Prelim

Question 1

12 step program
A. Pre- read (1-4): NDOT
B. Quality control ( 5-8): PIRA
C. Findings ( 9-12): SMDL

Answer 1

1. Name
2. Date
3. Old films
4. Type of view
5. Penetration
6. Inspiration
7. Rotation
8. Angulation
9. Soft tissues/ body structures
10. Mediastinum
11. Diaphragm
12. Lungfields

Question 2

Penetration
- Should see __ through the heart
- Barely see the __ through he heart
- Should see nearly to the edges of the lungs
Gastric bubbles- air

Answer 2

Ribs
spine
pulmonary vessels

Question 3

_____ Film
(high Kvp & dark image )
-lung fields darker than normal; may obscure subtle pathologies
- see spine well beyond the diaphragm
- Inadequate lung detail

Answer 3

Overpenetrated

Question 4

_____ Film
(low kVP & bright image)
- hemidiaphragms are obscured (not visible)
- Pulmonary markings more prominent than they actually are
(common artifacts: noise, quantum mottle)

Answer 4

Underpenetrated

Question 5

.
- Should be able to count 9-10 posterior ribs
- Heart shadow should not be hidden by the diaphragm

Answer 5

Inspiration

Question 6

Poor inspiration can crowd the lung markings producing: “ ____disease*

Answer 6

pseudo-airspace

Question 7

• web appearance in the image)

Answer 7

Extensive Pulmonary Tuberculosis

Question 8

• cotton ball appearance in the image

Answer 8

Thermal lung cancer

Question 9

• Medial ends of the bilateral clavicle are equidistant from the midline or vertebral bodies
• Marking: jugular notch

Answer 9

Rotation

Question 10

• ( positioned dedicated to apices )
• Wing out clavicle

Answer 10

APICO LORDOTIC

Question 11

Soft Tissue and Bony Structure
Check for:SDFMCL ( 6)
-

Answer 11

symmetry
- deformities
-fracture (disruptions: bones)
-masses
- calcification
- lytic lesions (brittle bone: crystalize black appearance)

Question 12

10. Mediastinum
    Check for:
    - __ (heart exert too much effort: blockage, hypertensive)
    - Mediastinal & iteral contours for increase densities and deformities

Answer 12

Cardiomegaly

Question 13

11.
- Check sharpness of borders
- Right is normally higher than the left
- Check for free air, gastric bubble, pleural effusions (presence of fluid in the lungs)

Answer 13

Diaphragms

Question 14

• free air (peritoneal cavity)

Answer 14

Pneumoperitoneum

Question 15

12. • To help you determine abnormalities & their location
    • Uses silhouettes/ other thoracic structures
    • Use fissures

Answer 15

Lung fields

Question 16

-are formed by the points at which the chest wall and diaphragm meet.

Answer 16

Costophrenic Angle

Question 17

Silhouttes structure and contact with lung

Answer 17

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