Week 1 - C-Spine (Flex/Ext, Soft Tissue Neck), AC Joints Flexion/Extension

Flashcards covering Week 1 topics: C-Spine flexion/extension, Soft Tissue Neck, and AC joint imaging considerations.

Q1. What patient posture should be ensured for flexion/extension C-spine positioning?

The patient must stand (or sit) up straight, without slouching, with a wide stance for stability.

Q2. How should the patient’s shoulder be positioned in relation to the Bucky for flex/ext C- spine?

The shoulder should touch the Bucky, ensuring the patient is not leaning toward it.

Q3. How do you check for rotation or tilt in flex/ext C-spine positioning?

Stand in front of the patient’s face and look for head alignment.

Q4. Why should the patient not be left in flexion or extension for a long period?

To prevent discomfort and strain - ask the patient to move their chin at the last moment.

Q5. During flex/ext views, what body part should move?

Only the head should move (chin up for extension, chin down for flexion).

Q6. What anatomical landmarks should be included for flexion C-spine?

From the external auditory meatus (EAM) to the C7 spinous process.

Q7. What anatomical landmarks should be included for extension C-spine?

From the mid-mandible anteriorly to the C7 spinous process.

Q8. What must be indicated on flexion/extension views?

The direction of movement (flexion or extension) with an arrow or secondary marker (mandatory).

Q9. What is important to remember about technique selection for flex/ext C-spine?

Techniques should be preset in advance.

Q10. What anatomy must be included in soft tissue neck positioning?

The nasopharynx.

Q11. What line must be parallel to the floor during soft tissue neck imaging?

The acanthiomeatal line (AML).

Q12. What is the required phase of respiration for soft tissue neck exams?

Performed during inspiration (to fill airway with air for visualization).

Q13. What landmarks are used for positioning in soft tissue neck?

The AML (acanthiomeatal line: from acanthion to EAM) and cervical spine region.

Q14. What should be considered for technique in soft tissue neck exams?

A technique suitable for soft tissue visualization (lower kVp compared to bone detail).

Q15. What markers are mandatory for AC joint imaging?

Markers must indicate with weights and without weights.

Q16. How should weights be held during AC joint imaging?

The patient should let the weights hang naturally, dropping their shoulders, not holding them with their arms.

Q17. Even if weights aren’t used in lab, what should students be able to demonstrate?

Correct instructions for how the patient should hold their posture during a weighted exam.