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Soft A > Final2 > Flashcards

Final2 Flashcards

1
Q

Two common categories of cause for acute interstitial lung disease (ILD)

A

Infection

Neoplasm

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2
Q

PA chest suspicion of pneumothorax can be differentiated from larger bulla by which imaging procedure

A

Decubitus series

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3
Q

The most cost effective imaging to confirm pancoast tumor

A

Apical lordotic

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4
Q

Which of the following signs would point to air space consolidation

A 
Bilaterior medullary lung opacification
Poorly defined opacity
Air bronchogram
Lobar opacification
Acinonodular pattern
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5
Q

A common cause of a chronic reticular interstitial pulmonary pattern is

A

Pulmonary fibrosis

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6
Q

Which of the following would not be considered a cause for an appearance of unilateral hyperlucent lung

A

Honeycomb lung

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7
Q

Which of the following are signs of interstitial disease

A

Kerley A lines
Honeycomb densities
Reticulonodular densities
Kerly B lines (.5-2cm long)

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8
Q

Which of the following are compensatory/indirect signs associated with resorption atelectasis

A

Hilar shift toward density

Rib interspace narrowing

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9
Q

Two acute pneumonia disorders to produce cavitation

A

Klebsiella

Staph aureus

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10
Q

Pulmonary consolidation in this segment could cause a silhouette sign with the pulmonary artery

A

LUL #2

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11
Q

Silhouette with aortic knob

A

LUL #1-3

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12
Q

Silhouette with left ventricle

A

LUL #5

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13
Q

Silhouette with descending aorta

A

LLL #6

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14
Q

Silhouette with diaphragm

A

LLL #7

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15
Q

Bronchopneumonia pattern is typical of

A

Consolidation pattern

TB pneumonia

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16
Q

Pulmonary consolidation in this segment could cause a silhouette sign with the upper descending thoracic aorta

A

LLL #6

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17
Q

Silhouette left atrium

A

LLL #4

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18
Q

All of the following can produce air space consolidation, which one typically starts in the peripheral lung

A

Streptococcus pneumonia

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19
Q

Acute diffuse interstitial lung disease is usually due to viral/mycoplasmal pneumonia or

A

Pulmonary edema

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20
Q

Which of the following would not be associated with an air bronchogram

A

Pleural effusion

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21
Q

Cavitation in adulst and pneumatocele in children is typical of

A

Staph aureus pneumonia

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22
Q

Three indirect signs of lung collapse are

A

Compensatory emphysema
Mediastinal deviation
Rib interspace narrowing

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23
Q

In adults over 40, resorption atelectasis related to large bronchial obstruction is often due to

A

Tumor

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24
Q

The most common cause of acute consolidation

A

Infectious pneumonia, pulmonary edema

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25
Q

In patients less than 40, unilateral localized increasing density is more often related to

A

CAPTE (consolidation, atelectasis, tumor, pleural disease, external wall)

Pleural disease

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26
Q

Most frequent cause of acute airspace consolidation are ___ and ___

A

Bacterial pneumonia

Severe pulmonary edema

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27
Q

Of these infecitons, cavitation is not associated with

A

Viral pneumonia

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28
Q

On a chest series, the findings are: unilateral, localized, hyperlucent lung density. What are the next considerations

A

Is it air trapping
Is it cavitation
Is it pneumothorax
Is it congenital lung cyst

Emphysema would be bilateral

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29
Q

On a chest series the findings are: unilateral, localized, homogenous water density. What are the nesxt considerations

A

CATPE

Is it consolidation
Is it pleural related
Is it tumor
Is it atelectasis

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30
Q

Air space disease may be indicated on plain film by

A

Localized fuzzy density

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31
Q

Interstitial disease may be indicated on plain film by

A

Honeycomb lung

Kerley lines

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32
Q

Pleural effusion may be indicated on plain film by

A

Meniscus sign

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33
Q

Which are related to honeycomb lung

A

Dyspnea
Pneumothorax
Para-cicatricial revision of architecture
Cor pulmonale

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34
Q

On a chest series the findings are: bilateral, widespread, non-homogenous increase in radiodensity. What are the next considerations

A

Is it nodular (1-2mm)
Is it reticular
Is it honeycomb

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35
Q

Which accessory fissures are horizontally oriented and would not show well on chest CT

Pick 2

A

Superior accessory fissure

Accessory left minor fissure

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36
Q

Which two fo the following are descriptive of kerley A lines

A

Thickened interlobular space

Extend outward from hilar area

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37
Q

The superior accessory fissure

A

Could mimic left minor fissure on the PA view

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38
Q

Aspiration pneumonia

A

Non-opportunistic and bronchopneumonia pattern

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39
Q

Staph aureus

A

Opportunistic

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40
Q

Honeycomb lung

A

Fatal outcome from cor pulmonale/cardiac arrest

41
Q

Pleural effusion

A

Silhouette sign with chest wall and diaphragm

42
Q

Strep pneumonia

A

Lobar consolidation

43
Q

When the lingula is atelectactic

A

Compensatory emphysema may be only finding

44
Q

What is the principal mechanism for atelectasis with hilar lymphadenopathy

A

Obstructive

45
Q

Which one of the following is not characteristic of a PA upright, full expiration chest

A

Diaphragam will be at lowest level - (highest)

46
Q

AP recumbant supine chest radiograph done at expiration shows ___ when compared to upright PA

A

Equal vascular distribution, whiter lung

47
Q

All of the following would be better visualized on teh expiratory film except

A

Pleural effusion

Pneumothorax, air trapping, bulla would be!!

