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 FILL IN THE TABLE

SHORT ANSWER

IDENTIFY

CASE STUDIES

10 Lower Extremity
OBJECTIVES

MULTIPLE CHOICE

TRUE/FALSE

FILL IN THE BLANKS

FILL IN THE TABLE (See Table 10.1)

SHORT ANSWER

IDENTIFY

CASE STUDIES

Answers

8
Copyright

3251 Riverport Lane

St. Louis, Missouri 63043

WORKBOOK FOR SECTIONAL ANATOMY FOR IMAGING

PROFESSIONALS, FOURTH EDITION ISBN: 978- 0-323-
56961-3

Copyright © 2018, Elsevier Inc. All Rights Reserved.

Previous editions copyrighted 2013, 2007, 1997

No part of this publication may be reproduced or transmitted in

any form or by any means, electronic or mechanical, including
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Copyright Licensing Agency can be found at our website:
www.elsevier.com/permissions.

This book and the individual contributions contained in it are

protected under copyright by the Publisher (other than as may be
noted herein).

9
Notices
Practitioners and researchers must always rely on their own
experience and knowledge in evaluating and using any
information, methods, compounds, or experiments described
herein. Because of rapid advances in the medical sciences, in
particular, independent verification of diagnoses and drug
dosages should be made. To the fullest extent of the law, no
responsibility is assumed by Elsevier, authors, editors, or
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Printed in the United States of America

Last digit is the print number: 9 8 7 6 5 4 3 2 1

10
11
Dedication

Til James,

Min beste venn og evig ledsager. Jeg smil hver dag på grunn av
deg.
Your strength sustains me, your
love elevates me, and your faith inspires me.

To my greatest treasures:
Kristina, Matt, Jennifer, John, Michael, Natalie, Angela,
Blair and Jamers, Daniel, Dean, Maren, Evelyn, McKenzie,
Jakob, Anders, Alyssa, Margalit, and Porter
Your laughter brings me joy, your enthusiasm for learning is
contagious,
and your support and love for each other is the grandest example
of selfless service.
Thanks for reminding me to dream.

To my parents, Bill and Darhl Buchanan,

for sharing your wisdom and encouragement
in ways that strengthen and inspire me.

To Connie,
for your perseverance in collaborating with me
through four editions while keeping your sense of humor.

12
 And to the many medical professionals who elevate their
professions by serving with
humility, compassion, and a reverence for life.

LLK

Thank you to my family and friends whose guidance, love, and

support carried me through my most trying times.

I dedicate this book to:

My family, Mom, Dad, Brayden, Trinity, Grant, Scott,
Kendra, Colton, and Jayden,
who are my greatest blessings and who deeply enrichen my life
with laughter, joy, support, and true love. When I need you
most, you never fail to show up with a hug, smile, or words of
encouragement. Thank you for your understanding as I focused
much of my time working on this fourth edition.
You are my heart and soul and I love you dearly.

To Lorrie,
my friend and colleague for whom I have the utmost admiration.
What a true pleasure it has been to work with you all these years.
You truly kept me motivated and even when I was most
frustrated, you somehow made me laugh. You are amazing.

To my colleagues for their gifts of support and wisdom. And to

my clients and a group of extraordinary young women who
amaze me with their bravery and strength as they strive for
greater wellness in their lives. You are truly special.

And to the medical professionals who utilize this book in their

pursuit of knowledge to improve patient care and advance the
field of radiologic sciences.

CMP

13
Preface
Lorrie L. Kelley, Connie M. Petersen

This workbook is designed to complement the fourth edition of

Sectional Anatomy for Imaging Professionals and is intended to assist
and challenge students in reviewing the sectional anatomy and
concepts presented in the textbook. It offers a variety of practice
items, including anatomy identification, short answer, multiple
choice, true/false, matching, fill-in-the-blank, fill-in-the-table
exercises, and case studies. All chapters in this workbook
correspond with those from the text.
The most effective way to use this workbook is to read the
chapters in the textbook and then complete the review exercises
contained herein.

14
1

Introduction to
Sectional Anatomy
OBJECTIVES
1. Define the four anatomic planes.
2. Describe the relative position of specific structures within the
body using directional and regional terminology.
3. Identify commonly used external landmarks.
4. Identify the location of commonly used internal landmarks.
5. Describe the dorsal and ventral cavities of the body.
6. List the structures located within the four abdominal quadrants.
7. List the nine regions of the abdomen.
8. Describe the gray scale used in CT and MR imaging.
9. Describe multiplanar reformation, curved planar reformation,
shaded surface display, maximum intensity projection, and
volume rendering.
10. Differentiate between 2D and 3D images.

