CAMRT Radiography Practice Exam

What routine can be employed to assist in diagnosing whiplash injuries?

1. AP and lateral positions

2. Hyperflexion and hyperextension lateral positions

3. Lateral and oblique positions

4. PA projections

The correct answer is: Hyperflexion and hyperextension lateral positions

The hyperflexion and hyperextension lateral positions are particularly useful for diagnosing whiplash injuries because they provide clear visualization of the cervical spine's range of motion and any potential abnormalities. Whiplash injuries often involve soft tissue damage, including musculature and ligamentous structures, as well as possible spinal alignment issues. By utilizing hyperflexion and hyperextension views, radiographers can highlight the motion and any resultant changes in the cervical spine's curvature or alignment that may not be apparent in standard AP and lateral views. This enhanced visualization is crucial in assessing whether there is any abnormal movement or instability in the vertebrae that could indicate a more severe injury. In contrast, standard AP and lateral positions primarily provide a static view of the cervical spine, which may miss dynamic factors related to whiplash. Similarly, lateral and oblique positions would not specifically demonstrate the active range of motion, and PA projections would predominantly focus on the anterior structures without providing sufficient information regarding cervical stability during movement. Therefore, hyperflexion and hyperextension lateral positions are the optimal choice for evaluating whiplash injuries.