Test Bank Bontrager’s Textbook of Radiographic Positioning and Related
Anatomy 9th Edition by Lampignano Complete Exam Questions 100+ and
Answers A+
A radiologic technologist is performing a PA chest radiograph and notices that the
scapulae are still partially within the lung fields despite proper shoulder rotation.
What additional instruction should be given to the patient to correct this?
A. Relax the shoulders
B. Push hands forward and roll shoulders further anteriorly
C. Take a shallow breath
D. Tilt the head downward
Answer: B
Rationale: Having the patient push their hands forward and roll shoulders
anteriorly helps move the scapulae completely out of the lung fields.
During a lateral lumbar spine projection, the technologist observes that the
intervertebral disc spaces are not clearly visualized. What positioning adjustment
would best correct this issue?
A. Increase SID
1
,B. Flex the knees more to reduce lumbar lordosis
C. Rotate the patient slightly
D. Increase kVp
Answer: B
Rationale: Flexing the knees reduces lumbar lordosis, aligning the spine parallel to
the IR and opening disc spaces.
A patient is positioned for an AP axial (Towne) projection of the skull. If the OML
cannot be positioned perpendicular to the IR, which alternative angulation should
be used?
A. 30° caudad to the IOML
B. 37° caudad to the IOML
C. 45° cephalad
D. Perpendicular CR
Answer: B
Rationale: When using the IOML instead of the OML, a 37° caudad angle is
required.
2
,A technologist is performing a lateral knee projection. The femoral condyles are
not perfectly superimposed, with the medial condyle appearing posterior to the
lateral condyle. What correction should be made?
A. Rotate the knee internally
B. Rotate the knee externally
C. Increase flexion
D. Adjust CR angle
Answer: B
Rationale: External rotation corrects the positioning so that condyles become
superimposed.
A patient is positioned for an oblique lumbar spine projection. Which side
demonstrates the zygapophyseal joints in a right anterior oblique (RAO) position?
A. Right side
B. Left side
C. Both sides equally
3
, D. Neither side
Answer: A
Rationale: In RAO, the side closest to the IR (right side) is demonstrated.
A radiograph of the wrist shows the distal radius and ulna not superimposed in a
lateral projection. What is the most likely cause?
A. Incorrect exposure
B. Patient rotation
C. Improper centering
D. Motion artifact
Answer: B
Rationale: Lack of superimposition indicates rotation, not a true lateral.
A patient is positioned for an AP projection of the pelvis. The lesser trochanters
are prominently visible. What does this indicate?
A. Proper positioning
4
Anatomy 9th Edition by Lampignano Complete Exam Questions 100+ and
Answers A+
A radiologic technologist is performing a PA chest radiograph and notices that the
scapulae are still partially within the lung fields despite proper shoulder rotation.
What additional instruction should be given to the patient to correct this?
A. Relax the shoulders
B. Push hands forward and roll shoulders further anteriorly
C. Take a shallow breath
D. Tilt the head downward
Answer: B
Rationale: Having the patient push their hands forward and roll shoulders
anteriorly helps move the scapulae completely out of the lung fields.
During a lateral lumbar spine projection, the technologist observes that the
intervertebral disc spaces are not clearly visualized. What positioning adjustment
would best correct this issue?
A. Increase SID
1
,B. Flex the knees more to reduce lumbar lordosis
C. Rotate the patient slightly
D. Increase kVp
Answer: B
Rationale: Flexing the knees reduces lumbar lordosis, aligning the spine parallel to
the IR and opening disc spaces.
A patient is positioned for an AP axial (Towne) projection of the skull. If the OML
cannot be positioned perpendicular to the IR, which alternative angulation should
be used?
A. 30° caudad to the IOML
B. 37° caudad to the IOML
C. 45° cephalad
D. Perpendicular CR
Answer: B
Rationale: When using the IOML instead of the OML, a 37° caudad angle is
required.
2
,A technologist is performing a lateral knee projection. The femoral condyles are
not perfectly superimposed, with the medial condyle appearing posterior to the
lateral condyle. What correction should be made?
A. Rotate the knee internally
B. Rotate the knee externally
C. Increase flexion
D. Adjust CR angle
Answer: B
Rationale: External rotation corrects the positioning so that condyles become
superimposed.
A patient is positioned for an oblique lumbar spine projection. Which side
demonstrates the zygapophyseal joints in a right anterior oblique (RAO) position?
A. Right side
B. Left side
C. Both sides equally
3
, D. Neither side
Answer: A
Rationale: In RAO, the side closest to the IR (right side) is demonstrated.
A radiograph of the wrist shows the distal radius and ulna not superimposed in a
lateral projection. What is the most likely cause?
A. Incorrect exposure
B. Patient rotation
C. Improper centering
D. Motion artifact
Answer: B
Rationale: Lack of superimposition indicates rotation, not a true lateral.
A patient is positioned for an AP projection of the pelvis. The lesser trochanters
are prominently visible. What does this indicate?
A. Proper positioning
4
