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Soft A > Midterm2 > Flashcards

Midterm2 Flashcards

1
Q

With chest CT, structures are best seen when perpendicular to the transverse beam rather than parallel. Which fissure would not be visible on axial chest CT imaging due to it being parallel to the beam rather than perpendicular

A

Minor fissure

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2
Q

The only fissures visible on the frontal and lateral views are ___ and ____.

Pick two choices

A

Minor fissure

Superior accessory fissure

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3
Q

Some chest imaging procedures are no longer utilized due to replacement with newer and better imaging. Which imaging procedure utilized a contrast agent to better visualize a structure not normally seen on a plain film chest x-ray

A

Bronchography

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4
Q

Which are required for legal film demographic identification

Pick all that apply

A

Producing institution
Patient name and age
Production date
Film #????

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5
Q

Left hilar masses may impact which of the following nerves

Pick all that apply

A

Recurrent laryngeal
Phrenic
Vagus

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6
Q

Standard chest plain film x-rays

A

Done upright in ambulatory patient

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7
Q

Suspected small pneumothorax (air in the pleural space) on a full inspiraiton PA chest view could be confirmed by most cost effectively

A

Lateral decubitus with involved side up

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8
Q

The silhouette sign

A

Localizes at the chest wall

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9
Q

Upper left heart border silhouette sign may be produced by

A

LUL #4 pneumonia

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10
Q

Pulmonary consolidation in this segment could cause a silhouette sign with the posterior chest wall

A

RLL #6

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11
Q

The superior accessory fissure

A

Splits LLL segment 6 from segments 9 and 10

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12
Q

Which two fissures are horizontally oriented

Pick 2 choices

A

Superior accessory fissure

Accessory left minor fissure

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13
Q

Which of the following is NOT characteristic of the chest series

A

Frontal view AP or PA

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14
Q

Which one of the following imaging procedures is non-ionizing

A

Cardiac ultrasound

MRI

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15
Q

The simplified form of patient positioning (for x-rays) that we discussed in class includes all except

A

Align central ray to fixed anatomical point

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16
Q

In class we discussed an alternate, more standardized method of laterality labeling of oblique x-rays differentfrom what you were taught in positioning class

A

Label laterality of the patient

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17
Q

If there was no easy access to chest CT, which plain film view would show the right lung to BETTER visualize questionable denisty

A

LAO

Apical lordotic?

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18
Q

The chest series is always performed ___ in conscious patients

A

With suspended breathing at full inspiration

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19
Q

Nuclear medicine scan of the heart

A

Thallium scan

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20
Q

Nuclear med scan for air and blood movement in the lungs

A

Ventilation and perfusion scans

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21
Q

The dividing line between the anterior and middle mediastinum radiographically

A

Anterior trachea posterior pericardium

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22
Q

Regarding the trachea, which is an incorrect statement

A

Can never deviate from the midline normally

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23
Q

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

Pick ALL that apply

A

Lymph nodes
Nerves
Pulmonary veins

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24
Q

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

A

How consolidation spreads within a lobe

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25
Q

Segments of the left upper lobe include all of the following except

A

Lateral #4

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26
Q

RML and lingula have the same named segments. T/F

A

False

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27
Q

Segments #1 and #3 aret eh same in both the right and left lung. T/F

A

False

28
Q

Segments #9 and #10 are combined segments in the left lung. T/F

A

False

29
Q

All authors consider segemnts #7 and #8 to be the same in the right and left lung. T/F

A

False

30
Q

The inferior accessory fissure

A

Splits RLL segment 7 from 8-10

31
Q

Primary lobule

A

Ducts, sacs, and alveoli

32
Q

Secondary lobule

A

3-5 acini

33
Q

Acinus

A

Foundatioin of airspace consolidation

34
Q

Pores of kohn

A

Interalveolar infectious exudate spread

35
Q

Channels of Martin

A

Bronchi to bronchi connections

36
Q

Extremely rare fissure in the left lung

A

Accessory left minor fissue

37
Q

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

A

Acinus

38
Q

Which of the following anatomical structures does not contribute to the lateral view cardiovascular silhouette

A

Right atrium

39
Q

Two causes for unilateral hyperlucent lung/hemithorax

Pick two choices

A

Absence of chest wall tissue

Pneumothorax

40
Q

The normal relationship of pulmonary blood vessels in the recumbant position

A

Upper and lower lung blood vessels of equal size

41
Q

Silhouette sign with the aortic knob created by

A

LUL #1-3

42
Q

Silhouette sign with the upper descending thoracic aorta created by

A

LLL $6

43
Q

Which segment would NOT produce a right lateral chest wall silhouette sign below the minor fissure

A

RML #5

44
Q

If a water density lesion in the lung was in front of or behind the lung hilus, the hilus would be visible thorugh the lesion. T/F

A

True

45
Q

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

A

Bronchus

46
Q

Which fissure are visible on the lateral view

Pick all correct

A

Minor

Major

47
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

48
Q

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

Pick 2 choices

A

Consolidation

Atelectasis

49
Q

Which is incorrect in our memory aid for cardiac chambers

A

Front is right atrium

50
Q

On a frontal chest view, which mediastinal structure, when enlarged, might cover up the left hilus

A

Ascending aorta

51
Q

Creates left middle lobe

A

Accessory minor fissure

52
Q

Compartmentalized unit of lung

A

Secondary lobule

53
Q

Facilitates lobar air perfusion

A

Direct airway anastomosis

54
Q

Utilizes gravity to facilitate diagnosis

A

Lateral decubitus

55
Q

Anterior basal segment #8

A

Silhouettes lateral chest wall

56
Q

Contact with esophagus

A

Left atrium

57
Q

Right heart border on frontal view

A

Right atrium

58
Q

May be prominent with right hilar tumor

A

Superior vena cava

59
Q

Upper to lower lung ratio 1-1 in recumbant position

A

Pulmonary vasculature

60
Q

No vasculature visible

A

Cortical lung

61
Q

Which of the following hilar structures is responsible for the left hilus anatomical position

A

Pulmonary artery

62
Q

On chest radiographs, the heart normally obscures the

A

Anterior and medial left hemidiaphragm

63
Q

The silhouette sign is nearly always a ____ finding and is usually due to ___

A

Abnormal

Lung disease

64
Q

Our rules for remembering heart borders tells us: the anterior heart border is formed by the ___ and the posterior heart border is formed by the ____

Pick 2 choices

A

Right ventricle

Left atrium and ventricle

65
Q

On a frontal chest view, which mediastinal structure, when enlarged, might cover up (not silhouette) the right hilus

A

Ascending aorta

Soft A (6 decks)

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