After reading Chapter 1, see if you can complete the following

problems.

MATCHING
15
Directional Terminology
Match each directional term to its correct description.

1. ______ Superior a. On the same side

2. ______ Inferior b. Near the body surface
3. ______ c. Toward the head
Anterior/ventral
4. ______ d. Above; at a higher level
Posterior/dorsal
5. ______ Medial e. Toward the front of the body
6. ______ Lateral f. Away from the midsagittal plane
7. ______ Proximal g. The sole of the foot
8. ______ Distal h. On the opposite side
9. ______ Superficial i. The fleshy part of the hand at the base of the thumb
10. ______ Deep j. Pertaining to the palm of the hand or flexor surface of wrist or sole
of foot
11. ______ k. Below; at a lower level
Cranial/cephalic
12. ______ Caudal l. Toward the back of the body
13. ______ Rostral m. Away from a reference point or source within the body
14. ______ Ipsilateral n. Toward the midsagittal plane
15. ______ Contralateral o. Farther into the body and away from the body surface
16. ______ Thenar p. Toward the nose
17. ______ Volar q. Toward a reference point or source within the body
18. ______ Palmar r. Toward the feet
19. ______ Plantar s. The front or palm of the hand

Regional Terminology
Match the region to its correct location.

1. ______ Abdominal a. Back of the knee

2. ______ Axillary b. Head
3. ______ Buccal c. Posterior surface of elbow area of the arm
4. ______ Cephalic d. Upper chest or breast
5. ______ Cubital e. Abdomen
6. ______ Gluteal f. Cheek
7. ______ Pectoral/mammary g. Spine

16
 8. ______ Pelvic h. Sternum
9. ______ Popliteal i. Pelvis
10. ______ Sternal j. Buttock
11. ______ Thoracic k. Chest
12. ______ Vertebral l. Armpit

FILL IN THE TABLE (See Table 1.3)

Fill in the blanks in the following table.

Internal Landmarks

Landmark Location
2.5 cm below jugular notch
Aortic bifurcation L4–L5
T4–T5, sternal angle
Carotid bifurcation
Celiac trunk 4 cm above transpyloric plane
Suprasellar cistern
Common iliac vein
bifurcation
T12 to L1, L2
Heart: apex Fifth intercostal space, left midclavicular line
Heart: base Level of second and third costal cartilages behind sternum
4 cm above bifurcation of abdominal aorta
Portal vein
Anterior to L1, inferior to superior mesenteric artery
Superior mesenteric artery
Thyroid cartilage
Midway between superior and inferior border of thyroid
cartilage

SHORT ANSWER
1. List and describe the four anatomic planes.

17
2. State the two main body cavities, and describe their divisions.

3. List three organs found in the right upper quadrant (RUQ).

4. List six of the nine regions of the abdomen.

5. Describe what the Hounsfield unit (HU) represents in CT.

6. What do CT numbers greater than zero represent?

7. What does the gray scale represent in MRI?

8. Describe maximum intensity projection.

18
9. Describe volume rendering.

10. List the four planes that divide the abdomen into nine regions.

19
2

Cranium and Facial

Bones
OBJECTIVES
1. Differentiate between the three cranial fossae.
2. Identify the location and unique structures of each cranial and
facial bone.
3. Identify the structures of the external, middle, and inner ear, and
describe their functions.
4. Identify the cranial sutures.
5. Describe the six fontanels within the infant cranium.
6. Describe the structures that comprise the temporomandibular
joint.
7. Identify the location of each paranasal sinus and the meatus into
which it drains.
8. Identify the structures of the osteomeatal unit.
9. Identify the bones that form the orbit and their associated
openings.
10. Describe the structures that comprise the globe of the eye.
11. List the muscles of the eye, and describe their functions and
locations.

20
After reading Chapter 2, see if you can complete the following
problems.

MATCHING
Match each cranial bone to its corresponding feature.

1. ______ Parietal a. Foramen ovale

2. ______ Occipital b. Carotid canal
3. ______ Frontal c. Orbital plate
4. ______ Temporal d. Clivus
5. ______ Sphenoid e. Cribriform plate
6. ______ Ethmoid f. Sides of the cranium

TRUE/FALSE
Circle either True or False for each of the following statements.

True/False 1. The largest immovable facial bone is the mandible.

