exam 2 pulmonary radiography Flashcards

1
Q

What causes black, white, and gray on CXR?

A

Disposition of xray beam photons, differential absorption result in radiographic images

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2
Q

CXR black color indicates

A

air

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3
Q

CXR white color indicates

A

fluid/mass/bone

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4
Q

CXR radio dense

A

bone, fluid, solid

appears lighter

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5
Q

CXR radio lucent

A

air, appears darker

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6
Q

term posterior-anterior refers to

A

direction of xray beam

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7
Q

lateral CXR view- cassette is where

A

left side of chest is against cassette

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8
Q

lateral CXR better identifies what

A

lung lesion, pl effusion

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9
Q

which nodule will appear larger on lateral CXR

A

right sided nodule will appear larger than left sided nodule bc beam direction

farthest away from film

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10
Q

AP CXR

A

Portable
Beam traverses patient anterior to posterior
Film behind patient
Less sharp
Heart looks bigger: magnifies due to location of beam/film
Film closest to spine/back
Beam shot front to back
Can trick you into thinking pt has HF or cardiomegaly

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11
Q

PA and left lateral CXR

A
Standard frontal view
Upright full inspiration
Horizontal beam, 6ft from film
Beam traverses patient posterior to anterior
Inspiratory film
	PA and Lateral views
Expiratory film
	Air Trapping
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12
Q

heart ratio to chest on PA CXR

A

should be half ratio of chest

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13
Q

pleural effusion on cxr

A

fluid at base of lung

causes lung to push up and that’s where you’ll see the change

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14
Q

pneumothorax cxr

A

air rises

if you are not sure if fluid is trapped, you would order lateral decubitis film where pt lays on their side to see if fluid will trap up

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15
Q

expiratory film

A

detects air trapping
partial bronchial obstruction

air in obstructed lung cannot be expelled

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16
Q

how much fluid is required to show on cxr

A

PA erect- minimal 175 ml

lateral- 75 ml min

decubitis > 5 ml

supine- 100s ml

17
Q

differential dx for pl effusion

A

Infections and non infectious causes
Pl effusion can be associated with PNA
Infectious process or malignancy if with one lung
Cardiac sees pl effusion- esp chf
Post ohs- sees one sided pl effusion, think dresslers

18
Q

oblique views for pl effusion

A

localize lesions
assess free fluid

fluid will move with position change

19
Q

vertebral fx

A

swimmers view xray to assess

Classic presentation = Tight rope right around area just around rib case, like someone is tightening a rope around them

20
Q

maxillary sinusitis

A

sinus xray series

21
Q

Are There Many Lung Lesions

A
abdomen
thoracic cae
mediastinum
lungs individually
compare lungs left and right
22
Q

right heart border obscured, can indicated what

A

RML PNA

important to listen in this area

23
Q

CXR indications

A

Annually (not anymore)
COPD
Immuno-compromised
Screening (pre op, positive TB reactor, etc)
Diagnostic (pt new to practice c/o coughing and SOB, can be part of dx w/u, treating someone for o/p bronchitis and they are not getting any better)
Follow up acute process, resolution (about 2-3 wk after finishing ATB for PNA, have repeat CXR)

24
Q

CT w/ contrast indications

A

Initial diagnostic: be aware of creatinine/renal disease/DM

F/U LAD

25
Q

CT w/o contrast indications

A

Q6mo follow nodules 2yr stability

Low dose screening