Question 1

What type of imaging is most useful for diagnosing idiopathic pulmonary fibrosis?

Accepted Answer

A) conventional chest radiography 
B) CT angiography 
C) HRCT 
D) MRI 
A) conventional chest radiography 
B) CT angiography 
C) HRCT 
D) MRI

Question 2

Which of the following structures in the chest is NOT typically examined using MRI?

Accepted Answer

A) lung parenchyma 
B) hilar structures 
C) large vessels in the lung 
D) structures in the mediastinum 
A) lung parenchyma 
B) hilar structures 
C) large vessels in the lung 
D) structures in the mediastinum

Question 3

Which of the following is the most common type of interstitial lung disease?

Accepted Answer

A) asbestosis 
B) silicosis 
C) sarcoidosis 
D) scleroderma 
A) asbestosis 
B) silicosis 
C) sarcoidosis 
D) scleroderma

Question 4

In which of the following situations is obtaining a chest radiograph least useful?

Accepted Answer

A) following intubation 
B) following placement of a central venous pressure line 
C) when the static pressure drops by 2 cm H2O during CMV 
D) when the patient's oxygenation status deteriorates for no known reason 
A) following intubation 
B) following placement of a central venous pressure line 
C) when the static pressure drops by 2 cm H2O during CMV 
D) when the patient's oxygenation status deteriorates for no known reason

Question 5

How many solitary pulmonary nodules (SPNs) would be encountered for every 1000 routine chest radiographs?

Accepted Answer

A) 1 or 2 
B) 10 to 15 
C) 30 to 40 
D) 80 to 100 
A) 1 or 2 
B) 10 to 15 
C) 30 to 40 
D) 80 to 100

Question 6

Which of the following statements is NOT true regarding the use of ultrasound to image the chest?

Accepted Answer

A) It is useful to image the heart. 
B) It is useful to image pleural abnormalities. 
C) It is useful to image lung tissue. 
D) It uses sound waves that echo back to the sensor. 
A) It is useful to image the heart. 
B) It is useful to image pleural abnormalities. 
C) It is useful to image lung tissue. 
D) It uses sound waves that echo back to the sensor.

Question 7

Which of the following is NOT a common radiographic finding seen in patients with volume loss due to atelectasis?

Accepted Answer

A) elevation of the hemidiaphragm 
B) narrowing of the space between the ribs 
C) increase in the retrosternal airspace 
D) shift of the mediastinum 
A) elevation of the hemidiaphragm 
B) narrowing of the space between the ribs 
C) increase in the retrosternal airspace 
D) shift of the mediastinum

Question 8

Which of the following is NOT a typical cause of pulmonary edema as seen on the chest radiograph?

Accepted Answer

A) left heart failure 
B) renal failure 
C) cor pulmonale 
D) fluid overload 
A) left heart failure 
B) renal failure 
C) cor pulmonale 
D) fluid overload

Question 9

Radiographically, into how many compartments is the mediastinum divided?

Accepted Answer

A) two 
B) three 
C) four 
D) five 
A) two 
B) three 
C) four 
D) five

Question 10

Which of the following statements best describe the typical findings on a chest radiograph for a patient with interstitial lung disease?

Accepted Answer

A) unilateral upper lobe infiltrates 
B) diffuse bilateral infiltrates 
C) diffuse pulmonary hyperinflation 
D) diffuse pleural inflammation 
A) unilateral upper lobe infiltrates 
B) diffuse bilateral infiltrates 
C) diffuse pulmonary hyperinflation 
D) diffuse pleural inflammation

Question 11

Which of the following findings on a chest film is most consistent with the pulmonary edema seen with acute respiratory distress syndrome (ARDS)?

Accepted Answer

A) cephalization 
B) Kerley B-lines 
C) cardiomegaly 
D) bilateral patchy infiltrates of edema 
A) cephalization 
B) Kerley B-lines 
C) cardiomegaly 
D) bilateral patchy infiltrates of edema

Question 12

Which of the following statements is NOT true regarding the use of the chest x-ray to detect a pneumothorax?

Accepted Answer

A) An expiratory film may be best for a small pneumothorax. 
B) The standard chest film is of limited use in detecting a pneumothorax. 
C) The film will show a lack of vascular markings in the affected region. 
D) The lung margin is often visible with a pneumothorax. 
A) An expiratory film may be best for a small pneumothorax. 
B) The standard chest film is of limited use in detecting a pneumothorax. 
C) The film will show a lack of vascular markings in the affected region. 
D) The lung margin is often visible with a pneumothorax.

