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Soft A > newm > Flashcards

newm 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?

A

superior accessory minor

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2
Q

the only fissures visible on the frontal and lateral views are ______ and _______.

A
  • minor

- superior accessory

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3
Q

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 nerve would impacted by a posteriorly projecting hilar mass?

A

vagus

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5
Q

which nerve is not impacted by a hilar mass?

A

right recurrent laryngeal

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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 inspiration PA chest view could be confirmed by most cost effectively:

A

lateral decubitus with involved side down

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8
Q

which of hte following is a correct statement regarding the silhouette sign:

A

localizes at diaphragm

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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 slhouette 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& 10

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12
Q

which two fissures are hirzontally oriented?

A
  • accessory left minor fissure

- superior accessory fissure

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13
Q

which of hte following is not characteristic of hte chest series:

A

frontal view AP or PA

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14
Q

which of the following imaging procedures are non-ionizing?

A

MRI

cardiac ultrasound

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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

on an anterior cervical oblique view, the head is facing toward the left laterality marker. based on what we discussed in class which foramen are we looking at?

A

right

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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 a questionable density?

A

LAO

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18
Q

the chest series is always performed _______ in concious patients:

A

with suspended breathing @ full inspiration

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19
Q

nuclear medicine scan of the heart:

A

thalium scan

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20
Q

nuclear med scan for suspected pulmonary embolism:

A

perfusion scans (ventilation)

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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?

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

the inferior accessory fissure

A

splits RLL segment 7 from 8-10

27
Q

primary lobule

A

too small to see

28
Q

secondary lobule

A

3-5 acini

29
Q

acinus

A

respiratory zone

30
Q

pores of kohn

A

smallest for air perfusion

31
Q

channels of martin

A

bronchi to bronchi connections

32
Q

canals of lambert

A

bronchi to alveoli air perfusion

33
Q

extremely rare fissure in the left lung:

A

accessory left minor fissure

34
Q

which is the foundational building block for the pathological process of air space consiolidation.

A

acinus

35
Q

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

A

right atrium

36
Q

two causes for unilateral hyperlucent lung/ hemithorax:

A
  • absence of chest wall tissue

- pneumothorax

37
Q

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

A

upper and lower lung blood vessels of equal size

38
Q

silhouette sign with the aortic knob created by:

A

LUL #1-3

39
Q

silhouette sign with the upper descending thoracic aorta created by:

A

LLL #6

40
Q

which segment would NOT produce a right lateral chest wall “silhouette sign” below the minor fissure?

A

RML #5

41
Q

if a water density lesion in the lung was in front of or behind the lung hilus, the hilus would be visible through lesion:

A

true

42
Q

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

A

bronchus

43
Q

which fissure are visible on the lateral view?

A

minor
major
superior accessory
right oblique

44
Q

which are the characteristic of proper chest exposure, on the frontal view?

A
  • pulmonary vasculature visible through the left side of the heart
  • osseous detail above the aortic knob
  • faint visualization of hte thoracic spine through heart
45
Q

_____ is associated witgh air relacement and _____ is associated with air removal?

A
  • consolidation

- atelectasis

46
Q

which is incorrect in our memory aid for cardiac chambers?

A

lefts are singles

47
Q

on a frontal PA chest view, which mediastinal structure, when enlarged, might cover up the right hilus:

A

ascending aorta

48
Q

left minor fissure

A

extremely rare

49
Q

secondary lobule

A

subpleural interstitium compartmentalizes

50
Q

direct airway anastomosis

A

facilitates infectious exudate spread

51
Q

lateral decubitus

A

used if CT not available

52
Q

silhouettes lateral chest wall

A

segments 4,8,9

medial basal segment

53
Q

left atrium

A

no convex border on left

54
Q

right atrium

A

not border forming on lateral view

55
Q

superior vena cava

A

may be prominent with right hilar tumor

56
Q

pulmonary vasculature

A

appearance compared side to side and upper to lower

57
Q

cortical and medularry lung

A

big orange differntiates

58
Q

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

A

pulmonary artery

59
Q

plain film chest finding suspicuos for small pulmonary apical neoplasm would be confirmed by, initially by?

A

apical lordotic

60
Q

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

A

interstitial disease

61
Q

all pulmonary disease must do one or more of the following:

A

increase lung density, change in lung shape & decrease lung density

62
Q

whith 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

63
Q

which one of the following is considered optional for legal film demographic identification?

A

film #

64
Q

silhouette sign with the lower descending thoracic aorta created by:

A

LLL# 10

Soft A (3 decks)

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