Chest and Abdomen Quiz

Question 1

What are the routine view for a chest series?

Answer 1

PA chest and Left Lateral Chest

Question 2

Why does the chest view have to be PA?

Answer 2

to put the heart closest to the film

Question 3

Why does the lateral view have to be a LEFT lateral?

Answer 3

to put the heart closest to the film

Question 4

What are the routine views for an abdomen series?

Answer 4

Recumbent AP abdomen and Upright AP abdomen

Question 5

Why is the distance for a chest series 72”?

Answer 5

to help prevent heart magnification

Question 6

What way should the ID marker be oriented?

Answer 6

must be UP to keep it out of anatomy

Question 7

To make sure a patient took in a deep enough breath, you should be able to count how many anterior and posterior ribs?

Answer 7

7 anterior ribs and 10 posterior ribs

Question 8

To make sure you used enough kVp, you should only be able to count how many thoracic vertebrae?

Answer 8

the first four thoracic vertebrae

Question 9

What are the breathing instructions for a chest series?

Answer 9

Inhale and hold This fills the lungs up with air for better evaluation

Question 10

What are the additional chest views?

Answer 10

Apical Lordotic and Deubitis

Question 11

What does an apical lordotic view do to the lung fields?

Answer 11

it removes clavicles from the lung fields for evaluation of the lung apices

Question 12

What does decubitus view evaluate for?

Answer 12

done to evaluate air fluid levels in the chest

Question 13

Why does a decubitus view have to have a beam that is parallel to the floor?

Answer 13

because if not, the image will be distorted

Question 14

What side is put down in a decubitus view?

Answer 14

put side with suspected fluid down

Question 15

What does the abdomen view evaluate for?

Answer 15

to evaluate air fluid levels in the abdomen as well as the organs inside

Question 16

What is the AKA for an abdomen view?

Answer 16

KUB (kidney, ureter, bladder); a scout film

“flat plate”

Question 17

What does AP upright have to include?

Answer 17

the diaphragm

Question 18

What does AP recumbent have to include?

Answer 18

the bladder

Question 19

What distance is the Abdomen view set at?

Answer 19

40”

Question 20

Why does a chest radiography require high kVp?

Answer 20

to adequately demonstrate subtle lung markings

Question 21

Where should the bucky be placed on a PA chest?

Answer 21

1 1/2 inches above VP

Question 22

What is an instruction to tell the patient for a PA chest view? (HINT: it will move anatomy out of the way)

Answer 22

Have the patient roll their shoulders forward

Question 23

What are the breathing instructions for a PA chest?

Answer 23

DEEP INSPIRATION and hold

take one deep breath, breathe out, and then take another deep breath and hold

Question 24

Does a PA chest require a filter?

Answer 24

NO filter!

Question 25

How should the lung markings look on an Optimal PA chest?

Answer 25

lung markings are “crisp”/ not “fuzzy”

Question 26

In a PA chest, what anatomy should be included?

Answer 26

top of apices to bottom of costophrenic angles (ca); ca’s should be seen and ID blockers should be away from that area)

Question 27

How should a patient be positioned in a left lateral chest?

Answer 27

Left side against the bucky and arms extended overhead

Question 28

What are the most common radiographic exams performed on ped patients and toddlers?

Answer 28

chest, abdomen, bone survey, and extremities

Question 29

In an apical/lordotic chest view, what are two ways to set up a patient?

Answer 29

chest is tipped and CR is directed perpendicularly to film

chest is parallel to film and CR is tilted 15 degrees cephalic

Question 30

CHEST DOES NOT EQUAL _____ __________.

Answer 30

“bony thorax”

Question 31

T/F: deep inspiration is somewhat necessary to demonstrate lungs ability to aerate

Answer 31

false, it is ABSOLUTELY necessary

Question 32

In a recumbent AP abdomen, what has to be included within the bottom of the film?

Answer 32

top of pubic symphysis (bottom of film at greater trochanters)

Question 33

what are the breathing instructions for a recumbent AP abdomen?

Answer 33

Exhale and Hold

Question 34

Where should the top of the cassette be in an Upright AP abdomen be?

Answer 34

at axilla level (CR approximately 2” above crest)

Question 35

When should you expose a patient in an upright AP abdomen?

Answer 35

expose on expiration

Question 36

T/F: its usually normal to see air under the left hemi-diaphragm (megan blas)

Answer 36

TRUE

Question 37

T/F: a right lateral decubitus abdomen view may be taken in place of the upright

Answer 37

FALSE, left lateral decubitus

Question 38

Why do you expose on expiration?

Answer 38

because it raises the diaphragm and makes the abdomen thinner requiring less exposure

Question 39

When should gonad shields be used?

Answer 39

on MALES ONLY if it does not interfere with anatomy