Midterm

Question 1

All pulmonary disease must do one or more of the follwoing

Answer 1

Increase lung density
Change in lung shape
Decrease lung density

Question 2

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

Answer 2

Perpendicular
Visible
Not visible

Question 3

The fissures visible on the lateral view

Answer 3

Minor
Superior accessory
Right oblique

Question 4

Which plain film view would show the left lung to better visualize a questionable density

Answer 4

RAO (after apical lordotic)

Question 5

Silhouettes pulmonary artery

Answer 5

Anterior segment 2

Question 6

Which is the foundational building block for the pathological process of air space consolidation

Answer 6

Acinus

Question 7

Primary lobule

Answer 7

Distal to teh last resp

Question 8

Plain film chest finding suspicious for small pulmonary apical neoplasm would be confirmed initially by

Answer 8

Apical lordotic

Question 9

The normal relationship of the pulmonary blood vessels in the recumbant position

Answer 9

Upper and lower lung blood vessels of equal size

Question 10

The chest series is always performed ____ in conscious patients

Answer 10

In the upright position

Question 11

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

Answer 11

Bronchus

Question 12

Segments 1 and 3 are the same in both the right and left lung

Answer 12

False

Question 13

Suspected small pneumotheorax (air in the pleural space) on a full inspiration PA chest

Answer 13

Lateral decubitus with involved side up

Question 14

Which of the following is characteristic of the chest series

Answer 14

72 inch FFD

Question 15

Which of the following distinguishes the chest x-ray from a thoracic spine radiograph

Answer 15

100kVp

Question 16

Secondary lobule

Answer 16

3,4 or.5 acini

Question 17

Extremely rare fissure in the left lung

Answer 17

Accessory left minor fissure

Question 18

Secondary lobule

Answer 18

Thickening produces kerley’s lines

Question 19

Which pulmonary disease process by definition must produce heterogenous density increase

Answer 19

Interstitial disease

Question 20

Which of the following is considered optional for film identificatoin

Answer 20

Film number

Question 21

The silhouette sign

Answer 21

Helps diagnose and localize lung lesions

Question 22

The silhouette sign can be used to distinguish a pulmonary….

Answer 22

True

Question 23

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

Answer 23

RUL #2

Question 24

Silhouette sign with the upper descending thoracic aorta created by

Answer 24

LLL #6

Question 25

Segments 9 and 10 are combined segments in the left lung

Answer 25

False - 7/8 anterio-medial basilar segment

Question 26

The upper left heart border silhouette sign may be produced by

Answer 26

LUL #4 pneumonia

Question 27

Cortical lung

Answer 27

Devoid of vidible vasculature

Question 28

Silhouette sign with the aortic knob created by

Answer 28

LUL #1-3

Question 29

Which of the following anatomical structures does not contribute to teh frontal view cardia

Answer 29

Right ventricle

Question 30

Segment 2 is the same in both right and left lung

Answer 30

True

Question 31

All authors consider segments 7 and 8 to be the same in the right and left lung

Answer 31

False

Question 32

The superior accessory fissue

Answer 32

Splits LLL segment #6 from segments 1 and 2

Question 33

Left accessory fissure

Answer 33

Separates segments 2 and 4

Question 34

Pulmonary arteries

Answer 34

Upper to lower lung ratio 1-1 in recurrent...

Question 35

Inferior vena cava

Answer 35

Found at posterior cardiophrenic angle

Question 36

Most common cause for unilateral hyperlucent lung

Answer 36

Absence of chest wall tissue

Question 37

Segments of the right upper lobe include all of the follwoing except

Answer 37

Lateral segment | Includes apical, anterior, posterior

Question 38

In class we discussed an alternate, more standardized method of laterality labeling of oblique films from what you were taught in positioning class

Answer 38

Label laterality of the patient

Question 39

The inferior accessory fissure

Answer 39

Visible only on the frontal view

Question 40

The only fissures visible on the frontal and lateral views are

Answer 40

Minor fissure | Superior accessory fissure

Question 41

This imaging ____ is no longer used and has been replaced with ____

Answer 41

Bronchography | Chest CT

Question 42

___ is associated with air replacement and ___ is associated with air removal

Answer 42

Consolidation | Atelectasis

Question 43

Left atrium

Answer 43

Most posterior cardiac chamber

Question 44

Right ventricle

Answer 44

Immediately posterior to lower stem bronchi

Question 45

The simplified form of patient positioning for x-rays that we discussed in class includesq

Answer 45

Align central ray to fixed....

Question 46

The radiographic dividing line between the anterior and the middle mediastinum radiographically is

Answer 46

Anterior trachea posterior pericardium

Question 47

Direct airway anastomosis

Answer 47

Interbronchial connection

Question 48

Pores of kohn

Answer 48

Interalveolar commun

Question 49

Which structures at the pulmonary hilus are not visible as individual structures

Answer 49

Lymph nodes, nerve, and pulmonary veins

Question 50

Lateral decubitus

Answer 50

Requires special x-ray machine to produce

Question 51

Which of the following is not a characteristic of proper chest exposure on the frontal view

Answer 51

Osseous detail through the mid and lower mediastinum

Question 52

Left hilar masses may impact all of the following nerves except

Answer 52

Sympathetic chain | Impacts phrenic, recurrent laryngeal, vagus

Question 53

Which segment would not produce a lower right lateral chest wall silhouette sign

Answer 53

RLL #10

Question 54

Canals of lambert

Answer 54

Bronchi to alveoli

Question 55

Acinus

Answer 55

Distal to one terminal

Question 56

Segments 4 and 5 are the same in both the right and left lung T/F

Answer 56

False

Question 57

Scan does not adequately image the lungs

Answer 57

Chest MRI

Question 58

Regarding the trachea

Answer 58

Is in intimate contact with....

Question 59

Understanding lymphatic drainage of the lung helps to explain all of the following except

Answer 59

How consolidation spreads...

Question 60

Which two fissures are horizontally oriented

Answer 60

Superior accessory fissure | Accessory left minor fissure

Question 61

Nuclear medicine scan of the heart

Answer 61

Thallium scan