Question 1

A PA chest projection obtained in full lung expansion

Accepted Answer

A)  demonstrates 10 to 11 posterior ribs above the diaphragm. 
B)  demonstrates the greatest expansion transversely. 
C)  would have been obtained with the patient in a seated position. 
D)  demonstrates a broader and shorter heart shadow than if obtained in expiration. 
A)  demonstrates 10 to 11 posterior ribs above the diaphragm. 
B)  demonstrates the greatest expansion transversely. 
C)  would have been obtained with the patient in a seated position. 
D)  demonstrates a broader and shorter heart shadow than if obtained in expiration.

Question 2

An AP-PA chest projection (lateral decubitus position) with accurate positioning demonstrates
1)a marker indicating the side of the patient adjacent to the cart.
2)equal posterior rib length on both sides of the chest.
3)the manubrium at the fifth thoracic vertebra.
4)nine or ten posterior ribs above the diaphragm.

Accepted Answer

A)  1, 2, and 4 only 
B)  2 and 4 only 
C)  2 only 
D)  3 and 4 only 
A)  1, 2, and 4 only 
B)  2 and 4 only 
C)  2 only 
D)  3 and 4 only

Question 3

Which side of the patient is positioned against the imaging table or cart for an AP-PA chest projection (lateral decubitus position) to rule out a left side pleural effusion?

Accepted Answer

A)  Right 
B)  Left 
A)  Right 
B)  Left

Question 4

For an AP chest projection obtained with a mobile x-ray unit,
1)the IR is positioned parallel with the midcoronal plane.
2)the image is obtained without the use of a grid.
3)the manubrium is superimposed over the fourth thoracic vertebra.
4)10 or 11 posterior ribs are demonstrated above the diaphragm.

Accepted Answer

A)  1 and 2 only 
B)  1, 2, and 3 only 
C)  3 and 4 only 
D)  1, 2, 3, and 4 
A)  1 and 2 only 
B)  1, 2, and 3 only 
C)  3 and 4 only 
D)  1, 2, 3, and 4

Question 5

For a PA chest projection with accurate positioning, the
1)SID is set at 72 inches (183 cm).
2)shoulders are positioned at equal distances from the IR.
3)upper midcoronal plane is tilted slightly toward the IR.
4)elbows and shoulders are rotated posteriorly.

Accepted Answer

A)  1 and 2 only 
B)  2 and 3 only 
C)  1, 2, and 4 only 
D)  1, 2, 3, and 4 
A)  1 and 2 only 
B)  2 and 3 only 
C)  1, 2, and 4 only 
D)  1, 2, 3, and 4

Question 6

Which of the following pertains to a lateral chest projection with accurate positioning that was obtained with the right side positioned adjacent to the IR?
1)The heart shadow demonstrates increased magnification over a left lateral projection.
2)The left lung demonstrates the sharpest recorded details.
3)The left hemidiaphragm is demonstrated inferior to the right hemidiaphragm.
4)One and one-half inches (4 cm) of space separates the posterior and anterior ribs.

Accepted Answer

A)  1 only 
B)  1 and 3 only 
C)  1, 2, and 3 only 
D)  2 and 4 only 
A)  1 only 
B)  1 and 3 only 
C)  1, 2, and 3 only 
D)  2 and 4 only

Question 7

Heart penetration on an AP chest projection
1)is obtained by increasing the kVp.
2)results in a lower contrast image.
3)is required when apparatuses located at the mediastinal region are of interest.
4)results in a decrease in scatter radiation reaching the IR.

Accepted Answer

A)  1 and 3 only 
B)  1, 2, and 3 only 
C)  3 only 
D)  1, 2, 3, and 4 
A)  1 and 3 only 
B)  1, 2, and 3 only 
C)  3 only 
D)  1, 2, 3, and 4

Question 8

For an AP-PA chest projection (right lateral position), the
1)shoulders and the posterior ribs are positioned perpendicular to the cart.
2)humeri are positioned at a 90-degree angle with the IR.
3)midcoronal plane is aligned perpendicular to the IR.
4)patient is elevated on a radiolucent sponge or cardiac board.

