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Lect Fin Flashcards

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1
Q

Endobronchial obstruction can cause atelectasis and can also be associated w/ ___ and ___:

A

Localized air trapping

Obstructive pneumonitis

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2
Q

Clinical suspicion on bronchiectasis that may mimic honeycomb lung is confirmed by which imaging process?

A

Pulmonary CT

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3
Q

Inverse square law and grid rull means a 40” FFD 12:1 grid technique and a 72” FFD non-grid technique will:

A

Be the same

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4
Q

Which of the following signs would point to air space consolidation?

A

Early appearance
Respiratory zone shadows
(4, 5)

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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

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7
Q

Which of the following are signs of interstitial disease?

A 
Kerley A lines
Honeycomb densities
1-2 mm nodules
Kerley B lines
(1, 2, 3, 5)
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8
Q

Which of the following are signs associated w/ resorption atelectasis:

A

Vascular crowding early
Hilar shift toward density
Rib interspace narrowing
(1, 3, 4)

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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

Bronchopneumonia pattern is typical of:

A

Staph aureus pneumonia

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12
Q

Pulmonary consolidation in this segment could cause a silhouette sign w/ the upper thoracic aorta.

A

LLL #6

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13
Q

A classic cause of lobar opacification is:

A

Streptococcus pneumoniae

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14
Q

Chronic diffuse interstitial lung disease may be due to:

A

Sarcoidosis

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15
Q

Which of the following would not be associated with an air bronchogram sign?

A

Resorption atelectasis

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16
Q

Which of the following would typically be associated w/ interstitial disease?

A

Mycoplasmal pneumonia

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17
Q

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

A

50% decrease

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18
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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19
Q

The most common causes of acute interstitial lung disease: pick all correct choices

A

Pulmonary edema

Viral pneumonia

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20
Q

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

A

Infection pneumonia

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21
Q

Most diffuse interstitial disease is ___ and most air space consolidation is ___.

A

Chronic, acute

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22
Q

Of the pulmonary infections, cavitation may occur with: Pick all correct

A

Staph aureus pneumonia

Klebsiella pneumonia

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23
Q

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

A

Thicken or thin; b, p, w, p, c, or extra air.

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24
Q

Air space replacement disease may be indicated on plain film by:

A

Fuzzy localized density

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25
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? (1, 3, 5)
26
Which of the following are complications of honeycomb lung?
Pneumothorax | Cor pulmonale
27
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?
28
Which accessory fissure involves parietal pleura?
Azygos fissure
29
Which of the following are descriptive of Kerley B lines: Pick all correct
Thickened interlobular septa Perpendicular to the pleura .5-2cm long
30
The superior accessory fissure:
Seen on PA and lateral view
31
Match condition w/ explanation: | Aspiration pneumonia
Segment 5 or 7
32
Match condition w/ explanation: | Staph aureus
Peds. pneumatocele
33
Match condition w/ explanation: | Pulmonary arteries
Honeycomb lung direct impact
34
Match condition w/ explanation: | Pleural effusion
May simulate elevated hemidiaphragm
35
Streptococcus pneumoniae
Peripheral consolidation initially
36
When the lingula is atelectic:
Compensatory emphysema may be only indirect sign
37
What is the principal mechanism for atelectasis w/ a large hilar related neoplasm?
Obstructive
38
Which of the following is not charactereistic of a PA upright, frontal, full inspiration chest view:
Heart will show maximum size
39
Expiration and AP supine chest radiographs show ___ when compared to upright PA:
Larger blood vessels, whiter lungs
40
All of the following would be better visualized on the expiratory film except:
Pleural effusion
41
Direct blunt trauma to the chest may result in pulmonary contusion or:
Pulmonary laceration
42
Left mediastinal anatomy ordered correctly from superior to inferior:
Aortic knob, pulmonary artery, left atrium, left ventricle
43
The "air bronchogram" sign:
Canals of Lambert inpact
44
With the silhouette sign, which is an incorrect statement:
Is useful with consolidation, atelectasis, or interstitial disease
45
The numerical value of tissue density on a CT scan is called Hounsfield units and the typical value for water is:
0
46
Which of the following is not a consolidation sign?
Late coalescence
47
"Air bronchogram sign":
Visible air filled bronchi surrounded by opacified lung
48
A full inspiration PA chest projection will show:
Left cardiac - medial diaphragm silhouette sign
49
Kerley A and B lines are indicative of ___ and associated w/ ___:
Interstitial disease / pulmonary edema
50
Metastasis to the lung from rectosigmoid carcinoma would present as:
Multiple pulmonary nodules > 8 mm
51
Localized hyperlucency (extreme right side of the flow chart) is seen with all of the following except:
Emphysema
52
The most common causes for airspace consolidation are:
Water and pus | 2, 4
53
Lower left heart border "silhouette sign" may be produced by:
LUL #5 pneumonia
54
Suspected pneumothorax on a full inspiration PA chest view would be confirmed most cost-effectively by:
Exiration
55
The most common cause for adult resorption atelectasis is:
Bronchogenic cancer
56
Which of the following is not part of the criteria for the usual frontal chest view?
75-90 kVp
57
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
58
Hilar bronchogenic cancer can have an impact on all of the following nerves except:
Right Recurrent laryngeal
59
On chest CT the Hounsfeld # for pure air is ___ and water ___?
-1,000 | 0
60
Which of the following hilar anatomy structures would typically produce unilateral hilar enlargement?
Bronchus
61
On the frontal PA chest view, which cardiac chamber does not border form?
Right ventricle
62
Which of the following is an incorrect statement regarding the pulmonary artery, on the PA chest view:
Should superimpose over the left hilus
63
Which of the following is not a fibrous pattern:
Nodular 3-5 mm densities
64
Using the radiographic divisions, the greatest collection of lymph nodes is in (the):
Middle mediastinum
65
All of the following are true statements regarding mediastinal lymph nodes except:
Can be detected on CT only when calcified or > 3cm
66
Left lateral decubitus view is made w/ the patient:
Lying on the left side w/ the x-ray beam parallel to the floor
67
With a large amount of free pleural fluid:
There will be localized water density
68
All of the following are acute pneumonia radiographic appearances except:
Well-defined nodular density
69
Best imaging for suspected pleural effusion confirmation would be ___ or ___: pick 2
Lateral decubitus w/ affected side down | CT
70
Air space disease may be indicated on plain film by:
A butterfly pattern of density w/ air bronchogram
71
Transverse aortic arch would be considered ___ mediastinal: Radiographic divisions
Middle
72
An ascending aortic aneurysm would produce: Radiographic divisions
Anterior mediastinal mass
73
All are correct statements regarding the importance of understanding the pulmonary lymphatic drainage channel schematic called big orange except
Explains the reticular vs nodular pattern
74
Ascending aortic aneurysm of Marfan's syndrom would produce a(n): radiographic divisions
Anterior mediastinal mass
75
Based on the "acute pneumonia classification", the most likely appearance for viral/mycoplasma pneumonia is:
Interstitial pattern
76
Match correct explanation: | Resorption atelectasis
Can result from tumor or asthma
77
Match correct explanation: | Acinodular pattern
Widespread 5-8mm "dot" pattern
78
Match correct explanation: | Asthma
Localized air trapping
79
Match correct explanation: | PA chest view
7 and 8 silhouette diaphragm
80
Match correct explanation: | Honeycomb lung
Cor pulmonale
81
Granulomatous causes of pulmonary cavitation: pick 2
Rheumatoid | Wegener's

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