RTE 1523C Final Exam Questions and
Correct Answers Updated
Question 1
A patient comes to the radiology department for a cervical spine routine. The study is
ordered for nontraumatic reasons. The AP open mouth projection reveals that the
base of the skull and upper incisors are superimposed, but they are obscuring the
upper portion of the dens. On the repeat exposure, what should the technologist do
to demonstrate the upper portion of the dens?
Correct Answer
do fuchs or judd
Question 2
A radiograph of an AP open-mouth projection of the cervical spine reveals that the
zygapophyseal joints are not symmetric. No fracture or subluxation is present. Which
one of the following positioning errors most likely led to this radiographic outcome?
Correct Answer
rotation of the spine
Question 3
The intervertebral foramina of the thoracic spine form an angle of how many degrees
with the midsagittal plane?
Correct Answer
90
Page 1 of 106
,Question 4
An AP axial cervical projection obtained with the patient rotated toward the right side
demonstrates
1. the spinous processes positioned closer to the left side of the vertebral bodies.
2. closed intervertebral joint spaces.
3. elongation of the uncinate processes.
4. the left SC superimposed over the vertebral column.
Correct Answer
1 and 4 only
Question 5
What is the joint space between the manubrium and body of sternum called?
Correct Answer
sternal angle
Question 6
How many vertebrae are there in the sacrum?
Correct Answer
five
Question 7
What is the most common injection site for a myelogram?
Correct Answer
L3-4
Question 8
An AP axial cervical vertebrae projection demonstrates a portion of the third cervical
vertebra superimposed over the posterior occipital bone. How should the positioning
setup be adjusted to obtain an optimal projection?
Correct Answer
increase degree of chin tuck
Page 2 of 106
,Question 9
Where is the IR centered for a hyperflexion or hyperextension lateral projection of the
cervical spine?
Correct Answer
fourth cervical vertebra
Question 10
An AP axial cervical projection with poor positioning demonstrates obscured
intervertebral disk spaces and each vertebra's spinous process within its vertebral
body. How was the positioning setup mispositioned for such a projection to be
obtained?
Correct Answer
The central ray had an insufficient cephalic angle.
Question 11
A patient enters the ED with a cervical spine injury as a result of a fall. The initial
horizontal beam lateral projection reveals no subluxation or fracture. The ED physician
is concerned about a whiplash injury. Which of the following routines would be most
helpful in diagnosing this type of injury?
Correct Answer
Patient in hyperflexion and hyperextension lateral positions
Question 12
Scoliosis is defined as an abnormal or exaggerated _____ curvature.
Correct Answer
lateral
Question 13
Where does the central ray enter the body for the AP axial projection (Ferguson
method) of the lumbosacral junction?
Correct Answer
ASIS
Page 3 of 106
, Question 14
A patient comes to radiology for a thoracic spine routine. The patient has a history of
arthritis of the spine. The radiologist requests that additional projections be taken to
demonstrate the zygapophyseal joints. What position(s) and/or projection(s) would be
ideal to demonstrate these structures?
Correct Answer
70 degree oblique
Question 15
Where should the superior edge of the IR/collimated field be placed for an AP
projection of the thoracic vertebrae?
Correct Answer
1 1/2 to 2 inches above the shoulders
Question 16
Spina bifida is a congenital deformity of the vertebral column in which the _____ fail to
unite posteriorly.
Correct Answer
lamina
Question 17
Dense material, like bone, is considered:
Correct Answer
radiopaque
Question 18
How far is the top of the 14 × 17 inch (35 × 43 cm) IR or collimated field placed
above the upper border of the shoulder for projections of the ribs?
Correct Answer
1 1/2 inches
Page 4 of 106
Correct Answers Updated
Question 1
A patient comes to the radiology department for a cervical spine routine. The study is
ordered for nontraumatic reasons. The AP open mouth projection reveals that the
base of the skull and upper incisors are superimposed, but they are obscuring the
upper portion of the dens. On the repeat exposure, what should the technologist do
to demonstrate the upper portion of the dens?
Correct Answer
do fuchs or judd
Question 2
A radiograph of an AP open-mouth projection of the cervical spine reveals that the
zygapophyseal joints are not symmetric. No fracture or subluxation is present. Which
one of the following positioning errors most likely led to this radiographic outcome?
Correct Answer
rotation of the spine
Question 3
The intervertebral foramina of the thoracic spine form an angle of how many degrees
with the midsagittal plane?
Correct Answer
90
Page 1 of 106
,Question 4
An AP axial cervical projection obtained with the patient rotated toward the right side
demonstrates
1. the spinous processes positioned closer to the left side of the vertebral bodies.
2. closed intervertebral joint spaces.
3. elongation of the uncinate processes.
4. the left SC superimposed over the vertebral column.
Correct Answer
1 and 4 only
Question 5
What is the joint space between the manubrium and body of sternum called?
Correct Answer
sternal angle
Question 6
How many vertebrae are there in the sacrum?
Correct Answer
five
Question 7
What is the most common injection site for a myelogram?
Correct Answer
L3-4
Question 8
An AP axial cervical vertebrae projection demonstrates a portion of the third cervical
vertebra superimposed over the posterior occipital bone. How should the positioning
setup be adjusted to obtain an optimal projection?
Correct Answer
increase degree of chin tuck
Page 2 of 106
,Question 9
Where is the IR centered for a hyperflexion or hyperextension lateral projection of the
cervical spine?
Correct Answer
fourth cervical vertebra
Question 10
An AP axial cervical projection with poor positioning demonstrates obscured
intervertebral disk spaces and each vertebra's spinous process within its vertebral
body. How was the positioning setup mispositioned for such a projection to be
obtained?
Correct Answer
The central ray had an insufficient cephalic angle.
Question 11
A patient enters the ED with a cervical spine injury as a result of a fall. The initial
horizontal beam lateral projection reveals no subluxation or fracture. The ED physician
is concerned about a whiplash injury. Which of the following routines would be most
helpful in diagnosing this type of injury?
Correct Answer
Patient in hyperflexion and hyperextension lateral positions
Question 12
Scoliosis is defined as an abnormal or exaggerated _____ curvature.
Correct Answer
lateral
Question 13
Where does the central ray enter the body for the AP axial projection (Ferguson
method) of the lumbosacral junction?
Correct Answer
ASIS
Page 3 of 106
, Question 14
A patient comes to radiology for a thoracic spine routine. The patient has a history of
arthritis of the spine. The radiologist requests that additional projections be taken to
demonstrate the zygapophyseal joints. What position(s) and/or projection(s) would be
ideal to demonstrate these structures?
Correct Answer
70 degree oblique
Question 15
Where should the superior edge of the IR/collimated field be placed for an AP
projection of the thoracic vertebrae?
Correct Answer
1 1/2 to 2 inches above the shoulders
Question 16
Spina bifida is a congenital deformity of the vertebral column in which the _____ fail to
unite posteriorly.
Correct Answer
lamina
Question 17
Dense material, like bone, is considered:
Correct Answer
radiopaque
Question 18
How far is the top of the 14 × 17 inch (35 × 43 cm) IR or collimated field placed
above the upper border of the shoulder for projections of the ribs?
Correct Answer
1 1/2 inches
Page 4 of 106