Question 1

Which of the following is a major limitation of magnetic resonance imaging (MRI) of the chest?

Accepted Answer

A)  Cannot visualize large vessels. 
B)  Cannot be used in patients with pacemakers. 
C)  Cannot be used to examine hilar structures. 
D)  Interpretation is difficult. 
A)  Cannot visualize large vessels. 
B)  Cannot be used in patients with pacemakers. 
C)  Cannot be used to examine hilar structures. 
D)  Interpretation is difficult. B

Question 2

What is the most common cause of pulmonary fibrosis?

Accepted Answer

A)  A virus 
B)  Inhaled dusts 
C)  Drug reaction 
D)  Unknown 
A)  A virus 
B)  Inhaled dusts 
C)  Drug reaction 
D)  Unknown D

Question 3

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 D

Question 4

Which chest x-ray view is best used to identify excess pleural fluid?

Accepted Answer

A)  Posteroanterior 
B)  Anteroposterior 
C)  Lateral decubitus 
D)  Apical lordotic 
A)  Posteroanterior 
B)  Anteroposterior 
C)  Lateral decubitus 
D)  Apical lordotic

Question 5

What is the optimal position of the tip of an intra-aortic balloon pump?

Accepted Answer

A)  2 cm above the carina 
B)  4 cm above the carina 
C)  7 cm above the carina 
D)  In the upper third of the carina 
A)  2 cm above the carina 
B)  4 cm above the carina 
C)  7 cm above the carina 
D)  In the upper third of the carina

Question 6

What is indicated by the presence of gas bubbles within the pleural fluid without prior surgery or needle insertion?

Accepted Answer

A)  Hemothorax 
B)  Pneumothorax 
C)  Empyema 
D)  CHF 
A)  Hemothorax 
B)  Pneumothorax 
C)  Empyema 
D)  CHF

Question 7

What lung problem is ventilation/perfusion (   ) scanning used to detect?

Accepted Answer

A)  Asthma 
B)  Pulmonary embolism 
C)  Pneumonia 
D)  Lung cancer 
A)  Asthma 
B)  Pulmonary embolism 
C)  Pneumonia 
D)  Lung cancer

Question 8

In what pulmonary condition does the chest radiograph often "lag behind" the clinical status of the patient?

Accepted Answer

A)  Pulmonary embolism 
B)  Emphysema 
C)  Pneumonia 
D)  Congestive heart failure 
A)  Pulmonary embolism 
B)  Emphysema 
C)  Pneumonia 
D)  Congestive heart failure

Question 9

Which of the following structures in the chest is typically examined using MRI?
1) Lung parenchyma
2) Hilar structures
3) Large vessels in the lung
4) Structures in the mediastinum

Accepted Answer

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

Question 10

Blunting of the costophrenic angles seen on the posteroanterior or lateral chest film typically indicates:

Accepted Answer

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

Question 11

Which of the following statements is false 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 12

Which of the following findings on the chest radiograph is considered a secondary sign of emphysema?

Accepted Answer

A)  Flattening of the diaphragm 
B)  Widening of the cardiac shadow 
C)  Narrowing of the space between the ribs 
D)  Blunting of the costophrenic angle 
A)  Flattening of the diaphragm 
B)  Widening of the cardiac shadow 
C)  Narrowing of the space between the ribs 
D)  Blunting of the costophrenic angle

Question 13

Which of the following statements is false regarding the recognition and treatment of a tension pneumothorax as seen on the chest radiograph?

Accepted Answer

A)  The hemidiaphragm on the affected side will be pushed downward. 
B)  The mediastinum will be pushed toward the unaffected side. 
C)  It requires immediate insertion of a chest tube. 
D)  The patient should be intubated. 
A)  The hemidiaphragm on the affected side will be pushed downward. 
B)  The mediastinum will be pushed toward the unaffected side. 
C)  It requires immediate insertion of a chest tube. 
D)  The patient should be intubated.

Question 14

What term is used to describe the predominance of edema in the hilar regions of both lungs with progressively less edema in the more peripheral areas of the lungs as seen on the chest film?

