FINAL Fall 2013 Flashcards
Congenital heart disease has a prevalence in the general population of ___ although CDC puts it slightly higher:
A. 1/120
B 3/100
C. 5/100
D. 2/110
A. 1/120
The most common neoplasm to produce a paraneoplastic syndrome such as HPT, Cushing Syndrome or acromegaly and produce mediastinal widening (Y&R p. 1784)
A. Squamous cell
B. Small Cell
C. Large cell
D. Carcinoid
B. Small Cell
On this view, the right ventricle forms the heart border with the right atrium
A. PA
B. Lateral
C. LAO
D. RAO
C. LAO
Small bowel obstruction (mechanical ileus) produces ____ on the plain film upright radiograph
A. Multiple water filled loops of bowel
B. Distended gas filled loops/air-fluid levels
C. Distended gas filled loops/ no air-fluid levels
D. Fluid/fluid levels due to fat and fluid separation
B. Distended gas filled loops/air-fluid levels
All of the following are causes of large bowel obstruction (mechanical ileus). Which are the most common?
A. Intussusception, adhesions
B. Bowel hernia, distended bladder
C. Ovarian mets, volvulus
D. Colon cancer, diverticulitis
D. Colon cancer, diverticulitis
Lymphangitis carcinomatosis/pulmonary lymphatic mets causes reduced lymph absorption edema, is most commonly related to primaries of the stomach, pancreas, prostate and breast and will show which of the following findings?
- Kerley lines
- Hilar LAN
- Reticulonodular patterns
- 3-5mm nodules
A. 1,2 B. 2,3,4 C. 1,2,3 D. 3,4 E. 1,4
C. 1,2,3
- Kerley lines
- Hilar LAN
- Reticulonodular patterns
Descending order of incidence for aortic aneurysm location is:
A. Aortic arch, thoracic, ascending, abdominal
B. Thoracic, ascending, abdominal, arch
C. Ascending, arch, thoracic, abdominal
D. Abdominal , arch, , thoracic, ascending
D. Abdominal , arch, , thoracic, ascending
Syphillis could cause a ___ aneurysm:
A. Stanford A
B. Stanford B
A. Stanford A
A common posterior mediastinal mass:
A. Bronchogenic cyst
B. IVF Schwannoma
C. Aortic aneurysm
D. Esophageal achalasia
B. IVF Schwannoma
When secondary post primary TB HEALS is usually produces a radiographic upper lung ___ which may lead to ___
A. fibrosis, cicatrix atelectasis
B. fibrotic nodules, conglomerate masses
C. nodular densities, multiple calcific nodules
D. Air space consolidation, cavitation
D. Air space consolidation, cavitation
Probably the most common potentially life-threatening disorder encountered in patients presenting with back pain:
A. Infectious discitis
B. Multiple myeloma
C. Emphysematous cholecystitis
D. AAA
D. AAA
Which of the following characteristic findings of acquired valvular heart disease (usually mitral and aortic) which typically causes valvular stenosis: Pick all the correct choices. HINT: Think about workload
A. Alteration in cardiac size
B. Valvular calcification may be present
C. Alteration in pulmonary vascularity
D. Alteration in size and shape of specific cardiac chambers
C. Alteration in pulmonary vascularity
D. Alteration in size and shape of specific cardiac chambers
Carcinoid tumor is a ___
A. Bronchogenic carcinoma
B. Carcinosarcoma
C. Alveolar cell carcinoma
D. Bronchial adenoma
D. Bronchial adenoma
Aortic coarctation is an area of aortic lumenal constriction:
A. At the aortic valve
B. Prior to the left common carotid
C. Prior to the brachiocephalic artery
D. Distal to elft subclavian
D. Distal to left subclavian
Upright abdominal or lumbar spine films would not be helpful in the evaluation of:
A. Free peritoneal air
B. Cholecystitis
C. Abnormal calcifications
D. Gas and fluid patterns
B. Cholecystitis
The presence of hematogenous mets:
A. Indicates slow primary growth
B. May have no signs & symptoms at discovery
C. Indicates the primary lesion is a carcinoma
D. Indicates the primary lesion is an adenoma
B. May have no signs & symptoms at discovery
A patient with multiple small caveatting pulmonary nodules without air-fluid levels, nasopharyngeal mass with difficulty nose breathing and renal disease is likely suffering from?
