POST-TEST SPECIAL PROCEDURE WITHOUT CONTRAST

1. When performing the PA projection of the skull to image the frontal bone:
1. The central ray is directed perpendicular to the cassette
2. The OML is perpendicular to the cassette
3. The central ray exits at the glabella
4. The MSP is parallel to cassette
A. 1, 2, 3 and 4 C. 1, 3 and 4
B. 1 and 2 D. 1 and 3
2. When performing the AP axial projection of the skull:
1. The OML is parallel to cassette
2. The central ray id directed through the foramen magnum 37 degrees to the OML
3. The central ray is directed through the foramen magnum 30 degrees to the OML
4. The MSP is parallel to the plane of the film
A. 1, 2, 3 and 4 C. 1, 3 and 4
B. 1 and 2 D. None of the above
3. When performing the SMV projection of the skull, the IOML is placed:
A. Perpendicular to the place of the cassette
B. Is not used in positioning for the SMV
C. Parallel to the plane of the cassette
D. Parallel to the central ray
4. When performing the parieto-orbital oblique projection of the optic foramen, the MSP is placed
A. 53 degrees from the central ray
B. 37 degrees from the cassette
C. 37 degrees from the perpendicular
D. 12 degrees cephalad
5. For the parietoacanthial of the facial bones, the OML:
A. Forms a 37 degrees angle with the plane of the film
B. Forms a 53 degrees angle with the plane of the film
C. Forms a 37 degrees angle with central ray
D. Is not used, but the IOML forms a 37 degrees angle with the plane of the film
6. The radiographer must be proficient in the use of which medical instrument?
A. Angiography C. Thermometer
B. Sphygmomanometer D. Oxygen administration equipment
7. When radiographing the skull in the lateral position:
A. The MSP must be perpendicular to the cassette, and the IPL must be parallel to the cassette
B. The MSP and IOML are parallel to the cassette, and the IPL is perpendicular to the cassette
C. The MSP is perpendicular to the cassette, and the IPL is parallel to the cassette
D. The MSP and IOML are perpendicular to the cassette and the IPL is parallel to the cassette

8. For the parieto-orbital (Rhese)projection of the optic foramen:

A. The head is resting in the forehead, nose and zygoma
 B. The MSP forms an angle of 53 degrees from the perpendicular
C. The central ray exits the unaffected orbit
D. The head rests on the zygoma, nose and chin while the MSPis rotated 53 degrees from the
cassette
9. When performing a parietocanthial (Waters) projection for the facial bones:
A. The MSP is parallel to the cassette
B. The MSP is perpendicularto the cassette, the head rests on the chin, and the OML forms a 53
degrees angle with the plane of film
C. The MSP is perpendicular to the cassette, the head rests on the chin, and the OML forms a 37
degrees angle with the plane on the film
D. The MSP is perpendicular to the cassette, the head rests on the nose, and the OML forms a 37
degrees angle with the plane of the film
10. When radiographing the mandibular body with the patient in the SMV position:
A. Head and neck are extended and resting on chin
B. MSP is parallel with cassette
C. IOML is perpendicular with plane of film, head and neck are resting on vertex, and MSP is
perpendicular to the cassette
D. IOML is parallel with plane on film, head resting on vertex, and MSP is perpendicular to the
cassette
11. The best survey film of the paranasal sinuses is obtained using:
A. Lateral C. PA axial
B. Parietocanthial D. Upright Lateral
12. In the AP axial projection (Towne method) of the skull, with the central ray directed 30 degrees caudad
to the orbitmeatal line (OML) and passing midway between the external wuditory meatuses. Which of the
following is best demonstrated?
A. Occipital bone C. Facial bones
B. Frontal bone D. Basal foramina
13. Which of the following skull positions will demonstrate the cranial base, sphenoid sinuses, atlas and
odontoid process?
A. AP axial C. Parietoacanthial
B. Lateral D. Submentovertical
14. Which of the following statements is/are correct regarding the parietoacanthial projection (Waters’
method) of the skull?
1. The head is rested on extended chin
2. The OML is perpendicular to the film
3. The maxillary antra should be projected above the petrosa
A. 1 only C. 1 and 3 only
B. 1 and 2 only D. 1, 2 and 3
15. Which of the following structures should be visualized through the foramen magnum in the AP axial
projection (Grashey method) of the skull for occipital bone?
