MID 1 Flashcards
Clinical suspicion of lobar pneumonia is confirmed by which imaging procedure initially?
a. Plain film chest series
b. Bronchography
c. Pulmonary MRI
d. Pulmonary CT
A. Plain Film series
The optimum imaging for pulmonary detail is what?
a. Bronchography
b. Tomography
c. Apical lordotic CT Scanning
d. Thoracic Series
C. Apical lordotic CT scanning
- Which of the following signs would point to air space consolidation? Choose all that apply
a. Bilateral Medullary Lung Opacification
b. Subsegmental poorly defined opacity
c. 5mm – 8mm nodules (Acinar)
d. Lobar opacification
e. Poorly defined segmental opacification
A, B, C, D, E
A common cause for bronchopneumonia pattern is?
a. Hemophilus influenza
b. TB
c. Staphylococcus Aureus
d. Klebsiella
C. Staph A.
Enlargement of bronchi secondary to destruction of the muscular elements and elastic fibers of the bronchial walls caused by chronic infection is referred to as?
a. Acute Bronchitis
b. Congenital lung system
c. Emphysema
d. Bronchiectasis
D. Bronchiectasis
Which of the following are signs of interstitial disease? Choose all that apply
a. 1mm – 2 mm nodules
b. Honeycomb densities
c. 3mm – 5mm nodules (acinar)
d. Reticulonodular densities
e. Kerley lines
A, B, C, D, E
Which of the following are signs associated with atelectasis? Choose all that apply
a. Vascular crowding
b. Mediastinum shift away from density
c. Hilar shift towards density
d. Rib interspace narrowing (not widening)
e. Elevation of Diaphragm
A, C, D, E
All of the following are considered to be Acute Infectious Pneumonia’s with the exception of?
a. Pneumococcal Pneumonia
b. Staph Aureus Pneumonia
c. Klebsiella Pneumonia
d. Viral Pneumonia
e. TB Pneumonia
E. TB Pneumonia
Pulmonary consolidation in this segment can cause a silhouette sign with the Ascending Aorta?
Anterior segment of RUL (2)
Kartageners is associated with which pulmonary disorder?
a. Asthma
b. Emphysema
c. Bronchiectasis (Badcilia, Inversus totalus)
d. Chronic Bronchitis
e. Bronchiolitis
C. Bronchiectasis
Which cause of radiolucent pulmonary cystic cavitary type space is likely to be seen in children?
a. Hodgkins
b. TB
c. Staph Aureus
d. Pneumatocele
e. Pulmonary Infarction
D. Pneumatocele
Klebsiella Pneumonia may cause lobar consolidation however a classic cause is?
a. Viral Pneumonia
b. Mycoplasma Pneumonia
c. Streptococcus Pneumonia
d. Aspiration Pneumonia
C. Streptococcus pneumonia
Which of the following is NOT a hypersensitivity related disorder?
a. Silo fillers disease – NO2
b. Farmer’s lung - mold
c. Bagassosis - mold
d. Byssinosis – inhalation of cotton fibers
e. Air conditioners lung - mold
A. Silo fillers disease- NO2
Irritant gases and chemicals produce which form of pulmonary disease?
a. Subsegmental airspace only
b. Interstitial only
c. Lobar consolidation
d. ?__? Acinar Nodular consolidation
e. Lobar atelectasis
C. Lobar consolidation
Which of the following are considered to be fibrogenic pneumoconiosis?
a. Silicosis (fibrogenic)
b. Asbestosis (fibrous)
c. Black Lung Disease (anthracosis)
d. Bagassosis
e. Beryllium Granulomatosis
A, B, C, D, E
Bagasossis- mouldy molasses
Indirect signs of lung collapse are?
a. Increased lung lucency, displaced fissures and hilar elevation
b. Increased lung opacity, displaced fissures and vascular or bronchial crowding
c. Unilateral hemodiaphragm elevation, mediastinal deviation, rib interspace narrowing
d. Hilar displacement, displaced fissures, hyperlucency of unaffected lung
C. Unilateral hemidiaphragm elevation, mediastinal deviation, rib interspace narrowing
Sequelae of previous granulomatous infection include?
a. Calcified granuloma
b. Splenic calcification
c. Upper Lung Fibrosis
d. Calcified lymph nodes
e. Pleura Calcification
A, B, C, D, E
End stage silicosis is characterized by which radiographic finding?
a. Basilar fibrosis
b. Patchy air space consolidation
c. Fibrotic masses adjacent to upper mediastinum
d. Miliary Nodules
e. Wide spread honeycomb lung
C. Fibrotic masses adjacent to upper mediastinum
- The Ghon Tuberculum is?