Accepted Answer

A)  1 and 4 only 
B)  2 and 3 only 
C)  1, 2, and 4 only 
D)  1, 2, 3, and 4 
A)  1 and 4 only 
B)  2 and 3 only 
C)  1, 2, and 4 only 
D)  1, 2, 3, and 4

Question 9

A 45-degree PA oblique chest projection (LAO position) demonstrates the heart shadow without vertebral column superimposition. How should the positioning setup be adjusted to obtain an optimal image?

Accepted Answer

A)  Center the central ray more toward the patient's left side. 
B)  Tilt the patient's upper midcoronal plane away from the IR. 
C)  Decrease the degree of patient rotation. 
D)  Increase the degree of patient rotation. 
A)  Center the central ray more toward the patient's left side. 
B)  Tilt the patient's upper midcoronal plane away from the IR. 
C)  Decrease the degree of patient rotation. 
D)  Increase the degree of patient rotation.

Question 10

A left lateral chest projection obtained with the patient's left side rotated anteriorly demonstrates the
1)anterior and posterior ribs with more than 0.5 inch (1 cm) of superimposition.
2)heart shadow entirely posterior to the sternum.
3)right hemidiaphragm inferior to the left hemidiaphragm.
4)humeral soft tissue superimposed over the anterior lung apices.

Accepted Answer

A)  1 only 
B)  1 and 2 only 
C)  3 and 4 only 
D)  1, 2, and 4 only 
A)  1 only 
B)  1 and 2 only 
C)  3 and 4 only 
D)  1, 2, and 4 only

Question 11

A left lateral chest projection with accurate positioning demonstrates
1)no humeral soft tissue in the lung field.
2)no more than a total of 0.5 inch (1 cm) of space between the posterior or anterior ribs.
3)the right hemidiaphragm inferior to the left hemidiaphragm.
4)the hemidiaphragms inferior to the eleventh thoracic vertebra.

Accepted Answer

A)  1, 2, and 4 only 
B)  1 and 2 only 
C)  3 and 4 only 
D)  2 and 3 only 
A)  1, 2, and 4 only 
B)  1 and 2 only 
C)  3 and 4 only 
D)  2 and 3 only

Question 12

For an AP neonatal or infant chest projection, the
1)central ray is centered to the midsagittal plane at the level of the mammary line.
2)longitudinal collimation should be open enough to include the upper airway.
3)head faces straight up, without rotation.
4)central ray is angled 5 degrees caudally.

Accepted Answer

A)  1 and 2 only 
B)  2 and 4 only 
C)  1, 2, and 3 only 
D)  1, 2, 3, and 4 
A)  1 and 2 only 
B)  2 and 4 only 
C)  1, 2, and 3 only 
D)  1, 2, 3, and 4

Question 13

A mobile AP chest projection obtained with the central ray angled caudally demonstrates
1)vertically contoured ribs.
2)the manubrium projected superior to the fourth thoracic vertebra.
3)less than 1 inch (2.5 cm) of the apices above the clavicles.
4)vertical clavicles.

Accepted Answer

A)  1 and 3 only 
B)  2 and 3 only 
C)  2 and 4 only 
D)  1 and 4 only 
A)  1 and 3 only 
B)  2 and 3 only 
C)  2 and 4 only 
D)  1 and 4 only

Question 14

An AP abdomen projection demonstrates greater distances from the left lumbar vertebral pedicle to the spinous process than the right pedicles to the spinous process. The projection

Accepted Answer

A)  was taken with the patient in an LPO position. 
B)  was taken with the right side of the patient placed closer to the IR than the left. 
C)  will also demonstrate the sacrum rotated toward the left side. 
D)  was obtained with the central ray angled toward the right side. 
A)  was taken with the patient in an LPO position. 
B)  was taken with the right side of the patient placed closer to the IR than the left. 
C)  will also demonstrate the sacrum rotated toward the left side. 
D)  was obtained with the central ray angled toward the right side.

