Upper Limb Radiology 1 (Msq Drill 196)
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- 1.
What is this view?
- A.
Axillary view
- B.
AP shoulder in external rotation
- C.
Glenoid fossa view
- D.
AP shoulder in internal rotation
Correct Answer
B. AP shoulder in external rotation -
- 2.
What is this view?
- A.
AP shoulder internally rotated
- B.
AP shoulder externally rotated
Correct Answer
A. AP shoulder internally rotatedExplanation
Note the tuberosities have moved more anteriorly.Rate this question:
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- 3.
Is this view usually very useful?
- A.
Yes
- B.
No
Correct Answer
B. NoExplanation
This is the axillary transaxial view which is not usually very useful.Rate this question:
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- 4.
What is this view?
- A.
Glenoid fossa view
- B.
AP internally rotated
- C.
AP externally rotated
- D.
Axillary view
Correct Answer
A. Glenoid fossa view -
- 5.
How are shoulder dislocations usually divided?
- A.
In the position of the humerus relative to the glenoid fossa
- B.
In the direction in which the humerus exits the joint
- C.
Into anterior and posterior dislocations only
Correct Answer
B. In the direction in which the humerus exits the joint -
- 6.
What is the most common shoulder dislocation?
- A.
Anterior
- B.
Posterior
- C.
Inferior
Correct Answer
A. Anterior -
- 7.
Are inferior shoulder dislocations very common?
- A.
Yes they are very common
- B.
No, they are rare but distinctive
Correct Answer
B. No, they are rare but distinctive -
- 8.
Over 95% of shoulde dislocations are anterior. They usually occur in the following three ways:
- A.
Forced adduction
- B.
Forced abduction
- C.
External rotation
- D.
Internal rotation
- E.
Extension
Correct Answer(s)
B. Forced abduction
C. External rotation
E. Extension -
- 9.
Anterior shoulder dislocations can be further divided according to how the humeral head lies. What is the most common anterior shoulder dislocation?
- A.
Subclavicular
- B.
Subalenoid
- C.
Subcoracoid
- D.
Intrathoracic
Correct Answer
C. Subcoracoid -
- 10.
Which of the following are possible complications of an anterior shoulder dislocation?
- A.
Hill-Sachs lesion
- B.
Bankart lesion
- C.
anterior glenolabral injuries
- D.
Damage to the axillary artery, or brachial plexus
- E.
Damage to the inferior glenohumeral ligmament (IGHL) which often leads to shoulder instability
Correct Answer(s)
A. Hill-Sachs lesion
B. Bankart lesion
C. anterior glenolabral injuries
D. Damage to the axillary artery, or brachial plexus
E. Damage to the inferior glenohumeral ligmament (IGHL) which often leads to shoulder instability -
- 11.
Name the following anterior shoulder injury:
- A.
Subclavicular
- B.
Subglenoid
- C.
Subcoracoid
- D.
Intrathoracic
Correct Answer
C. Subcoracoid -
- 12.
This lesion is a complication of an anterior shoulder injury. What is this this known as?
- A.
Bankart lesion
- B.
Hill-Sachs lesion
- C.
Luxatio erecta
Correct Answer
B. Hill-Sachs lesionExplanation
Notice the notching on the posterolateral humeral headRate this question:
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- 13.
What is the position of this shoulder disolocation?
- A.
Subcoracoid
- B.
Subclavicular
- C.
Subglenoid
- D.
Subacromial
Correct Answer
C. Subglenoid -
- 14.
What is the position of this shoulder dislocation?
- A.
Subcoracoid
- B.
Subacromial
- C.
Subclavicular
- D.
Intrathoracic
Correct Answer
B. Subacromial -
- 15.
What is the best test to order for an anterior glenolabral dislocation?
- A.
MRI
- B.
CT
- C.
X-ray
Correct Answer
A. MRI -
- 16.
An inferior glenohumeral ligament damage due to an anterior shoulder dislocation is best seen with what test?
