Bontrager; Radiographic Positioning
Chapter 4 and 5 Exam UPDATED Exam
Questions and CORRECT Answers
T/F The entire metacarpal and trapezium must be demonstrated on all projections of the thumb -
CORRECT ANSWER - True
A _______ bone is frequently found adjacent to the metacarpophalangeal (MCP) joint of the
thumb - CORRECT ANSWER - Sesamoid bone
Which ligament of the wrist extends from the styloid process of the radius to the lateral aspect of
the scaphoid and trapezium bones? - CORRECT ANSWER - Radial collateral ligament
What is the name of the two special turning or bending positions of the hand and wrist that
demonstrate medial and lateral aspects of the carpal region? - CORRECT ANSWER -
Radial deviation (medial)
Ulnar deviation (lateral)
What special turning or bending position of the hand and wrist are commonly performed to
detect a fracture of the scaphoid bone? - CORRECT ANSWER - Ulnar deviation
Which routine projection best demonstrates the scaphoid fat pad? - CORRECT
ANSWER - Posteroanterior (PA) and oblique wrists
Which routine projection best demonstrates the pronator fat stripe? - CORRECT
ANSWER - Lateral wrist
Medial rotation, the radius and ulna are superimposed - CORRECT ANSWER - What
rotation of the elbow is this?
,Lateral rotation, the radius and ulna are separated - CORRECT ANSWER - What rotation
of the elbow is this?
Which bone of the upper limb contains the trochlear notch? - CORRECT ANSWER - Ulna
The articular portion of the humeral condyle is divided into two parts: - CORRECT
ANSWER - Trochlea (medial condyle) and the capitulum (lateral condyle)
Where are the coronoid and radial fossa located - CORRECT ANSWER - Anterior aspect
of the distal humerus
Which two bony landmarks are palpated to assist with positioning of the upper limb? -
CORRECT ANSWER - Lateral and medial epicondyles
Where is the coronoid tubercle located? - CORRECT ANSWER - Proximal ulna, the
medial aspect of the coronoid process.
In an erect position, which one of the following structures is considered to be most inferior or
distal?
A. Head of ulna
B. Olecranon process
C. Radial tuberosity
D. Head of radius - CORRECT ANSWER - A. Head of ulna
Radiocarpal joint - CORRECT ANSWER - Ellipsoidal (condyloid) - flexion, extension,
abduction, adduction and circumduction
Interphalangeal joint - CORRECT ANSWER - Ginglymus (hinge) - flexion and extension
Elbow joint - CORRECT ANSWER - Ginglymus (hinge) - flexion and extension
,First metacarpopmetacarpal joint - CORRECT ANSWER - Sellar (saddle) - flexion,
extension, abduction, adduction circumduction, opposition and some degree of rotation
T/F To visualize fat pads surrounding the elbow, exposure factors must be adjusted to see both
bony and soft tissue structures. - CORRECT ANSWER - True
Third carpometacarpal joint - CORRECT ANSWER - Plane (gliding) - least amount of
movement
T/F Anterior and posterior fat pads of the elbow are best seen on correctly positioned and
correctly exposed anteroposterior (AP) elbow projections? - CORRECT ANSWER - False,
lateral projections
Why should a forearm never be taken as a PA projection? - CORRECT ANSWER - Causes
proximal radius to cross over the ulna
In what position should the hand be for an AP elbow projection? - CORRECT ANSWER -
Supinated
In what position should the hand be in for an AP medial rotation oblique elbow position? -
CORRECT ANSWER - Pronated
This projection of the elbow best demonstrates the coronoid process in profile: - CORRECT
ANSWER - AP, medial rotation oblique
This projection of the elbow best demonstrates the radial head and tuberosity without
superimposition: - CORRECT ANSWER - AP, lateral rotation oblique
This projection of the elbow best demonstrates the olecranon process in profile: - CORRECT
ANSWER - Lateral elbow
, This projection of the elbow best demonstrates the coronoid tubercle: - CORRECT
ANSWER - AP elbow
This projection of the elbow best demonstrates the trochlear notch in profile: - CORRECT
ANSWER - Lateral elbow
This projection of the elbow best demonstrates the capitulum and lateral epicondyle in profile: -
CORRECT ANSWER - AP, lateral rotation oblique
This projection of the elbow best demonstrates the olecranon process seated in the olecranon
fossa: - CORRECT ANSWER - AP elbow
T/F Placing multiple images on the same digital IP is recommended as long as close collimation
is applied for each projection - CORRECT ANSWER - False, it is recommended that only
one projection be placed on a digital IP. The anatomy should be centered on the IP.
