Bony Thorax (Ribs and Sternum) Scenarios

1.

Multiple Choice

1 min

1 pt

The suprasternal, manubrial, or jugular notch all correspond to the level of:

T2-3

T1

T4-5

C7

2.

Multiple Choice

1 min

1 pt

In the erect adult bony thorax, the posterior portion of a typical rib is _____ higher or more superior to the anterior portion.

1-2 inches

3-5 inches

6-8 inches

10-12 inches

3.

Multiple Choice

1 min

1 pt

Which of the following is considered to be a false rib?

Seventh

First

Ninth

Second

4.

Multiple Choice

1 min

1 pt

Which of the following statements is true about floating ribs?

They do not possess a head

They do not possess their own costocartilage

They do not posses a costovertebral joint

They are ribs 10-12

5.

Multiple Choice

1 min

1 pt

Which aspect of the rib articulates with the thoracic transverse process?

Neck

Head

Tubercles

6.

Multiple Choice

1 min

1 pt

Ribs 1-7 are considered to be

True ribs

False ribs

Floating ribs

Anterior ribs

7.

Multiple Choice

1 min

1 pt

A breathing technique may be used to blur the lung markings on which of the following projections?

RAO Sternum

Lateral Sternum

PA Oblique Ribs

AP Oblique Ribs

8.

Multiple Choice

1 min

1 pt

What is the recommended SID for the RAO sternum position?

40 inches

44 inches

30 inches

72 inches

9.

Multiple Choice

1 min

1 pt

A patient has an injury to their left anterior upper ribs. Which would best demonstrate that area?

PA and RAO

AP and LAO

AP and RPO

PA and LPO

10.

Multiple Choice

1 min

1 pt

Which of the following is the correct breathing instruction for AP Oblique Upper Ribs?

Full inspiration

Full expiration

No breathing instructions required

Shallow breathing

11.

Multiple Choice

1 min

1 pt

Which of the following positions will best demonstrate the axillary portion of the left ribs?

LAO

RPO

LPO

PA

12.

Multiple Choice

1 min

1 pt

Which of the following would be incorrect when obtaining a lateral sternum x-ray.

Have the patient suspend deep inspiration

Rotate the shoulders back and have the patient lock hands behind back

Have the patient take slow, shallow breaths

Adjust the patient in a true lateral position

13.

Multiple Choice

1 min

1 pt

Which would best demonstrate an injury to the left posterior lower ribs?

AP and RAO

PA and LPO

AP and LPO

PA and RPO

14.

Multiple Choice

1 min

1 pt

On an RAO sternum image the receptor exposure was optimal, but lung markings obscured the anatomy of interest. The following exposure factors were used: 1s, 35 mA, 75 kVp. How could the breathing technique be improved?

Increase the time, decrease the mA.

Decrease the kVp, increase the mA

Increase the kVp, decrease the time.

Do not alter the technique, this is a positioning error.

15.

Multiple Choice

1 min

1 pt

A radiograph of an RAO sternum reveals that it is free of superimposition with the spine. What must be done to eliminate this problem?

No change necessary.

Increase rotation.

Decrease rotation.

Perform an LPO instead.

16.

Multiple Choice

1 min

1 pt

A lateral sternum image shows that the ribs are superimposed over the anatomy of interest. How can this be corrected?

Ensure the patient is in a true lateral position.

Angle the CR 10 degrees caudad.

Increase the kVp.

Increase the SID.

17.

Multiple Choice

1 min

1 pt

Which two projections must be taken for an injury to the left posterior lower ribs?

AP and LPO

AP and RAO

PA and LPO

PA and RAO

18.

Multiple Choice

1 min

1 pt

A PA image of the SC joints demonstrates that the left SC joint is farther from the sternum than the right. What specific positioning error is present?

slight right rotation

tilt of the upper thorax

slight left rotation

excessive angulation of the CR

19.

Multiple Choice

1 min

1 pt

An image of an LAO projection of the ribs demonstrates the right axillary ribs are foreshortened and the left are elongated. Which of the following is the most likely reason?

CR angulation was incorrect

the technologist should have performed a PA projection not an RAO

an RAO was performed rather than the LAO

the patient requires more rotation to the left

20.

Multiple Choice

1 min

1 pt

What is number 2?

Sternum

Manubrium

Body

Xiphoid process

21.

Multiple Choice

1 min

1 pt

What is number 4?

Sternum

Manubrium

Body

Xiphoid process

22.

Multiple Choice

1 min

1 pt

What is number 4?

jugular notch

clavicular notch

xiphoid process

body

23.

Multiple Choice

1 min

1 pt

Rib number 5 would be a ____ rib.

true

false

floating

24.

Multiple Choice

1 min

1 pt

What is number 3?

neck

head

tubercle

25.

Multiple Choice

1 min

1 pt

What is number 1?

neck

head

tubercle

26.

Multiple Choice

1 min

1 pt

Bones of the thoracic cavity that are attached to vertebrae only (not attached to sternum or another rib by costal cartilage); lowest two false ribs

floating ribs

false ribs

true ribs

loose ribs

27.

Multiple Choice

1 min

1 pt

WHAT IS H ?

HEAD

TUBERCLE

NECK

COSTAL GROOVE

28.

Multiple Choice

1 min

1 pt

Letter A is pointing to:

Vertebral Rib

Manubrium

Costal Cartilage

Vertebralchondral Rib

29.

Multiple Choice

1 min

1 pt

Which of the following statements is true about Floating Ribs?

Floating ribs are not connected to the vertebrae column.

Women have one less floating rib than men

Floating ribs have no anterior attachment.

Floating ribs are the top two ribs "floating" directly under the clavicle.

30.

Multiple Choice

1 min

1 pt

31.

Multiple Choice

1 min

1 pt

What is 5

transverse process

costal process

tubercle

costovertebral joint

32.

Multiple Choice

1 min

1 pt

Ribs that are connected, via cartilage, to rib pair 7, and are thus indirectly connected to the sternum, are known as

true ribs

false ribs

floating ribs

suprasternal ribs

33.

Multiple Choice

1 min

1 pt

Identify the structure indicated in the image.

manubrium

body of sternum

xiphoid process

rib cage

sternum

34.

Multiple Choice

1 min

1 pt

How many pairs of true ribs are there?

12

2

5

7

35.

Multiple Choice

1 min

1 pt

Letter C is pointing to:

Vertebral Rib

Manubrium

Costal Cartilage

Vertebralchondral Rib

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