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SOFT B > MID 5 > Flashcards

MID 5 Flashcards

1
Q

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

A. Localized hyperlucency

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2
Q

Clinical suspicion of bronchiectasis is confirmed by which imaging procedure?

A. Plain film series
B. Bronchography
C. Pulmonary MRI
D. Pulmonary CT

A

D. Pulmonary CT

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3
Q

The optimum imaging for hilar detail is:

A. Bronchography
B. Tomography
C. Apical lordotic
D. CT scanning
E. Thoracic Series
A

D. CT Scanning

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4
Q

Which of the following signs would point to air space consolidation:

  1. Bilateral medullary lung opacification
  2. Subsegmental poorly defined opacity
  3. 5-8mm nodules
  4. Lobar opacification
  5. Poorly defined segmental opacification
A. 1,2,5
B. 1,4
C. 1,3,5
D. 3,4
E. 1,2,3,4,5
A

E. 1,2,3,4,5

  1. Bilateral medullary lung opacification
  2. Subsegmental poorly defined opacity
  3. 5-8mm nodules
  4. Lobar opacification
  5. Poorly defined segmental opacification
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5
Q

A common cause of reticular pulmonary pattern is:

A. Pulmonary fibrosis
B. Tuberculosis
C. Staph A.
D. Silicosis

A

B. TB

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6
Q

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

A

D. Bronchiectasis

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7
Q

Which of the following are signs of interstitial disease?

  1. 1-2mm nodules
  2. Honeycomb densities
  3. 3-5mm nodules
  4. Reticulonodular densities
  5. Kerley lines
A. 1,2,4,5
B. 2,4
C. 1,3,5
D. 1,2,5
E. 1,2,3,4,5
A

E. 1,2,3,4,5

  1. 1-2mm nodules
  2. Honeycomb densities
  3. 3-5mm nodules
  4. Reticulonodular densities
  5. Kerley lines
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8
Q

Which of the following signs are associated with atelectasis:

  1. Vascular crowding
  2. Mediastinal shift away from density
  3. Hilar shift toward density
  4. Rib interspace narrowing
  5. Elevation of diaphragm
A. 1,2,3
B. 2,4
C. 1,3,4,5
D. 3,4
E. 2,3,4,5
A

C. 1,3,4,5

  1. Vascular crowding
  2. Hilar shift toward density
  3. Rib interspace narrowing
  4. Elevation of diaphragm
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9
Q

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.
A

E. Tuberculus pn.

It’s chronic

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10
Q

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

A. RUL #2

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11
Q

Kartagener’s is associated with which pulmonary disorder?

A. Asthma
B. Emphysema
C. Bronchiectasis
D. Chronic bronchitis
E. Bronchiolitis
A

C. Bronchiectasis

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12
Q

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
A

D. Pneumatocele

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13
Q

Klebsiella pneumonia may cause lobar consolidation, however, a classic cause is:

A. Viral pn.
B. Mycoplasmal pn.
C. Strept. pn.
D. Aspiration pn.

A

C. Strept pn.

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14
Q

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
A

D. Byssinosis

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15
Q

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
A

C. Lobar consolidation

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16
Q

Which of the following are considered to be fibrogenic pneumoconiosis?

  1. Silicosis
  2. Asbestosis
  3. Black lung disease
  4. Bagassosis
  5. Beryllium granulomatosis
A. 1,2,3
B. 2,4
C. 1,2,3,5
D. 3,4
E. 2,3,4,5
A

C. 1,2,3,5

  1. Silicosis
  2. Asbestosis
  3. Black lung disease
  4. Beryllium granulomatosis
17
Q

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

A

C. Unilateral hemidiaphragm elevation, mediastinal shift, rib interspace narrowing

Direct: displaced fissures, crowding, increased lung opacity

18
Q

Sequela of previous granulomatous infection include:

  1. calcified granuloma
  2. Splenic calcification
  3. Upper lung fibrosis
  4. Calcified lymph nodes
  5. Pleural calcification
A. 1,2,3,4,5
B. 2,4
C. 1,2,3
D. 1,4
E. 1,2,3,4
A

A. 1,2,3,4,5

  1. calcified granuloma
  2. Splenic calcification
  3. Upper lung fibrosis
  4. Calcified lymph nodes
  5. Pleural calcification
19
Q

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
A

B. Fibrotic masses adjacent to upper mediastinum

Patchy air space consolidation is an early finding

20
Q

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
A

D. A tuberculus granuloma

21
Q

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 
A. Subsegmental pn. 
B. Lymphadenopathy
C. Upper lung cavitation
D. Calcified pulmonary granuloma
E. Calcified lymph node
22
Q

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.
A

B. Staph A

23
Q

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

A

B. Pulmonary mets

24
Q

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

A. Is it a tumor
B. Is it consolidation
E. Is it atelectasis

25
Q

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

A

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

26
Q

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
A

B. Pneumothorax

D. Cor pulmonale

27
Q

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
A

B. Sugarcane processing

D. Air conditioner repair

28
Q

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

A

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

29
Q

Which 2 of the following would be associated with eggshell lymph node calcification

A. Silicosis 
B. Klebsiella
C. Asbestosis
D. Sarcoidosis
E. Coccidiodomycosis
A

A. Silicosis

D. Sarcoidosis

30
Q

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

A

B. Splits LLL segment 6 from basal segments

31
Q

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
A

AC. May occur in alcoholics

32
Q

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
A

AB. May have chronic cough & sites inverses totals

33
Q

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

A. Affinity for lower lobes

34
Q

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
A

C. Apical Pleural Calcification

35
Q

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
A

D. Most common acute bacterial infection

SOFT B (10 decks)

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