Week 2,3 - Chest Positioning

Question 1

Body Habitus:

Answer 1

Hypesthenic: Massive

Question 2

Body Habitus:

Answer 2

Stenic : Average

Question 3

Body Habitus:

Answer 3

Hyposthenic: Slender

Question 4

Body Habitus::

Answer 4

Asthenic: Very slender

Question 5

4 divisions of respiratory system ?

Answer 5

pharynx (leads air into larynx); trachea; bronchi and lungs

Question 6

trachea runs from which levels of the vertebrae?

Answer 6

c6 to t5

Question 7

what types and numbers of each vertebrae

Answer 7

Cervical - 7

thoracic - 12

lumbar - 5

sacral - 5

caudal (coccygeal) - 4

Question 8

what is anatomy of the rt bronchi?

Answer 8

Its wider and shorter than the lt bronchi, making it more likley to be lodged with a foreign object

Question 9

What is the carina?

Answer 9

lowest level of trachea where the rt or lt bronchi divide

Question 10

Medial Boarder of Lungs

Answer 10

Hilum

Question 11

How many lobes on each lung

Answer 11

Rt. 3 lobes
Lt 2 Lobes
(Rt lung shorter b/c of liver, but more broader)

Question 12

Position of the trachea (windpipe)

Answer 12

Is anterior to esophagus (when choking on food, it usually goes into the right bronchus)

Right primary bronchus is shorter, wider and more vertical than the left

Question 13

Chest: Topographic Anatomic Landmarks (Anterior)

Answer 13

1. Jugular Notch (use to help center for AP Chest view )
2. Xiphod Process (inferior tip of sterum)

Question 14

Chest: Topographic (palpable) Anatomic Landmarks (Posterior)

Answer 14

1. Vertebral Prominens (7th cervical vertebrae) (if the neck is flexed forward, its the first palpable landmark of the spine

Question 15

Chest: Topographic Anatomic Landmarks (Posterior)

Answer 15

2. Scapula: level of T-7 which is mid-thorax centering point for PA CXR

Question 16

Bony thorax: How many ribs and thoracic vertebrae

Answer 16

12 pairs (24 ribs) and 12

Question 17

Chest: PA Projection: Patient Position

Answer 17

1. Erect Facing IR;
2. Dorsal surface of hand on hips and roll shoulders forwards (moves scapulae out of lung field)
3. Expose on full inspiration

Question 18

Chest: PA Projection: IR Placement

Answer 18

1.5 - 2” above relaxed shoulders

Question 20

Bony thorax: How many ribs and thoracic vertebrae

Question 21

Chest: PA Projection: CR

Answer 21

Perp. to T-7 w/ a 72” SID

Question 22

Chest: PA Projection: SS

Answer 22

Air filled lungs, heart, aortic arch, bronchial tree

Question 23

Chest Lateral Projection: PP

Answer 23

Erect; True Lateral (Left Lateral)
MCP Centered to midline of grid
Extend arms over head

Question 24

Chest Lateral Projection: IR

Answer 24

1.5 - 2” above shoulders

Question 25

Chest Lateral Projection: CR

Answer 25

Perp entering at T-7 @MCP

Question 26

Chest Lateral Projection: SS

Answer 26

Heart, Lungs, Aorta - Done to differentiate lobes, and pulmonary lesions

Question 27

Chest Lateral View

Answer 27

Question 28

AP Projection: PP

Answer 28

Supine or Upright

Question 29

AP Projection: IR

Answer 29

MSP to Midline of grid 1.5 -2" above shoulders

Question 30

AP Projection: CR

Answer 30

Perp to sternum; 3" inf. to jugular notch

Question 31

AP Projection: SS

Answer 31

Similar to PA, but everything is magnified Lung field seems shorter due to abdominal compression

Question 32

AP VS PA X-ray View

Answer 32

Question 33

AP or PA Projection RT. or LT Lateral Decubitus: PP

Answer 33

Lay recumbent on either side; lateral w/ hand raised above the head

Question 34

AP or PA Projection RT. or LT Lateral Decubitus: IR

Answer 34

1.5 - 2" above shoulders

Question 35

AP or PA Projection RT. or LT Lateral Decubitus: CR

Answer 35

Perp and horizontal to: AP: 3" below juglar notch PA: T-7

Question 36

AP or PA Projection RT. or LT Lateral Decubitus: SS

Answer 36

Of the chest, including air/fluid levels in a pneumothorax or pleural effusion (mark this side)

Question 37

AP Decubitus Chest Photo

Answer 37

Question 38

Lateral Projection RT or LT Dorsal or Ventral

Answer 38

Question 39

Lateral Projection RT or LT Dorsal or Ventral: PP

Answer 39

Supine or prone; radiolucent sponge under pt;

Question 40

Lateral Projection RT or LT Dorsal or Ventral: IR

Answer 40

Center Grid to thorax; Place AFFECTED side on

Question 41

Lateral Projection RT or LT Dorsal or Ventral: CR

Answer 41

Perp and horizontal entering MCP @ T-7

Question 42

Lateral Projection RT or LT Dorsal or Ventral: SS

Answer 42

Change in Air/Fluid level and shows pulmonary areas obscured by fluid in standard projection

Question 43

Chest AP: Axial Lordotic (lindblom) Method / AP Lordotic

Answer 43

Question 44

Chest AP: Axial Lordotic (lindblom) Method / AP Lordotic: PP

Answer 44

Erect, standing 1 foot in front of IR upper shoulders are leaning on IR

Question 45

Chest AP: Axial Lordotic (lindblom) Method / AP Lordotic: IR

Answer 45

IR is 3" above shoulders IR is 72" SID

Question 46

Chest AP: Axial Lordotic (lindblom) Method / AP Lordotic: CR

Answer 46

Perp to center of IR midsternum

Question 47

Chest AP: Axial Lordotic (lindblom) Method / AP Lordotic: SS

Answer 47

Axial projection of lungs to demo. interlobar effusions interlobar effusions=a loculated collection of fluid

Question 48

PA Oblique - RAO/LAO Position

Answer 48

Question 49

PA Oblique - RAO/LAO Position : PP General + Heart Series

Answer 49

Erect 45 degree rt or lt (oblique) Cardiac series: 55 - 60 degrees Arms down posteior hand on hip

Question 50

PA Oblique - RAO/LAO Position : IR

Answer 50

2" above C-7

Question 51

PA Oblique - RAO/LAO Position : CR

Answer 51

Perp to T-7

Question 52

PA Oblique - RAO/LAO Position : SS

Answer 52

Oblique view of the chest and lungs

Question 53

AP Oblique RPO/ LPO Position

Answer 53

Question 54

AP Oblique RPO/ LPO Position : PP

Answer 54

Erect; 45 degrees oblique

Question 55

AP Oblique RPO/ LPO Position: IR

Answer 55

IR: 2" above C-7

Question 56

AP Oblique RPO/ LPO Position: CR

Answer 56

Perp to T-7

Question 57

AP Oblique RPO/ LPO Position : SS

Answer 57

Oblique view of chest and lungs