Chest Flashcards
Why do you do a chest PA Erect at 180 cm SID?
reduce heart magnification
What is the purpose of performing the chest in the erect position?
Show Air Fluid Levels
The CR for a chest:
T7 (inferior angle of scapula)
breathing command: second deep inspiration
Identify a specific letter or number
Right 6th posterior rib
Aortic Arch
When evaluating a routine projection of the PA chest when looking for rotation should be all of the following except:
the medial ends of the clavicle be
equal distance from the spine to look for rotation
Scapula outside of the lung field (YES)
Shoulders rolled forward (YES)
Count 9-10 anterior ribs above the diaphragm (NO)
Count 9-10 anterior ribs above the diaphragm
10 posterior ribs
The CR for the lateral chest:
Level of T7
Can you look at a lateral chest x-ray and see if it is rotated or not:
Where are the structures?
anterior to posterior
Heart, Trachea, Esophagus, Spine
Anterior to Posterior
Spine, Trachea, Esophagus, Heart
Posterior to Anterior
What is the purpose of performing the chest in the lordotic position?
trying to show the apices without superimposition
What is the purpose of performing the lordotic chest x-ray?
Show the apicies without superimposition
Endotracheal tube ET tube should not extend past the level of:
Carina
The mainstem bronchus bifurcates at the level of the:
Carina
At what level does the carina bifercate?
T5-T6 interspace
Which mainstem bronchus is higher and more vertical?
Right Side
How high above should the tip of the ET tube be placed above the level of the carina?
5 cm
If you want to best demonstrate where the air is?
Put that lung up
If you best want to demonstrate a right sided pleural effusion what decubitus should you do?
Right Lateral Decubitus
If you best want to demonstrate a right sided pneumothorax which decubitus would you perform?
Left Lateral Decubitus
Which of the following would best take the place of air fluid levels if the patient cannot sit or stand erect?
right lateral decubitus
left lateral decubitus
Decubitus
PA/AP Ribs above the diaphragm are performed on:
Inspiration
PA/AP Ribs below the diaphragm are performed on:
Expiration
The posterior obliques demonstrate:
axillary portion of the ribs closest to the IRW
When the patient is facing the x-ray tube Right Posterior Oblique Position you best demonstrate:
The right axillary portion of the ribs
When the patient is facing the x-ray tube the Left posterior oblique position you best demonstrate:
The left axillary portion of the ribs
In the RAO position you best demonstrate the:
left axillary portion
Which two obliques will best demonstrate the left axillary portion of the ribs?
LPO and RAO
In the lateral sternum the SID:
180 cm SID because of OID
The very top of the sternum is the:
manubrium
The body of the sternum is the:
Gladdoulus
The tip of the xiphoid process:
bottom of the sternum
RAO sternum:
15-20 degree oblique
If you have a smaller patient for the sternum:
20 degrees
If you have a bigger patient for the sternum:
15 degrees
What is the purpose of performing an RAO in the anterior oblique position?
Project the sternum through the homogenous heart shadow
Patient Bare Down like you are going to have a bowel movement:
Valsava maneuver
What is the most common reason the valsava maneuver is performed?
Esophageal Varicies
