MT Flashcards

1
Q
  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 _______?
A

• Perpendicular, visible, not visible

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

• Minor Fissure & Superior Accessory Fissure

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

Apical lordotic

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

• Chest CT & Bronchography (BC)

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

• Sympathetic Chain

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

• 100 kVp

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7
Q
  1. 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?)
A

• Lateral decubitus with involved side up

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8
Q
  1. Which two fissures are horizontally orientated?
A

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

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9
Q
  1. Which of the following is characteristic of the chest series
A

72 ffd

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10
Q
  1. The silhouette sign
A

• Helps Diagnose and localize lung lesions

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11
Q
  1. The Upper left heart border “silhouette sign” may be produced by
A

• LUL #4 pneumonia

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12
Q
  1. Pulmonary consolidation in this segment could cause a silhouette sign with the ascending aorta
A

• RUL #2

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13
Q
  1. The superior accessory fissure
A

• Splits LLL segment #6 from segments 1 & 2

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14
Q
  1. 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

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15
Q
  1. Which plain film view would show the left lung to BETTER visualize a questionable density?
A

• RAO (After apical lordotic)

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16
Q
  1. The chest series is always performed________ in conscious patients
A

upright

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17
Q
  1. Nuclear medicine scan of the heart
A

thallium scan

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18
Q
  1. Scan does not adequately image the lungs
A

chest mri

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19
Q
  1. The radiographic dividing line between the anterior and middle mediastinum radiographically is _______?
A

• Anterior trachea posterior pericardium

20
Q
  1. Which structures at the Pulmonary hilus are not visible as individual structures?
A

• Lymph Nodes, Nerves & Pulmonary veins (ABD)

21
Q
  1. Understanding lymphatic drainage of the lung helps to explain all of the following except:
A

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

22
Q
  1. Segments of the right upper lobe include all of the following except
A

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

23
Q
  1. Segments #4 and #5 are the same in both the right and left lung
A

f

24
Q

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

A

f

25
Q

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

A

f

26
Q

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

A

f

27
Q

The Inferior accessory fissure:

A

• Visible only on the frontal view

28
Q

primary lobule

A

distal to last rep

29
Q

secondary lobule

A

3,4 or 5 acini

30
Q

acinus

A

distal to 1 terminal

31
Q

pores of kohn

A

interavleolar commun

32
Q

canals of lambert

A

bronchi to alveoli

33
Q

Extremely rare fissure in the left lung:

A

Accessory left minor fissure

34
Q

Extremely rare fissure in the left lung:

A

• Accessory left minor fissure (C)

35
Q

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

A

acinus

36
Q

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

A

right ventricle

37
Q

mc cause for unilateral hyperluscent lung

A

absence of chest wall tissue

38
Q

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

A

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

39
Q

Silhouette sign with the aortic knob created by:

A

LUL #1-3

40
Q

Silhouette sign with the upper descending thoracic aorta created by

A

LLL 6

41
Q

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

A

RLL 10

42
Q

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

A

T

43
Q

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

A

bronchus

44
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

45
Q

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

A

Consolidation & Atelectasis (AD)

46
Q

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

A

Interstitial disease (B)

47
Q

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

A

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