Chest and Abdomen Quiz Flashcards
What are the routine view for a chest series?
PA chest and Left Lateral Chest
Why does the chest view have to be PA?
to put the heart closest to the film
Why does the lateral view have to be a LEFT lateral?
to put the heart closest to the film
What are the routine views for an abdomen series?
Recumbent AP abdomen and Upright AP abdomen
Why is the distance for a chest series 72”?
to help prevent heart magnification
What way should the ID marker be oriented?
must be UP to keep it out of anatomy
To make sure a patient took in a deep enough breath, you should be able to count how many anterior and posterior ribs?
7 anterior ribs and 10 posterior ribs
To make sure you used enough kVp, you should only be able to count how many thoracic vertebrae?
the first four thoracic vertebrae
What are the breathing instructions for a chest series?
Inhale and hold This fills the lungs up with air for better evaluation
What are the additional chest views?
Apical Lordotic and Deubitis
What does an apical lordotic view do to the lung fields?
it removes clavicles from the lung fields for evaluation of the lung apices
What does decubitus view evaluate for?
done to evaluate air fluid levels in the chest
Why does a decubitus view have to have a beam that is parallel to the floor?
because if not, the image will be distorted
What side is put down in a decubitus view?
put side with suspected fluid down
What does the abdomen view evaluate for?
to evaluate air fluid levels in the abdomen as well as the organs inside
What is the AKA for an abdomen view?
KUB (kidney, ureter, bladder); a scout film
“flat plate”
What does AP upright have to include?
the diaphragm
What does AP recumbent have to include?
the bladder
What distance is the Abdomen view set at?
40”
Why does a chest radiography require high kVp?
to adequately demonstrate subtle lung markings
Where should the bucky be placed on a PA chest?
1 1/2 inches above VP
What is an instruction to tell the patient for a PA chest view? (HINT: it will move anatomy out of the way)
Have the patient roll their shoulders forward
What are the breathing instructions for a PA chest?
DEEP INSPIRATION and hold
take one deep breath, breathe out, and then take another deep breath and hold
Does a PA chest require a filter?
NO filter!
How should the lung markings look on an Optimal PA chest?
lung markings are “crisp”/ not “fuzzy”
In a PA chest, what anatomy should be included?
top of apices to bottom of costophrenic angles (ca); ca’s should be seen and ID blockers should be away from that area)
How should a patient be positioned in a left lateral chest?
Left side against the bucky and arms extended overhead
What are the most common radiographic exams performed on ped patients and toddlers?
chest, abdomen, bone survey, and extremities
In an apical/lordotic chest view, what are two ways to set up a patient?
chest is tipped and CR is directed perpendicularly to film
chest is parallel to film and CR is tilted 15 degrees cephalic
CHEST DOES NOT EQUAL _____ __________.
“bony thorax”
T/F: deep inspiration is somewhat necessary to demonstrate lungs ability to aerate
false, it is ABSOLUTELY necessary
In a recumbent AP abdomen, what has to be included within the bottom of the film?
top of pubic symphysis (bottom of film at greater trochanters)
what are the breathing instructions for a recumbent AP abdomen?
Exhale and Hold
Where should the top of the cassette be in an Upright AP abdomen be?
at axilla level (CR approximately 2” above crest)
When should you expose a patient in an upright AP abdomen?
expose on expiration
T/F: its usually normal to see air under the left hemi-diaphragm (megan blas)
TRUE
T/F: a right lateral decubitus abdomen view may be taken in place of the upright
FALSE, left lateral decubitus
Why do you expose on expiration?
because it raises the diaphragm and makes the abdomen thinner requiring less exposure
When should gonad shields be used?
on MALES ONLY if it does not interfere with anatomy