1. Posterior clinoid processes
2. Anterior clinoid processes
 3. Dorsum sella
A. 1 only C. 1 and 3 only
B. 2 only D. 2 and 3 only
16. With the patient’s head in a PA position and the central ray directed 20 degrees cephalad, which part of
the mandible will be best visualized?
A. Symphysis C. Body
B. Rami D. Angle
17. A “blowout” fracture is usually related to which of the following structures?
A. Foot C. Orbit
B. Elbow D. Pelvis
18. What angle is formed by the medium sagittal plane and film in the parieto-orbittal projection (Rhese
method) of the optic canal?
A. 90 degrees C. 53 degrees
B. 37 degrees D. 45 degrees
19. Which of the following baseline is essential to the performance of the axial projection of the nasal bones?
A. Infraorbitomeatal line C. Acanthiomeatal line
B. Orbitomeatal line D. Glabelloalveolar line
20. In order to better demonstrate the mandibular rami in the PA position, the
A. Skull is oblique toward the affected side
B. Skull is oblique away from the affected side
C. Central ray is angled cephalad
D. Central ray is angle caudad
21. With the patient in the PA position and the OML and central ray perpendicular to the film, the resulting
radiograph will demonstrate the petrous pyramids
A. Below the orbits C. Completely within the orbits
B. In the lower 1/3 of the orbits D. Above the orbit
22. Which of the following position is essential in radiography of the paranasal sinuses?
A. Erect C. Oblique
B. Recumbent D. Trendelenburg
23. When evaluating a PA axial projection of the skull with a 15 degrees caudad angle, the radiographer
should see:
1. Petrous pyramids in the lower third of the orbits
2. Equal distance from the lateral border of the skull and the lateral rim of the orbit bilateral
3. Symmetrical petrous pyramids
A. 1 and 2 only C. 2 and 3 only
B. 1 and 3 only D. 1, 2 and 3
24. Which of the following positions demonstrate all the paranasal sinuses?
A. Parietoacanthial C. Lateral
B. PA axial D. True PA
25. Which of the following statements is/are true regarding the PA axial projection of the paranasal
sinuses?
1. The central ray is directed caudally to the orbitomeatal line (OML)
 2. The petrous pyramids are projected into the lower third of the orbits
3. The frontal sinuses are visualized
A. 1 only C. 1 and 3 only
B. 1 and 2 only D. 1, 2 and 3
26. In the posterior profile projection (Stenvers method) of the petrous pyramids, the
1. Central ray is directed 12 degrees cephalad
2. MSP is 45 degrees to the film
3. Head rest on the zygoma, nose and chin
A. 1 and 2 only C. 2 and 3 only
B. 1 and 3 only D. 1, 2 and 3
27. Within the patient PA, MSP centered to the grid, the OML forming a 37 degrees angle with the film and
the central ray perpendicular exiting the acanthion, which of the following is BEST demonstrated?
A. Occipital bone C. Facial bones
B. Frontal bone D. Basal foramina
28. The structure(s) BEST demonstrated on an AP axial projection of the skull with the central ray directed
40 to 60 degrees caudally is/are:
A. Entire foramen magnum and jugular foramina
B. Petrous pyramids
C. Occipital bone
D. Rotundum foramina
29. The true lateral positionof the skull uses which of the following principles?
1. Interpupillary line perpendicular to the film
2. MSP perpendicular to the film
3. IOML parallel to the transverse axis of the film
A. 1 only C. 2 and 3 only
B. 1 and 2 only D. 1, 2 and 3
30. Which of the following describes the correct placement of mammographic markers?
1. In the mediolateral projection, they are placed along the upper border of the breast
2. In the craniocaudad projection, they are placed along the lateral aspect of the breast
3. In the oblique projection, they are placed along the lateral aspect of the breast
A. 1 only C. 2 and 3 only
B. 1 and 2 only D. 1, 2 and 3
31. When modifying the PA axial projection of the skull to demonstrate superior orbital fissures, the central
ray is directed
A. 20 to 25 degrees caudad C. 30 to 35 degrees caudad
B. 20 to 25 degrees cephalad D. 30 to 35 cephalad
32. A flat and upright abdomen is requested on an acutely ill patient, to demonstrate the presence of air-
fluid level. Due to the patient’s condition, the x-ray table can be tilted upright only 70 degrees (rather
than the desired 90 degrees). How should the central ray be directed?
