ANSWERS GRADED A+
✔✔What is one of the hallmark signs of achlasia of the GI system? - ✔✔"Rat tail" or
"Beak" sign
✔✔What is the radiographic appearance of esophageal varices? - ✔✔- Worm tracings
- rosary beads
✔✔How will the radial tuberosity appear on a lateral elbow projection if the hand is
externally rotated? - ✔✔The tuberosity will appear anterior
✔✔How will the radial tuberosity appear on a lateral elbow projection if the hand is
internally rotated? - ✔✔The tuberosity will appear posterior
✔✔If during a lateral elbow projection, the patients proximal humerus is elevated, what
will the resultant x-ray show? - ✔✔- The radial head will be posterior on the coranoid
- The distal capitulum surface is too distal to the distal surface of the medial trochlea
✔✔If during a lateral elbow projection, the patients proximal humerus is depresses,
what will the resultant x-ray show? - ✔✔- The radial head will be anterior to the coranoid
- The distal capitulum surface is demonstrated too far proximal to the medial trochlear
surface
✔✔If during a lateral elbow projection, the patients distal forearm is elevated, what will
the resultant x-ray show? - ✔✔- The radial head will be proximal to the coronoid
- The capitulum is too far posterior to the medial trochlea
✔✔If during a lateral elbow projection, the patients distal forearm is depressed, what will
the resultant x-ray show? - ✔✔- The radial head is distal to the coronoid
- The capitulum is too anterior to the medial trochlea
✔✔What angle should be used for an axiolateral oblique of the elbow? - ✔✔45 degrees
up the arm
✔✔How would you describe the organs of a patient that is considered Asthenic? - ✔✔-
Low stomach
- Long Lungs
- Low hanging transverse colon
✔✔How would you describe the organs of a patient that is considered Hyperstenic? -
✔✔- High stomach
- Short lungs
,✔✔What is the most common way for the carpal bones to dislocate? - ✔✔Dorsally
✔✔After how many days must a repeat x-ray be done if the patient is suspected of
having a scaphoid fracture? - ✔✔7-10 days
✔✔What is a Smiths fracture? - ✔✔A fracture of the distal radius with anterior
displacement (Remember Mrs. Smith driving her car)
✔✔What is a Bennett's fracture? - ✔✔Fracture at the base of the 1st metacarpal with
dorsal subluxation. Usually caused by a direct impact or hyper extension of the thumb.
✔✔What is a Colles fracture? - ✔✔Fracture of the distal radius with POSTERIOR
displacement. Usually caused by a FOOSH on a dorsiflexed hand. (When you put your
hand out to brace yourself)
✔✔Where are you optimally centering for a PA hand? - ✔✔3rd MCP joint
✔✔Where are you optimally centering for a lateral hand? - ✔✔2nd MCP joint
✔✔What is often one of the only indications of an elbow joint fracture? - ✔✔A visible
posterior fat pad (also known as "sail sign")
✔✔What is a Monteggia fracture? - ✔✔Fracture at the ulnar shaft with anterior
dislocation of radial head. Caused by a fall onto the olecranon.
✔✔When would Atresia likely be spotted on a prenatal ultrasound? - ✔✔24 weeks
✔✔If a patient over the age of 40 presents with dysphagia, what is one potential
pathology that must be investigated? - ✔✔Esophageal carcinoma
✔✔One the stomach has healed from a gastric ulcer, what shape would it likely take? -
✔✔Hourglass shape
✔✔After what age is there a higher incidence of esophageal carcinoma in men? - ✔✔60
years old
✔✔In over 1/3rd of stomach carcinoma cases what could potentially be expected to be
seen? - ✔✔A large polypoid mass
✔✔If a patient is suspected of pyloric stenosis, what could potentially be seen on the
resultant Ultrasound? - ✔✔Doughnut and/or target sign
, ✔✔Around how many beats per minute is considered tachycardia clinically? - ✔✔100-
180 bpm
✔✔If an IV flows too quickly into the blood stream, what condition may arise? -
✔✔Pulmonary Edema
✔✔What should the immediate course of action be if you are administering contrast
through an IV and extravasation occurs? - ✔✔Stop the infusion
✔✔If the patient is attached to a running IV, what is the first step you would take in
changing them out of their gown? - ✔✔Remove the sleeve without the IV first
✔✔What is one potential side affect of giving your patient oral barium, and how can you
counteract this? - ✔✔Constipation can occur. To help alleviate any symptoms, ensure
that your patient drinks plenty of water after their examination.
✔✔Where in the body is a T-tube located/inserted? - ✔✔The common bile duct
✔✔What disease contraindicates the use of Glucagon? - ✔✔Diabetes
✔✔What is the correct angle to use on a AP bladder shot x-ray? - ✔✔15 degrees
caudad and centered 1" below the level of the ASIS
✔✔If on an AP shoulder if you leave the hand in a neutral position, what would the
resultant x-ray show? - ✔✔The greater tubercle will be partially in profile laterally and
the humeral head partially in profile medially.
✔✔If on an AP shoulder you leave the hand in external rotation, what would the
resultant x-ray show? - ✔✔The greater tubercle will be fully in profile laterally and the
humeral head will be fully in profile medially.
✔✔If on an AP shoulder you leave the hand in internal rotation, what would the resultant
x-ray show? - ✔✔The lesser tubercle medially and the greater tubercle will also start to
move medially.
✔✔How are neonates lungs compare to the lungs of adults? - ✔✔Neonates lungs are
wider than they are long
✔✔On a PA Chest X-ray, to assess flexion/extension where should the manubrium sit
with optimal positioning? - ✔✔At T4
✔✔On a PA chest X-ray, how can you tell that a proper breath has been achieved? -
✔✔10-11 ribs will be seen above the diaphragm