Hand and Wrist X-ray Projections Quiz
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Questions and Answers

What is the correct positioning for a PA wrist X-ray?

  • Supinate hand and place wrist and carpal area in close contact with the IR
  • Extend fingers and place wrist and carpal area in close contact with the IR
  • Clench fist and place wrist and carpal area in close contact with the IR
  • Pronate hand and place wrist and carpal area in close contact with the IR (correct)

Why is it important to avoid leaving the fingers extended during a PA wrist X-ray?

  • To reduce motion artifact
  • To improve visualization of the carpals (correct)
  • To eliminate OID
  • To ensure optimal density and contrast

What is the purpose of arching the hand slightly during a PA wrist X-ray?

  • To place the digits, hand, and wrist parallel to the IR
  • To visualize the proximal metacarpals
  • To place the wrist and carpal area in close contact with the IR (correct)
  • To reduce motion artifact

What is the main benefit of using a sponge when a patient is unable to hold the position for a PA oblique wrist X-ray?

<p>To stabilize the arm and prevent motion blur (C)</p> Signup and view all the answers

What does CR stand for in radiography?

<p>Central Ray (C)</p> Signup and view all the answers

In a PA oblique wrist X-ray, what is the correct part position?

<p>Extend arm, pronate hand, and rotate hand and wrist 45 degrees laterally (B)</p> Signup and view all the answers

What does OID stand for in radiography?

<p>Object-to-Image Distance (C)</p> Signup and view all the answers

Why is it important to include 2-3” of distal radius and ulna in a PA oblique wrist X-ray?

<p>To avoid missing potential fractures or dislocations (C)</p> Signup and view all the answers

What is the recommended CR angle for the Tangential Carpal Tunnel (Gaynor-Hart Method)?

<p>25 to 30 degrees toward the elbow (A)</p> Signup and view all the answers

In the Lateral Wrist Carpals evaluation criteria, what needs to be well visualized?

<p>Trapezium and scaphoid (A)</p> Signup and view all the answers

What position should the hand be in for the Fan Wrist 3 View Wrist Exam – Logical Order PA Scaphoid with Ulnar Deviation?

<p>Supinated position (D)</p> Signup and view all the answers

What does CR stand for in radiography?

<p>Central Ray (C)</p> Signup and view all the answers

What does the Tangential Carpal Tunnel (Gaynor-Hart Method) aim to visualize?

<p>The carpal tunnel area (A)</p> Signup and view all the answers

What is required to be perpendicular to the IR in the Radiographic Anatomy PA Oblique Hand Lateral (lateromedial): Wrist Part Position?

<p>The ulnar styloid process (B)</p> Signup and view all the answers

What is used to aid the patient in holding the position for the Tangential Carpal Tunnel (Gaynor-Hart Method)?

<p>A positioning band or tape (C)</p> Signup and view all the answers

What should not be foreshortened in the PA Scaphoid with Ulnar Deviation projection?

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

What part needs to be included in collimation for the Radial Deviation projection of the wrist?

<p>$2-3$ inches of metacarpals (D)</p> Signup and view all the answers

What does PA stand for in radiography?

<p>Posterior Anterior (D)</p> Signup and view all the answers

What needs to be visualized without superimposition in the Radial Deviation projection?

<p>Pisiform and hamate bones (A)</p> Signup and view all the answers

What does X-table Lateral refer to in radiography?

<p>A lateral view taken with an X-ray table (D)</p> Signup and view all the answers

What is aimed to be well visualized in the Radiographic Anatomy Fan Wrist 3 View Wrist Exam?

<p>Carpals and distal radius/ulna (C)</p> Signup and view all the answers

Flashcards

PA Wrist X-ray Positioning

Pronate hand and place wrist and carpal area in close contact with the IR.

Avoiding Extended Fingers (PA Wrist)

Keep fingers flexed to improve visualization of the carpals.

Arching the Hand (PA Wrist)

Slightly arch the hand to ensure close contact between the wrist and IR.

