Question 1

A lateral decubitus view is able to detect as little as _____ mL of the pleural fluid.

Accepted Answer

A) 200 to 300 
B) 100 to 200 
C) 50 to 100 
D) 25 to 50 
A) 200 to 300 
B) 100 to 200 
C) 50 to 100 
D) 25 to 50 D

Question 2

Which of the following clinical or chest x-ray findings is consistent with hyperinflation caused by obstructive lung disease?

Accepted Answer

A) Large retrosternal space 
B) Prolonged inspiratory phase 
C) Decreased resonance to percussion 
D) Decreased functional residual capacity (FR
C)  
A) Large retrosternal space 
B) Prolonged inspiratory phase 
C) Decreased resonance to percussion 
D) Decreased functional residual capacity (FR
C)  A

Question 3

Which of the following studies is gradually replacing   scanning for the diagnosis of pulmonary embolus?

Accepted Answer

A) MRI 
B) CT scanning 
C) Lung scanning 
D) CT angiography 
A) MRI 
B) CT scanning 
C) Lung scanning 
D) CT angiography D

Question 4

A portable film is ordered immediately after a patient is intubated in the emergency department.Which of the following distances confirms proper placement of the endotracheal tube?

Accepted Answer

A) 1 to 2 cm below the cricoid cartilage 
B) 5 to 7 cm above the carina 
C) 3 cm below the thyroid cartilage 
D) 3 to 5 cm above the carina 
A) 1 to 2 cm below the cricoid cartilage 
B) 5 to 7 cm above the carina 
C) 3 cm below the thyroid cartilage 
D) 3 to 5 cm above the carina

Question 5

Which of the following views is most helpful in identifying a pneumothorax?

Accepted Answer

A) Expiratory view 
B) AP view 
C) Left lateral view 
D) Lateral decubitus view 
A) Expiratory view 
B) AP view 
C) Left lateral view 
D) Lateral decubitus view

Question 6

In which of the following areas has magnetic resonance imaging (MRI) demonstrated superiority over CT scanning?

Accepted Answer

A) Evaluation of the hila 
B) Evaluation of diffuse, interstitial lung disease 
C) Evaluation of chest wall invasion by lung cancer 
D) Both a and b 
A) Evaluation of the hila 
B) Evaluation of diffuse, interstitial lung disease 
C) Evaluation of chest wall invasion by lung cancer 
D) Both a and b

Question 7

Which of the following radiologic findings is not consistent with lobar atelectasis?

Accepted Answer

A) Collapse of lung tissue 
B) Shift in hilar structures toward the area of atelectasis 
C) Hemidiaphragm elevation 
D) Shift in hilar structures away from the area of atelectasis 
A) Collapse of lung tissue 
B) Shift in hilar structures toward the area of atelectasis 
C) Hemidiaphragm elevation 
D) Shift in hilar structures away from the area of atelectasis

Question 8

A male patient who is standing upright with his back to the x-ray tube, his anterior thorax pressed against a metal cassette containing the film, and his arms positioned out of the way is positioned for what x-ray view?

Accepted Answer

A) PA view 
B) AP view 
C) Apical lordotic view 
D) Lateral decubitus view 
A) PA view 
B) AP view 
C) Apical lordotic view 
D) Lateral decubitus view

Question 9

Which of the following would suggest that a patient has congestive heart failure (CHF)?

Accepted Answer

A) Low and flat diaphragm 
B) Increased cardiothoracic ratio 
C) Tracheal deviation 
D) Increased retrosternal air space on a lateral film 
A) Low and flat diaphragm 
B) Increased cardiothoracic ratio 
C) Tracheal deviation 
D) Increased retrosternal air space on a lateral film

Question 10

The presence of "hot spots" in a positron emission tomography (PET) scan is indicative of:

Accepted Answer

A) metabolically active tumor or infection. 
B) pneumothorax. 
C) pulmonary embolism. 
D) atelectasis. 
A) metabolically active tumor or infection. 
B) pneumothorax. 
C) pulmonary embolism. 
D) atelectasis.

Question 11

Which of the following forms of radiologic assessment is most useful for studying the distribution of ventilation and perfusion and the effects that diseases may have on these two important functions?

Accepted Answer

A) MRI 
B) CT scanning 
C) Lung scanning 
D) Pulmonary angiography 
A) MRI 
B) CT scanning 
C) Lung scanning 
D) Pulmonary angiography

Question 12

Electrons coming off the cathode in an x-ray machine are focused to hit a small area of the anode called the:

Accepted Answer

A) tube. 
B) target. 
C) transformer. 
D) focusing plate. 
A) tube. 
B) target. 
C) transformer. 
D) focusing plate.

Question 13

The ability of x-rays to penetrate matter is inversely proportional to which of the following physical properties of matter?

