MT

Question 1

1. With Chest CT, structures are best seen when _______ to the beam. The major fissures are usually _______ on axial CT while the minor fissure is _______?

Answer 1

• Perpendicular, visible, not visible

Question 2

2. The only fissures visible on the frontal and lateral views are ______ and ______?

Answer 2

• Minor Fissure & Superior Accessory Fissure

Question 3

3. Plain film chest finding suspicious for small pulmonary apical neoplasm would be confirmed by, initially by?

Answer 3

Apical lordotic

Question 4

4. This imaging _______ is no longer used and has been replaced with _______?

Answer 4

• Chest CT & Bronchography (BC)

Question 5

5. Left hilar masses may impact all of the following nerves except:

Answer 5

• Sympathetic Chain

Question 6

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

Answer 6

• 100 kVp

Question 7

7. Suspected small pneumothroax (air in the plural space) on a full inspiration PA chest (Remember: Does the air bubble go up or down in the shampoo bottle?)

Answer 7

• Lateral decubitus with involved side up

Question 8

12. Which two fissures are horizontally orientated?

Answer 8

• Superior accessory fissure & Accessory left minor fissure (BC)

Question 9

13. Which of the following is characteristic of the chest series

Answer 9

72 ffd

Question 10

8. The silhouette sign

Answer 10

• Helps Diagnose and localize lung lesions

Question 11

9. The Upper left heart border “silhouette sign” may be produced by

Answer 11

• LUL #4 pneumonia

Question 12

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

Answer 12

• RUL #2

Question 13

11. The superior accessory fissure

Answer 13

• Splits LLL segment #6 from segments 1 & 2

Question 14

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

Answer 14

• Label laterality of the patient

Question 15

17. Which plain film view would show the left lung to BETTER visualize a questionable density?

Answer 15

• RAO (After apical lordotic)

Question 16

18. The chest series is always performed________ in conscious patients

Answer 16

upright

Question 17

19. Nuclear medicine scan of the heart

Answer 17

thallium scan

Question 18

20. Scan does not adequately image the lungs

Answer 18

chest mri

Question 19

21. The radiographic dividing line between the anterior and middle mediastinum radiographically is _______?

Answer 19

• Anterior trachea posterior pericardium

Question 20

23. Which structures at the Pulmonary hilus are not visible as individual structures?

Answer 20

• Lymph Nodes, Nerves & Pulmonary veins (ABD)

Question 21

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

Answer 21

• How consolidation spreads….(can’t see)

Question 22

25. Segments of the right upper lobe include all of the following except

Answer 22

• Lateral segment (not included in RUL) (D)

Question 23

26. Segments #4 and #5 are the same in both the right and left lung

Answer 23

f

Question 24

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

Answer 24

f

Question 25

Segments #9 and #10 are combined segments in the left lung

Answer 25

f

Question 26

All Authors consider segments #7 and #8 to be the same in the right and left lung:

Answer 26

f

Question 27

The Inferior accessory fissure:

Answer 27

• Visible only on the frontal view

Question 28

primary lobule

Answer 28

distal to last rep

Question 29

secondary lobule

Answer 29

3,4 or 5 acini

Question 30

acinus

Answer 30

distal to 1 terminal

Question 31

pores of kohn

Answer 31

interavleolar commun

Question 32

canals of lambert

Answer 32

bronchi to alveoli

Question 33

Extremely rare fissure in the left lung:

Answer 33

Accessory left minor fissure

Question 34

Extremely rare fissure in the left lung:

Answer 34

• Accessory left minor fissure (C)

Question 35

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

Answer 35

acinus

Question 36

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

Answer 36

right ventricle

Question 37

mc cause for unilateral hyperluscent lung

Answer 37

absence of chest wall tissue

Question 38

The normal relationship of the pulmonary blood vessels in the recumbent position:

Answer 38

Upper and lower lung blood vessels of equal size (B)

Question 39

Silhouette sign with the aortic knob created by:

Answer 39

LUL #1-3

Question 40

Silhouette sign with the upper descending thoracic aorta created by

Answer 40

LLL 6

Question 41

Which segment would NOT produce a lower right lateral chest wall “silhouette sign”

Answer 41

RLL 10

Question 42

The silhouette sign (REMEMBER WHAT IT MEANS) can be used can be used to distinguish a pulmonary

Answer 42

T

Question 43

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

Answer 43

bronchus

Question 44

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

Answer 44

Osseous detail through the mid and lower mediastinum

Question 45

______ is associated with air replacement and _______ is associated with air removal? (Pick ALL that apply)

Answer 45

Consolidation & Atelectasis (AD)

Question 46

Which pulmonary disease process by definition must produce heterogenous density increase?

Answer 46

Interstitial disease (B)

Question 47

All pulmonary disease must do one or more of the following: (Pick ALL that apply)

Answer 47

• Increase lung density, Change in lung shape & Decrease lung density (ABC)