Accepted Answer

A)  Bat's wing 
B)  Hilar wings 
C)  Butterfly wings 
D)  Heart wings 
A)  Bat's wing 
B)  Hilar wings 
C)  Butterfly wings 
D)  Heart wings

Question 15

In which of the following would loculation of pleural fluid be as likely to occur?
1) Empyema
2) Exudative fluid
3) Hemothorax
4) Congestive heart failure

Accepted Answer

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

Question 16

Which of the following diseases are typically evaluated using high-resolution CT?
1) Emphysema
2) Asthma
3) Bronchiectasis
4) Interstitial lung disease

Accepted Answer

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

Question 17

Which of the following are typical causes of pulmonary edema as seen on the chest radiograph?
1) Left heart failure
2) Renal failure
3) Cor pulmonale
4) Fluid overload

Accepted Answer

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

Question 18

Which of the following is not a typical cause of atelectasis?

Accepted Answer

A)  Abdominal surgery 
B)  Rib fracture 
C)  Hepatomegaly 
D)  Pleurisy 
A)  Abdominal surgery 
B)  Rib fracture 
C)  Hepatomegaly 
D)  Pleurisy

Question 19

What term is used to describe the shadows seen on the chest film when the alveoli fill with pus, fluid, or blood?

Accepted Answer

A)  Consolidates 
B)  Infiltrates 
C)  Alveolar lesions 
D)  Densities 
A)  Consolidates 
B)  Infiltrates 
C)  Alveolar lesions 
D)  Densities

Question 20

What are the two most common reasons for placing a chest tube?

Accepted Answer

A)  Pneumothorax and pleural effusion 
B)  Pneumothorax and empyema 
C)  Hemothorax and hydrothorax 
D)  To place medicine in the pleural space and to withdraw excess fluid 
A)  Pneumothorax and pleural effusion 
B)  Pneumothorax and empyema 
C)  Hemothorax and hydrothorax 
D)  To place medicine in the pleural space and to withdraw excess fluid

Exam 21: Review of Thoracic Imaging

Which of the following is a major limitation of magnetic resonance imaging (MRI) of the chest?

What is the most common cause of pulmonary fibrosis?

Which of the following is least likely to cause pneumomediastinum?

Which chest x-ray view is best used to identify excess pleural fluid?

What is the optimal position of the tip of an intra-aortic balloon pump?

What is indicated by the presence of gas bubbles within the pleural fluid without prior surgery or needle insertion?

What lung problem is ventilation/perfusion ( ) scanning used to detect?

In what pulmonary condition does the chest radiograph often "lag behind" the clinical status of the patient?

Which of the following structures in the chest is typically examined using MRI? 1) Lung parenchyma 2) Hilar structures 3) Large vessels in the lung 4) Structures in the mediastinum

Blunting of the costophrenic angles seen on the posteroanterior or lateral chest film typically indicates:

Which of the following statements is false regarding the use of ultrasound to image the chest?

Which of the following findings on the chest radiograph is considered a secondary sign of emphysema?

Which of the following statements is false regarding the recognition and treatment of a tension pneumothorax as seen on the chest radiograph?

What term is used to describe the predominance of edema in the hilar regions of both lungs with progressively less edema in the more peripheral areas of the lungs as seen on the chest film?

In which of the following would loculation of pleural fluid be as likely to occur? 1) Empyema 2) Exudative fluid 3) Hemothorax 4) Congestive heart failure

Which of the following diseases are typically evaluated using high-resolution CT? 1) Emphysema 2) Asthma 3) Bronchiectasis 4) Interstitial lung disease

Which of the following are typical causes of pulmonary edema as seen on the chest radiograph? 1) Left heart failure 2) Renal failure 3) Cor pulmonale 4) Fluid overload

Which of the following is not a typical cause of atelectasis?

What term is used to describe the shadows seen on the chest film when the alveoli fill with pus, fluid, or blood?

What are the two most common reasons for placing a chest tube?

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

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

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Flexible Bronchoscopy and the Respiratory Therapist

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

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

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring 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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