Accepted Answer

A) Viscosity 
B) Density 
C) Weight 
D) Diffusion 
A) Viscosity 
B) Density 
C) Weight 
D) Diffusion

Question 14

To minimize the magnification associated with portable films, how far should the patient and the film be from the source of the x-rays in a conventional chest x-ray?

Accepted Answer

A) 6 feet 
B) 8 feet 
C) 10 feet 
D) 12 feet 
A) 6 feet 
B) 8 feet 
C) 10 feet 
D) 12 feet

Question 15

Radiographic signs of consolidation include all of the following except:

Accepted Answer

A) lobar distribution. 
B) minimal loss of volume. 
C) homogenous density late in the process. 
D) a low shift of the diaphragm. 
A) lobar distribution. 
B) minimal loss of volume. 
C) homogenous density late in the process. 
D) a low shift of the diaphragm.

Question 16

On a PA film, what number of posterior ribs visible above the diaphragm indicates a good inspiratory effort?

Accepted Answer

A) 10 
B) 8 
C) 6 
D) 5 
A) 10 
B) 8 
C) 6 
D) 5

Question 17

What is the significance of the silhouette sign?

Accepted Answer

A) It allows differentiation between alveolar and interstitial infiltrates. 
B) It can aid in detection of pleural effusion. 
C) It helps determine whether an infiltrate is in contact with a heart border. 
D) It allows differentiation between alveolar and interstitial opacities. 
A) It allows differentiation between alveolar and interstitial infiltrates. 
B) It can aid in detection of pleural effusion. 
C) It helps determine whether an infiltrate is in contact with a heart border. 
D) It allows differentiation between alveolar and interstitial opacities.

Question 18

The presence of the characteristic "signet sign" in a computed tomography (CT) scan is consistent with which of the following diseases?

Accepted Answer

A) Asthma 
B) Lung tumor 
C) Emphysema 
D) Bronchiectasis 
A) Asthma 
B) Lung tumor 
C) Emphysema 
D) Bronchiectasis

Question 19

All of the following are typical findings of a small pleural effusion except:

Accepted Answer

A) blunting of the costophrenic angle. 
B) a small meniscus sign. 
C) a partially obscured diaphragm. 
D) complete whiteout of the affected side. 
A) blunting of the costophrenic angle. 
B) a small meniscus sign. 
C) a partially obscured diaphragm. 
D) complete whiteout of the affected side.

Question 20

Which of the following views is used to see whether free fluid (pleural effusion or blood) is present in the chest in the left pleural region?

Accepted Answer

A) AP view 
B) Left lateral view 
C) Right lateral view 
D) Lateral decubitus view 
A) AP view 
B) Left lateral view 
C) Right lateral view 
D) Lateral decubitus view

Exam 10: Chest Imaging

A lateral decubitus view is able to detect as little as _____ mL of the pleural fluid.

Which of the following clinical or chest x-ray findings is consistent with hyperinflation caused by obstructive lung disease?

Which of the following studies is gradually replacing scanning for the diagnosis of pulmonary embolus?

A portable film is ordered immediately after a patient is intubated in the emergency department.Which of the following distances confirms proper placement of the endotracheal tube?

Which of the following views is most helpful in identifying a pneumothorax?

In which of the following areas has magnetic resonance imaging (MRI) demonstrated superiority over CT scanning?

Which of the following radiologic findings is not consistent with lobar atelectasis?

A male patient who is standing upright with his back to the x-ray tube, his anterior thorax pressed against a metal cassette containing the film, and his arms positioned out of the way is positioned for what x-ray view?

Which of the following would suggest that a patient has congestive heart failure (CHF)?

The presence of "hot spots" in a positron emission tomography (PET) scan is indicative of:

Which of the following forms of radiologic assessment is most useful for studying the distribution of ventilation and perfusion and the effects that diseases may have on these two important functions?

Electrons coming off the cathode in an x-ray machine are focused to hit a small area of the anode called the:

The ability of x-rays to penetrate matter is inversely proportional to which of the following physical properties of matter?

To minimize the magnification associated with portable films, how far should the patient and the film be from the source of the x-rays in a conventional chest x-ray?

Radiographic signs of consolidation include all of the following except:

On a PA film, what number of posterior ribs visible above the diaphragm indicates a good inspiratory effort?

What is the significance of the silhouette sign?

The presence of the characteristic "signet sign" in a computed tomography (CT) scan is consistent with which of the following diseases?

All of the following are typical findings of a small pleural effusion except:

Which of the following views is used to see whether free fluid (pleural effusion or blood) is present in the chest in the left pleural region?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Neurologic Assessment

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Older Patient Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Bronchoscopy

Nutrition Assessment

Sleep and Breathing Assessment

Home Care Patient Assessment

Documentation

Filters