Middy Bird Flashcards
- Which of the following hilar structures is almost never associated with hiliar enlargement?
a. pulmonary veins
b. lymph nodes
c. nerves
d. pulmonary artery
C. Nerves
- Clinical Suspicion of hilar lymphadenopathy is confirmed by which imaging procedure?
a. plain film chest series
b. Gator Chomp In the Swamp
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
CT scanning
- The most commonly utilized advanced imaging for the lung is?
a. chest mri
b. chest ct
c. bronchogaphy
d. decubitis imaging
B. Chest CT
- Left Hilar masses may impact all of the following nerves except:
a. Recurrent laryngeal
b. Vagus
c. Phrenic
d. Sympathetic chain
D. Sympathetic chain
- Which of the following distinguishes the chest x-ray from a thoracic spine radiograph?
a. frontal view AP
b. Full inspiration breathing termination
c. 75kvp thoracic
d. always use a grid
B. Full inspiration breathing termination
- The chest series is always performed
a. in the upright position
b. with a grid
c. with suspended breathing in full inspiration
d. at 60 or 72 in FFD
D. At 60 or 72 inch FFD
- Suspected Pleural effusion on a full inspiration PA chest view could be confirmed by.
a. chest CT
b. chest mri
c. lateral decubitis with involved side down
d. lateral decubitis with involved side up
C. Lateral decubitus, involved side down
- The silhouette sign is caused by?
a. a water density touching the heart, aorta, or diaphragm
b. an enlarged heart
c. an air density lesion touching the chest wall
d. pneumothorax
A. A water density touching the heart, aorta or diaphragm
- Which of the following anatomical structures does not contribute to the frontal view cardiovascular silhouette?
a. right atrium
b. ascending aorta
c. pulmonary artery
d. right ventricle
D. Right ventricle
- The silhouette sign can be used to distinguish a pulmonary lesion from a hilar mass.
a. True
B false
B. False
- Silhouette sign with the upper descending aorta created by:
a. RUL #2
b. LUL #1-3
c. LUL #2
d. LLL #6
D. LLL #6
- Upper left heart border “silhouette sign” may be produced by
a. LUL atelectasis
b. LUL #1-3 atelectasis
c. LLL #7-8 pneumonia
d. LUL #4 pneumonia
D. LUL #4 pneumonia
- Silhouette sign with the aortic knob created by:
a. RUL #2
b. LUL #1-3
c. LUL #2
d. LLL #6
B. LUL #1-3
- Sihouette sign with the ascending aorta created by
a. RUL #2
b. LUL #1-3
c. LUL #2
d. LLL #6
A. RUL #2
- 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
- Silhouette sign with the diaphragm created by:
a. RML #5
b. LLL #7
c. LUL #5
d. LLL #6
B. LLL #7
- Segments of the right upper lobe include all of the following except
a. Apical #1
b. Posterior #3
c. Anterior #2
d. Lateral #4
D. Lateral #4
- Segments 9 and 10 are both the same in the RT and LT lung:
A. True
B. False
B. True
- Segments 7 and 8 are both the same in the RT and LT lungs according to Grey’s Anatomy:
A. True
B. False
False
- Segments 4 and 5 are the same in both the right and left lung
A. True
B. False
B. False
right - lateral and medial, left - superior and inferior
- Segments LLL and RLL are the same in both the right and left lung
A True
B. False
B. False
- Segments #1 and #3 are the same in both the right and left lung
A True
B False
B. False (right – apical and posterior respectively, left – apicalposterior).
- Segments 2 and 6 are the same in both the right and left lung
A. True
B. False
B. False
- The superior accessory fissure:
a. splits RUL segment 2 from 3
b. Splits LLL Segment 6 from basal segments
c. Splits RUL segment 1 from 2 and 3
d. Spilts LUL segment 2 from 1-3
B. Splits LLL Segment 6 from basal segments
- The inferior accessory fissure
a. splits RUL segment 2 from 3
b. splits segment 7 from basal segments
c. splits RUL segment 1 from 2 and 3
d. splits LUL segment 2 from 1,3
B. Splits segment 7 from basal segments
- This fissure involves the apical segment on the right only
a. inferior accessory fissure
b. superior accessory fissure
c. accessory left minor fissure
d. azygos fissure
D. Azygous fissure
azygos vein is medial to this fissure
- The only fissure visible on the frontal and lateral views are the minor and
a. inferior accessory
b. azygos
c. superior accessory
d. right oblique
C. Superior accessory
- Which accessory fissure anatomically is made up of parietal and visceral pleura?
a. Inferior accessory fissure
b. Superior accessory
c. Accessory left fissure
d. Azygos fissure
D. Azygous
(also has 4 layers, where everything has only two visceral).