A. Carter’s syndrome
B. Wegener’s disorder
C. Erasumus syndrome
D. Langerhans histocytosis/eosinophilic granuloma
B. Wegener’s disorder
Where in the human body are air-fluid levels normal?
A. Maxillary sinus
B. Proximal large bowel
C. Lung
D. Gastric fundus
B. Proximal large bowel
D. Gastric fundus
A patient with acute abdomen showing distended loops of small bowel 5 cm in diameter has a (n) ____ small bowel pattern.
A. Normal
B. Abnormal
B. Abnormal
Which of the following cause pulmonary edema related to pulmonary venous hypertension? Pick all that apply
A. Mitral stenosis
B. Pulmonary fibrosis
C. Congestive heart failure
D. Ammonia gas inhalation
A. Mitral stenosis
C. Congestive heart failure
D. Ammonia gas inhalation
Periostitis- diffuse, synovitis, and digital clubbing may be a clinical indication of:
A. Atelectasis
B. Previous pulmonary tuberculosis
C. Pleuritis
D. Pulmonary neoplasm
d. Pulmonary neoplasm
Radiographic features of pulmonary embolism/infarction include which two?
A. Westermark’s sign
B. Hampton’s hump
C. Berqvist’s sign
D. Wegener’s triad
A. Westermark’s sign
B. Hampton’s hump
The pancoast syndrome consists of:
A. Localized emphysema, apical pulmonary mass, rib pain
B. arm pain, cervical spine pain, hilar pulmonary mass, Horner’s syndrome
C. Bloody sputum, apical pulmonary mass, arm pain, vertebral destruction
D. Oculosympathetic interference, arm pain, neck pain, apical pulmonary mass
B. arm pain, cervical spine pain, hilar pulmonary mass, Horner’s syndrome
**confirm
The end stage findings of empyema (infectious, massive, pleural effusion) may result in:
A. Pleural scar calcification & passive atelectasis
B. Herniation of ipsilateral lung tissue
C. Tracheal deviation to contralateral side
D. Expanded rib cage on ipsilateral side
C. Tracheal deviation to contralateral side
Eisenmenger physiology results in?
A. Marked pulmonary arterial hypertension
B. Great exercise for the right ventricle
C. Left atrial enlargement
D. Increased pulmonary (…)
A. Marked pulmonary arterial hypertension
Three direct signs of lung collapse, seen on plain film are:
A. Increased lung lucency, displaced fissures, hilar elevation
B. Hilar displacement, displaced fissures, hyper lucency of unaffected lung
C. unilateral hemidiaphragm elevation, tracheal deviation, displaced fissures
D. Increased lung opacity, displaced fissures, and vascular bronchial crowding
D. Increased lung opacity, displaced fissures, and vascular bronchial crowding
Chiropractic clinicians should be aware that many intrinsic organ disorders refer pain . Abdominal/viscerak disease may refer pain to the musculoskeletal system. Pancreatic cancer may refer pain to the ___ (MAR. P. 126 or 136)
A. Mid lumbar spine
B. Lower lumbar spine
C. Lower thoracic spine
D. Mid to upper thoracic spine
D. Mid to upper thoracic spine
**Confirm
Costophrenic angle blunting may be related to: Pick all that apply
A. Free pleural effusion
B. Pleural scar
C. Low flat diaphragm
D. Subpulmonic effusion
A. Free pleural effusion
B. Pleural scar
What are likely 3 most common middle mediastinal masses:
A. Lymph nodes
B. Esophagus
C. Ectopic thyroid
D. Bronchogenic cyst
A. Lymph nodes
B. Esophagus
D. Bronchogenic cyst
Best cardiac examination for chamber wall thickness and volume?
A. Echocardiography
B. Retrograde aortography
C. Coronary arteriography
D. Thallium scan
A. Echocardiography
For plain film detection of pleural effusion, which has the correct of sensitivity from most to least sensitive?
A. Lateral decubitus, lateral decub with Trendelenburg, lateral view, PA view
B. PA view, lateral view, lateral decub. with Trendelenburg, lateral decubitus
C. Lateral decubitus with Trendelenburg, lateral decubitus, lateral view, PA view
D. Lateral view, PT view, lateral decubitus, lateral decub. with Trendelenburg
C. Lateral decubitus with Trendelenburg, lateral decubitus, lateral view, PA view