Middy Bird Flashcards by Lyndsay Church

Which of the following hilar structures is almost never associated with hiliar enlargement?

a. pulmonary veins
b. lymph nodes
c. nerves
d. pulmonary artery

C. Nerves

How well did you know this?

Not at all

Perfectly

Clinical Suspicion of hilar lymphadenopathy is confirmed by which imaging procedure?

a. plain film chest series
b. Gator Chomp In the Swamp
c. pulmonary MRI
d. pulmonary CT

D. Pulmonary CT

How well did you know this?

Not at all

Perfectly

The optimum imaging for hilar detail is?

a. bronchography
b. tomography
c. apical lordotic
d. ct scanning
e. thoracic series

CT scanning

How well did you know this?

Not at all

Perfectly

The most commonly utilized advanced imaging for the lung is?

a. chest mri
b. chest ct
c. bronchogaphy
d. decubitis imaging

B. Chest CT

How well did you know this?

Not at all

Perfectly

Left Hilar masses may impact all of the following nerves except:

a. Recurrent laryngeal
b. Vagus
c. Phrenic
d. Sympathetic chain

D. Sympathetic chain

How well did you know this?

Not at all

Perfectly

Which of the following distinguishes the chest x-ray from a thoracic spine radiograph?

a. frontal view AP
b. Full inspiration breathing termination
c. 75kvp thoracic
d. always use a grid

B. Full inspiration breathing termination

How well did you know this?

Not at all

Perfectly

The chest series is always performed

a. in the upright position
b. with a grid
c. with suspended breathing in full inspiration
d. at 60 or 72 in FFD

D. At 60 or 72 inch FFD

How well did you know this?

Not at all

Perfectly

Suspected Pleural effusion on a full inspiration PA chest view could be confirmed by.

a. chest CT
b. chest mri
c. lateral decubitis with involved side down
d. lateral decubitis with involved side up

C. Lateral decubitus, involved side down

How well did you know this?

Not at all

Perfectly

The silhouette sign is caused by?

a. a water density touching the heart, aorta, or diaphragm
b. an enlarged heart
c. an air density lesion touching the chest wall
d. pneumothorax

A. A water density touching the heart, aorta or diaphragm

How well did you know this?

Not at all

Perfectly

Which of the following anatomical structures does not contribute to the frontal view cardiovascular silhouette?

a. right atrium
b. ascending aorta
c. pulmonary artery
d. right ventricle

D. Right ventricle

How well did you know this?

Not at all

Perfectly

The silhouette sign can be used to distinguish a pulmonary lesion from a hilar mass.

a. True
B false

B. False

How well did you know this?

Not at all

Perfectly

Silhouette sign with the upper descending aorta created by:

a. RUL #2
b. LUL #1-3
c. LUL #2
d. LLL #6

D. LLL #6

How well did you know this?

Not at all

Perfectly

Upper left heart border “silhouette sign” may be produced by

a. LUL atelectasis
b. LUL #1-3 atelectasis
c. LLL #7-8 pneumonia
d. LUL #4 pneumonia

D. LUL #4 pneumonia

How well did you know this?

Not at all

Perfectly

Silhouette sign with the aortic knob created by:

a. RUL #2
b. LUL #1-3
c. LUL #2
d. LLL #6

B. LUL #1-3

How well did you know this?

Not at all

Perfectly

Sihouette sign with the ascending aorta created by

a. RUL #2
b. LUL #1-3
c. LUL #2
d. LLL #6

A. RUL #2

How well did you know this?

Not at all

Perfectly

Pulmonary consolidation in this segment could cause a silhouette sign with the ascending aorta?

a. RUL #2
b. RUL #1
c. RML #5
d. RLL #6
e. RML #4

A. RUL #2

How well did you know this?

Not at all

Perfectly

Silhouette sign with the diaphragm created by:

a. RML #5
b. LLL #7
c. LUL #5
d. LLL #6

B. LLL #7

How well did you know this?

Not at all

Perfectly

Segments of the right upper lobe include all of the following except

a. Apical #1
b. Posterior #3
c. Anterior #2
d. Lateral #4

D. Lateral #4

How well did you know this?

Not at all

Perfectly

Segments 9 and 10 are both the same in the RT and LT lung:

A. True
B. False

B. True

How well did you know this?

Not at all

Perfectly

Segments 7 and 8 are both the same in the RT and LT lungs according to Grey’s Anatomy:

A. True
B. False

False

How well did you know this?

Not at all

Perfectly

Segments 4 and 5 are the same in both the right and left lung
A. True
B. False

B. False

right - lateral and medial, left - superior and inferior

How well did you know this?