48
Q

Which of the following would not result from direct blunt trauma to the chest

A

Localized reticular disease

49
Q

Left mediastinal anatomy ordered correctly from superior to inferior

A

Aortic knob
Pulmonary artery
Left atrium
Left ventricle

50
Q

The air bronchogram

A

Good sign of acinar filling

51
Q

The numerical value of tissue desnity on a CT scan for lung is

A

-800

52
Q

Which one of the following is not a consolidation sign

A

Delayed appearance

53
Q

Air bronchogram sign

A

Infrequent consolidation sign

54
Q

Consolidation signs

A

Butterfly shadow, fuzzy borders, sub-segmental density, lobar pattern, early appearance

55
Q

A full inspiration PA chest will show

A

Left cardiac-medial to diaphragm silhouette sign

56
Q

Kerley A and B lines are indicative of ___ and associated with ___

A

Interstitial disease

Pulmonary edema

57
Q

Metastasis to the lung from testicular seminoma may intially present as

A

Multiple evenly distributed nodules 3-5 mm in size (mets from kidney, thyroid, testicle)

58
Q

Localized hyperlucency is seen with all of the following except

A

Bilateral mastectomy

59
Q

Of teh substance cause for airspace consolidation which are considered to be the 3 most common

A

Blood
Water
Pus

Blood, pus, water, protein, cells

60
Q

Thoracic descending aorta silhouette sign may be produced by left segments.

A

6, 10

61
Q

2 RUL

A

Ascending aorta

62
Q

5 RML

A

Heart R, A

63
Q

1-3 LUL

A

Aorta

64
Q

2 LUL

A

Pulmonary artery

65
Q

4 LUL

A

Left atrium

66
Q

5 LUL

A

Left ventricle

67
Q

6 LLL

A

Upper descending aorta

68
Q

7-10 LLL

A

Diaphragm

69
Q

Suspected pneumothorax on a full inspiration PA chest view could be confirmation most cost-effective by

A

Lateral decubitus with involved side up

70
Q

A 56 yo male presenting with localized increased density with mediastinal shift toward the desnity likely has

A

Bronchogenic cancer

71
Q

Which of teh follwoign is not part of the criteria for hte usually frontal PA chest view

A

DR can be done grid or non-grid

72
Q

Which of the following is an incorrect statement regarding the right ventricle

A

Make up the upper right heart border on the frontal view (only visible on lateral view)

73
Q

Left hilar bronchogenic cancer can have an impact on all of the folowing structures except

A

Superior vena cava - right

74
Q

Which two imaging procedures can confirm pleural effusion

A

Chest CT

Decubitus imaging

75
Q

All of the following produce bilateral hilar enlargement except ___ which is unilateral

A

Bronchus

76
Q

On the lateral chest view, which cardiac champber does not border from

A

Right atrium

77
Q

PA = no right

A

Ventricle

78
Q

Lateral = no right

A

Atrium

79
Q

Which of the following is an incorrect statement regarding the pulmonary artery on the PA chest view

A

Should superimpose over the left hilus

80
Q

Which of teh follwoing is not a fibrosis pattern

A

Nodular 3-4mm densities

81
Q

The most frequent radiographic sign of mediastinal disease is

A

Widening

82
Q

All fo the foloowing are true statements regarding mediastinal lymph nodes except

A

Can be detected on CT only when calcified >3mm

83
Q

Left lateral decubitus view is made with the patient

A

Lying on the left side with x-ray beam parallel to the floor

84
Q

With a large amount of free pleural fluid

A

There will be loaclized water density

85
Q

All of the following are acute pneumonia radiographic appearance except

A

Well-defined solitary nodular denisty

86
Q

A good diagnosis for suspected pneumothorax confirmation would be

A

Lateral decubitus with affected side up

87
Q

Air space disease may be suspect on plain film by

A

Sub-segmental density

88
Q

Subcarinal lymph nodes would be considered ___ mediastinal

A

Middle

89
Q

An ascending aortic aneurysm would produce

A

Anterior mediastinal mass

90
Q

We called it big orange - -pulmonary lypmhagtic draingiage schematic. All are true regarding that slide except

A

Explains the pulmonary vascular pattern

91
Q

A pt presenting with Potts disease could have a

A

Posterior mediastinal mass

92
Q

Based on the acute pneumonia classification, the most likely appearance for viral/mycoplasmal pneumonia is

A

Interstitial pattern

93
Q

Resorption atelectasis

A

RML or RLL in children

Aka obstructive

94
Q

Acinonodular pattern

A

Widespread non-homogenous consolidation pattern

95
Q

Emphysema

A

Air vs soft tissue ratio favoring greater air volume

96
Q

Pulmonary air space edema

A

Bilateral medullary lung consolidation/butterfly

97
Q

Honeycomb lung

A

Pneumothorax and pulmonary hypertension complication

98
Q

Peter James Kerley was knighted in teh 1970s by ___ for his service to radiology in the UK and to the royal family

A

Queen ELizabeth II

Soft A (6 decks)

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