Question 13

Which of the following is LEAST likely to cause pneumomediastinum?

Accepted Answer

A) chest trauma 
B) esophageal rupture 
C) thyroid surgery 
D) pericarditis 
A) chest trauma 
B) esophageal rupture 
C) thyroid surgery 
D) pericarditis

Question 14

The right heart shadow is NOT visible on the chest radiograph. Which of the following pathologies may explain this?

Accepted Answer

A) right middle lobe pneumonia 
B) right lung pneumothorax 
C) bilateral emphysema 
D) bleb in the right lower lobe 
A) right middle lobe pneumonia 
B) right lung pneumothorax 
C) bilateral emphysema 
D) bleb in the right lower lobe

Question 15

What is the optimal position of the endotracheal tube following intubation as seen on the chest radiograph?

Accepted Answer

A) 1 to 2 cm above the carina 
B) 3 to 4 cm above the carina 
C) 5 to 7 cm above the carina 
D) in the upper third of the carina 
A) 1 to 2 cm above the carina 
B) 3 to 4 cm above the carina 
C) 5 to 7 cm above the carina 
D) in the upper third of the carina

Question 16

What is the best imaging technique for examining mediastinal masses?

Accepted Answer

A) conventional lateral chest radiography 
B) chest CT 
C) MRI 
D) ultrasound 
A) conventional lateral chest radiography 
B) chest CT 
C) MRI 
D) ultrasound

Question 17

What imaging technique would be most useful to determine which patients with emphysema may benefit from lung volume reduction surgery?

Accepted Answer

A) chest HRCT 
B) CT angiography 
C) MRI 
D) ultrasound 
A) chest HRCT 
B) CT angiography 
C) MRI 
D) ultrasound

Question 18

Which radiographic view of the chest allows the physician to read the best quality film?

Accepted Answer

A) anteroposterior 
B) posteroanterior 
C) lateral 
D) lordotic 
A) anteroposterior 
B) posteroanterior 
C) lateral 
D) lordotic

Question 19

Which of the following diseases is NOT typically evaluated using high-resolution CT?

Accepted Answer

A) emphysema 
B) asthma 
C) bronchiectasis 
D) interstitial lung disease 
A) emphysema 
B) asthma 
C) bronchiectasis 
D) interstitial lung disease

Question 20

What is indicated by rounding of the costophrenic angles seen on the posteroanterior or lateral chest film?

Accepted Answer

A) emphysema 
B) excess pleural fluid 
C) obesity 
D) rib fractures 
A) emphysema 
B) excess pleural fluid 
C) obesity 
D) rib fractures

Exam 20: A Review of Thoracic Imaging

What type of imaging is most useful for diagnosing idiopathic pulmonary fibrosis?

Which of the following structures in the chest is NOT typically examined using MRI?

Which of the following is the most common type of interstitial lung disease?

In which of the following situations is obtaining a chest radiograph least useful?

How many solitary pulmonary nodules (SPNs) would be encountered for every 1000 routine chest radiographs?

Which of the following statements is NOT true regarding the use of ultrasound to image the chest?

Which of the following is NOT a common radiographic finding seen in patients with volume loss due to atelectasis?

Which of the following is NOT a typical cause of pulmonary edema as seen on the chest radiograph?

Radiographically, into how many compartments is the mediastinum divided?

Which of the following statements best describe the typical findings on a chest radiograph for a patient with interstitial lung disease?

Which of the following findings on a chest film is most consistent with the pulmonary edema seen with acute respiratory distress syndrome (ARDS)?

Which of the following statements is NOT true regarding the use of the chest x-ray to detect a pneumothorax?

Which of the following is LEAST likely to cause pneumomediastinum?

The right heart shadow is NOT visible on the chest radiograph. Which of the following pathologies may explain this?

What is the optimal position of the endotracheal tube following intubation as seen on the chest radiograph?

What is the best imaging technique for examining mediastinal masses?

What imaging technique would be most useful to determine which patients with emphysema may benefit from lung volume reduction surgery?

Which radiographic view of the chest allows the physician to read the best quality film?

Which of the following diseases is NOT typically evaluated using high-resolution CT?

What is indicated by rounding of the costophrenic angles seen on the posteroanterior or lateral chest film?

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Principles of Infection Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Noninvasive Positive Pressure Ventilation

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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