A. Perpendicular to the film C. 20 degrees caudad
B. Parallel to the floor D. 20 degrees cephalad
33. The axiolateral position (Law method) of examining the mastoids uses which of the following?
1. OML
2. MSP parallel to tabletop
3. 15 degrees caudad angulation
A. 1 only C. 1 and 2 only
B. 2 only D. 2 and 3 only
34. Mammography of the augmented breast is BEST accomplished using:
A. The Cleopatra method C. Magnification films
B. The Eklund method D. The cleavage view
35. Lateral deviation of the nasal septum may be BEST demonstrated in the:
A. Lateral projection
B. PA axial (Caldwell method) projection
C. Parietoacanthial (Water’s method) projection
D. AP axial (Grashey/Towne method) projection
36. If the patient’s zygomatic arch has been traumatically depressed or the patient has flat cheekbones, the
arch may be demonstrated by modifying the submentovertical (SMV) projection and rotating the
patient’s head:
A. 15 degrees toward the side being examined
B. 15 degrees away from the side being examined
C. 30 degrees towards the side being examined
D. 30 degrees away from the side being examined
37. In a lateral projection of the nasal bones, the central ray is directed:
A. ½ inch posterior to the anterior nasal spine
B. ¾ inch posterior to the glabella
C. ¾ inch distal to the nasion
D. ½ inch anterior to the EAM
38. Blowout fractures of the orbit are the BEST demonstrated using the:
A. Lateral projection of the facial bones
B. Parietoacanthial projection (Water’s method)
C. Posteroanterior projection with a 15 degrees caudad angle
D. Sweet’s localization method
39. Examination of the pars petrosae in the posterior profile position (Stenvers method) requires:
1. The use of the IOML
2. The MSP to be rotated 45 degrees
3. That the head rest on the forehead, nose and chin
A. 1 only C. 2 and 3 only
B. 1 and 2 only D. 1, 2 and 3
40. Which projection of the nasal bones will demonstrate medial or lateral displacement of fragments?
A. Oblique C. AP axial
B. Lateral D. Tangential
41. Which of the following sinus groups is demonstrated with the patient positioned as for a parietoacanthial
projection (Water’s method), and the central ray directed through the patient’s open mouth?
A. Frontal C. Maxillary
B. Ethmoid D. Sphenoid
42. With a patient in the PA position and the OML perpendicular to the table, a 15 to 20 degrees caudal
angulation would place the petrous ridges in the lower third of the orbit. In order to achieve the same
result in a baby or a small child, it is necessary for the radiographer to modify the angulation to:
A. 10 to 15 degrees caudal C. 15 to 20 degrees cephalic
B. 25 to 30 degrees caudal D. No change in angulation is necessary
43. When performing tomography, it is of paramount importance that the radiographer:
1. Properly apply immobilization
2. Provide adequate radiation protection whenever possible
3. Obtain and check a scout film
A. 1 and 2 only C. 2 and 3 only
B. 1 and 3 only D. 1, 2 and 3
44. Which of the following is the part of the skull that surrounds and protects the brain?
A. Facial bones C. Foramen magnum
B. Cranium D. Cerebrum
45. Where is the exact location of the optic foramen?
A. Base of the skull C. Apex of orbit
B. Base of orbit D. Posterior of sella
46. Which of the following anatomical structures would not be found in the petrous portion of the temporal
bone?
