Pleural Space

Question 1

What type of pleura covers the inner inner surface of the thorax?

Answer 1

Parietal pleura

Question 2

What type of pleura covers the lung parenchyma?

Answer 2

Visceral pleura

Question 3

T/F:

Left and right pleural sacs are open

Answer 3

FALSE!

closed

Question 4

The regions between the lung lobes that produce lines

on radiography

Answer 4

Pleural Fissure Lines

Question 5

Dyspnea, thoracic cavity distension, and dyssynchonous

breathing are all clinical signs of the presence of

Answer 5

pleural fluid

Question 6

Fluid in the pleural space is known as

Answer 6

pleural effusion

Question 7

Gas is the pleural space is known as

Answer 7

pneumothorax

Question 8

A pleural effusion detected with a ________ ________

indicates severe disease and a poor prognosis

Answer 8

peritoneal effusion

Question 9

T/F:

Diaphragmatic hernias can cause pleural effusion,

fluid in the pleural space

Answer 9

TRUE

Question 10

What radiographic signs are seen with pleural effusion?

_____ interlobular fissures

_______ opacity between lungs and thoracic wall and dorsal to the sternum

_________ of lungs from thoracic wall

_________ of lung margins

Silhouetting of the ______ in DV view

______ of the diaphragm

Answer 10

What radiographic signs are seen with pleural effusion?

WIDE interlobular fissures

SOFT TISSUE opacity between lungs and thoracic wall and dorsal to the sternum

RETRACTION of lungs from thoracic wall

Scalloping of lung margins

Silhouetting of the HEART in DV view

SILHOUETTING of the diaphragm

Question 11

Which disease is indicated by the following signs?

Pleural fluid

Severely rounded lung lobe margins that do not return

to normal shape following thoracocentesis

Answer 11

Restrictive Pleuritis

Question 12

___________ is a common cause of UNILATERAL

distributions of pleural fluid

Answer 12

Pyothorax

Question 13

This type of pneumothorax occurs with

free communication between pleural space and environment

Answer 13

OPEN pneumothorax

Question 14

This type of pneumothorax occurs when air

leaks into the pleural space via the

lung, trachea, bronchii, esophagus, or mediastinum

Answer 14

CLOSED pneumothorax

Question 15

In this type of pneumothorax, pleural pressure is

greater than atmospheric pressure

resulting in a continuous influx of air on inspiration that does not

return to lung on expiration

Answer 15

TENSION pneumothorax

Question 16

In this type of pneumothorax

pleural pressure = atmospheric pressure

Answer 16

Normotensive pneumothorax

Question 17

Trauma is the most common cause of pneumothorax, and this usually

results in ___________ pneumothorax

Answer 17

Normotensive

Question 18

Pneumothorax and pleural effusion is usually

_____lateral

Answer 18

BILateral

Question 19

pneumothorax is easier to see on _______ view

Answer 19

lateral

Question 20

If on radiography, you see the following, what disease is occuring?

Pulmonary vessels that do not continue to the thoracic wall

Lungs retracted from thoracic wall

Gas opacity between lungs and thoracic wall

Loss of sternal contact

Answer 20

pneumothorax

Question 21

“Loss of Sternal Contact” is seen with pneumothorax.

What does this mean?

Answer 21

It is the dorsal displacement of the heart on lateral view

Question 22

A greater degree of lung collapse and

_______ of the diaphragm is seen

with Tension pneumothorax

Answer 22

tenting of the diaphragm

Question 23

What is the best test to find out if pneumothorax was

caused by a ruptured bullae?

Answer 23

CT

Question 24

What position do you put the patient in for

Horizontal Beam Radiography?

Answer 24

LATERAL recumbency