Chest X Rays

Question 1

3 parts of the sternum

Answer 1

Manubrium
Body
Xiphisternum

Question 2

How many lobes in each lung

Answer 2

Left 2
Right 3

Question 3

Which fissure is in both lungs

Answer 3

Oblique

Question 4

Which fissures are in the right lung

Answer 4

Oblique
Horizontal

Question 5

structures in the lung hilum

Answer 5

Bronchi
Pulmonary arteries
Pulmonary veins

Question 6

What determines the amount of x rays absorbed by an object

Answer 6

Density and structural composition

Question 7

Do high or low density structures appear white on x rays

Answer 7

High

Question 8

What patient details should be confirmed on an x ray

Answer 8

Name
DOB
unique identification number
Date x ray performed
Time x ray performed

Question 9

How is image quality assessed - mnemonic

Answer 9

R rotation
I Inspiration
P projection
E Exposure

Question 10

What is RIPE used to assess

Answer 10

Image quality

Question 11

How is XR rotation checked

Answer 11

Spinous processes half way between clavicles

Question 12

How many ribs should be seen on X-ray with adequate inspiration

Answer 12

7 anterior or 9 posterior

Question 13

Which projection cannot be used to assess heart size

Answer 13

AP

Question 14

Is PA or AP the standard X-RAY projection

Answer 14

PA

Question 15

X ray exposure

Answer 15

Whether X-ray beams have adequately penetrated tissues

Question 16

How is correct X-ray exposure checked

Answer 16

Vertebrae just visible behind heart
Left hemidiaphragm visible to edge of spine

Question 17

How do lung markings appear in over penetrated X-rays

Answer 17

Decreased or absent

Question 18

What does ABCDE stand for in X-ray interpretation

Answer 18

Airway
Breathing
Circulation
Diaphragm
Everything else

Question 19

What airway features should be checked while interpreting X-ray

Answer 19

Tracheal deviation
Inhaled foreign bodies
Hilum abnormalities

Question 20

How is tension pneumothorax treated

Answer 20

Chest drain

Question 21

What causes tracheal deviation

Answer 21

Change in volume of 1 hemithorax

Question 22

What is a pneumonectomy

Answer 22

Removal of lung

Question 23

Which bronchus is an inhaled object more likely to lodge in

Answer 23

Right

Question 24

What hilum abnormalities may be seen on an X-ray

Answer 24

Asymmetry
Enlargement

Question 25

Should the pleura be visible in a healthy X-ray

Answer 25

No

Question 26

How does consolidation appear on an X-ray

Answer 26

Patchy opacification

Question 27

What conditions can cause lung consolidation

Answer 27

Pneumonia Malignancy Pulmonary embolism

Question 28

What is lung consolidation

Answer 28

Alveolar tissue infiltrated by cells, liquid, or pus

Question 29

What can cause a lung mass

Answer 29

Cancer Access Infectiom

Question 30

How do lung masses usually appear on X-ray

Answer 30

Pale Well defined

Question 31

Pulmonary oedema

Answer 31

Fluid in alveolar and interstitial spaces

Question 32

What X-ray sign shows alveolar oedema

Answer 32

Batwing opacities

Question 33

What X-ray sign shows interstitial oedema

Answer 33

Kerley b lines

Question 34

What do batwing opacities show

Answer 34

Alveolar oedema

Question 35

What do Kerley b lines show

Answer 35

Interstitial oedema

Question 36

Pleural effusion

Answer 36

Fluid in pleural space

Question 37

How can pleural effusion be seen on X-ray

Answer 37

Mensicus Blunt costophrenic angles Blunt cardiophrenic angles

Question 38

Pneumothorax

Answer 38

Air in pleural space

Question 39

How can a tension pneumothorax be identified on X-ray

Answer 39

Tracheal deviation

Question 40

How can pneumothorax be identified on X-ray

Answer 40

Lung markings don’t extend to edge of lung field

Question 41

What heart characteristics should be checked in X-ray

Answer 41

Size Borders Mediastinal contours

Question 42

What is a normal cardio thoracic ratio

Question 43

What can cause heart borders to be undefined

Answer 43

Pathology in overlying lung tissue

Question 44

Which hemidiaphragm should be higher

Answer 44

Right

Question 45

Pneumoperitoneum

Answer 45

Air underneath diaphragm

Question 46

What is the most common cause of pneumoperitoneum

Answer 46

Bowel perforation

Question 47

How do hyperinflated lungs appear on a X-ray

Answer 47

Marked hyperinflation Flattened diapragm 10 anterior ribs visible

Question 48

What can push the diapragm up

Answer 48

Phrenic nerve palsy Loss of lung volume Mass in abdomen

Question 49

What features can come under the ‘everything else’ section of X-ray interpretation

Answer 49

Bones Soft tissues NG tubes Pacemakers Lines Artificial heart valves

Question 50

How should a correctly placed NG tube appear on an X-ray

Answer 50

In midline to level of diapragm Bisects carina Tip seen clearly below left hemidiaphragm

Question 51

What complications can broken ribs cause

Answer 51

Flail chest Pneumothorax from punctured lung

Question 52

What causes reciprocal breathing

Answer 52

Flail chest

Question 53

Cannonball metastasis

Answer 53

Metastatic deposits from primary tumour spread over both lungs