A. Ossicles C. Cochlea
B. Auricle D. Tympanic cavity
47. What is the name of the membrane that separates the external auditory meatus from the middle ear?
A. Tympanic antrum C. Tympanic membrane
B. Tympanic cavity D. Epitympanic recess
48. Which of the following terms describes the horizontal portion of the mandible?
A. Body C. Alveolar process
B. Ramus D. Condyloid process
49. What is the name of the canal that connects the nasopharynx with the middle ear?
A. Auditory canal C. Nasal cavity
B. Internal auditory canal D. Eustachian tube
50. How much is the head rotated for Stenver’s position of the petrous portion of the temporal bone?
A. 12 degrees C. 30 degrees
B. 15 degrees D. 45 degrees
51. For Water’s position the patient is instructed to rest his head on which of the following?
A. Nose C. Chin
B. Cheek D. Forehead
52. Which of the following topographical landmarks corresponds to the floor of the cranium?
 A. Supraorbital C. Mental point
B. Interpupillary line D. EAM
53. For a true lateral projection of the skull, the mid sagittal plane must be in which of these positions?
A. Perpendicular to film C. At right angle to film
B. Parallel to film D. Parallel to central ray
54. Which of the following is not one of the bones that compose the skull cap?
A. Frontal C. Occipital
B. Temporal D. Parietal
55. What is the flat, major part of the parietal bone called?
A. Petrous portion C. Sagittal portion
B. Squamous portion D. Temporal portion
56. Which of the following will best be demonstrated with a submentovertical projection of the skull?
A. Orbits C. Base of cranium
B. Mandible D. Frontal sinuses
57. Which of the following is a reliable way to check for rotation on a lateral skull radiograph?
A. Mandibular ramii superimposed C. Cranial floor superimposed
B. Sella turcica visualized D. EAM superimposed on mastoid tip
58. If the orbitomeatal line is perpendicular to the film for Towne’s position, how must caudal angle is used?
A. 25 degrees C. 37 degrees
B. 30 degrees D. 40 degrees
59. The orbitomeatal line is perpendicular and the CR is angled 15 degrees cephalic – what position is this?
A. Modified Caldwell (PA) C. Towne’s
B. Reversed modified Caldwell (AP) D. Submentovertex
60. Which of the following is not one of the auditory ossicles?
A. Incus C. Malleus
B. Stapes D. Meatus
61. For the submentovertex projection (basilar position), what line is parallel to the plane of the film?
A. Glabellomeatal C. Infraorbital line
B. Orbitomeatal D. Acanthiomeatal
62. Which of the following views would demonstrate the facial bones and the zygomatic arches?
A. Water’s C. Towne’s
B. Caldwell D. Submentovertical
63. What structure should be projected within the shadow of the foramen magnum on a well positioned
Towne’s radiograph?
A. Petrous pyramids C. Dorsum sella
B. Inion D. Posterior cervical arch
64. For an axiolateral oblique projection of the mandible, if the patient is lateral, how much is the tube
angled?
A. 15 degrees cephalad C. 35 degrees cephalad
B. 25 degrees cephalad D. 45 degrees cephalad
65. If the foramen magnum is not well visualized on a Towne’s radiograph what must be done to correct it?
A. Increase CR angle caudally C. Eliminate CR angle
 B. Decrease CR angle caudally D. Orbitomeatal line is parallel
66. Where will the petrous pyramids be projected in a properly positioned modified Caldwell radiograph?
A. In the center of the orbits C. In the lower 1/3 of the orbits
B. In the upper 1/3 of the orbits D. In the lower 1/8 of the orbits
67. What structure must be entirely in front of (anterior) both petrous pyramids on a submentovertex view?
A. Mandible C. Foramen
B. Floor of the cranium D. Sella turcica
68. Which of the following positions will best demonstrate a ‘blow-out’ fracture of the orbit?
A. Lateral C. Modified Water’s
B. Water’s D. Modified Caldwell
69. Which of the following bones helps from the base of the cranium?
A. Sphenoid C. Occipital
B. Parietal D. Frontal
70. If the CR enters at a point 3/4” anterior and ¾” superior to the E.A.M. what structure would be
visualized?
A. Petrous pyramids C. Floor of the cranium
B. Foramen magnum D. Sella turcica
71. What are the names of the ‘L’ shaped bones that are located posterior to the nasal cavity?
A. Nasal conchae C. Maxilla
B. Palatine D. Zygomatic
72. The bregma in an adult would be referred to as what in an infant?
A. Anterior fontanelle C. Anterior fissure
B. Posterior fontanelle D. Posterior sulcus
73. How is the petrous ridge placed for a Stenver’s position of the temporal bone?
A. Perpendicular to the film C. At right angles to the film
B. Parallel to the film D. At a 45 degrees angle to the film
74. Which of the following areas would have to be radiographed in order to demonstrate the sphenoid
strut?
A. Base of cranium C. Middle ear
B. Sella turcica D. Orbit
75. What is the name of the part of the temporal bone that houses the organs of hearing and equilibrium?
A. Petrous C. Mastoid
B. Squamous D. Alveolar
76. Which of the following positions would be used to demonstrate the mastoid cells in the lateral
projection?