Not at all

Perfectly

Segments LLL and RLL are the same in both the right and left lung
A True
B. False

Study These Flashcards

B. False

Segments #1 and #3 are the same in both the right and left lung
A True
B False

Study These Flashcards

B. False (right – apical and posterior respectively, left – apicalposterior).

Segments 2 and 6 are the same in both the right and left lung

A. True
B. False

Study These Flashcards

B. False

25. The superior accessory fissure: a. splits RUL segment 2 from 3 b. Splits LLL Segment 6 from basal segments c. Splits RUL segment 1 from 2 and 3 d. Spilts LUL segment 2 from 1-3

B. Splits LLL Segment 6 from basal segments

26. The inferior accessory fissure a. splits RUL segment 2 from 3 b. splits segment 7 from basal segments c. splits RUL segment 1 from 2 and 3 d. splits LUL segment 2 from 1,3

B. Splits segment 7 from basal segments

27. This fissure involves the apical segment on the right only a. inferior accessory fissure b. superior accessory fissure c. accessory left minor fissure d. azygos fissure

D. Azygous fissure | azygos vein is medial to this fissure

28. The only fissure visible on the frontal and lateral views are the minor and a. inferior accessory b. azygos c. superior accessory d. right oblique

C. Superior accessory

29. Which accessory fissure anatomically is made up of parietal and visceral pleura? a. Inferior accessory fissure b. Superior accessory c. Accessory left fissure d. Azygos fissure

D. Azygous (also has 4 layers, where everything has only two visceral).

30. Which of the following is optional on the film? a. facility name b. patients age c. faculty address d. film number

D. Film number

31. The simplified form of patient positioning for x-ray that was discussed in class are all except? a. visualize the anatomy b. align central ray so it’s in the center of the anatomy c. place the central ray to the center of cassette d. place the anatomy at the film center

B. Align the central ray so it's in the centre of the anatomy

32. In class we discussed a simplified method of labeling the oblique x-rays a. always use a rao marker b. label laterality of patient c. label the side closest to the film d. always use a L marker

C. Label the side closest to the film

33. The best view for visualizing the extreme upper lung fields: a. PA view b. Apical lordotic c. Go Gators!!! d. RAO

B. Apical lordotic

34. The most commonly used non-ionizing cardiac imaging a. Cardiac ultrasound b. Tomography scan c. Coronary angiography d. Retrograde angiography

A. Cardiac ultrasound

35. Plain film chest tomography, bronchography and plain film oblique views have been replaced by a. chest CT b. chest mri c. decubitus series d. a-p

A. Chest CT

36. The radiographic dividing line between the anterior and middle mediastinum radiographically a. anterior pericardium only b. posterior trachea, posterior pericardium c. posteriorpericardium only d. anterior trachea posterior pericardium

D. Anterior trachea posterior pericardium

37. Regarding the trachea a. deviates to the left at the aortic branch b. can never deviate from the midline normally c. cardiac division at T4 in the adult d. is contact with the esophagus

B. Can never deviate from the midline normally

38. Of the structures making up hilar anatomy which are visible? a. lymph nodes b. nerves c. pulmonary arteries d. pulmonary veins

C. Pulmonary arteries

39. Understanding lymphatic drainage of the lung helps to explain all of the following except? a. how pulmonary artery edema behaves b. how infection may spread to hilus c. how bronchiogenic cancer may spread to hilus d. how consolidation spreads within a lobe

D. How consolidation spreads within a lobe

MATCHING Primary Lobule ``` A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles ```

C. Distal to the last respiratory bronchioles

MATCHING Secondary lobule ``` A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles ```

AD. 3-5 respiratory bronchioles

MATCHING Acinus ``` A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles ```

D. Distal to terminal bronchiole

MATCHING Pores of Kohn ``` A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles ```

E. Interalveolar communications

MATCHING Canals of Lambert ``` A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles ```

AC. Bronchi to alveoli communication

MATCHING Direct airway anastamoses ``` A. Interbronchial communication B. 3, 4, or 5 primary lobules C. Distal to the last respiratory bronchioles D. distal to the terminal bronchiole E. Interalveolar communications AB. Three or more acini AC. Bronchi to alveoli communication AD. 3-5 respiratory bronchioles ```

A. Interbronchial communication

46. Is the foundational building block for the pathological process of air space consolidation a. Acinus b. primary lobule c. secondary lobue d. pores of Kohn

A. Acinus – distal to terminal bronchiole

47. Which pulmonary disease process is associated with air replacement? a. Atelectasis b. Interstitial disease c. Alabama Sucks Dick d. Consolidation

D. Consolidation

48. Which pulmonary disease process is associated with air removal? a. Atelectasis b. Interstitial disease c. Neoplasm d. Consolidation

A. Atelectasis

49. Most common cause for unilateral hyper lucent lung a. absence of chest wall tissue b. pneumothorax c. emphysema d. large pleural effusion

A. Absence of chest wall tissue

50. The normal relationship of the pulmonary blood vessels: a. vessel should extend to the chest wall b. upper and lower lung blood vessels of equal size c. vessel size constant throughout lung medial to lateral d. 1:2 ratio upper to lower lung vessels

D. 1:2 ratio upper to lower lung vessels

51. When a hilus is enlarged unilaterally, the most likely anatomy generating the mass a. pulmonary arteries b. pulmonary veins c. nerves d. lymph nodes

D. Lymph nodes | LAN

52. Which of the following is not a characteristic of proper chest exposure on the frontal view? a. pulmonary vasculature visible through the left side of the heart b. osseous detail above the aortic knob c. osseous detail through the mid and lower mediastinum d. faint visualization of the thoracic spine through heart

C. Osseous detail through the mid and lower mediastinum – osseous detail thru upper 1/3 of mediastinum

53. All pulmonary disease must change the ratio of: a. bronchial size versus blood vessels size b. air versus soft tissue c. air volume versus vessels size d. pulmonary arteries versus pulmonary veins

B. Air versus soft tissue

Middy Bird Flashcards

(53 cards)