Midterm2

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 imaging due to it being parallel to the beam rather than perpendicular

Answer 1

Minor fissure

Question 2

The only fissures visible on the frontal and lateral views are ___ and ____.

Pick two choices

Answer 2

Minor fissure

Superior accessory fissure

Question 3

Some chest imaging procedures are no longer utilized due to replacement with newer and better imaging. 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 are required for legal film demographic identification

Pick all that apply

Answer 4

Producing institution
Patient name and age
Production date
Film #????

Question 5

Left hilar masses may impact which of the following nerves

Pick all that apply

Answer 5

Recurrent laryngeal
Phrenic
Vagus

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 inspiraiton PA chest view could be confirmed by most cost effectively

Answer 7

Lateral decubitus with involved side up

Question 8

The silhouette sign

Answer 8

Localizes at the chest wall

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 silhouette 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 and 10

Question 12

Which two fissures are horizontally oriented

Pick 2 choices

Answer 12

Superior accessory fissure

Accessory left minor fissure

Question 13

Which of the following is NOT characteristic of the chest series

Answer 13

Frontal view AP or PA

Question 14

Which one of the following imaging procedures is non-ionizing

Answer 14

Cardiac ultrasound

MRI

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

In class we discussed an alternate, more standardized method of laterality labeling of oblique x-rays differentfrom what you were taught in positioning class

Answer 16

Label laterality of the patient

Question 17

If there was no easy access to chest CT, which plain film view would show the right lung to BETTER visualize questionable denisty

Answer 17

LAO

Apical lordotic?

Question 18

The chest series is always performed ___ in conscious patients

Answer 18

With suspended breathing at full inspiration

Question 19

Nuclear medicine scan of the heart

Answer 19

Thallium scan

Question 20

Nuclear med scan for air and blood movement in the lungs

Answer 20

Ventilation and perfusion scans

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

Pick ALL that apply

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

RML and lingula have the same named segments. T/F

Answer 26

False

Question 27

Segments #1 and #3 aret eh same in both the right and left lung. T/F

Answer 27

False

Question 28

Segments #9 and #10 are combined segments in the left lung. T/F

Answer 28

False

Question 29

All authors consider segemnts #7 and #8 to be the same in the right and left lung. T/F

Answer 29

False

Question 30

The inferior accessory fissure

Answer 30

Splits RLL segment 7 from 8-10

Question 31

Primary lobule

Answer 31

Ducts, sacs, and alveoli

Question 32

Secondary lobule

Answer 32

3-5 acini

Question 33

Acinus

Answer 33

Foundatioin of airspace consolidation

Question 34

Pores of kohn

Answer 34

Interalveolar infectious exudate spread

Question 35

Channels of Martin

Answer 35

Bronchi to bronchi connections

Question 36

Extremely rare fissure in the left lung

Answer 36

Accessory left minor fissue

Question 37

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

Answer 37

Acinus

Question 38

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

Answer 38

Right atrium

Question 39

Two causes for unilateral hyperlucent lung/hemithorax Pick two choices

Answer 39

Absence of chest wall tissue | Pneumothorax

Question 40

The normal relationship of pulmonary blood vessels in the recumbant position

Answer 40

Upper and lower lung blood vessels of equal size

Question 41

Silhouette sign with the aortic knob created by

Answer 41

LUL #1-3

Question 42

Silhouette sign with the upper descending thoracic aorta created by

Answer 42

LLL $6

Question 43

Which segment would NOT produce a right lateral chest wall silhouette sign below the minor fissure

Answer 43

RML #5

Question 44

If a water density lesion in the lung was in front of or behind the lung hilus, the hilus would be visible thorugh the lesion. T/F

Answer 44

True

Question 45

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

Answer 45

Bronchus

Question 46

Which fissure are visible on the lateral view Pick all correct

Answer 46

Minor | Major

Question 47

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

Answer 47

Osseous detail through the mid and lower mediastinum

Question 48

____ is associated with air replacement and ___ is associated with air removal Pick 2 choices

Answer 48

Consolidation | Atelectasis

Question 49

Which is incorrect in our memory aid for cardiac chambers

Answer 49

Front is right atrium

Question 50

On a frontal chest view, which mediastinal structure, when enlarged, might cover up the left hilus

Answer 50

Ascending aorta

Question 51

Creates left middle lobe

Answer 51

Accessory minor fissure

Question 52

Compartmentalized unit of lung

Answer 52

Secondary lobule

Question 53

Facilitates lobar air perfusion

Answer 53

Direct airway anastomosis

Question 54

Utilizes gravity to facilitate diagnosis

Answer 54

Lateral decubitus

Question 55

Anterior basal segment #8

Answer 55

Silhouettes lateral chest wall

Question 56

Contact with esophagus

Answer 56

Left atrium

Question 57

Right heart border on frontal view

Answer 57

Right atrium

Question 58

May be prominent with right hilar tumor

Answer 58

Superior vena cava

Question 59

Upper to lower lung ratio 1-1 in recumbant position

Answer 59

Pulmonary vasculature

Question 60

No vasculature visible

Answer 60

Cortical lung

Question 61

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

Answer 61

Pulmonary artery

Question 62

On chest radiographs, the heart normally obscures the

Answer 62

Anterior and medial left hemidiaphragm

Question 63

The silhouette sign is nearly always a ____ finding and is usually due to ___

Answer 63

Abnormal | Lung disease

Question 64

Our rules for remembering heart borders tells us: the anterior heart border is formed by the ___ and the posterior heart border is formed by the ____ Pick 2 choices

Answer 64

Right ventricle | Left atrium and ventricle

Question 65

On a frontal chest view, which mediastinal structure, when enlarged, might cover up (not silhouette) the right hilus

Answer 65

Ascending aorta