ribs

How many lumbar vertebrae are there?

5

What shape does a lordotic curve have?

Convex anteriorly

How many vertebrae are fused to form the sacrum?

5

What is the preferred collimation size for Fuch's method?

5x5

In the left lateral C-spine hyperflexion/hyperextension view, where is the central ray directed?

@ C4 - posterior to External acoustic meatus

What is the purpose of phonating 'eeee' during the left lateral soft tissue neck imaging?

Demonstrates vocal cords and evaluates for cleft palate.

In the AP soft tissue neck view, where is the central ray directed?

Midsagittal plane - C4 (laryngeal prominence)

What is the purpose of inhalation during the left lateral soft tissue neck imaging?

Distends the supraglottic larynx and laryngeal pharynx with air.

What should be included in the collimation for the left lateral soft tissue neck imaging?

External acoustic meatus and jugular notch

What is the breathing instruction option given during the left lateral soft tissue neck imaging?

Phonating 'eeee', during inhalation, doing Valsalva maneuver

What structures are seen in the left lateral soft tissue neck imaging?

Soft tissue density of pharyngolaryngeal structures, area from nasopharynx to uppermost lungs, no superimposition of trachea by shoulders, closely superimposed mandibular shadows, throat filled with air.

What is the term for any abnormal increase in the anterior concavity of the thoracic or pelvis curves?

kyphosis

What is the term for an abnormal lateral curvature of the spine?

scoliosis

What is the thick, weight-bearing anterior part of a typical vertebra known as?

vertebral body

What circular opening is formed by the vertebral body and arch?

vertebral foramen

What is the central mass of soft, pulp material in an intervertebral disk called?

nucleus pulposus

What is the protrusion or rupture of the nucleus pulposus commonly known as?

herniated nucleus pulposus (HNP)

What unique anatomical feature is found in cervical vertebrae allowing passage for the vertebral artery, vein, and nerve?

transverse foramina

What is the term for the articulation between the superior and inferior articular processes of a vertebra?

zygapophyseal joint

C-Spine and T-Spine Quiz

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