- Which of the following is optional on the film?
a. facility name
b. patients age
c. faculty address
d. film number
D. Film number
- The simplified form of patient positioning for x-ray that was discussed in class are all except?
a. visualize the anatomy
b. align central ray so it’s in the center of the anatomy
c. place the central ray to the center of cassette
d. place the anatomy at the film center
B. Align the central ray so it’s in the centre of the anatomy
- In class we discussed a simplified method of labeling the oblique x-rays
a. always use a rao marker
b. label laterality of patient
c. label the side closest to the film
d. always use a L marker
C. Label the side closest to the film
- The best view for visualizing the extreme upper lung fields:
a. PA view
b. Apical lordotic
c. Go Gators!!!
d. RAO
B. Apical lordotic
- The most commonly used non-ionizing cardiac imaging
a. Cardiac ultrasound
b. Tomography scan
c. Coronary angiography
d. Retrograde angiography
A. Cardiac ultrasound
- Plain film chest tomography, bronchography and plain film oblique views have been replaced by
a. chest CT
b. chest mri
c. decubitus series
d. a-p
A. Chest CT
- The radiographic dividing line between the anterior and middle mediastinum radiographically
a. anterior pericardium only
b. posterior trachea, posterior pericardium
c. posteriorpericardium only
d. anterior trachea posterior pericardium
D. Anterior trachea posterior pericardium
- Regarding the trachea
a. deviates to the left at the aortic branch
b. can never deviate from the midline normally
c. cardiac division at T4 in the adult
d. is contact with the esophagus
B. Can never deviate from the midline normally
- Of the structures making up hilar anatomy which are visible?
a. lymph nodes
b. nerves
c. pulmonary arteries
d. pulmonary veins
C. Pulmonary arteries
- Understanding lymphatic drainage of the lung helps to explain all of the following except?
a. how pulmonary artery edema behaves
b. how infection may spread to hilus
c. how bronchiogenic cancer may spread to hilus
d. how consolidation spreads within a lobe
D. How consolidation spreads within a lobe
MATCHING
Primary Lobule
A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles
C. Distal to the last respiratory bronchioles
MATCHING
Secondary lobule
A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles
AD. 3-5 respiratory bronchioles
MATCHING
Acinus
A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles
D. Distal to terminal bronchiole
MATCHING
Pores of Kohn
A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles
E. Interalveolar communications
MATCHING
Canals of Lambert
A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles
AC. Bronchi to alveoli communication
MATCHING
Direct airway anastamoses
A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles
A. Interbronchial communication
- Is the foundational building block for the pathological process of air space consolidation
a. Acinus
b. primary lobule
c. secondary lobue
d. pores of Kohn
A. Acinus
– distal to terminal bronchiole
- Which pulmonary disease process is associated with air replacement?
a. Atelectasis
b. Interstitial disease
c. Alabama Sucks Dick
d. Consolidation
D. Consolidation
- Which pulmonary disease process is associated with air removal?
a. Atelectasis
b. Interstitial disease
c. Neoplasm
d. Consolidation
A. Atelectasis
- Most common cause for unilateral hyper lucent lung
a. absence of chest wall tissue
b. pneumothorax
c. emphysema
d. large pleural effusion
A. Absence of chest wall tissue
- The normal relationship of the pulmonary blood vessels:
a. vessel should extend to the chest wall
b. upper and lower lung blood vessels of equal size
c. vessel size constant throughout lung medial to lateral
d. 1:2 ratio upper to lower lung vessels
D. 1:2 ratio upper to lower lung vessels
- When a hilus is enlarged unilaterally, the most likely anatomy generating the mass
a. pulmonary arteries
b. pulmonary veins
c. nerves
d. lymph nodes
D. Lymph nodes
LAN
- Which of the following is not a characteristic of proper chest exposure on the frontal view?
a. pulmonary vasculature visible through the left side of the heart
b. osseous detail above the aortic knob
c. osseous detail through the mid and lower mediastinum
d. faint visualization of the thoracic spine through heart
C. Osseous detail through the mid and lower mediastinum
– osseous detail thru upper 1/3 of mediastinum
- All pulmonary disease must change the ratio of:
a. bronchial size versus blood vessels size
b. air versus soft tissue
c. air volume versus vessels size
d. pulmonary arteries versus pulmonary veins
B. Air versus soft tissue
