Chest X-ray

Question 1

White

Answer 1

something in it

Question 2

How to first check film

Answer 2

• check to see if it’s correct pt
• most recent?
• anatomical markers (L/R)

Question 3

AP chest X-ray

Answer 3

• anterior ro posterior

- If pt can’t stand

Question 4

PA chest X-ray

Answer 4

poster to anterior

standard

Question 5

rotation

Answer 5

centered on film

Question 6

Bony skeleton

Answer 6

• Xray gets more than just lungs
• ribs (fractures/lesions)
• vertebrae
• scapula
• should all be symmetrical

Question 7

Diaphragm

Answer 7

right higher than left

Question 8

heart

Answer 8

less than 1/2 diameter of thoracic cage

-AP

Question 9

what should you never diagnose on AP film?

Answer 9

cardiomegaly

Question 10

Hila

Answer 10

• difficul
• variations
• compare to other X-rays of that pt to make sure no changes

Question 11

Lung fields

Answer 11

check for symmetry

Question 12

trachea

Answer 12

• should be a midline structure

- abnormal if not

Question 13

film too black

Answer 13

• pneumothorax

- COPD

Question 14

pneumopthorax

Answer 14

• air between visceral/ parietal pleura

- can’t get blood to heart

Question 15

film too white

Answer 15

• collapse
• consolidation
• pneumonia
• pulmonary edema
• CHF
• pleural effusion

Question 16

diagnosing pneumonia

Answer 16

• some cancers look like pneumonia
• must do other tests to diagnose pneumonia
• pneumonia clears by 4-6 weeks

Question 17

if heart border blunts

Answer 17

lingular lobe (left)

Question 18

air filled mass

Answer 18

-cavitary lesion
(squamous cell cancer, a lot of things, TB)
-could be bleeding
-rupture of thoracic duct
-pneumonia

Question 19

what side of bronchus do foreign bodies go down normally?

Answer 19

right side

-it is longer, less horizontal, easier for things to go down