Radiographic Positioning Quiz

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- The PA projection always uses a lower kilovoltage.
- The heart is closer to the image receptor in the PA position.
- The PA position places the lungs farther from the image receptor.
- The central ray enters the chest at a steeper angle.
- T7, near the inferior angles of the scapulae
- T3, near the upper sternum
- T12, near the lower thoracic margin
- C7, at the vertebra prominens
- The lesser tubercle is shown in profile medially.
- The greater tubercle is shown in profile laterally.
- The humeral epicondyles are perpendicular to the image receptor.
- The scapular body is completely free of the ribs.
Radiographic Positioning Quiz - Description and methodology of the test
For learners reviewing routine radiographic technique, this radiographic positioning quiz offers a focused check before study or supervised practice. Students and practitioners can use the result to identify weak areas, prioritize revision, and decide which concepts need another pass. The radiology positioning quiz format turns each response into a prompt for targeted recall and reflection.
What This Assessment Measures
The questions focus on routine skeletal, chest, abdominal, and spine imaging. They cover rotation, alignment, centering, side placement, decubitus selection, and the anatomical relationships that affect how structures appear. The result reflects positioning knowledge, not hands-on performance with a patient or imaging system.
Three content groups organize the assessment:
- Projection geometry and central-ray choices connect the requested view with beam direction, centering level, and receptor relationship.
- Patient and part positioning show whether you can identify rotation, support, limb placement, and alignment needed for a useful projection.
- Anatomy and image evaluation show whether you can anticipate expected appearances and spot errors such as separated condyles or unwanted superimposition.
The radiographic positioning test reports one scale, Radiographic Positioning Knowledge (0-16): Foundations to review (0-6), Developing knowledge (7-12), and Strong knowledge (13-16). The labels summarize educational knowledge, not clinical competence.
Methodology and Evidence Base
Each item presents a positioning scenario with four answer choices, testing recognition and application of projection principles rather than open-ended recall. The quiz reports a displayed total and three result bands; because no item-level weighting rule is stated, the score should be read through those categories rather than reverse-engineered.
Methodologically, it is an online educational questionnaire; the published books and studies used for comparison do not validate this specific quiz. Its principles are conceptually consistent with Bontrager's Textbook and with the procedural approach in the 16th edition of Merrill's Atlas by Bruce W. Long, Jeannean Hall Rollins, and Barbara J. Smith. Ballinger and Glassner provide a competency-oriented reference point, while Miller, Schmid, and Abbey examine simulation and image-evaluation performance; these sources do not validate this online quiz.
Learners can use it for radiographic positioning practice by checking recall of projection setup, reviewing positioning decisions, and identifying topics to revisit before supervised work. The score is an unvalidated educational summary, and its bands do not establish clinical competence; local protocols, equipment guidance, patient precautions, and qualified supervision remain necessary.
- Lampignano J, Kendrick LE. Textbook of Radiographic Positioning and Related Anatomy. 11th ed. Elsevier; 2025. ISBN 9780323936132.
- Rollins JH, Curtis T. Merrill's Atlas of Radiographic Positioning and Procedures. 16th ed. Elsevier; 2025. ISBN 9780443120411.
- Ballinger PW, Glassner JL. Positioning competencies for radiography graduates. Radiologic Technology. 1998;70(2):181-196.
- Miller EM, Schmid KK, Abbey BM. The effect of non-immersive virtual reality radiographic positioning simulation on first-year radiography students' image evaluation performance. Radiography. 2024;30(4):1180-1186. 10.1016/j.radi.2024.05.011
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