a. A lung abscess
b. Related to Previous histoplasmosis c. Solitary nodule related to lung cancer
d. A Tuberculum Granuloma
e. Related to Splenic calcification
D. A tuberculum granuloma
- Which of the following are findings that can be associated with pulmonary TB? Pick the single best choice which indicates the correct responses.
a. Subsegmental pneumonia
b. Lymphadenopothy
c. Upper lung cavitation
d. Calcified pulmonary granuloma
e. Calcified lymph nodes
A, B, C, D, E
lymphadenopathy
- Of the acute infections, cavitation is most likely to be associated with?
a. Streptococcus pneumonia
b. Staph aeurus
c. Viral pneumonia
d. Microplasma pneumonia
e. TB Pneumonia
B. Staph A
- Multiple cystic radiolucencies scattered throughout the lung field would not typically be associated with?
a. Squamous cell carcinoma
b. Pulmonary metastasis
c. Cystic bronchiectasis
d. Wegners granulomatosis
A. Squamous cell carcinoma
- On a chest series, the findings are: unilateral localized homogeneous increase in radiodensity. What are the next considerations?
a. Consolidation
b. Interstitial
c. Tumor
d. Air trapping
e. Atelectasis
A. Consolidation
C. Tumor
E. Atelectasis
- With acute pulmonary infections:
a. Pneumococcal pneumonia usually begins centrally and spreads peripherally
b. Klebsiella pneumonia involves the lower (upper) lungs and has a fatality rate approaching 50%
c. Staph Aureus pneumonia produces pneumatocele in children (not adults)
d. Aspiration pneumonia occurs predominately in the upper lobes (right basal lung)
c. Staph Aureus pneumonia produces pneumatocele in children (not adults)
- Which of the following are complications of Honey Comb Lung?
a. Pleural calcification
b. Pneumothorax
c. Ranke complex
d. Cor pulmonale
e. Congestive heart failure
B. Pneumothorax
D. Cor pulmonale
- Hypersensitivity pneumonitis which is intrinsic allergic alveolitis is associated with which 2
a. Silicosis
b. Bird fanciers lung
c. Silo fillers disease
d. Humidifier lung
e. Calcosis
B. Bird fanciers lung
D. Humidifier lung
- Which accessory fissure anatomically is made up of 4 pleural layers?
a. Inferior accessory fissure
b. Posterior accessory fissure
c. Accessory left minor fissure
d. Azygous fissure
D. Azygous fissure
- Which 2 of the following would be associated with egg shell lymph node calcification?
a. Silicosis
b. Pleurisala
c. Asbestosis
d. Sarcodosis
e. Coxydenia mycosis
A. Silicosis
D. Sarcoidosis
The Superior Accessory Fissure…
a. Splits RUL segment 2 from 3
b. Splits LLL segment from basilar segments
c. Splits RUL segment 1 from 2 & 3
d. Splits LUL segment 2 from 1 through 3
B. Splits LLL from basilar segments
MATCHING:
Aspiration Pneumonitis
- Affinity for lower lobes
- Atelectasis
- Apical pleural calcification
- Most common acute bacterial infection 5. Common non infectious granulomatis disease
- May have associatead sitis and bursts totalis commonly in the RLL
- Thin wall cavitation
- Affinity for lower lobes
MATCHING:
Kartageners Bronchiectasis
- Affinity for lower lobes
- Atelectasis
- Apical pleural calcification
- Most common acute bacterial infection 5. Common non infectious granulomatis disease
- May have associatead sitis and bursts totalis commonly in the RLL
- Thin wall cavitation
- May have associatead sitis and bursts totalis commonly in the RLL
MATCHING:
TB
- Affinity for lower lobes
- Atelectasis
- Apical pleural calcification
- Most common acute bacterial infection 5. Common non infectious granulomatis disease
- May have associatead sitis and bursts totalis commonly in the RLL
- Thin wall cavitation
- Apical pleural calcification
MATCHING:
Streptococcus Pn.
