FINAL Fall 2014 Flashcards
- Congenital heart disease has a prevalence in the general population of ____ although the 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 paraneoplastic syndrome such as HPT, Cushing’s syndrome or acromegaly and produce mediastinal widening?
a. squamous cell
b. small cell
c. large cell
d. carcinoid
b. Small cell
The left atrium and left ventricle together, boarder form on all views except:
a. PA
b. Lateral
c. LAO
d. RAO
D. RAO
On this view the right ventricle forms the heart boarder with teh right atrium
a. PA
b. Lateral
c. LAO
d. RAO
C. LAO
Small bowel obstruction (mechanical ileus) produces ___ on the plain film radiographs (Mar p1335)
a. Multiple water filled loops of bowel
b. Fluid/fluid levels from fat and fluid separation
c. Distended gas filled loops / no air-fluid levels
d. Distended gas filled loops and fluid levels / valvulae convent transversing lumen
D. distended gas filled loops and fluid levels/ valvulae convent transversing lumen
All of the following are causes of large bowel obstruction (mechanical ileus). Which are most common? Mar p1335
a. Intussusception adhesions
b. Bowel hernia, distended bladder
c. Ovarian mets, volvulus
d. Colon cancer, diverticulitis
D. colon cancer, diverticulitis
Lymphangitis cardinomatosis/pulmonary lymphatic mets, causes reduced - lymp absorption edema, is mc related to primaries of the stomach, pancreas, prostate and breast and will show which of the following findings (mar 1204)
- Kerley’s lines
- Hilar LAN
- Reticulonodular pattern
- 3-5mm nodules
a. 1,2
b. 2,3,4
c. 1,2,3
d. 3,4
e. 1,4
C. 1,2,3
Descending order of incidence for aortic aneurysm location (YR 1819)
a. Aortic arch, thoracic, ascending, abdominal
b. Thoracic, ascending, abdominal, arch
c. Suprarenal abdominal, ascending, arch, thoracic
d. Infrarenal abdominal, arch, thoracic, ascending
d. Infrarenal abdominal, arch, thoracic, ascending
Syphilis could cause ____ aneurysm
a. Stanford A
b. Stanford B
a. Stanford A
Common posterior mediastinal masses: pick all correct choices
a. Bronchogenic cyst
b. IVF Schwannoma
c. Pott’s disease
d. Esophageal achalasia
b. IVF Schwannoma
c. Pott’s disease
Common posterior mediastinal masses:
a. Bronchogenic cyst
b. IVF Schwannoma
c. Aortic aneurysm
d. Esophageal achalasia
b. IVF Schwannoma
When secondary/post primary TB heals it usually produces 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
a. fibrosis, cicatrix atelectasis
Probably the most common potential lift threatening disorder encountered in patient presenting with back pain: YR 1819
a. Infectious discitis
b. Multiple myeloma
c. Emphysematous cholecystitis
d. Abdominal aortic aneurysm
d. Abdominal aortic aneurysm
.Which of the following are characteristic findings of acquired valvular heart disease (usually mitral and aortic) which typically causes valvular stenosis. Pick all choices
a. Alteration in cardiac side
b. Valvular calcification may be present
c. Alteration in pulmonary vascularity
d. Alteration in size and shape of specific cardiac chambers
a. Alteration in cardiac side
b. Valvular calcification may be present
c. Alteration in pulmonary vascularity
d. Alteration in size and shape of specific cardiac chambers
Common causes of right atrial enlargement. please pick all correct
a. Tricuspid stenosis
b. Ebstein’s anomaly
c. ASD
d. PDA
a. Tricuspid stenosis
b. Ebstein’s anomaly
c. ASD
True of Hodgkin’s lymphoma. Pick Two (Mar 1203)
a. Anterior mediastinal mass
b. Pleural effusion
c. Presence of Reed-Sternberg cells
d. Can occur at any age
A. Anterior mediastinal mass
C. Presence of Reed-Sternberg cells
Carcinoid tumor is a _____
a. Bronchogenic carcinoma
b. Carcinosarcoma
c. Alveolar cell carcinoma
d. Bronchial adenoma
D. bronchial adenoma
Carcinoid tumor makes up 90% of all bronchial adenomas, what is the carcinoid incidence of all epithelial malignant tumors
a. 9%
b. 15%
c. 6%
d.