The long axis of the anatomic part being imaged should be placed: - CORRECT
ANSWER - Parallel to the long axis of the IR
Arthrography is a radiographic study of: - CORRECT ANSWER - Soft tissue structures
within certain synovial joints
Accumulated fluid within the joint cavity - CORRECT ANSWER - Joint effusion
Most common type of primary malignant tumor occurring in bone - CORRECT
ANSWER - Ewing's sarcoma
Abnormality of cartilage affecting long bones - CORRECT ANSWER - Achondroplasia
Chapter 4 and 5 Exam UPDATED Exam
Questions and CORRECT Answers
T/F The entire metacarpal and trapezium must be demonstrated on all projections of the thumb -
CORRECT ANSWER - True
A _______ bone is frequently found adjacent to the metacarpophalangeal (MCP) joint of the
thumb - CORRECT ANSWER - Sesamoid bone
Which ligament of the wrist extends from the styloid process of the radius to the lateral aspect of
the scaphoid and trapezium bones? - CORRECT ANSWER - Radial collateral ligament
What is the name of the two special turning or bending positions of the hand and wrist that
demonstrate medial and lateral aspects of the carpal region? - CORRECT ANSWER -
Radial deviation (medial)
Ulnar deviation (lateral)
What special turning or bending position of the hand and wrist are commonly performed to
detect a fracture of the scaphoid bone? - CORRECT ANSWER - Ulnar deviation
Which routine projection best demonstrates the scaphoid fat pad? - CORRECT
ANSWER - Posteroanterior (PA) and oblique wrists
Which routine projection best demonstrates the pronator fat stripe? - CORRECT
ANSWER - Lateral wrist
Medial rotation, the radius and ulna are superimposed - CORRECT ANSWER - What
rotation of the elbow is this?
,Lateral rotation, the radius and ulna are separated - CORRECT ANSWER - What rotation
of the elbow is this?
Which bone of the upper limb contains the trochlear notch? - CORRECT ANSWER - Ulna
The articular portion of the humeral condyle is divided into two parts: - CORRECT
ANSWER - Trochlea (medial condyle) and the capitulum (lateral condyle)
Where are the coronoid and radial fossa located - CORRECT ANSWER - Anterior aspect
of the distal humerus
Which two bony landmarks are palpated to assist with positioning of the upper limb? -
CORRECT ANSWER - Lateral and medial epicondyles
Where is the coronoid tubercle located? - CORRECT ANSWER - Proximal ulna, the
medial aspect of the coronoid process.
In an erect position, which one of the following structures is considered to be most inferior or
distal?
A. Head of ulna
B. Olecranon process
C. Radial tuberosity
D. Head of radius - CORRECT ANSWER - A. Head of ulna
Radiocarpal joint - CORRECT ANSWER - Ellipsoidal (condyloid) - flexion, extension,
abduction, adduction and circumduction
Interphalangeal joint - CORRECT ANSWER - Ginglymus (hinge) - flexion and extension
Elbow joint - CORRECT ANSWER - Ginglymus (hinge) - flexion and extension
,First metacarpopmetacarpal joint - CORRECT ANSWER - Sellar (saddle) - flexion,
extension, abduction, adduction circumduction, opposition and some degree of rotation
T/F To visualize fat pads surrounding the elbow, exposure factors must be adjusted to see both
bony and soft tissue structures. - CORRECT ANSWER - True
Third carpometacarpal joint - CORRECT ANSWER - Plane (gliding) - least amount of
movement
T/F Anterior and posterior fat pads of the elbow are best seen on correctly positioned and
correctly exposed anteroposterior (AP) elbow projections? - CORRECT ANSWER - False,
lateral projections
Why should a forearm never be taken as a PA projection? - CORRECT ANSWER - Causes
proximal radius to cross over the ulna
In what position should the hand be for an AP elbow projection? - CORRECT ANSWER -
Supinated
In what position should the hand be in for an AP medial rotation oblique elbow position? -
CORRECT ANSWER - Pronated
This projection of the elbow best demonstrates the coronoid process in profile: - CORRECT
ANSWER - AP, medial rotation oblique
This projection of the elbow best demonstrates the radial head and tuberosity without
superimposition: - CORRECT ANSWER - AP, lateral rotation oblique
This projection of the elbow best demonstrates the olecranon process in profile: - CORRECT
ANSWER - Lateral elbow
, This projection of the elbow best demonstrates the coronoid tubercle: - CORRECT
ANSWER - AP elbow
This projection of the elbow best demonstrates the trochlear notch in profile: - CORRECT
ANSWER - Lateral elbow
This projection of the elbow best demonstrates the capitulum and lateral epicondyle in profile: -
CORRECT ANSWER - AP, lateral rotation oblique
This projection of the elbow best demonstrates the olecranon process seated in the olecranon
fossa: - CORRECT ANSWER - AP elbow
T/F Placing multiple images on the same digital IP is recommended as long as close collimation
is applied for each projection - CORRECT ANSWER - False, it is recommended that only
one projection be placed on a digital IP. The anatomy should be centered on the IP.
The long axis of the anatomic part being imaged should be placed: - CORRECT
ANSWER - Parallel to the long axis of the IR
Arthrography is a radiographic study of: - CORRECT ANSWER - Soft tissue structures
within certain synovial joints
Accumulated fluid within the joint cavity - CORRECT ANSWER - Joint effusion
Most common type of primary malignant tumor occurring in bone - CORRECT
ANSWER - Ewing's sarcoma
Abnormality of cartilage affecting long bones - CORRECT ANSWER - Achondroplasia