- Affinity for lower lobes
- Atelectasis
- Apical pleural calcification
- Most common acute bacterial infection 5. Common non infectious granulomatis disease
- May have associatead sitis and bursts totalis commonly in the RLL
- Thin wall cavitation
- Most common acute bacterial infection
- When the lingula is atelactatic the:
a. Left cardiac border is usually obliterated
b. The ascending aorta border is obliterated c. The right hemidiaphragm border is obliterated
d. The right cardiac border is obliterated
A. Left cardiac border is usually obliterated
- What is the principle mechanism for atelectasis with a large hilar related neoplasm
a. Passive
b. Cicatrization
c. Adhesive
d. Obstructive (or Resorption)
D. Obstructive
Which of the following asbestosis signs is considered virtually pathognomonic
a. Basilar fibrosis
b. Upper lung fibrosis
c. Mesothelioma
d. Linear diaphragmatic pleural calcification
e. Lymph node calcification or egg shell
D. Linear diaphragmatic pleural calcification
- Erasmus syndrome:
a. CWP with Rheumatoid
b. CWP with Scleroderma
c. CWP with SLE
d. CWP with Dermatomyostisis
B. CWP with scleroderma
- Pleural calcification and thickening would suggest the possibility of previous?
a. Histoplasmosis
b. TB
c. Carcidiomycosis
d. Acinomycosis
e. Moniliasis
B. TB
- High speed deceleration trauma to the chest may result in pulmonary contusion or:
a. bilateral medullary lung opacification
b. localized reticular disease
c. Atelectasis
d. pulmonary laceration with cystic space development
A. Bilateral medullary lung opacification
- Which of the following is in the subdifferential of multiple pulmonary cavitations
a. Tumor cavitation
b. Infarction cavitation
c. Pneumatocele
d. ?Hematogeneous? Metastasis
e. Fungal cavitation
D. Hematogenous metastasis
- Which of the following is not true regarding Staph Aureus pneumonia?
a. Begins as bronchopneumonia pattern
b. Is opportunistic
c. Common cavitating pneumonia in adults
d. Begins peripherally in the lung
e. Hematocele in children
D. Begins peripherally in the lung
- The silhouette sign is caused by?
a. Water density lesion in anatomic contact with the heart aorta or diaphragm
b. Enlarged heart
c. Air density lesion touching the chest wall
d. Pneumothorax
a. Water density lesion in anatomic contact with the heart aorta or diaphragm
- The chest x-ray may be normal with?
a. Klebsiella pneumonia
b. acute bronchitis
c. bronchopneumonia
d. viral pneumonia
e. pneumococcal pneumonia
B. Acute Bronchitis
- Which of the following is not a consolidation sign?
a. Butterfly shadow
b. Early coalesces
c. Fuzzy borders?
d. Hilar displacement towards increasing density
e. Lobar pattern
D. Hilar displacement towards increasing density
- Air bronchogram sign?
a. Physical air filled bronchi surrounded by opacified lung
b. Opacafied bronchi surrounded by air filled lung
c. No visible bronchi because of opacified lung and bronchi
d. Visible air filled bronchi because of adjacent interstitial disease
a. Physical air filled bronchi surrounded by opacified lung
- Which pulmonary cavitation cause is not related to tissue necrosis?
a. Tumor cavitation
b. Infective abscess
c. Rheumatoid nodule
d. Pneumatocele
D. Pneumatocele
- Kerly’s A & B lines are indicative of?
a. Lobar consolidation
b. Bollous?? Emphysema
c. Lymphatic tumor mass
d. Butterfly shadow
e. Interstitial disease
E. Interstitial disease
- Metastasis to the lung in thyroid cancer will present as?
a. A solitary cavitating lesion
b. Multiple pulmonary nodules greater than 8mm
c. Multiple cavitating nodules greater than 2cm
d. Multiple evenly distributed nodules 3mm – 5mm in size
d. Multiple evenly distributed nodules 3mm – 5mm in size
- Localized hyperlucency could be associated with all of the following except?
a. Emphysema
b. Pneumatocele
c. Pneumothorax
d. Foreign object aspiration
D. Foreign object aspiration
- The most common causes for air space consolidation are?
a. Blood
b. Water
c. Protein
d. Puss
e. Cells
A. Blood
B. Water
D. Pus
- Upper left heart border silhouette sign may be produced by?
a. LUL Atelectasis
b. LUL #’s 1-3 Atelectasis
c. LLL #’s 7 & 8 Pneumonia
d. LUL # 4 Pneumonia
d. LUL # 4 Pneumonia
- Suspected pleural effusion on a full inspiration P-A chest view could be confirmed by?
a. A chest CT
b. A chest MRI
c. Lateral decubitis with involved side down
d. Lateral decubitis with involved side up
C. Lateral decubitus with involved side down
- The most common cause for adult resorption atelectasis is?
a. Foreign object aspiration ← children
b. Bronchogenic cancer
c. Lymphadenopathy
d. Asthma ← children
B. Bronchogenic cancer
