CCEP CCEP Radiology & Imaging for Extremities

Question 1

Which specialized radiographic view best visualizes the bony borders of the carpal tunnel?

Accepted Answer

Carpal tunnel (tangential) view

Answer

The carpal tunnel view is taken with the wrist in dorsiflexion and the beam directed along the tunnel, profiling the hook of hamate and pisiform.

Question 2

Which radiographic finding on an AP knee view is most consistent with osteoarthritis?

Accepted Answer

Joint space narrowing

Answer

Osteoarthritis on radiograph classically shows joint space narrowing along with osteophytes, subchondral sclerosis, and subchondral cysts.

Question 3

The Ottawa Ankle Rules recommend radiographs based on which clinical findings?

Accepted Answer

Bone tenderness at specific sites and inability to weight bear

Answer

Ottawa Ankle Rules require X-rays when there is bone tenderness at the posterior fibula or tibia malleoli, or inability to bear weight immediately after injury and in the ED.

Question 4

Which MRI sequence is most sensitive for detecting soft tissue edema and ligament tears in the extremities?

Accepted Answer

T2-weighted or STIR

Answer

T2-weighted and STIR sequences display fluid as bright (hyperintense) signal, making them ideal for detecting edema, ligament tears, and joint effusions.

Question 5

A Hill-Sachs lesion of the posterolateral humeral head is best visualized on which shoulder X-ray view?

Accepted Answer

Internal rotation AP

Answer

The Hill-Sachs compression fracture is best seen on the AP shoulder view with the arm in internal rotation, which brings the posterolateral head into profile.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP CCEP Radiology & Imaging for Extremities