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1
Q

Endobronchial obstruction can cause atelectasis and can also be associated with ____ and ____

Pick 2

A

Localized airtrapping

Obstructive pneumonitis

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2
Q

Clinical suspicion of bronchiectasis that may mimic honeycomb lung is confirmed by which imaging procedure

A

Pulmonary CT

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3
Q

Inverse square law and grid rule means a 40 in ffd 12:1 grid technique and a 72” ffd non-grid technique will

A

Require 50% less mAs and 15% more kVp at 40”

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4
Q

Which of the following signs would point to air space consolidation

A

Early appearance
Respiratory zone shadows

Bilateral medullary lung opacification
Air bronchogram
Acinar shadows

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5
Q

A common cause of reticular pulmonary pattern is

A

Pulmonary fibrosis

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6
Q

Which of the following would NOT be considered a cause of unilateral hyperlucent lung

A

Pleural effusion

Mastectomy
Pneumothorax
Large emphysematous bulla ARE

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7
Q

Which of the following are signs of interstitial disease

A 
Kerley A lines
Honeycomb densities
Kerley B lines
1-2mm nodules
Reticulonodular densities
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8
Q

Which of the following are signs associated with resorption atelectasis

A

Vascular crowding early
Hilar shift toward density
Rib interspace narrowing

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9
Q

Which one of the following is not an acute pneumonia

A

Histoplasma

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10
Q

Pulmonary consolidation in this segment could cause a silhouette sign with the pulmonary artery

A

LUL #2

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11
Q

The most cost effective imaging for verification of density in segment 1 or upper 1-3

A

Apical lordotic

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12
Q

Bronchopneumonia pattern is typical of

A

Staph aureus pneumonia

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13
Q

Pulmonary consolidation in this segment could cause a silhouette sign with the upper thoracic aorta

A

LLL #6

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14
Q

A classic cause of lobar opacification

A

Streptofcoccus pneumoniae

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15
Q

Chronic diffuse interstitial lung disease may be due to

A

Sarcoidosis

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16
Q

Which of the following would NOT be associated with an air bronchogram

A

Resorption atelectasis

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17
Q

Which of the follwoing would typically be associated with interstitial disease

A

Viral pneumonia

Mycoplasmal pneumonia

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18
Q

A PA chest image done at 120 kVp instead of 100kVp would require which change in mAs

A

50% decrease

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19
Q

In children, resorption atelectasis related to large bronchial obstruction is often due to

Pick 2

A

Foreign object aspiration

Asthma

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20
Q

The most common causes of acute interstitial lung disease

A

Pulmonary edema
Viral pneumonia

Infectious pneumonia

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21
Q

In young patients, <30, unilateral localized increasing density is more often related to

A

Infectious pneumonia

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22
Q

Most diffuse interstitial disease is ___ and most airspace consolidation is ___

A

Chronic

Acute

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23
Q

Of the pulmonary infections, cavitations may occur with

Pick all correct

A

Staph aureus pneumonia
Klebsiella pneumonia

Most likely associated with staph aureus

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24
Q

The basics of lung disease tell us the lung has a limitied ability to react to disease. The interstitium can ____ the alveoli can fill with ____

