X Ray

Question 1

Bilateral

Answer 1

Both sides

Question 2

What is the purpose of doing a bronchogram?

Answer 2

Localize areas of brochiectasis or lesions

Question 3

What does intubation mean?

Answer 3

Insertion of ET tube into larynx and down near carina to ventilate lungs

Question 4

What are the indications for chest x-ray?

Answer 4

Detect alteration of lung caused by pathological process, position of tubes and catheters, determine appropriate therapy, evaluate effectiveness of treatment, and trend progression of lung disease.

Question 5

Hyperresonance

Answer 5

Over areas containing trapped air
Ex. COPD and pneumothorax

Question 6

Resonance

Answer 6

Normal lung tissue

Question 7

Dullness

Answer 7

Over areas of the lung that has a greater portion of tissue or fluid
Ex. Pneumonia, consolidation, and atelectasis

Question 8

Tympany

Answer 8

Air filled stomach
Ex. Tension pneumothorax

Question 9

Normal looking bones and organs

Answer 9

Radiodense

Question 10

What is the term that would be used for normal looking lungs?

Answer 10

Radiolucent

Question 11

Hyperlucency with absence of vascular markings

Answer 11

Pneumothorax

Question 12

What would cause the vascular markings to be increased or decreased?

Answer 12

Increased- congestive heart failure
Decreased- pneumothorax

Question 13

Radiolucent

Answer 13

Dark pattern- air tissue

Question 14

Radiodense

Answer 14

White pattern-solid-fluid

Question 15

Consolidation

Answer 15

Solid white area

Question 16

Opaque

Answer 16

Fluid, solid

Question 17

Hyperlucency

Answer 17

Extra pulmonary air

Question 18

Diffuse

Answer 18

Spread throughout

Question 19

Vascular markings

Answer 19

Lymphatics,vessels, lungs

Question 20

Infiltrate

Answer 20

Ill defined radio density

Question 21

Peripheral wedge shaped infiltrate

Answer 21

Pulmonary embolism

Question 22

Fluffy inflitrate

Answer 22

Pulmonary edema

Question 23

Butterfly pattern

Answer 23

Pulmonary edema

Question 24

Concave superior interface or border

Answer 24

Pleural effusion

Question 25

Basilar infiltrate with meniscus

Answer 25

Pleural effusion

Question 26

What is the purpose of doing a lateral ductus?

Answer 26

Identify a pleural effusion

Question 27

What would cause the castrophrenic angle to be obliterated on an x-ray?

Answer 27

Pleural effusion

Question 28

Consolidation

Answer 28

Pleural effusion, tumor, mass, pneumonia

Question 29

Honeycomb pattern

Answer 29

ARDS/IRDS

Question 30

Ground glass appearance

Answer 30

ARDS/IRDS

Question 31

Platelike infiltrate

Answer 31

Atelectasis

Question 32

Patchy infiltrate

Answer 32

Atelectasis

Question 33

Hyperinflations with increased A-P diameter

Answer 33

COPD

Question 34

What could cause the diaphragms to be flattened on an x-ray?

Answer 34

COPD- air trapping

Question 35

What could cause hyperlucency on an x-ray?

Answer 35

COPD, asthma attack, pneumothrax

Question 36

Given the term bilateral diffuse or infiltrate what does this mean?

Answer 36

Infiltrates(atelectasis) spread throughout both lungs

Question 37

How can adequate ventilation after a pt is intubated be determined prior to having a chest X-ray?

Answer 37

Bilateral chest expansion and bilateral breath sounds

Question 38

What is tactile fremritus?

Answer 38

Feel for vibrations on pt chest wall when they say “99”

Question 39

Unilateral

Answer 39

One sided

Question 40

Where is the carina located on an X-ray ?

Answer 40

Level of the 4th rib

Question 41

Where is proper placement of an artificial airway on a chest X-ray?

Answer 41

2-6cm above carina