newm

Question 1

With chest CT, structures are best seen when perpendicular to the transverse beam rather than parallel. Which fissure would not be visible on axial chest CT?

Answer 1

superior accessory minor

Question 2

the only fissures visible on the frontal and lateral views are ______ and _______.

Answer 2

• minor

- superior accessory

Question 3

which imaging procedure utilized a contrast agent to better visualize a structure not normally seen on a plain film chest x-ray?

Answer 3

bronchography

Question 4

which nerve would impacted by a posteriorly projecting hilar mass?

Answer 4

vagus

Question 5

which nerve is not impacted by a hilar mass?

Answer 5

right recurrent laryngeal

Question 6

standard chest plain film x-rays:

Answer 6

done upright in ambulatory patient

Question 7

suspected small pneumothorax (air in the pleural space) on a full inspiration PA chest view could be confirmed by most cost effectively:

Answer 7

lateral decubitus with involved side down

Question 8

which of hte following is a correct statement regarding the silhouette sign:

Answer 8

localizes at diaphragm

Question 9

upper left heart border “silhouette sign” may be produced by:

Answer 9

LUL #4 pneumonia

Question 10

pulmonary consolidation in this segment could cause a slhouette sign with the posterior chest wall.

Answer 10

RLL #6

Question 11

the superior accessory fissure:

Answer 11

splits LLL segment 6 from segments 9& 10

Question 12

which two fissures are hirzontally oriented?

Answer 12

• accessory left minor fissure

- superior accessory fissure

Question 13

which of hte following is not characteristic of hte chest series:

Answer 13

frontal view AP or PA

Question 14

which of the following imaging procedures are non-ionizing?

Answer 14

MRI

cardiac ultrasound

Question 15

the simplified form of patient positioning (for x-rays) that we discussed in class includes all except:

Answer 15

align central ray to fixed anatomical point

Question 16

on an anterior cervical oblique view, the head is facing toward the left laterality marker. based on what we discussed in class which foramen are we looking at?

Answer 16

right

Question 17

if there was no easy access to chest CT, which plain film view would show the right lung to better visualize a questionable density?

Answer 17

LAO

Question 18

the chest series is always performed _______ in concious patients:

Answer 18

with suspended breathing @ full inspiration

Question 19

nuclear medicine scan of the heart:

Answer 19

thalium scan

Question 20

nuclear med scan for suspected pulmonary embolism:

Answer 20

perfusion scans (ventilation)

Question 21

the dividing line between the anterior and middle mediastinum radiographically:

Answer 21

anterior trachea posterior pericardium

Question 22

regarding the trachea, which is an incorrect statement?

Answer 22

can never deviate from the midline normally

Question 23

which structures at the pulmonary hilus are not visible as individual structures?

Answer 23

• lymph nodes
• nerves
• pulmonary veins

Question 24

understanding lymphatic drainage of the lung helps to explain all of the following except:

Answer 24

how consolidation spreads within a lobe

Question 25

segments of the left upper lobe include all of the following except"

Answer 25

lateral #4

Question 26

the inferior accessory fissure

Answer 26

splits RLL segment 7 from 8-10

Question 27

primary lobule

Answer 27

too small to see

Question 28

secondary lobule

Answer 28

3-5 acini

Question 29

acinus

Answer 29

respiratory zone

Question 30

pores of kohn

Answer 30

smallest for air perfusion

Question 31

channels of martin

Answer 31

bronchi to bronchi connections

Question 32

canals of lambert

Answer 32

bronchi to alveoli air perfusion

Question 33

extremely rare fissure in the left lung:

Answer 33

accessory left minor fissure

Question 34

which is the foundational building block for the pathological process of air space consiolidation.

Answer 34

acinus

Question 35

which of the following anatomical structures does not contribute to the lateral view cardiovascular silhouette?

Answer 35

right atrium

Question 36

two causes for unilateral hyperlucent lung/ hemithorax:

Answer 36

- absence of chest wall tissue | - pneumothorax

Question 37

the normal relationship of hte pulmonary blood vessels in the recumbent position:

Answer 37

upper and lower lung blood vessels of equal size

Question 38

silhouette sign with the aortic knob created by:

Answer 38

LUL #1-3

Question 39

silhouette sign with the upper descending thoracic aorta created by:

Answer 39

LLL #6

Question 40

which segment would NOT produce a right lateral chest wall "silhouette sign" below the minor fissure?

Answer 40

RML #5

Question 41

if a water density lesion in the lung was in front of or behind the lung hilus, the hilus would be visible through lesion:

Answer 41

true

Question 42

when a hilus is enlarged unilaterally, the most likely anatomy generating the mass:

Answer 42

bronchus

Question 43

which fissure are visible on the lateral view?

Answer 43

minor major superior accessory right oblique

Question 44

which are the characteristic of proper chest exposure, on the frontal view?

Answer 44

- pulmonary vasculature visible through the left side of the heart - osseous detail above the aortic knob - faint visualization of hte thoracic spine through heart

Question 45

_____ is associated witgh air relacement and _____ is associated with air removal?

Answer 45

- consolidation | - atelectasis

Question 46

which is incorrect in our memory aid for cardiac chambers?

Answer 46

lefts are singles

Question 47

on a frontal PA chest view, which mediastinal structure, when enlarged, might cover up the right hilus:

Answer 47

ascending aorta

Question 48

left minor fissure

Answer 48

extremely rare

Question 49

secondary lobule

Answer 49

subpleural interstitium compartmentalizes

Question 50

direct airway anastomosis

Answer 50

facilitates infectious exudate spread

Question 51

lateral decubitus

Answer 51

used if CT not available

Question 52

silhouettes lateral chest wall

Answer 52

segments 4,8,9 | medial basal segment

Question 53

left atrium

Answer 53

no convex border on left

Question 54

right atrium

Answer 54

not border forming on lateral view

Question 55

superior vena cava

Answer 55

may be prominent with right hilar tumor

Question 56

pulmonary vasculature

Answer 56

appearance compared side to side and upper to lower

Question 57

cortical and medularry lung

Answer 57

big orange differntiates

Question 58

which of the following hilar structures is responsible for the left hilus anatomical position?

Answer 58

pulmonary artery

Question 59

plain film chest finding suspicuos for small pulmonary apical neoplasm would be confirmed by, initially by?

Answer 59

apical lordotic

Question 60

which pulmonary disease process by definition must produce heterogenous density increase?

Answer 60

interstitial disease

Question 61

all pulmonary disease must do one or more of the following:

Answer 61

increase lung density, change in lung shape & decrease lung density

Question 62

whith chest CT, structures are best seen when ____ to the beam. the major fissures are usually ____ on axial CT while the minor fissure is _____?

Answer 62

perpendicular, visible, not visible

Question 63

which one of the following is considered optional for legal film demographic identification?

Answer 63

film #

Question 64

silhouette sign with the lower descending thoracic aorta created by:

Answer 64

LLL# 10