MID 5 Flashcards
Cicatrical atelectasis would be associated radiographically with:
A. Localized hyperlucency
B. Hilar displacement away from the density
C. Mediastinal shift away from the density
D. Elevated hemidiaphragm
A. Localized hyperlucency
Clinical suspicion of bronchiectasis is confirmed by which imaging procedure?
A. Plain film series
B. Bronchography
C. Pulmonary MRI
D. Pulmonary CT
D. Pulmonary CT
The optimum imaging for hilar detail is:
A. Bronchography B. Tomography C. Apical lordotic D. CT scanning E. Thoracic Series
D. CT Scanning
Which of the following signs would point to air space consolidation:
- Bilateral medullary lung opacification
- Subsegmental poorly defined opacity
- 5-8mm nodules
- Lobar opacification
- Poorly defined segmental opacification
A. 1,2,5 B. 1,4 C. 1,3,5 D. 3,4 E. 1,2,3,4,5
E. 1,2,3,4,5
- Bilateral medullary lung opacification
- Subsegmental poorly defined opacity
- 5-8mm nodules
- Lobar opacification
- Poorly defined segmental opacification
A common cause of reticular pulmonary pattern is:
A. Pulmonary fibrosis
B. Tuberculosis
C. Staph A.
D. Silicosis
B. TB
Enlargement of bronchi secondary to destruction of the muscular elements and elastic fibres 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?
- 1-2mm nodules
- Honeycomb densities
- 3-5mm nodules
- Reticulonodular densities
- Kerley lines
A. 1,2,4,5 B. 2,4 C. 1,3,5 D. 1,2,5 E. 1,2,3,4,5
E. 1,2,3,4,5
- 1-2mm nodules
- Honeycomb densities
- 3-5mm nodules
- Reticulonodular densities
- Kerley lines
Which of the following signs are associated with atelectasis:
- Vascular crowding
- Mediastinal shift away from density
- Hilar shift toward density
- Rib interspace narrowing
- Elevation of diaphragm
A. 1,2,3 B. 2,4 C. 1,3,4,5 D. 3,4 E. 2,3,4,5
C. 1,3,4,5
- Vascular crowding
- Hilar shift toward density
- Rib interspace narrowing
- Elevation of diaphragm
All of the following are considered to be acute infectious pneumonias with the exception of:
A. Pneumococcal pn. B. Staph A pn. C. Klebsiella pn. D. Viral pn. E. Tuberculous pn.
E. Tuberculus pn.
It’s chronic
Pulmonary consolidation in this segment could cause a silhouette sign with the ascending aorta:
A. RUL #2 B. RUL #1 C. RML #5 D. RLL #6 E. RML #4
A. RUL #2
Kartagener’s is associated with which pulmonary disorder?
A. Asthma B. Emphysema C. Bronchiectasis D. Chronic bronchitis E. Bronchiolitis
C. Bronchiectasis
Which cause of a radiolucent pulmonary, cystic, cavity type space is likely to be seen in children?
A. Hodgkins B. TB. C. Staph A. D. Pneumatocele E. Pulmonary infarction
D. Pneumatocele
Klebsiella pneumonia may cause lobar consolidation, however, a classic cause is:
A. Viral pn.
B. Mycoplasmal pn.
C. Strept. pn.
D. Aspiration pn.
C. Strept pn.
Which of the following is not a hypersensitivity related disorder?
A. Silo filler's B. Farmer's lung C. Bagassosis D. Byssinosis E. Air conditioners lung
D. Byssinosis
Irritant gas and chemicals produce which form of pulmonary disease?
A. Subsegmental air space only B. Intersitital only C. Lobar consolidation D. Widespread acinonodular consolidatino E. Lobar atelectasis
C. Lobar consolidation
Which of the following are considered to be fibrogenic pneumoconiosis?
- Silicosis
- Asbestosis
- Black lung disease
- Bagassosis
- Beryllium granulomatosis
A. 1,2,3 B. 2,4 C. 1,2,3,5 D. 3,4 E. 2,3,4,5
C. 1,2,3,5
- Silicosis
- Asbestosis
- Black lung disease
- Beryllium granulomatosis
Three indirect signs of lung collapse are:
A. Increased lung lucency, displaced fissure, and hilar deviation
B. Increased lung opacity, displaced fissures, and vascular or bronchial crowding
C. Unilateral hemidiaphragm elevation, mediastinal shift, rib interspace narrowing
D. Hilar displacement, displaced fissures, hyper lucency of lung
C. Unilateral hemidiaphragm elevation, mediastinal shift, rib interspace narrowing
Direct: displaced fissures, crowding, increased lung opacity
Sequela of previous granulomatous infection include:
- calcified granuloma
- Splenic calcification
- Upper lung fibrosis
- Calcified lymph nodes
- Pleural calcification
A. 1,2,3,4,5 B. 2,4 C. 1,2,3 D. 1,4 E. 1,2,3,4
A. 1,2,3,4,5
- calcified granuloma
- Splenic calcification
- Upper lung fibrosis
- Calcified lymph nodes
- Pleural calcification
Late stage silicosis is characterized by which radiographic finding?
