Chest Test Flashcards
Which of the following best describes the central ray direction on the lateral decubitus chest projection? Choose all that apply.
a.) 3” to 4” below the jugular notch
b.) T3
c.) 2” to 3” below jugular notch
d.) T7
a.) 3” to 4” below the jugular notch
d.) T7
which of the following evaluation criteria should be demonstrated on AP lordotic chest projection? Choose all that apply.
a.) Clavicles should be above apices
b.) medial aspect of clavicles superimposed by first ribs
c.) posterior ribs will appear horizontal
d.) sternal ends of clavicles same distance from vertebra column
a.) clavicles should be above apices
b.) medial aspect of clavicles superimposed by first ribs
c.) posterior ribs will appear horizontal
d.) sternal ends of clavicles same distance from vertebra column
-all answers are correct
Which of the following best decribes the CR for PA chest projection?
a.) CR is angled caudad
b.) CR is perpendicular to IR
c.) CR is angled cephalad
d.) IR is not centered to CR
b.) CR is perpendicular to IR
Which of the following evaluation criteria are demonstrated on the lateral decubitus chest radiograph? Choose all that apply.
a.) entire lungs
b.) apices
c.) only one costophrenic angle
d.) both lateral borders of the ribs
a.) entire lungs
b.) apices
d.) both lateral borders of the ribs
What is the central ray using the vertebra prominens on a male patient for PA chest projections?
a.) 5”
b.) 6”
c.) 7”
d.) 8”
d.) 8”
Where is the central ray directed on lordotic chest projections? Choose all that apply.
a.) central is perpendicular to IR
b.) centered to midsternum
c.) centered 3” to 4” below jugular notch
d.) CR is centered 2” below jugular notch
a.) central is perpendicular to IR
b.) centered to midsternum
c.) centered 3” to 4” below jugular notch
How high should the IR be placed above the shoulders for PA chest projection?
a.) 1/2”
b.) 1’’
c.) 1 1/2” to 2”
d.) 3”
c.) 1 1/2” to 2”
Which of the following best describes the patient postion for lordotic chest x ray?
a.) patient should be standing 1 foot away from IR leaning back
b.) patient should be standing 1/2” away from IR leaning back
c.) patient should be standing 3” away from IR leaning back
d.) patient should be standing 3 feet away from IR leaning back
a.) patient should be standing 1 foot away from IR leaning back
The correct exposure on a chest radiograph should be made at the end of first inspiration.
a.) true
b.) false
b.) false
Which of the following is the correct CR level and inches for AP projection of the chest?
a.) CR level T7 and 3” to 4” below jugular notch
b.) CR to level T3 and 7” below jugular notch
c.) CR level T4 and 3” below jugular notch
d.) CR level T7 and 7” to 8” below jugular notch
a.) CR level T7 and 3” to 4” below jugular notch
The correct SID for all chest radiographs?
a.) 40’’
b.) 48’’
c.) 72’’
d.) 70”
c.) 72’’
Which of the following respirations is correct for AP chest radiographs?
a.) only one inspiration
b.) double inspiration
c.) expiration
d.) inspiration and expiration
b.) double inspiration
The central ray should be directed _____________ to teh midsternum for _____________.
a.) 15 to 20 degree cephalad; AP supine lordotic chest projection
b.) 5 to 10 degrees cephalad, decubitus chest projection
c.) 10 to 15 degrees caudad, oblique chest projection
d.) 15 to 20 degrees caudad, AP supine lordotic chest projection
a.) 15 to 20 degrees cephalad, AP supine lordotic chest projection
Which of the following evaluation criteria should be demonstrated on anterior oblique chest projection? Choose all that apply.
a.) hilum
b.) outline of diaphragm
c.) heart should appear sharp
d.) no motion
b.) outline of diaphragm
c.) heart should appear sharp
d.) no motion
When is a 60 degree oblique chese radiograph required?
a.) studies of the right lung
b.) studies of the left lung
c.) studies of the heart and great vessels
d.) studies of the hilum
c.) studies of the heart and great vessels
If patient has suspected amounts of air (pneumothorax) how should the patient be positioned?
