Hand and Wrist X-ray Projections Quiz

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21 Questions

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

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

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

To improve visualization of the carpals

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

To place the wrist and carpal area in close contact with the IR

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?

To stabilize the arm and prevent motion blur

What does CR stand for in radiography?

Central Ray

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

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

What does OID stand for in radiography?

Object-to-Image Distance

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

To avoid missing potential fractures or dislocations

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

25 to 30 degrees toward the elbow

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

Trapezium and scaphoid

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

Supinated position

What does CR stand for in radiography?

Central Ray

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

The carpal tunnel area

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

The ulnar styloid process

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

A positioning band or tape

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

Scaphoid

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

$2-3$ inches of metacarpals

What does PA stand for in radiography?

Posterior Anterior

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

Pisiform and hamate bones

What does X-table Lateral refer to in radiography?

A lateral view taken with an X-ray table

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

Carpals and distal radius/ulna

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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