Sponge Use in PA Oblique Wrist

A sponge stabilizes the arm, preventing motion blur when the patient can't hold the position.

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CR in Radiography

Central Ray: The center beam of X-rays.

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PA Oblique Wrist Part Position

Extend arm, pronate hand, and rotate 45 degrees laterally.

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OID in Radiography

Object-to-Image Distance: The distance between the object and the IR.

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Distal Radius & Ulna in PA Oblique Wrist

Include 2-3 inches of distal radius and ulna to avoid missing fractures or dislocations.

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Tangential Carpal Tunnel CR Angle

25-30 degrees towards the elbow.

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Lateral Wrist Carpals Evaluation

Trapezium and scaphoid should be well visualized.

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Fan Wrist 3 View – PA Scaphoid with Ulnar Deviation Position

Hand in supinated position.

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Tangential Carpal Tunnel (Gaynor-Hart Method) Aim

To visualize the carpal tunnel area.

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PA Oblique Hand Lateral: Wrist Part Position

Ulnar styloid process should be perpendicular to the IR.

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Tangential Carpal Tunnel (Gaynor-Hart Method) Support

Positioning band or tape to help the patient hold the position.

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PA Scaphoid with Ulnar Deviation Goal

Avoid foreshortening the scaphoid.

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Radial Deviation Projection Collimation

Include 2-3 inches of metacarpals in collimation.

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PA in Radiography

Posterior Anterior: X-rays pass from the back to the front.

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Radial Deviation Projection Visualization

Pisiform and hamate bones should be visualized without superimposition.

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X-table Lateral

A lateral view taken with an X-ray table.

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Fan Wrist 3 View Wrist Exam Goal

Well visualize carpals and distal radius/ulna.

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Study Notes

PA Wrist X-ray Positioning

  • Correct positioning for a PA wrist X-ray: fingers should not be extended, and the hand should be arched slightly.
  • Importance of avoiding extended fingers: to prevent superimposition of fingers over wrist bones.

PA Oblique Wrist X-ray

  • Correct part position: wrist should be rotated 45° toward the affected side.
  • Importance of including 2-3” of distal radius and ulna: to provide a full view of the wrist and forearm.
  • Use of a sponge: to aid patients who are unable to hold the position.

Radiography Abbreviations

  • CR stands for: Center Ray or Central Ray.
  • OID stands for: Object to Image Receptor Distance.
  • PA stands for: Posterior-Anterior or Anterior-Posterior.

Tangential Carpal Tunnel (Gaynor-Hart Method)

  • Purpose: to visualize the carpal tunnel and its contents.
  • Recommended CR angle: 15-20°.
  • Aid for patient positioning: a sponge can be used to help the patient hold the position.

Lateral Wrist Carpals Evaluation

  • Important visualization: the lateral wrist carpals should be well visualized without superimposition.

Fan Wrist 3 View Wrist Exam – Logical Order

  • Hand position for PA Scaphoid with Ulnar Deviation: the hand should be in ulnar deviation.

Radiographic Anatomy

  • PA Oblique Hand Lateral (lateromedial): the wrist part position should be perpendicular to the IR.
  • Importance of visualization in the Fan Wrist 3 View Wrist Exam: the scaphoid bone and surrounding anatomy should be well visualized.

X-ray Projections

  • Radial Deviation projection: the radial aspect of the wrist should not be foreshortened, and the radial styloid process should be included in collimation.
  • Visualization in the Radial Deviation projection: the radial aspect of the wrist should be visualized without superimposition.
  • X-table Lateral: a type of radiographic view that refers to a lateral view taken with the X-ray tube above the table.

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Description

Test your knowledge of essential projections, special projections, clinical indications, and general positioning guidelines for hand and wrist X-rays. This quiz covers topics such as PA, PA oblique, lateral, ulnar deviation, fractures, dislocations, osteoporosis, osteoarthritis, osteomyelitis, patient positioning, and central ray positioning.

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