a.) affected side should be down
b.) affected side should be up
c.) patient should be prone
d.) patient should be supine
b.) affected side should be up
which of the following evaluation criteria are best demonstrated on posterior oblique chest projections? Choose all that apply.
a.) decreased magnification of anterior diaphragm
b.) increased magnification of anterior diaphragm
c.) lungs appear shorter
d.) heart and great vessels appear larger
b.) increased magnification of anterior diaphragm
c.) lungs appear shorter
d.) heart and great vessels appear larger
On the lateral decubitus chest radiograph if the patient has possible pleural effusion how should the patient be positioned?
a.) suspected side up
b.) suspected side down
c.) suspected side should be supine
d.) suspected side should be prone
b.) suspected side down
Which of the following is the correct SID for AP chest radiograph?
a.) 40’’
b.) 48’’
c.) 72’’
d.) 36’’
c.) 72’’
Which of the following evaluation criteria is demonstrated on PA chest projection? Choose all that apply.
a.) both lungs from apices to costophrenic angles
b.) air filled trachea
c.) hilum markings
d.) heart
a.) both lungs from apices to costophrenic angles
b.) air filled trachea
c.) hilum markings
d.) heart
- all are correct
Which of the follwoign is correct regarding part position for a PA chest radiograph? Choose all that apply.
a.) align midsagital plane with CR
b.) ensure rotation
c.) center to level of T7
d.) Top of IR should be 1’’ above the top of shoulders
a.) align midsagital plane with CR
c.) center to level of T7
Which of the following best describes the part position of the posterior oblqiue projection of the chest ? Choose all that apply.
a.) top of IR 2’’ above the vertebra prominens
b.) top of IR 1’’ above vertebra prominens
c.) 5’’ above level of jugular notch
d.) 4’’ above level of jugular notch
b.) top of IR 1’’ above vertebra prominens
WHat is the correct rotation for the oblique chest projection?
a.) 20 degrees
b.) 30 degrees
c.) 40 degrees
d.) 45 degrees
d.) 45 degrees
To evaluate a 45 degree rotation on anterior oblique chest projection. The distance from the outer margin of the ribs to the vertebral column on the side _________ from the IR should be approximately _________ times the distance of the side clsest to the IR.
a.) closest, three
b.) fartherest, two
c.) closest, one
d.) fartherest, three
b.) fartherest, two
How far above the shoulders should the IR be placed for the lordotic chest projection?
a.) 1’’
b.) 1 1/2’’ to 2’’
c.) 3’’
d.) 4’’
c.) 3’’
Which of the following evaluation criteria should be included on the lordotic chest projection? Choose all that apply.
a.) entire lung fields
b.) only apices should be included
c.) clavicles should be included
d.) clavicles should not be seen
a.) entire lung fields
c.) clavicles should be included
Which of the following criteria are demonstrated on the anterior oblique projections? Choose all that apply.
a.) air filled trachea
b.) great vessels
c.) hilum
d.) costophrenic angles
a.) air filled trachea
b.) great vessels
d.) costophrenic angles
Which of the following are best demonstrated on the lateral projection of the chest? Choose all that apply.
a.) patient erect, left side against IR
b.) arms raised above head
c.) chin up
d.) central ray is centered to midthorax at T7
a.) patient erect, left side against IR
b.) arms raised above head
c.) chin up
d.) central ray is centered to midthorax at T7
- all are correct
Which of the following are correct patient positions for PA chest projection. Choose all that apply.
a.) Patient should be erect
b.) feet spread slightly
c.) chin should be down
d.) hands on hips palms out with elbows flexed
e.) rotate shoulders forward and depress shoulders
a.) patient should be erect
b.) feet spread slightly
d.) hands on hips palms out with elbows flexed
e.) rotate shoulders forward and depress shoulders
The only differences between PA erect chest and PA stretcher chest is the arms are wrapped around wallboard/cassette.
a.) true
b.) false
a.) true
Which of the following evaluation criteria are best visualized with 60 degree LAO chest projections? Choose all that apply.