True/False 2. The temporomandibular joint (TMJ) is formed by the condyloid process, the
mandible, and the mandibular fossa of the temporal bone.
True/False 3. The maxillary sinuses drain into the inferior nasal meatus.
True/False 4. There is typically only one sphenoid sinus.
True/False 5. The ethmoid bulla is part of the osteomeatal unit.
True/False 6. The inner ear is normally fluid filled.
True/False 7. The vestibule is a structure of the inner ear that controls hearing.
True/False 8. The temporal bone forms part of the bony orbit.
True/False 9. The lacrimal gland is located in the inferior medial portion of the orbit.
True/False 10. A function of the oblique muscle group is to rotate the eyeball.

FILL IN THE BLANKS

Fill in the blank spaces in the following sentences.
1. Located within the basilar turn of the cochlea is the
_________________________________________.
2. The _____________________________ is located at the junction of

21
 the brainstem and spinal cord.
3. The basilar portion of the occipital bone is termed the
______________________________________.
4. The zygomatic process extends from the ____________bone.
5. The ________________________ bone is shaped like a butterfly
and extends across the entire floor of the middle cranial fossa.
6. Located on the lateral surface of the ramus is the
____________________________ muscle, which elevates the
mandible.
7. The ________________________ forms the inferior portion of the
bony nasal septum.
8. The ________________________ creates the anterior boundary of
the temporomandibular joint, preventing forward displacement
of the mandibular condyle.
9. The ethmoid notch of the frontal bone articulates with the
________________________ of the ethmoid bone.
10. The anterior portion of the sella turcica is termed the
________________________.
11. One of the largest of the ethmoid air cells (ethmoid sinuses) is
the ________________________.
12. The greater wings of the sphenoid bone contain three paired
foramina termed the _____________, ______________, and
______________.
13. The articular disk of the TMJ is attached to the medial and
lateral surface of the mandibular condyle by the
____________________________________.

FILL IN THE TABLE (See Table 2.3)

Fill in the blanks in the following tables.

Paranasal Sinus Drainage Location

22
Sinus Drainage Location

Ethmoid: anterior Middle nasal meatus

Ethmoid: posterior
Maxillary Middle nasal meatus
Sphenoid
Frontal

FILL IN THE TABLE (See Table 2.2)

Write in an answer next to the “x” in the following table.

Foramina and Fissures of the Skull

Bone Foramen/Fissure Major Structures Using Passageway

Frontal Supraorbital foramen (or notch) x _____________________________________

Frontal foramen (or notch) x _____________________________________
x ________________ Cribriform plate Olfactory nerve (I)
Sphenoid Foramen rotundum x _____________________________________
Foramen ovale Mandibular branch of trigeminal nerve (V)
Foramen spinosum Middle meningeal artery
Pterygoid canal x _____________________________________
x ______________________________ Optic nerve and ophthalmic artery
Superior orbital fissure Oculomotor nerve (III), trochlear nerve (IV),
ophthalmic branch of trigeminal nerve
(V), abducens nerve (VI), ophthalmic vein
Sphenoid and Inferior orbital fissure x _____________________________________
maxillary bones
Occipital Foramen magnum x _____________________________________
Hypoglossal canal Hypoglossal nerve (XII)
Temporal x ______________________________ Internal carotid artery
External auditory meatus Air in canal conducts sound to tympanic
Internal auditory canal membrane
Stylomastoid foramen and facial x _____________________________________
nerve canal x _____________________________________
Temporal and Jugular foramen Internal jugular vein, glossopharyngeal nerve
occipital bones (IX), vagus nerve (X), and accessory nerve
(XI)
Temporal, sphenoid, x ______________________________ Fibrocartilage, internal carotid artery as it
and occipital leaves carotid canal to enter cranium,
bones nerve of pterygoid canal, and a meningeal
branch from the ascending pharyngeal
artery
Maxillary x ______________________________ Infraorbital nerve and maxillary branch of

23
 trigeminal nerve (V)
Lacrimal with Lacrimal groove, nasolacrimal canal x _____________________________________
maxilla
Mandible Mental foramen x _____________________________________

SHORT ANSWER
1. Describe the superior orbital fissure.

2. Describe the mastoid antrum.

3. List the structures of the middle ear.

4. List the structures of the inner ear, and describe their function.

5. List the cranial bones that are joined together by the squamous
suture.

6. Describe the anterior fontanel.

24
7. Describe the parts of the hard palate.

8. Describe the anterior and posterior compartments of the globe of

the eye and what each compartment contains.