A. Stenver’s C. Zygomatic
B. Mayer’s D. Nasal
77. Which of the following is not one of the sutures of the cranium?
A. Coronal C. Lambdoidal
B. Squamosal D. Occipital
78. For a Stenver’s position of the temporal bone, how does the head rest on the radiographic table?
A. Forehead, cheek and chin C. Forehead, nose and chin
 B. Forehead, cheek and nose D. Nose, cheek and chin
79. For a Schuller position of the TMJ’s, how is the central ray angled?
A. 12 degrees cephalad C. 25 degrees cephalad
B. 12 caudad D. 25 degrees caudad
80. What position is obtained if the head is in lateral position and the central ray enters the zygoma?
A. Lateral facial bones C. Lateral skull
B. Lateral paranasal sinuses D. Lateral mandible
81. The basilar position of the skull is also referred to as the __________ projection?
A. Semiaxial C. Tangential
B. Half axial D. None of these
82. Which projection or position will best demonstrate the foramen lacerum?
A. Axial C. Submentovertical
B. Half-axial D. Lateral
83. Which procedures has become the preferred method for examination of the gravid female?
A. Fetography C. Pelvimetry
B. Sonography D. Cephalometry
84. Methods usually employed for radiography of the nasal bones include the
1. Tangential projection with extraoral film
2. Tangential projection with intraoral film
3. Lateral transcranial projection
A. 1 C. 1, 2 and 3
B. 1 and 2 D. 2 and 3
85. The law method for radiography of the mastoid area is a/an ____________ projection?
A. Lateral C. Axial
B. Axiolateral D. Half-axial
86. An inferosuperior projection of the skull with the central ray directed through the sella turcica
perpendicular to the infraorbitomeatal line is usually referred to as the ________ projection or position.
A. Semiaxial C. Verticosubmental
B. Axial D. Submentovertical
87. There is general agreement that yearly mammographic examinations should be performed on females in
which age group?
A. 18 and over C. 35-50
B. 20-65 D. 50 and over
88. The Water position for the paranasal sinuses is usually referred to as the __________ projection.
A. Posteroanterior C. Occiptofrontal
B. Anteroposterior D. Parietoacanthial
89. For the modified parietoacanthial projection, the angle between the orbitomeatal line and the plane of
the film is _____ degrees.
A. 37 C. 53
B. 45 D. 55
90. A distortion-free lateral view of the entire mandible is possible with
A. Sonography C. Linear tomography
 B. Pluridirectional tomography D. Panoramic tomography
91. The half-axial oblique projection of the mastoid is often referred to as the ___________ position?
A. These C. Law
B. Stenvers D. Mayer
92. In which of the following procedures would Cleopatra projection be used?
A. Hysterosalpingography C. Fetography
B. Vaginography D. Mammography
93. Criteria for radiographic examination of the temporomandibular joint include:
1. The open-mouth position is not attempted in cases of recent injury
2. Trauma patients are examined without any stress movement of the mandible
3. In the closed-mouth position, the patient must occlude the posterior teeth rather than
the incisors
A. 1 C. 1, 2 and 3
B. 1 and 2 D. 2 and 3
94. The three positions of projections typically used for mammography are:
A. Craniocaudal, lateromedial and axial C. Craniocaudal, medialateral and axillary
B. Craniocaudal, mediolateral and axial D. Craniocaudal, lateromedial and axillary
95. In radiographic taken in the Water position, the foramina which are seen, one on each side, just below
the medical aspect of the orbital floor and above the roof of the maxillary sinuses, are the __________
foramina.
A. Lacerum C. Spinosum
B. Ovale D. Rotundum
96. For the PA projection of the cranium which is taken as part of a general survey examination, the central
ray is directed to the nasion at an angle of:
A. 0 degrees C.15 degrees cephalad
B. 15 degrees caudad D. 25-30 degrees caudad
97. Which radiographic position or projection would best demonstrate pituitary fossa?
A. Modified Waters position for the facial bones
B. Lateral sella turcica
C. Rhese position for the orbit
D. Lateral transcranial projection for the TMJ
98. Which of the following positions or projections best demonstrate the frontal and anterior ethmoid
sinuses?
A. Water C. Posteroanterior
B. Caldwell D. Lateral
99. For localization for foreign bodies within the eye, the most commonly used radiographic methods are
the:
A. Parallax motion method and Sweet method
B. Parallax motion method and Pfeiffer-Comberg method
C. Pfeiffer-Comberg method and Sweet method
D. Pneumotographic method and Sweet method
100. Of the following surface landmarks, the most superior is the _____________ line.
A. Orbitomeatal C. Infraorbitomeatal
B. Glabellomeatal D. Acanthiomeatal