a.) great vessels
b.) heart outline
c.) hilum
a.) great vessels
b.) heart outline
c.) hilum
Which of the following best describes the reason lordotic chest radiographs are ordered by a physician?
a.) Place clavicles well above the apices of the lungs. in order to rule out masses or calcifications under the clavicles
b.) no special reason
c.) place clavicles down into lungs
d.) see diaphragm
a.) place clavicles well above the apices of the lungs. In order to rule out masses or calcifications under the clavicles
Exposure should be made at the end of full expiration on lateral decubitus chest.
a.) true
b.) false
b.) false
What is the degree of rotation used to demonstrate pulmonary disease on the anterior oblique projections?
a.) 5 to 10 degrees
b.) 45 degrees
c.) 60 degrees
d.) 15 to 20 degrees
d.) 15 to 20 degrees
Patient should be placed on radiopaque pad for lateral decubitus chest.
a.) true
b.) false
b.) false
Which of the following evaluation criteria are best demonstrated on the lateral chest projection? Choose all that apply.
a.) entire lungs
b.) sternum anteriorly to posterior ribs and thorax posterior
c.) chin and arms should be down
d.) posterior ribs and costophrenic angle on side away from IR
a.) entire lungs
b.) sternum anteriorly to posterior ribs and thorax posterior
d.) posterior ribs and costophrenic angle on side away from IR
Which of the following is the correct SID for decubitus chest radiograph?
a.) 36’’
b.) 40’’
c.) 72’’
d.) 70’’
c.) 72’’
Where is the top of the IR placed for the anterior oblique chest projections?
a.) 1/2’’
b.) 1’’
c.) 1 1/2’’
d.) 2’’
b.) 1’’
What is the correct central ray using the vertebra prominens on a female patient?
a.) 5’’
b.) 6’’
c.) 7’’
d.) 8’’
c.) 7’’
Which of the following evaluation criteria is best demonstrated on PA chest radiograph? Choose all that apply.
a.) chin is elevated to prevetn superimposition of apices
b.) shoulders rotated forward to place scapula in the lung field
c.) both SC joints same distance from center line of spine
d.) motion on radiograph
e.) minimum of 10 posterior ribs above diaphragm
a.) chin is elevated to prevent superimposition of apices
c.) both SC joints same distance from center line of spine
e.) minimim of 10 posterior ribs above diaphragm
The ________ should be in the center of the radiograph on a lateral chest x ray.
a.) heart
b.) apices
c.) hilum
d.) thoracic vertebra
c.) hilum
On the lateral chest projection the CR and IR should be lowered a minimum of _________ from the PA to prevent clipping angles.
a.) 0’’
b.) 1/2’’
c.) 1’’
d.)1 1/2’’
c.) 1’’
What is the maximum amount of rotation on a lateral chest x ray?
a.) 1/3’’ to 1/2’’
b.) 1/4’’ to 1/2’’
c.) 2’’
d.) 3’’
b.) 1/4’’ to 1/2’’
The right lung has ________ lobes and the left lung has _________ lobes.
a.) three, two
b.) two, three
c.) two, one
d.) two, four
a.) three, two
Where is the CR directed on anterior oblique chest projection?
a.) T3
b.) T4
c.) T6
d.) T7
d.) T7
Which of the following evaluation criteria are best demonstrated on AP chest projections? Choose all that apply.
a.) heart appears larger due to increased magnification from shorter SID and increased OID
b.) pleural effusion obscures lung markings
c.) without horizontal beam fluid levels may not be seen
d.) inspiration may not be full
e.) only eight or nine ribs are seen above diaphragm
f.) lungs appear more dense
a, b, c, d, e, f
- all answers are correct
Which of the following best describes the CR on the AP chest projection?
a.) CR perpendicular to long axis of the sternum
b.) CR angled cephalad to the chest
c.) CR angled caudad to be perpendicular with long axis of sternum
d.) CR angled caudad to lungs
c.) CR angled caudad to be perpendicular with long axis of sternum
