Thoracic Cavity Procedure

Description

ARRT Radiologic Procedures I Flashcards on Thoracic Cavity Procedure, created by RadTech Fairy on 15/11/2016.
RadTech Fairy
Flashcards by RadTech Fairy, updated more than 1 year ago
RadTech Fairy
Created by RadTech Fairy over 7 years ago
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Resource summary

Question Answer
A. sternum B. lung C. 12 pairs of ribs
A. clavicle B. sternoclavicular joint C. manubrium D. sternal angle E. body F. xiphoid process
A. sternoclavicular joint B. T1 C. jugular notch (T2-3) D. sternal angle (T4-5) E. xiphoid tip (T9-10) F. inferior costal margin (L2-3)
A. clavicle B. jugular notch C. facet for 1st costocartilage D. sternal angle E. 2nd F. 3rd G. 4th H. 5th I. 6th J. 7th K. costal cartilage L. sternal angle M. facet for 1st costocartilage N. ribs
A. angle B. costal groove C. body D. articular facet - tubercle E. neck F. head
A. head B. neck C. tubercle D. angle E. body
A. sternal extremity of clavicle B. sternoclavicular joints C. manubrium D. body E. xiphoid tip
F. costotransverse joint -plane/gliding -diarthrodial G. costovertebral joint -plane/gliding -diarthrodial
A. T1 B. C7 C. 5th rib D. 8th rib E. 9th rib
Hypersthenic Thorax requires less obliquity
Sthenic Thorax requires more obliquity
The xiphoid process does not become completely ossified until the age of...... 40
The sternal angle corresponds with the vertebral level of ____ T4-T5
The inside margin of the rib, containing the blood vessels and nerves, is called the _________ Costal Groove
The sternoclavicular joint of the first rib is classified as _________ Synarthrodial
What are some important technical factors for a sternum exam? -orthostatic breathing technique (2-3sec) -40 SID, 65-80kVp -pt must be obliqued to see the sternum -CR perpendicular 1 in to the left of the midline
What are some technical factors involved in a rib study? - RAO (LPO) elongates the left posterior and axillary ribs - LAO (RPO) elongates the right posterior and axillary ribs -area of interest must be closest to the IR -mark the site of injury
RAO for the sternum projects the ____ over the shadow of the ____ STERNUM HEART
If the sternum is superimposed by the spine, what should you do? Increase obliquity
TRUE OR FALSE? If you decrease mA and increase Sec for a breathing technique, your technique will stay the same, you will just be increasing the exposure time. TRUE: mA Sec = 2 1 3 1 2 3
Expose on _____ if pt is standing Expose on _____ if pt is recumbent INSPIRATION EXPIRATION
Why is the lateral sternum projected at 72 SID when the RAO is projected at 40 SID? increasing the SID will decrease the OID of the sternum in relation to the IR
What makes a sternum x-ray repeatable? not seeing the entire sternum rotation exposure factors no markers
What makes a rib study x-ray repeatable? not seeing all the ribs poor inspiration/expiration exposure factors markers
Why are the SC joints projected in PA? Less OID with PA
What makes a PA SC joint projection repeatable? rotation exposure factors done AP instead of PA
Which vertebral level corresponds with the SC joints? T2-T3 palpate the clavicle vs. manubrium
For oblique SC joints, you perform a ____ for the right side, and a ____ for the left side RAO LAO
When viewing oblique SC joint x-rays, how should the joint space appear? OPEN and shifted away from the spine
What are the 2 views for the SC joints? PA RAO (LPO) LAO (RPO)
What are the 2 views for the sternum? RAO (LPO) Lateral
What are the views of the ribs for a routine study? AP or PA above AND below diaphragm (bilateral) Unilateral (AP or PA) Axillary (anterior or posterior oblique)
TRUE OR FALSE The ideal general position for a study of ribs below the diaphragm is recumbent. TRUE
RAO (LPO) elongates the _____ ribs LEFT
LAO (RPO) elongates the ______ ribs RIGHT
RAO will show the same image as ____ LPO
RPO will show the same image as ____ LAO
TRUE OR FALSE In general, you want the spine rotated toward the affected side. FALSE you want the spine rotated away from the affected side - this will place the affected side to the IR
A patient enters the ER with a Fx rib and possible hemothorax/pneumothorax; which projection/position will be ordered along with the routine rib study? PA and Lateral CXR
Which ribs are true? 1-7
Which ribs are false? 8-10
Which ribs are floating? 11-12
Which projection requires the patient to be erect and obliqued 15-20 degrees? RAO sternum
Which projection requires the patient to be recumbent and obliqued 10-15 degrees? RAO SC Joint
Which projection requires the patient to be erect with 45 degree obliquity? RAO Ribs
Which projection requires the patient to be recumbent with 45 degree obliquity? LPO Ribs
Which portion of the spine is level with the jugular notch? T2-3
Which portion of the spine is level with the sternal angle? T4-5
Which portion of the spine is level with the xiphoid tip? T9-10
Which portion of the spine is level with the inferior costal margin? L2-3
There is only one projection of the thorax that has 72 SID, the rest are all at 40 SID - Which projection is 72 SID? Lateral Sternum
Where is the image receptor placed for a lateral sternum? 1 1/2 in above jugular notch
TRUE OR FALSE it is recommended practice to reduce SID to less than 40 SID for RAO sternum to magnify the sternum FALSE never decrease SID below 40 SID - this is a patient radiation dose red flag!
anterior obliques will demonstrate the opposite side
posterior obliques will demonstrate the same side
A patient enters the ER with pain and injury to the right side of the ribs, which projection/position should you perform? RPO it will elongate the posterior right ribs *RAO will elongate the left ribs*
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