A

Thick or thin

B, p, w, p, c or extra air
Fluid or extra air

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25
Air space replacement disease may be indicated on plain film by
Fuzzy localized density
26
Acute diffuse interstitial lung disease is usually due to pulmonary edema or
Viral/mycoplasmal pneumonia
27
Three indirect signs of lung collapse are
Unilateral hemidiaphragm elevation Mediastinal deviation Rib interspace narrowing
28
Air space disease may be indicated on plain film by
Butterfly shadow
29
On a chest series the findings are: unilateral, localized, homogenous increase in radiodensity. What are the next considerations
Is it consolidation Is it tumor Is it atelectasis
30
Which of the following are complications of honeycomb lung
Pnuemothorax | Cor pulmonale
31
On a chest series the findings are: bilateral, widespread, non-homogenous increase in radiodensity. What are the next considerations
Is it reticular Is it nodular 3-5mm Is it nodular 1-2mm Is it honeycomb
32
Which accessory fissure involves parietal pleura
Azygos fissure
33
Which of the following are descriptive of kerley B lines Pick all correct
Thickened interlobular septa Perpendicular to pleura .5-2cm long
34
The superior accessory fissure
Seen on PA and lateral view Could mimic minor fissure on the PA view
35
Aspiration pneumonia
Segment 5 or 7 Affinity for RLL or RML
36
Staph aureus
Peds. Pneumatocele May produce bronchopneumonia pattern
37
Pulmonary arteries
Honeycomb lung direct impact Bilateral hilar enlargement
38
Pleural effusion
May simulate elevated hemidiaphragm Localized density with meniscus sign
39
Streptococcus pneumoniae
Peripheral consolidation initially Lobar consolidation
40
When is the lingula atelectic
Compensatory emphysema may be only indirect sign
41
What is the principal mechanism for atelectasis with a large hilar related neoplasm
Obstructive
42
Which fo the following is NOT characteristic of a PA upright, frontal, full inspiration chest view
Heart will shor maximum size
43
Expiration and AP supine chest radiographs show ____ when compared to upright PA
Larger blood vessels, whiter lungs
44
All of the following would be better visualized on the expiratory film except
Pleural effusion
45
Direct blunt trauma to the chest may result in pulmonary contusion or
Pulmonary laceration Pulmonary contusion
46
Left mediastinal anatomy ordered correctly from superior to inferior
Aortic knob, pulmonary artery, left atrium, left ventricle
47
The air bronchogram sigm
Canals of lambert impact Not often seen due to bronchial filling
48
With the silhouette sign - which is an incorrect statement
Useful with consolidation, atelectasis or interstitial disease
49
The numerical value of tissue denisty on a CT scan called hounsfeld units and the typical value for water is
0
50
Which one of the following is NOT a consolidation sign
Late coalescence
51
Air bronchogram sign
Visible air filled bronchi surrounded by opacified lung
52
A full inspiration PA chest projection will show
Left cardiac-medial diaphragm silhouette sign
53
Kerley A and B lines are indicative of _____ and associated with ___
Interstitial disease | Pulmonary edema
54
Metastasis to the lung from rectosigmoid carcinoma would present as
Multiple pulmonary nodules > 8 mm
55
Localized hyperlucency (exterme right side of flow chart) is seen with all of the following except
Emphysema
56
The most common causes for air space consolidation are
Water | Pus
57
Lower left heart border silhouette sign may be produced by
LUL #5 pneumonia
58
Suspected pneumothorax on a full inspiration PA chest iew could be confirmed most cost-effictively by
Expiration film
59
The most common cause for adult resorption atelectasis is
Bronchogenic cancer
60
Which of the following is NOT part of the criteria for the usual frontal chest view
75-90 kVp
61
Which of the following is an incorrect statement regarding the right ventricle
Makes up the right heart border along with the right atrium on the frontal view
62
Hilar bronchogenic cancer can have an impact on all of the following nerves except
Right recurrent laryngeal
63
On chest CT the hounsfeld # for pure air is ___ and water ____
-1000 | 0
64
Which of the following hilar anatomy structures would typically produces unilateral hilar enlargement
Bronchus
65
On the frontal PA chest view, which cardiac chamber does not border form
Right ventricle
66
Which of the following is an incorrect statement regarding the pulmonary artery on the PA chest view
Should superimpose over the left hilus
67
Which of the following is not a fibrosis pattern
Nodular 3-5mm densitites
68
Using the radiographic divisions, the greatest collection of lymph nodes is in the
Middle mediastinum
69
All of the following are true statements regarding mediastinal lymph nodes except
Can be detected on CT only when calcified or > 3 cm
70
Left lateral decubitus view is made with the patient
Lying on the left side with the x-ray beam parallel to the floor
71
Aorta could produce a mediatsinal mass in
All mediastinum divisions
72
Hilar bronchogenic cancer can have an impact on all of the following nerves except
Sympathetic chain
73
On chest CT hounsfeld units for pure air and lung ar
- 1000 | - 800
74
With a large amount of free pleural fluid
There will be localized water density
75
All of the following are acute pneumonia radiographic appearances except
Well-defined nodular density
76
Best imaging for suspected pleural effusion confiramtion would be ___ or ____ Pick 2
Lateral decubitus with affeceted side down CT
77
Air space disase may be indicated on plain film by
A butterfly pattern of density with air bronchogram
78
Transverse aortic arch would be considered ____ mediastinal
Middle
79
An ascending aortic aneurysm would produce
Anterior mediastinal mass
80
All are correct statements regarding the importance of understanding the pulmonary lymphatic drainage schematic called big orange except
Explains the reticular vs nodular pattern
81
Ascending aortic aneurysm of marfan’s syndrome would produce a
Anterior mediastinal mass
82
Based on the acute pneumonia classification the most likely appearance for viral/mycoplasma pneumonia is
Interstitial pattern
83
Resorption atelectasis
Can result from tumor or asthma
84
Acinonodular pattern
Widespread 5-8mm dot pattern
85
Asthma
Localized air-trapping Localized hyperlucency
86
PA chest view
7 and 8 silhouette diaphragm
87
Honeycomb lung
Cor pulmonale
88
Granulomatous causes of pulmonary cavitation Pick 2
Rheumatoid | Wegener’s
89
Acute spinal compression fracture with surrounding hematoma might produce a
Posterior mediastinal mass
90
Patient’s with NF and PSS have ___ in common
Honeycomb lung

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