Thoracic imaging Flashcards

1
Q
  1. The best modality for displaying the lung parenchyma is –
A

High resolution CT (HRCT)

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2
Q
  1. For which of the following pathologies is a chest X-ray the least sensitive?
A

– In the search for metastases

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3
Q
  1. Which of the following examinations is routinely done as part of a pre-operative examination? –
A

Chest XR

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4
Q
  1. The most common chest imaging modality is -
A

Chest X-ray

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5
Q
  1. What are the basic projections used for chest XR? -
A

PA, AP and lateral

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6
Q
  1. Chest X-rays are most often made in a ……………….. projection. (fill in the blank) -
A

PA

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7
Q
  1. A chest X-ray is performed in a Posteroanterior projection because -
A

The heart is closer to the film; thus it is smaller on the image.

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8
Q
  1. What is the most striking difference on chest XR in PA vs. AP projection?
A
  • The size of the cardiac shadow
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9
Q
  1. If an X-ray of the chest does not have any markings, we assume that it is made in the default projection, which is?
A

– Standing and posteroanterior

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10
Q
  1. Bedside chest XR is usually made in an …….…. projection. (fill in the blank) -
A

AP

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11
Q
  1. Side markings (Letter L / R) on a chest XR
A
  • Must always be present
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12
Q
  1. How do we evaluate rotation of a patient on a chest XR?
A
  • According to the position of the ends of the clavicles and spinal processes
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13
Q
  1. If the spinal processes are not projected into the middle between the sternal ends of the clavicles on a chest X-ray -
A

The image is rotated

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14
Q
  1. Correctly exposed chest XR should have -
A

Vertebrae visible in the shadow of mediastinum and vascular structures visible in the area of the diaphragm

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15
Q
  1. If the right half of the diaphragm reaches the ventral margin of the 6th rib on a radiograph of the right chest
A
  • The patient is inhaling sufficently
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16
Q
  1. If the right half of the diaphragm reaches the ventral margin of the 4th rib on a radiograph of the right chest –
A

The inhalation of the patient is insufficient

17
Q
  1. On which projection on a chest X-ray we can see the oblique fissures?
A

– On a lateral projection

18
Q
  1. What term do we use for the whole lung area seen on a chest XR?
A
  • The lung field
19
Q
  1. What do we call the area in a hemithorax on a chest X-ray between the apex and the ventral end of the 2nd rib?
A
  • Upper lung zone
20
Q
  1. What do we call the area in a hemithorax on a chest X-ray between the ventral ends of the 2nd and 4th ribs?
A

– Middle lung zone

21
Q
  1. What do we call an area in a hemithorax on a chest X-ray between the ventral ends of the 4th rib and the diaphragm?
A
  • Lower lung zone
22
Q
  1. Horizontal fissure on a chest XR
A

– Is present in approximately 50% of cases

23
Q
  1. Which structures physiologically cause lung markings?
A
  • Blood vessels
24
Q
  1. What is the physiological shape of the Pulmonary hilum? -
A

Concave

25
Q
  1. How are the pulmonary hila located relative to one another?
A
  • The right pulmonary hilus should be lower than the left
26
Q
  1. The term HRCT stands for
A
  • High-resolution CT
27
Q
  1. HRCT (High-resolution CT) is performed -
A

Natively

28
Q
  1. CT with a contrast agent is the diagnostic method of choice for
A
  • Pulmonary embolism
29
Q
  1. When lung cancer is suspected, the most beneficial investigation is
A
  • CT with contrast
30
Q
  1. CT image reconstruction by averaging about 5mm of width in different planes is called -
A

Multiplanar reconstruction

31
Q
  1. Which reconstructions are ideal for the detection of pulmonary nodules on CT of the chest?
A

– Maximum intensity projections (MIP)

32
Q
  1. What is the name of the smallest functional lung unit which is surrounded by a septa?
A
  • Secondary pulmonary lobulus
33
Q
  1. What is located in the interlobular septas of the lungs?
A
  • Veins and lymphatics
34
Q
  1. The density of the pulmonary parenchyma on CT -
A

Is dependent on gravity and is higher in gravitationally lower areas

35
Q
  1. Ultrasound in the diagnosis of thoracic pathologies can be used for -
A

Pleural effusions

36
Q
  1. What can we see in ultrasound of the thorax?
A
  • The movements of the visceral and parietal pleura during breathing, which we call the sliding sign