MT

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

Question 2

the only fissures visible on the frontal and lateral views are _____ and ______. pick 2 choices

Answer 2

Minor

superior accessory

Question 3

some chest imaging procedures are no longer utilized, due to replacement with newer 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

Question 5

left hilar masses may impact which of following nerves.

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 inspiration 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 superior

Question 11

the superior accessory fissure:

Answer 11

splits LLL segment 6 from segments 9& 10

Question 12

which 2 fissures are horizontally oriented?

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 (no radiation)?

Answer 14

cardiac ultrasound

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, different from 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 a questionable density?

Answer 17

LAO

Question 18

The chest series is always performed ______ in conscious patients:

Answer 18

with suspended breathing @ full inspiration

Question 19

nuclear medicine scan of the heart:

Answer 19

thallium scan

Question 20

nuclear medicine 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?

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

the inferior accessory fissure:

Answer 26

splits RLL segment 7 from 8-10

Question 27

channels of martin

Answer 27

bronchi to bronchi connections

Question 28

primary lobule

Answer 28

ducts, sacs and alveoli

Question 29

secondary lobule

Answer 29

3-5 acini

Question 30

acinus

Answer 30

foundation of airspace consilidation

Question 31

pores of Kohn

Answer 31

interalveolar infectious exudate spread

Question 32

extremely rare fissure in the left lung:

Answer 32

accessory left minor fissure

Question 33

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

Answer 33

acinus

Question 34

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

Answer 34

right atrium

Question 35

two causes for unilateral hyperlucent lung/ hemithorax:

Answer 35

- absence of chest wall tissue | - pneumothorax

Question 36

the normal relationship of the pulmonary blood vessels in the recumbent position:

Answer 36

upper and lower lung blood vessels of equal size

Question 37

silhouette sign with the aortic knob created by:

Answer 37

LUL 1-3

Question 38

silhouette sign with the upper descending thoracic aorta created by:

Answer 38

LLL #6

Question 39

which segment would NOT produce a right lateral chest wall "silhouette sign" below the minor fissure?

Answer 39

RLL 9

Question 40

if a water density lesion in the lung was in front of or behind the lung hilus, the hilus would be visible through lesion:

Answer 40

true must touch to silhouette

Question 41

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

Answer 41

bronchus

Question 42

which fissure are visible on the lateral view

Answer 42

minor and major

Question 43

which of the following is not a characteristiv of proper chest exposure, on the frontal view?

Answer 43

osseous detail through the mid and lower mediastinum

Question 44

_____ is associated with air replacement and _______ is associated with air removal?

Answer 44

consolidation | atelectasis

Question 45

which is incorrect in our memory aid for cardiac chambers?

Answer 45

front is right atrium

Question 46

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

Answer 46

ascending aorta

Question 47

accessory minor fissure

Answer 47

creates left middle lobe

Question 48

secondary lobule

Answer 48

compartmentalized unit of lung

Question 49

direct airway anastomosis

Answer 49

facilitates lobar air perfusion

Question 50

lateral decubitus

Answer 50

utilizes gravity to facilitate diagnosis

Question 51

silhouettes lateral chest wall

Answer 51

anterior basal segment #8

Question 52

left atrium

Answer 52

contact with esophagus

Question 53

right atrium

Answer 53

right heart border on frontal view

Question 54

superior vena cava

Answer 54

may be prominent with right hilar tumor

Question 55

pulmonary vasculature

Answer 55

upper to lower lung ratio 1-1 in recumbent position

Question 56

cortical lung

Answer 56

no vasculature visible

Question 57

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

Answer 57

pulmonary artery

Question 58

on chest radiographs, the hert normally obscures (silhouettes- like densities touching) the _____.

Answer 58

anterior and medial left hemidiapragm

Question 59

the silhouette sign is nearly always a(n) _______ finding and is usually due to ________.

Answer 59

abnormal, lung disease

Question 60

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 ______:

Answer 60

right ventricle | left atrium and ventricle

Question 61

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

Answer 61

ascending aorta

Question 62

Left upper lobe LUL

Answer 62

Associated with Silhouette sign at the pulmonary trunk and the entire left heart border DOES NOT SILHOUETTE THE AORTIC KNOB THAT IS A POSTERIOR STRUCTURE

Question 63

Right lower lobe RLL

Answer 63

Only structure on the right that can silhouette the diaphragm

Question 64

The minor fissure separates the ____1_____ lobe from the ____2____ lobe?

Answer 64

1) Upper | 2) Lower

Question 65

silhouette sign with the lower descending thoracic aorta created by:

Answer 65

LLL #10

Question 66

which one of the following is considered optional for legal film demographic identification?

Answer 66

Film #