Question 1

A trauma survey of radiographs assesses life-threatening injuries in priority order. Usually the first radiographic examination performed is the:&#10;A) Lateral thoracolumbar&#10;B) Anteroposterior abdominal&#10;C) Cross-table lateral of the cervical spine&#10;D) Anteroposterior skull

Accepted Answer

The cross-table lateral of the cervical spine is typically the first radiographic examination performed in a trauma survey to assess for any life-threatening injuries to the cervical spine, which is crucial for preventing further injury to the spinal cord.

Question 2

&#10;&#10;-Refer to the figure. Radiographic assessment of a fractured bone must include:&#10;A) Two views at right angles to each other&#10;B) The routine radiographic exam for the most proximal joint&#10;C) An AP view of the contralateral limb to assess normal values&#10;D) The routine radiographic exam for the most distal joint

Accepted Answer

Two views at right angles to each other are essential for accurately assessing a fracture. This approach provides a comprehensive view of the bone and the fracture, allowing for a better evaluation of the extent and orientation of the fracture.

Question 3

Eponyms are standardized, and the definitive glossary is included in the text for correct use of eponyms in documentation.

Accepted Answer

Eponyms are not standardized, and there is no single definitive glossary for their correct use in documentation; usage can vary by region, discipline, and style guide.

Question 4

&#10;&#10;-Refer to the figure. Name the bone and characteristic of the fractures:&#10;A) Midshaft of the ulna, incomplete, displaced&#10;B) Midshaft of the radius, incomplete, displaced&#10;C) Midshaft of the ulna, complete, displaced&#10;D) Midshaft of the radius, complete, displaced

Accepted Answer

The correct answer is C because the fracture is located at the midshaft of the ulna, and it is a complete fracture that is displaced.

Question 5

&#10;&#10;-Refer to the figure. The _______is fractured in the most common epiphyseal injury pattern, a Salter-Harris ________:&#10;A) femur; type 1&#10;B) femur; type 2&#10;C) tibia; type 1&#10;D) tibia; type 2

Accepted Answer

The most common epiphyseal injury pattern is a Salter-Harris type 2 fracture, which often involves the long bones such as the femur.

Question 6

&#10;&#10;-Guiding bone fragments toward normal anatomic position via manipulation or traction and followed by stabilization with an external device is known as:&#10;A) Closed reduction&#10;B) Open reduction

Accepted Answer

Closed reduction involves manipulating bone fragments without surgically exposing the fracture site, aiming to restore them to their normal anatomical positions. This is often followed by external stabilization, such as casting or splinting, to maintain alignment during healing.

Question 7

&#10;&#10;-&#34;Missed&#34; fractures occur with some frequency because of:&#10;A) Failure to order radiography&#10;B) Failure to recognize fractures on radiographs&#10;C) Subtle fractures that are difficult to see on radiographs&#10;D) All of the above

Accepted Answer

Missed fractures can occur due to a failure to order radiography, not recognizing fractures on radiographs, and the presence of subtle fractures that are difficult to see, encompassing all the reasons listed.

Question 8

&#10;&#10;-A basic principle of fracture management if there is clinical suspicion of fracture but negative radiographs is to:&#10;A) Instruct the patient to use the limb to pain tolerance&#10;B) Immobilize the limb and repeat radiographs in 7 to 10 days&#10;C) Immobilize the limb for the average 4- to 6-week healing phase&#10;D) Initiate physical therapy for sprain management

Accepted Answer

If there is a clinical suspicion of a fracture but initial radiographs are negative, the limb should be immobilized and radiographs should be repeated in 7 to 10 days. This approach allows for the potential identification of a fracture that may not have been visible on the initial radiographs, as some fractures become more apparent on radiographs after a period of time due to the resorption of bone at the fracture site.

Question 9

&#10;&#10;-When all the processes of healing have ceased at an ununited fracture site, the condition is called:&#10;A) Nonunion&#10;B) Malunion&#10;C) Delayed union&#10;D) Avascular necrosis

Accepted Answer

Nonunion is the term used when the process of healing has stopped at a fracture site without the bone ends uniting.

Question 10

&#10;&#10;-Refer to the figure. The deformity of the radius is known as:&#10;A) Plastic bowing&#10;B) Greenstick fracture&#10;C) Torus fracture&#10;D) Complete midshaft fracture

Accepted Answer

Plastic bowing is a type of deformity that occurs in bones, particularly in children, where the bone bends but does not break completely due to its plasticity. This is seen in the radius in the scenario described.

Deck 3: Radiologic Evaluation of Fracture