APC: Chest Xray

Question 1

radiolucency

Answer 1

normal dark pattern usually from air

Question 2

radiodense or radiopaque

Answer 2

white from solid, fluid, or bones

Question 3

diffuse

Answer 3

spread throughout, scattered, and patchy

Question 4

full ——– may be used to help identify ————–

Answer 4

exhalation

pneumothorax

Question 5

what is RIP?

Answer 5

Rotation
Inspiration
Penetration

Question 6

rotation

Answer 6

determined by the clavicles and apices of the lungs

Question 7

inspiration

Answer 7

should see 6 anterior and 10 posterior ribs on full inspiration

Question 8

penetration

Answer 8

should see vertebral bodies behind the heart

Question 9

underpenitration

Answer 9

underexposed
unable to see vertebral bodies
whiter than normal

Question 10

overpentitration

Answer 10

overexposed

vertebral bodies too clear and lungs appear too dark

Question 11

what is the systematic review?

Answer 11

Airway (trachea)
breathing (lungs)
cardiac and mediastinum (heart)
diaphragm
ett

Question 12

dense or patchy consolidation

unilateral, multilobar, or bilateral ( may contain bronchograms)

Answer 12

pneumonia

Question 13

concave superior interface
blunting of costophrenic angles
loss of cardio phrenic angles (cardiac silhouette)
trachea shift to opposite side

Answer 13

pleural effusion

Question 14

cardiomegaly
consolidation
bat wing/butterfly
kerely b lines

Answer 14

pulmonary edema

Question 15

loss/absent lung markings
visible pleural line
deep sulcus sign

Answer 15

pneumothorax

Question 16

dense white shadows that obscure the outline of the heart or diaphragm

Answer 16

silhouette sign

Question 17

patchy or plate-like density from lobar collapse
hilar or diaphragm displacement
veil/sail/patchy
a mediastinal shift toward the collapsed area

Answer 17

atelectasis

Question 18

white from top to bottom
reticulogranular pattern
ground glass
honey comb

Answer 18

ARDS

Question 19

radiolucent lung fields with bilateral flattened diaphragms

Answer 19

COPD

Question 20

scattered dark patches of air throughout soft tissues

seen in shoulders and neck

Answer 20

subcutaneous emphysema

Question 21

use a pulmonary angiogram for diagnosis

Answer 21

pulmonary embolism

Question 22

white round opacities

calcium deposits

Answer 22

nodules

Question 23

eggshell opacities in peripheral or pleural space

tb/silicosis/asbestosis

Answer 23

calcificaitons

Question 24

thick walled opacities with lucent center

tb or certain funguses

Answer 24

cavitations

Question 25

further evaluate abnormalities

detects tumors, pe, aortic aneurysm, stage lung cancer

Answer 25

thoracic ct

Question 26

evaluate/ detect bleeding

aneurysm, stroke, tbi, tumours

Answer 26

head ct

Question 27

evaluate heart/lungs for pathology

Answer 27

thoracic mri

Question 28

radioactive tracer injected into pt

Answer 28

pet scan

Question 29

detects P.E.

Answer 29

V/Q scan

Question 30

diagnostic ultrasound used as a rapid bedside method
used to detect pneumothorax, pleural/pericardial effusion, masses, atelectasis
also called eFast

Answer 30

transthoracic ultrasound`

Question 31

absent gliding

Answer 31

pneumothorax

Question 32

identifies and measures cardiac valve abnormalities

Answer 32

echocardiography