IDENTIFY
1. On Figure 2.19, sagittal CT reformat of the occipital bone, label
the following structures.
a. _____________________________________
b. _____________________________________
c. _____________________________________
d. _____________________________________

2. On Figure 2.33, axial CT of the temporal bone, label the following

structures.
a. _____________________________________
b. _____________________________________
c. _____________________________________
d. _____________________________________
e. _____________________________________

25
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Nov
12095 Walder John Cav 5L
19
12098 Wider N H 184 Nov
 F 19
Nov
12123 Weatherald H W 7H
22
101 Nov
12129 Webb C M, Ser
H 23
145 Dec
12222 Williams J
A 4
Nov
12137 Wood J M 2A
23
184 Jan
12380 Watson H 65
A 2
Jan
12485 Williams B 75 B
19
Jan
12493 Walker N C 87 B
20
103 Oct
10158 Van Dyke D L 64
A 1
Nov
11810 Vanmarkes D 6E
4
Nov
12154 Vanhatterman I 4G
25
July
3958 Vogle V 78 D
25
July
3799 Yocumbs W B 93 B
22
Aug
4900 Yocum D Cav 1M
6
Aug
6103 Yingling E 78 E
18
158 Aug
6545 Yeager Samuel
D 23
49 Oct
10204 Young J B
G 2
145 Oct
11040 Young W H
F 17
11872 Yeager J 49 C Nov
6
June
1806 Zerphy J 79 E
10
148 July
4255 Zimmerman B
B 29
Aug
6573 Zane Wm 19 K
23
103 Aug
4818 Zerl S
F 25
118 Oct
11327 Zane M
E 23
Total 1808.
 RHODE ISLAND.
Austin J A, S’t 1 July
3266 Cav 64
H 13

1 Aug
6231 Allen Chas “
D 21
1 June
1744 Boneley Wm “
M 8
1 June
1958 Bidmead Jas “
G 14
1 June
2521 Blake J F “
M 26
1 July
3647 Burk Jas
C 20
2 July
4261 Bether J
C 29
5 Aug
4576 Baine H
A 2
1 May
1339 Carpenter P Cav
E 24
1 May
1413 Carson B F “
K 27
- July
3810 Callihan Jas Bat
- 23
5 Sept
7966 Calvin E O, Cor Art
A 6
1 Apr
12832 Collins J H Cav 65
A 16
Delanah E B, 1 Apr
651 “ 64
S’t G 20
1217 Dix Geo “ 1 May
M 19
1 May
1435 Dickinson J, S’t “
K 28
1 July
3036 Dearborn G “
- 8
1 Aug
4742 Durden Robert “
F 5
2 Aug
4927 Doolittle G S Art
B 6
5 Aug
5670 Doyle Jas “
A 14
1 May
827 Eustace Geo C Cav
M 1
5 Oct
10203 Eaton A Art 64
A 1
1 May
939 Freelove H Cav
H 7
1 Aug
4538 Farrell Jas F Art
A 2
2 Aug
4672 Fay John
G 4
5 Aug
7356 Fay A Art
A 31
5 June
1866 Goudy John “
A 12
5 Aug
4866 Gallagher C
A 6
5 Aug
5561 Garvey Wm Art
A 13
2 Sept
8308 Green R
B 10
9978 Green Daniel 2 Sept
 H 29
1 May
1075 Henry T Cav
F 13
1 June
2656 Healy A “
D 29
1 July
2746 Hunt C W “
A 1
5 July
3904 Hampstead J Art
F 24
1 Aug
7032 Hooker A Cav
G 27
5 Nov
11843 Hawkins D F
A 5
5 Nov
12016 Hanley T Art
A 15
1 June
1962 Ide S R Cav
H 14
5 July
3049 Johnson A G Art
A 8
1 July
2968 Kettell Jas Cav
B 6
2 July
3096 Kiney J
B 20
5 July
4215 Lewis Edward Art
A 29
5 Aug
5827 Littlebridge, Cor “
A 16
5 Aug
6798 Lee Cornelius “
A 25
1 Sept
7849 Leach L D Cav
F 5
Livingston J, 5 Oct
11688 A
Mus A 31
1750 Miner S Cav 1 June
D 9
2 Aug
7393 McKay Thos
F 31
3 Sept
8306 McKenna J Art
- 10
1 July
3192 Northrop E Cav
H 12
5 Sept
7904 Navoo G
K 5
1 Apr
607 Peterson John
D 18
1 Aug
7219 Rathburn J Cav
A 29
1 June
2382 Sweet M “
D 23
1 June
2563 Spink J “
H 27
Slocum Geo T, 1 July
2859 C
2 Lt A 4
1 July
4158 Smith P Cav
A 28
1 Aug
4949 Stalord J Bat
A 7
5 Aug
6186 Sisson Chas T Art
A 19
5 Aug
6187 Seymour H “
A 19
5 Aug
6351 Sullivan J “
A 21
5 Aug
7129 Sanders Chas “
A 28
7425 Slocum C A, “ 5 Aug