1
Q
- With Chest CT, structures are best seen when _______ to the beam. The major fissures are usually _______ on axial CT while the minor fissure is _______?
A
• Perpendicular, visible, not visible
2
Q
- The only fissures visible on the frontal and lateral views are ______ and ______?
A
• Minor Fissure & Superior Accessory Fissure
3
Q
- Plain film chest finding suspicious for small pulmonary apical neoplasm would be confirmed by, initially by?
A
Apical lordotic
4
Q
- This imaging _______ is no longer used and has been replaced with _______?
A
• Chest CT & Bronchography (BC)
5
Q
- Left hilar masses may impact all of the following nerves except:
A
• Sympathetic Chain
6
Q
- Which of the following distinguishes the chest x-ray from a thoracic spine radiograph?
A
• 100 kVp
7
Q
- Suspected small pneumothroax (air in the plural space) on a full inspiration PA chest (Remember: Does the air bubble go up or down in the shampoo bottle?)
A
• Lateral decubitus with involved side up
8
Q
- Which two fissures are horizontally orientated?
A
• Superior accessory fissure & Accessory left minor fissure (BC)
9
Q
- Which of the following is characteristic of the chest series
A
72 ffd
10
Q
- The silhouette sign
A
• Helps Diagnose and localize lung lesions
11
Q
- The Upper left heart border “silhouette sign” may be produced by
A
• LUL #4 pneumonia
12
Q
- Pulmonary consolidation in this segment could cause a silhouette sign with the ascending aorta
A
• RUL #2
13
Q
- The superior accessory fissure
A
• Splits LLL segment #6 from segments 1 & 2
14
Q
- In class we discussed an alternate, more standardized method of laterality labeling of oblique films from what you were taught in positioning class
A
• Label laterality of the patient
15
Q
- Which plain film view would show the left lung to BETTER visualize a questionable density?
A
• RAO (After apical lordotic)
16
Q
- The chest series is always performed________ in conscious patients
A
upright
17
Q
- Nuclear medicine scan of the heart
A
thallium scan
18
Q
- Scan does not adequately image the lungs
A
chest mri
19
Q
- The radiographic dividing line between the anterior and middle mediastinum radiographically is _______?
A
• Anterior trachea posterior pericardium
20
Q
- Which structures at the Pulmonary hilus are not visible as individual structures?
A
• Lymph Nodes, Nerves & Pulmonary veins (ABD)
21
Q
- Understanding lymphatic drainage of the lung helps to explain all of the following except:
A
• How consolidation spreads….(can’t see)
22
Q
- Segments of the right upper lobe include all of the following except
A
• Lateral segment (not included in RUL) (D)
23
Q
- Segments #4 and #5 are the same in both the right and left lung
A
f
24
Q
Segments #1 and #3 are the same in both the right and left lung
A
f
25
Segments #9 and #10 are combined segments in the left lung
f
26
All Authors consider segments #7 and #8 to be the same in the right and left lung:
f
27
The Inferior accessory fissure:
• Visible only on the frontal view
28
primary lobule
distal to last rep
29
secondary lobule
3,4 or 5 acini
30
acinus
distal to 1 terminal
31
pores of kohn
interavleolar commun
32
canals of lambert
bronchi to alveoli
33
Extremely rare fissure in the left lung:
Accessory left minor fissure
34
Extremely rare fissure in the left lung:
• Accessory left minor fissure (C)
35
Which is the foundational building block for the pathological process of air space consolidation?
acinus
36
Which of the following anatomical structures does not contribute to the frontal view cardia?
right ventricle
37
mc cause for unilateral hyperluscent lung
absence of chest wall tissue
38
The normal relationship of the pulmonary blood vessels in the recumbent position:
Upper and lower lung blood vessels of equal size (B)
39
Silhouette sign with the aortic knob created by:
LUL #1-3
40
Silhouette sign with the upper descending thoracic aorta created by
LLL 6
41
Which segment would NOT produce a lower right lateral chest wall “silhouette sign”
RLL 10
42
The silhouette sign (REMEMBER WHAT IT MEANS) can be used can be used to distinguish a pulmonary
T
43
When a hilus is enlarged unilaterally, the most likely anatomy generating the mass:
bronchus
44
Which of the following is not a characteristic of proper chest exposure, on the frontal view?
Osseous detail through the mid and lower mediastinum
45
______ is associated with air replacement and _______ is associated with air removal? (Pick ALL that apply)
Consolidation & Atelectasis (AD)
46
Which pulmonary disease process by definition must produce heterogenous density increase?
Interstitial disease (B)
47
All pulmonary disease must do one or more of the following: (Pick ALL that apply)
• Increase lung density, Change in lung shape & Decrease lung density (ABC)
