Midterm Flashcards

1
Q

All pulmonary disease must do one or more of the follwoing

A

Increase lung density
Change in lung shape
Decrease lung density

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2
Q

With chest CT, structures are best seen when ___ to the beam. The major fissures are usually ____ on axial CT while the minor fissure is ____?

A

Perpendicular
Visible
Not visible

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3
Q

The fissures visible on the lateral view

A

Minor
Superior accessory
Right oblique

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4
Q

Which plain film view would show the left lung to better visualize a questionable density

A

RAO (after apical lordotic)

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5
Q

Silhouettes pulmonary artery

A

Anterior segment 2

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6
Q

Which is the foundational building block for the pathological process of air space consolidation

A

Acinus

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7
Q

Primary lobule

A

Distal to teh last resp

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8
Q

Plain film chest finding suspicious for small pulmonary apical neoplasm would be confirmed initially by

A

Apical lordotic

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9
Q

The normal relationship of the pulmonary blood vessels in the recumbant position

A

Upper and lower lung blood vessels of equal size

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10
Q

The chest series is always performed ____ in conscious patients

A

In the upright position

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11
Q

When a hilus is enlarged unilaterally, the most likely anatomy generating the mass

A

Bronchus

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12
Q

Segments 1 and 3 are the same in both the right and left lung

A

False

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13
Q

Suspected small pneumotheorax (air in the pleural space) on a full inspiration PA chest

A

Lateral decubitus with involved side up

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14
Q

Which of the following is characteristic of the chest series

A

72 inch FFD

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15
Q

Which of the following distinguishes the chest x-ray from a thoracic spine radiograph

A

100kVp

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16
Q

Secondary lobule

A

3,4 or.5 acini

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17
Q

Extremely rare fissure in the left lung

A

Accessory left minor fissure

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18
Q

Secondary lobule

A

Thickening produces kerley’s lines

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19
Q

Which pulmonary disease process by definition must produce heterogenous density increase

A

Interstitial disease

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20
Q

Which of the following is considered optional for film identificatoin

A

Film number

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21
Q

The silhouette sign

A

Helps diagnose and localize lung lesions

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22
Q

The silhouette sign can be used to distinguish a pulmonary….

A

True

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23
Q

Pulmonary consolidation in this segment could cause a silhouette sign with the ascending aorta

A

RUL #2

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24
Q

Silhouette sign with the upper descending thoracic aorta created by

A

LLL #6

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25
Q

Segments 9 and 10 are combined segments in the left lung

A

False - 7/8 anterio-medial basilar segment

26
Q

The upper left heart border silhouette sign may be produced by

A

LUL #4 pneumonia

27
Q

Cortical lung

A

Devoid of vidible vasculature

28
Q

Silhouette sign with the aortic knob created by

A

LUL #1-3

29
Q

Which of the following anatomical structures does not contribute to teh frontal view cardia

A

Right ventricle

30
Q

Segment 2 is the same in both right and left lung

A

True

31
Q

All authors consider segments 7 and 8 to be the same in the right and left lung

A

False

32
Q

The superior accessory fissue

A

Splits LLL segment #6 from segments 1 and 2

33
Q

Left accessory fissure

A

Separates segments 2 and 4

34
Q

Pulmonary arteries

A

Upper to lower lung ratio 1-1 in recurrent…

35
Q

Inferior vena cava

A

Found at posterior cardiophrenic angle

36
Q

Most common cause for unilateral hyperlucent lung

A

Absence of chest wall tissue

37
Q

Segments of the right upper lobe include all of the follwoing except

A

Lateral segment

Includes apical, anterior, posterior

38
Q

In class we discussed an alternate, more standardized method of laterality labeling of oblique films from what you were taught in positioning class

A

Label laterality of the patient

39
Q

The inferior accessory fissure

A

Visible only on the frontal view

40
Q

The only fissures visible on the frontal and lateral views are

A

Minor fissure

Superior accessory fissure

41
Q

This imaging ____ is no longer used and has been replaced with ____

A

Bronchography

Chest CT

42
Q

___ is associated with air replacement and ___ is associated with air removal

A

Consolidation

Atelectasis

43
Q

Left atrium

A

Most posterior cardiac chamber

44
Q

Right ventricle

A

Immediately posterior to lower stem bronchi

45
Q

The simplified form of patient positioning for x-rays that we discussed in class includesq

A

Align central ray to fixed….

46
Q

The radiographic dividing line between the anterior and the middle mediastinum radiographically is

A

Anterior trachea posterior pericardium

47
Q

Direct airway anastomosis

A

Interbronchial connection

48
Q

Pores of kohn

A

Interalveolar commun

49
Q

Which structures at the pulmonary hilus are not visible as individual structures

A

Lymph nodes, nerve, and pulmonary veins

50
Q

Lateral decubitus

A

Requires special x-ray machine to produce

51
Q

Which of the following is not a characteristic of proper chest exposure on the frontal view

A

Osseous detail through the mid and lower mediastinum

52
Q

Left hilar masses may impact all of the following nerves except

A

Sympathetic chain

Impacts phrenic, recurrent laryngeal, vagus

53
Q

Which segment would not produce a lower right lateral chest wall silhouette sign

A

RLL #10

54
Q

Canals of lambert

A

Bronchi to alveoli

55
Q

Acinus

A

Distal to one terminal

56
Q

Segments 4 and 5 are the same in both the right and left lung T/F

A

False

57
Q

Scan does not adequately image the lungs

A

Chest MRI

58
Q

Regarding the trachea

A

Is in intimate contact with….

59
Q

Understanding lymphatic drainage of the lung helps to explain all of the following except

A

How consolidation spreads…

60
Q

Which two fissures are horizontally oriented

A

Superior accessory fissure

Accessory left minor fissure

61
Q

Nuclear medicine scan of the heart

A

Thallium scan