RADIOGRAPHIC POSITIONING AND
RELATED ANATOMY
11TH EDITION
• Author(S)John P. Lampignano
TEST BANK
1)
Reference
Ch. 1 — Terminology, Positioning, and Imaging Principles —
Positioning Terminology
Question Stem
A trauma patient arrives supine on a stretcher with suspected
cervical spine injury. Which positioning term best describes
placing the patient on their back while maintaining a neutral
cervical alignment for imaging?
Options
A. Prone
B. Supine
C. Fowler’s
D. Sims
,Correct Answer
B. Supine
Rationales
• Correct (B): Supine denotes the patient lying on the back;
for cervical spine trauma, a supine position with neutral
alignment is used to avoid exacerbating injury and to
obtain appropriate lateral/axial projections as described in
Lampignano.
• Incorrect (A): Prone is lying on the abdomen and would
not maintain a neutral cervical alignment for supine-
stretcher trauma imaging.
• Incorrect (C): Fowler’s is a semiupright position (head
elevated) used for respiratory compromise, not standard
for immobilized cervical spine imaging.
• Incorrect (D): Sims is a lateral recumbent/oblique used
primarily for rectal procedures, irrelevant to cervical spine
immobilized imaging.
Teaching Point
Supine = lying on back; maintain neutral alignment for
suspected cervical spine injury.
Citation
Lampignano, J. P. (2024). Textbook of Radiographic Positioning
and Related Anatomy (11th Ed.). Ch. 1.
,2)
Reference
Ch. 1 — Terminology, Positioning, and Imaging Principles —
Positioning Terminology
Question Stem
During a chest radiograph, the technologist asks the patient to
take a deep inspiration. What is the primary rationale for this
instruction with regard to image quality?
Options
A. To decrease OID between heart and image receptor
B. To increase lung volume and move the diaphragm inferiorly
C. To reduce motion blur from cardiac movement
D. To minimize magnification of the ribs
Correct Answer
B. To increase lung volume and move the diaphragm inferiorly
Rationales
• Correct (B): Full inspiration increases lung volume and
lowers the diaphragm, improving visualization of lung
fields and reducing superimposition on the bases—core
positioning principle in Lampignano.
• Incorrect (A): OID refers to distance from anatomy to
receptor; inspiration primarily affects lung expansion, not
OID of the heart.
, • Incorrect (C): Cardiac motion is largely unaffected by
breath-hold instructions; breath-hold reduces respiratory
motion, not cardiac motion.
• Incorrect (D): Rib magnification is primarily influenced by
SID and OID, not respiratory phase.
Teaching Point
Full inspiration expands lungs and lowers the diaphragm for
optimal chest radiographs.
Citation
Lampignano, J. P. (2024). Textbook of Radiographic Positioning
and Related Anatomy (11th Ed.). Ch. 1.
3)
Reference
Ch. 1 — Terminology, Positioning, and Imaging Principles —
Positioning Principles
Question Stem
A radiographer must image a forearm with the distal radius and
ulna projected without superimposition. Which positioning
principle and adjustment most directly accomplish this?
Options
A. Use an AP projection with elbow flexed 90°
B. Rotate the arm into true lateral with epicondyles
perpendicular to IR
RELATED ANATOMY
11TH EDITION
• Author(S)John P. Lampignano
TEST BANK
1)
Reference
Ch. 1 — Terminology, Positioning, and Imaging Principles —
Positioning Terminology
Question Stem
A trauma patient arrives supine on a stretcher with suspected
cervical spine injury. Which positioning term best describes
placing the patient on their back while maintaining a neutral
cervical alignment for imaging?
Options
A. Prone
B. Supine
C. Fowler’s
D. Sims
,Correct Answer
B. Supine
Rationales
• Correct (B): Supine denotes the patient lying on the back;
for cervical spine trauma, a supine position with neutral
alignment is used to avoid exacerbating injury and to
obtain appropriate lateral/axial projections as described in
Lampignano.
• Incorrect (A): Prone is lying on the abdomen and would
not maintain a neutral cervical alignment for supine-
stretcher trauma imaging.
• Incorrect (C): Fowler’s is a semiupright position (head
elevated) used for respiratory compromise, not standard
for immobilized cervical spine imaging.
• Incorrect (D): Sims is a lateral recumbent/oblique used
primarily for rectal procedures, irrelevant to cervical spine
immobilized imaging.
Teaching Point
Supine = lying on back; maintain neutral alignment for
suspected cervical spine injury.
Citation
Lampignano, J. P. (2024). Textbook of Radiographic Positioning
and Related Anatomy (11th Ed.). Ch. 1.
,2)
Reference
Ch. 1 — Terminology, Positioning, and Imaging Principles —
Positioning Terminology
Question Stem
During a chest radiograph, the technologist asks the patient to
take a deep inspiration. What is the primary rationale for this
instruction with regard to image quality?
Options
A. To decrease OID between heart and image receptor
B. To increase lung volume and move the diaphragm inferiorly
C. To reduce motion blur from cardiac movement
D. To minimize magnification of the ribs
Correct Answer
B. To increase lung volume and move the diaphragm inferiorly
Rationales
• Correct (B): Full inspiration increases lung volume and
lowers the diaphragm, improving visualization of lung
fields and reducing superimposition on the bases—core
positioning principle in Lampignano.
• Incorrect (A): OID refers to distance from anatomy to
receptor; inspiration primarily affects lung expansion, not
OID of the heart.
, • Incorrect (C): Cardiac motion is largely unaffected by
breath-hold instructions; breath-hold reduces respiratory
motion, not cardiac motion.
• Incorrect (D): Rib magnification is primarily influenced by
SID and OID, not respiratory phase.
Teaching Point
Full inspiration expands lungs and lowers the diaphragm for
optimal chest radiographs.
Citation
Lampignano, J. P. (2024). Textbook of Radiographic Positioning
and Related Anatomy (11th Ed.). Ch. 1.
3)
Reference
Ch. 1 — Terminology, Positioning, and Imaging Principles —
Positioning Principles
Question Stem
A radiographer must image a forearm with the distal radius and
ulna projected without superimposition. Which positioning
principle and adjustment most directly accomplish this?
Options
A. Use an AP projection with elbow flexed 90°
B. Rotate the arm into true lateral with epicondyles
perpendicular to IR