A. Basilar fibrosis B. Fibrotic masses adjacent to upper mediastinum C. Patchy air space consolidation D. Miliary nodules E. Widespread honeycomb lung
B. Fibrotic masses adjacent to upper mediastinum
Patchy air space consolidation is an early finding
The Ghon tubercle:
A. A lung abscess B. Related to previous histoplasmosis C. Related to splenic calcification D. A tuberculus granuloma E. A solitary nodule related to lung cancer
D. A tuberculus granuloma
Which of the following are findings that can be associated with pulmonary tuberculosis: choose all that apply
A. Subsegmental pn. B. Lymphadenopathy C. Upper lung cavitation D. Calcified pulmonary granuloma E. Calcified lymph node
A. Subsegmental pn. B. Lymphadenopathy C. Upper lung cavitation D. Calcified pulmonary granuloma E. Calcified lymph node
Of the acute infections, cavitation is most likely to be associated with?
A. Strept. pn B. Staph A. C. Viral pn. D. Mycoplasmal pn. E. Tuberculus pn.
B. Staph A
Multiple cystic cavity type spaces scattered throughout the lung field would not typically be associated with:
A. Squamous cell carcinoma
B. Pulmonary mets
C. Cystic bronchiectasis
D. Wegener’s granulomatosis
B. Pulmonary mets
On a chest series, the findings are unilateral, localized, homogenous increase in radiolucency. What are the next considerations: pick all that apply
A. Is it a tumor B. Is it consolidation C. Is it interstitial D. Is it air trapping E. Is it atelectasis
A. Is it a tumor
B. Is it consolidation
E. Is it atelectasis
With acute pulmonary infections:
A. Pneumococcal pn. usually begins centrally and spreads peripherally
B. Klebsiella pn. involves the lower lungs and has a fatality rate approaching 50%
C. Staph A pn. produces pneumatoceles in children
D. Aspiration pn. occurs predominantly in the upper lobes
C. Staph A pn. produces pneumatoceles in children
Pneumococcal pn. usually begins PERIPHERALLY and spreads CENTRALLY
Klebsiella pn. involves the UPPER lungs and has a fatality rate approaching 50%
Aspiration pn. occurs predominantly in the LOWER LOBES
Which of the following are complications of honey comb lung, choose all that apply
A. Pleural calcification B. Pneumothorax C. Ranke Complex D. Cor pulmonale E. Congestie Heart Failure
B. Pneumothorax
D. Cor pulmonale
Hypersensitivity pneumonitis (extrinsic allergic alveolitis) could be associated with which 2 of the following work groups/jobs?
A. Sandblasting B. Sugarcane processing C. Oil refining D. Air conditioner repair E. Construcion and demolition
B. Sugarcane processing
D. Air conditioner repair
Which accessory fissure anatomically is made up of unfolded visceral and parietal pleura layers?
A. Inferior Accessory Fissure
B. Superior Accessory Fissure
C. Accessory Left Minor Fissure
D. Azygous Fissure
D. Azygous fissure
Inferior Accessory Fissure- Separates #7 from medial base
Superior Accessory Fissure- Separates #6 from Basal
Accessory Left Minor Fissure- Separates Lingula from Left lobe
Which 2 of the following would be associated with eggshell lymph node calcification
A. Silicosis B. Klebsiella C. Asbestosis D. Sarcoidosis E. Coccidiodomycosis
A. Silicosis
D. Sarcoidosis
The Superior Accessory fissure:
A. Separates RUL segment 2 from 3
B. Splits LLL segment 6 from basal segments
C. Splits RUL Segment 1 from 2 and 2
D. Splits LUL segment 2 from 1-3
B. Splits LLL segment 6 from basal segments
MATCHING:
Aspiration pnumonitis
A. Affinity for lower lobes B. Atelectasis C. Apical pleural calcification D. Most common acute bacterial infection E. Common non-infectious granulomatous disease AB. May have chronic cough & sites inverses totals AC. May occur and chronic alcoholics AD. Thin walled cavitation
AC. May occur in alcoholics
MATCHING:
Kartagener’s
A. Affinity for lower lobes B. Atelectasis C. Apical pleural calcification D. Most common acute bacterial infection E. Common non-infectious granulomatous disease AB. May have chronic cough & sites inverses totals AC. May occur and chronic alcoholics AD. Thin walled cavitation
AB. May have chronic cough & sites inverses totals
MATCHING:
Bronchiectasis
A. Affinity for lower lobes B. Atelectasis C. Apical pleural calcification D. Most common acute bacterial infection E. Common non-infectious granulomatous disease AB. May have chronic cough & sites inverses totals AC. May occur and chronic alcoholics AD. Thin walled cavitation
A. Affinity for lower lobes
MATCHING:
Tuberculosis
A. Affinity for lower lobes B. Atelectasis C. Apical pleural calcification D. Most common acute bacterial infection E. Common non-infectious granulomatous disease AB. May have chronic cough & sites inverses totals AC. May occur and chronic alcoholics AD. Thin walled cavitation
C. Apical Pleural Calcification
MATCHING:
Streptococcus pneumoniae
A. Affinity for lower lobes B. Atelectasis C. Apical pleural calcification D. Most common acute bacterial infection E. Common non-infectious granulomatous disease AB. May have chronic cough & sites inverses totals AC. May occur and chronic alcoholics AD. Thin walled cavitation
D. Most common acute bacterial infection