- A.
MRI
- B.
MR arthrography
- C.
CT scan
- D.
X-ray
Correct Answer
B. MR arthrograpHy -
- 17.
Is damage to the inferior glenohumeral ligament the usual cause of shoulder instability in an anterior shoulder dislocation?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 18.
Which shoulder dislocation anterior, posterior or inferior may occur due to electrocution, direct trauma or a seizure. It can also be the result of strength imbalance within the rotator cuff muscles.
- A.
Posterior
- B.
Anterior
- C.
Inferior
Correct Answer
A. Posterior -
- 19.
What view comes in handy if you cannot get a good view of a suspected posterior shoulder dislocation?
- A.
Glenoid fossa view
- B.
AP internal rotation
- C.
AP external rotation
Correct Answer
A. Glenoid fossa view -
- 20.
You are looking at a posterior view of the shoulder and you observe the humeral head touching the glenoid. Is this normal?
- A.
Yes, the humeral head always touches the glenoid
- B.
No, the humeral head should never touch the glenoid
Correct Answer
B. No, the humeral head should never touch the glenoid -
- 21.
Name the schoulder dislocation?
- A.
Anterior shoulder dislocation
- B.
Posterior shoulder dislocation
- C.
Inferior shoulder dislocation
Correct Answer
B. Posterior shoulder dislocation -
- 22.
Luxatio erecta is associated with:
- A.
Anterior shoulder dislocations
- B.
Posterior shoulder dislocations
- C.
Inferior shoulder dislocations
Correct Answer
C. Inferior shoulder dislocations -
- 23.
In which shoulder dislocation will the patient permanently hold their arm upward or behind the head in fixed abduction?
- A.
Anterior
- B.
Posterior
- C.
Inferior
Correct Answer
C. Inferior -
- 24.
Inferior shoulder dislocation is caused by _________ of the arm
- A.
Hyper-adduction of the arm
- B.
Hypo-adduction of the arm
- C.
Hyper-abduction of the arm
- D.
Hypo-abduction of the arm
Correct Answer
C. Hyper-abduction of the arm -
- 25.
A patient has an inferior shoulder dislocation caused by hyper-abduction of the arm. The humeral head has probably been forced against:
- A.
The coracoid process
- B.
The acromion
- C.
The clavicle
- D.
The glenoid fossa
Correct Answer
B. The acromion -
- 26.
Inferior shoulder dislocations are very rare - less than 1% of all shoulder dislocations. Do inferior should dislocations have a high complication rate?
- A.
Yes
- B.
No
Correct Answer
A. YesExplanation
including neurological, vascular, tenons and ligament injuriesRate this question:
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- 27.
- A.
Superior shoulder dislocation
- B.
Anterior shoulder dislocation
- C.
Posterior shoulder dislocation
- D.
Inferior shoulder dislocation
Correct Answer
D. Inferior shoulder dislocation -
- 28.
Which of the following is frequently seen among football players and is not always obvious?
- A.
A C joint separation
- B.
Anterior shoulder dislocation
- C.
Posterior shoulder dislocation
- D.
Inferior shoulder dislocation
Correct Answer
A. A C joint separation -
- 29.
Are A C joint separations usually obvious on x-ray?
- A.
Yes, a regular AP view will suffice
- B.
No, you may need to get a stress view
Correct Answer
B. No, you may need to get a stress viewExplanation
A stress view of the AC joint, patient is neutral and they hold a sand bag and you look for abnormal widening of the space.Rate this question:
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- 30.
This shows an A C joint separation. What are you looking for when looking at the x-ray?
- A.
Abnormal narrowing of the space
- B.
Abnormal widening of the space
Correct Answer
B. Abnormal widening of the space -
- 31.
Calcifications of which tendon in the shoulder are very common?
- A.
Infraspinatus
- B.
Supraspinatus
- C.
Teres minor
- D.
Teres major
Correct Answer
B. Supraspinatus -
- 32.