Question 15

An AP chest projection obtained with the central ray angled too caudally demonstrates _____ than 1 inch (2.5 cm) of the apices above the clavicles and _____ shaped posterior ribs.

Accepted Answer

A)  less; horizontally 
B)  less; vertically 
C)  more; vertically 
D)  more; horizontally 
A)  less; horizontally 
B)  less; vertically 
C)  more; vertically 
D)  more; horizontally

Question 16

Optimal contrast, density, and penetration have been achieved on AP abdominal projections when which anatomic structures are demonstrated?

Accepted Answer

A)  Intestinal gas, diaphragmatic dome, and symphysis pubis 
B)  Psoas major muscle, kidneys, intestinal gas, and lumbar transverse processes 
C)  Kidneys, intestinal gas, and intrinsic fat 
D)  Psoas major muscle, kidneys, inferior ribs, and lumbar transverse processes 
A)  Intestinal gas, diaphragmatic dome, and symphysis pubis 
B)  Psoas major muscle, kidneys, intestinal gas, and lumbar transverse processes 
C)  Kidneys, intestinal gas, and intrinsic fat 
D)  Psoas major muscle, kidneys, inferior ribs, and lumbar transverse processes

Question 17

For a PA oblique chest projection,
1)the patient is rotated until the midsagittal plane is aligned 45 degrees with the IR.
2)there is twice as much lung field demonstrated on one side of the vertebral column as on the opposite side.
3)10 or 11 posterior ribs are demonstrated above the hemidiaphragm.
4)the apices, costophrenic angles, and lateral chest walls are included on the image.

Accepted Answer

A)  1 and 4 only 
B)  2 and 3 only 
C)  2, 3, and 4 only 
D)  1, 2, 3, and 4 
A)  1 and 4 only 
B)  2 and 3 only 
C)  2, 3, and 4 only 
D)  1, 2, 3, and 4

Question 18

A PA chest projection that demonstrates the vertebral column superimposing the left SC joint

Accepted Answer

A)  was obtained with the midcoronal plane tilted toward the IR. 
B)  was obtained with the patient rotated toward the left side. 
C)  will also demonstrate vertical clavicles. 
D)  was obtained with the patient in an RAO position. 
A)  was obtained with the midcoronal plane tilted toward the IR. 
B)  was obtained with the patient rotated toward the left side. 
C)  will also demonstrate vertical clavicles. 
D)  was obtained with the patient in an RAO position.

Question 19

A rotated left lateral chest projection demonstrates the heart shadow posterior to the sternum. Which is the anteriorly positioned lung?

Accepted Answer

A)  Left 
B)  Right 
A)  Left 
B)  Right

Question 20

Excessive lung markings indicate all of the following except

Accepted Answer

A)  fibrosis. 
B)  pleural effusion. 
C)  alveolar edema. 
D)  compression of the lung tissue. 
A)  fibrosis. 
B)  pleural effusion. 
C)  alveolar edema. 
D)  compression of the lung tissue.

A PA chest projection obtained in full lung expansion

Which side of the patient is positioned against the imaging table or cart for an AP-PA chest projection (lateral decubitus position) to rule out a left side pleural effusion?

For a PA chest projection with accurate positioning, the 1)SID is set at 72 inches (183 cm). 2)shoulders are positioned at equal distances from the IR. 3)upper midcoronal plane is tilted slightly toward the IR. 4)elbows and shoulders are rotated posteriorly.

Heart penetration on an AP chest projection 1)is obtained by increasing the kVp. 2)results in a lower contrast image. 3)is required when apparatuses located at the mediastinal region are of interest. 4)results in a decrease in scatter radiation reaching the IR.

A 45-degree PA oblique chest projection (LAO position) demonstrates the heart shadow without vertebral column superimposition. How should the positioning setup be adjusted to obtain an optimal image?