A. 9%
Aortic coarctation in an area of aortic lumenal constriction (Mar 1158)
a. At the aortic bifurcation
b. Prior to the left common carotid
c. Prior to brachiocephalic artery
d. Distal left subclavian
D. distal left subclavian
Upright abdominal or lumbar spine plain films would not be helpful in the evaluation of:
a. Free peritoneal air
b. Cholecystitis
c. Abdominal calcification
d. Gas and fluid patterns
b. Cholecystitis
The presence of pulmonary hematogenous mets (Mar p1207)
a. Indicates slow primary growth
b. Dyspnea common symptoms
c. Indicates the primary lesion is carcinoma
d. indicates the primary lesion in an adenoma
b. Dyspnea common symptoms
A patient with multiple small pulmonary nodules several centimeters in size may have all of the following diagnoses except
a. Sarcoidosis
b. Metastasis
c. Rheumatoid lung
d. Early stage silicosis
d. Early stage silicosis
A patient with multiple small pulmonary nodules with air fluid levels, nasopharynx mass with difficulty breathing and renal disease is likely suffering form
a. Carter’s syndrome
b. Wegner’s disorder
c. Erasmus syndrome
d. LAngerhans histocytosis / cosiocphilic granuloma
b. Wegner’s disorder
Where in the human body are air-fluid levels abnormal? Pick all that apply
a. Maxillary sinus
b. Small bowel
c. Lung
d. Gastric fundus
a. Maxillary sinus
b. Small bowel
c. Lung
Where in the human body are air-fluid levels normal? Pick two
a. Maxillary sinus
b. Proximal Large bowel
c. Lung
d. Gastric fundus
a. Maxillary sinus
c. Lung
A patient found to have a few loops of small bowel 2.5 cm in diameter, on an AP lumbopelvic radiograph has a(n) ____ small bowel patterns. (Mar 1335)
a. Normal
b. Abnormal
a. Normal
A patient with an acute abdomen showing distended loop of small bowl 5 cm in diameter has a(n) ____ small bowel
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
Pneumonia, 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
Hypertrophic osteoarthropathy may be clinical indication of
a. atelectasis
b. Previous pulmonary tuberculosis
c. Pleuritis
d. Pulmonary neoplasm
d. pulmonary neoplasm
Radiographic sign of pulmonary embolism. Mar p1165
a. Westermark’s sign
b. Hampton’s hump
c. Bergqvist’s sign
d. Wegner’s Triad
a. Westermark’s sign
Radiographic sign of pulmonary embolism / infarct (pick 2). Mar p1165
a. Westermark’s sign
b. Hampton’s hump
c. Bergqvist’s sign
d. Wegner’s Triad
a. Westermark’s sign
b. Hampton’s hump
Who described the radiographic and clinical characteristics of the apical lung tumor
a. Harvey pancoast
b. Henry Khunrath Pancoast
c. Harold Pancoast
d. Hoover Wadsworth Pancoast
b. Henry Khunrath Pancoast
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. Blood sputum, apical pulmonary mass, arm pain, vertebral destruction
b. Arm pain, cervical spine pain, hilar pulmonary mass, Horner’s syndrome
The end stage finding of emphysema (infectious, massive, pleural effusion) may result in:
a. Pleural scar calcification and passive atelectasis
b. Herniation of ipsilateral lung disease
c. Tracheal deviation to contralateral side
d. Expanded rib cage on the ipsilateral side
a. Pleural scar calcification and passive atelectasis
Eisenmenger physiology results in:
a. Marked pulmonary arterial hypertension
b. Great exercise for the right ventricle
c. Left atrial enlargement
d. Increased pulmonary gaseous inhalation
a. Marked pulmonary arterial hypertension
Costophrenic angle blunting may be related to: pick all correct choices
a. Free pleural effusion
b. Pleural scar
c. Low flat diaphragm
d. Subpulmonic pleural effusion
a. Free pleural effusion
b. Pleural scar
c. Low flat diaphragm
Three direct signs of lung collapse, seen on plain film, are:
a. Increased lung lucency, displaced fissures, and hilar elevation
b. Hilar displacement, displaced fissures, hyperluccency of unaffected lung
c. Unilateral hemidiaphragm elevation, tracheal deviation, displaced fissures
d. increase lung opacity, displaced fissures, and vascular or bronchial crowding
d. increase lung opacity, displaced fissures, and vascular or bronchial crowding
Chiropractic clinicians should be aware that many intrinsic organ disease refer pain. Abdominal visceral disease may refer pain to the musculoskeletal system. Rectosigmoid cancer may refer pain to the ____. Mar p1267
a. Mid lumbar spine
b. Lower lumbar spine
c. Lower thoracic spine
d. Sacral region
je ne sais pas
What are likely the 3 most common middle mediastinal masses. Pick 3
a. Lymph nodes
b. Esophagus
c. Ectopic thyroid
d. Bronchogenic cyst
a. Lymph nodes
b. Esophagus
c. Ectopic thyroid