Are humeral neck fractures rare or common?
- A.
Rare
- B.
Common
Correct Answer
B. Common -
- 33.
Which tendinitis is evident in this x-ray?
- A.
Infraspinatus
- B.
Supraspinatus
- C.
Teres minor
- D.
Teres major
- E.
Subscapularis
Correct Answer
B. Supraspinatus -
- 34.
Name the following views of the elbow:
- A.
Lateral view
- B.
AP view
- C.
Stress view
Correct Answer
B. AP view -
- 35.
- A.
Elbow medial view
- B.
Elbow lateral view
- C.
Elbow AP view
Correct Answer
B. Elbow lateral view -
- 36.
What view is key for visualizing radial neck fractures?
- A.
AP view elbow
- B.
Medial view elbow
- C.
Lateral view elbow
Correct Answer
C. Lateral view elbow -
- 37.
What is the diagnosis?
- A.
Radial head fracture
- B.
Radial neck fracture
- C.
Humeral condyle fracture
- D.
Ulna fracture
Correct Answer
B. Radial neck fracture -
- 38.
What is the diagnosis?
- A.
Radial neck fracture
- B.
Radial head fracture
- C.
Ulna fracture
- D.
Humeral condyle fracture
Correct Answer
B. Radial head fracture -
- 39.
What is the diagnosis?
- A.
Radial head fracture
- B.
Radial neck fracture
- C.
Ulna fracture
- D.
Distal humeral fracture
Correct Answer
A. Radial head fracture -
- 40.
What is a sail sign?
- A.
Displacement of blood around the elbow joint
- B.
Displacement of the fat pad around the elbow joint
Correct Answer
B. Displacement of the fat pad around the elbow jointExplanation
Both anterior and posterior sail signs can exist and can usually be seen on the same xray. sometimes all you see is a secondary sign to clue you in to an occult fracture.Rate this question:
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- 41.
- A.
Forearm lateral view
- B.
Forearm medial view
- C.
Forearm AP view
Correct Answer
C. Forearm AP view -
- 42.
- A.
Forearm lateral view
- B.
Forearm medial view
- C.
Forearm AP view
Correct Answer
A. Forearm lateral view -
- 43.
- A.
Wrist AP view
- B.
Wrist PA view
- C.
Oblique wrist
- D.
Lateral wrist
Correct Answer
B. Wrist PA view -
- 44.
Which bone is the most important when considering wrist bone injuries?
- A.
Navicular
- B.
Triquetum
- C.
Pisiform
- D.
Navicular or scaphoid
- E.
Capitate
Correct Answer
D. Navicular or scapHoid -
- 45.
What is the second bone that is usually fractured in wrist injuries?
- A.
Trapezoid
- B.
Trapezium
- C.
Capitate
- D.
Lunate
- E.
Pisiform
Correct Answer
D. Lunate -
- 46.
What is the thrid most injured bone in the wrist?
- A.
Trapezium
- B.
Trapezoid
- C.
Triquetum
- D.
Hamate
- E.
Scaphoid
Correct Answer
C. Triquetum -
- 47.
- A.
Elbow lateral view
- B.
Wrist lateral iew
- C.
Wrist medial view
- D.
Wrist AP
Correct Answer
B. Wrist lateral iew -
- 48.
What wrist bone sits like a moon on top of the distal radius?
- A.
Triquetal
- B.
Pisiform
- C.
Hamate
- D.
Lunate
- E.
Capitate
Correct Answer
D. Lunate -
- 49.
Most ___________ fractures are secondary to a fall on an outstretched hand with a pronated forearm.
- A.
Gallezi
- B.
Metarcapal head
- C.
Colles
Correct Answer
C. Colles -
- 50.
A patient has a colles fracture. They describe that they fell on their left outstretched hand with their forearm in pronation and:
- A.
Plantaflexion
- B.
Dorsiflexion
Correct Answer
B. Dorsiflexion -
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Jan 11, 2013Quiz Edited by
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