A mobile AP chest projection obtained with the central ray angled caudally demonstrates 1)vertically contoured ribs. 2)the manubrium projected superior to the fourth thoracic vertebra. 3)less than 1 inch (2.5 cm) of the apices above the clavicles. 4)vertical clavicles.

An AP abdomen projection demonstrates greater distances from the left lumbar vertebral pedicle to the spinous process than the right pedicles to the spinous process. The projection

An AP chest projection obtained with the central ray angled too caudally demonstrates _ than 1 inch (2.5 cm) of the apices above the clavicles and _ shaped posterior ribs.

Optimal contrast, density, and penetration have been achieved on AP abdominal projections when which anatomic structures are demonstrated?

A PA chest projection that demonstrates the vertebral column superimposing the left SC joint

A rotated left lateral chest projection demonstrates the heart shadow posterior to the sternum. Which is the anteriorly positioned lung?

Excessive lung markings indicate all of the following except

Guidelines for Image Analysis

Visibility of Details

Image Analysis of the Upper Extremity

Image Analysis of the Shoulder

Image Analysis of the Lower Extremity

Image Analysis of the Hip and Pelvis

Image Analysis of the Cervical and Thoracic Vertebrae

Image Analysis of the Lumbar Vertebrae, Sacrum, and Coccyx

Image Analysis of the Sternum and Ribs

Image Analysis of the Cranium

Image Analysis of the Digestive System

Filters

Exam 3: Image Analysis of the Chest and Abdomen

A PA chest projection obtained in full lung expansion

Which side of the patient is positioned against the imaging table or cart for an AP-PA chest projection (lateral decubitus position) to rule out a left side pleural effusion?

For a PA chest projection with accurate positioning, the 1)SID is set at 72 inches (183 cm). 2)shoulders are positioned at equal distances from the IR. 3)upper midcoronal plane is tilted slightly toward the IR. 4)elbows and shoulders are rotated posteriorly.

Heart penetration on an AP chest projection 1)is obtained by increasing the kVp. 2)results in a lower contrast image. 3)is required when apparatuses located at the mediastinal region are of interest. 4)results in a decrease in scatter radiation reaching the IR.

A 45-degree PA oblique chest projection (LAO position) demonstrates the heart shadow without vertebral column superimposition. How should the positioning setup be adjusted to obtain an optimal image?

A mobile AP chest projection obtained with the central ray angled caudally demonstrates 1)vertically contoured ribs. 2)the manubrium projected superior to the fourth thoracic vertebra. 3)less than 1 inch (2.5 cm) of the apices above the clavicles. 4)vertical clavicles.

An AP abdomen projection demonstrates greater distances from the left lumbar vertebral pedicle to the spinous process than the right pedicles to the spinous process. The projection

An AP chest projection obtained with the central ray angled too caudally demonstrates _____ than 1 inch (2.5 cm) of the apices above the clavicles and _____ shaped posterior ribs.

Optimal contrast, density, and penetration have been achieved on AP abdominal projections when which anatomic structures are demonstrated?

A PA chest projection that demonstrates the vertebral column superimposing the left SC joint

A rotated left lateral chest projection demonstrates the heart shadow posterior to the sternum. Which is the anteriorly positioned lung?

Excessive lung markings indicate all of the following except

Guidelines for Image Analysis

Visibility of Details

Image Analysis of the Upper Extremity

Image Analysis of the Shoulder

Image Analysis of the Lower Extremity

Image Analysis of the Hip and Pelvis

Image Analysis of the Cervical and Thoracic Vertebrae

Image Analysis of the Lumbar Vertebrae, Sacrum, and Coccyx

Image Analysis of the Sternum and Ribs

Image Analysis of the Cranium

Image Analysis of the Digestive System

Filters

An AP chest projection obtained with the central ray angled too caudally demonstrates _ than 1 inch (2.5 cm) of the apices above the clavicles and _ shaped posterior ribs.