Deck 4: Radiologic Assessment
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Deck 4: Radiologic Assessment
1
What is the presence of air in the soft tissues in an extrathoracic location called?
A)Pneumothorax
B)Hyperinflation
C)Subcutaneous emphysema
D)Atelectasis
A)Pneumothorax
B)Hyperinflation
C)Subcutaneous emphysema
D)Atelectasis
Subcutaneous emphysema
2
Which of the following is the most radiodense?
A)Air
B)Water
C)Fat
D)Bone
A)Air
B)Water
C)Fat
D)Bone
Bone
3
The most radiodense material viewed on a chest x-ray will _______________.
A)appear black.
B)not show up on a standard chest x-ray.
C)appear as gray shadows.
D)appear white.
A)appear black.
B)not show up on a standard chest x-ray.
C)appear as gray shadows.
D)appear white.
appear white.
4
Which of the following materials is the least radiodense?
A)Air
B)Water
C)Fat
D)Bone
A)Air
B)Water
C)Fat
D)Bone
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5
Which of the following chest x-ray views is the most common for a standard chest x-ray to evaluate a patient's lung tissue?
A)Posterior-anterior (PA)view
B)Anterior-posterior (AP)view
C)Lateral view
D)Apical lordotic view
A)Posterior-anterior (PA)view
B)Anterior-posterior (AP)view
C)Lateral view
D)Apical lordotic view
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6
What is described by a consolidated lung region that demonstrates an increased radiodensity that appears lighter than the surrounding lung fields?
A)Atelectasis
B)Consolidation
C)Pneumothorax
D)Hyperinflation
A)Atelectasis
B)Consolidation
C)Pneumothorax
D)Hyperinflation
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7
Which of the following views is also called a portable chest x-ray?
A)Posterior-anterior (PA)view
B)Lateral view
C)Lateral decubitus view
D)Anterior-posterior (AP)view
A)Posterior-anterior (PA)view
B)Lateral view
C)Lateral decubitus view
D)Anterior-posterior (AP)view
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8
If the density of an object being x-rayed is great,_____________________.
A)penetration is high.
B)penetration is low.
C)then the x-rays are being absorbed by the object.
D)the energy is not admitted by the tube.
A)penetration is high.
B)penetration is low.
C)then the x-rays are being absorbed by the object.
D)the energy is not admitted by the tube.
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9
When the practitioner needs to focus attention on the upper lobes of the lungs,which x-ray view should be utilized?
A)Posterior-anterior (PA)view
B)Anterior-posterior (AP)view
C)Lateral view
D)Apical lordotic view
A)Posterior-anterior (PA)view
B)Anterior-posterior (AP)view
C)Lateral view
D)Apical lordotic view
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10
What is the most radiodense material viewed on a chest x-ray?
A)Water
B)Plastic
C)Metal
D)Air
A)Water
B)Plastic
C)Metal
D)Air
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11
When the bronchus is seen surrounded by fluid-filled structures it creates a distinct separation between the regions of differing densities (air versus fluid).What is this called?
A)Air bronchograms
B)Subcutaneous emphysema
C)Consolidation
D)Hyperinflation
A)Air bronchograms
B)Subcutaneous emphysema
C)Consolidation
D)Hyperinflation
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12
What on a chest radiograph can be observed as a dark (black)shadow along the pleural space?
A)Atelectasis
B)Pneumothorax
C)Subcutaneous emphysema
D)Hyperinflation
A)Atelectasis
B)Pneumothorax
C)Subcutaneous emphysema
D)Hyperinflation
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13
A 2 year-old patient is admitted to the emergency department with a suspicion of epiglottitis.Which of the following would you recommend to confirm the diagnosis?
A)Lateral neck
B)Lateral chest
C)Apical lordotic
D)Left or right anterior oblique
A)Lateral neck
B)Lateral chest
C)Apical lordotic
D)Left or right anterior oblique
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14
On a chest x-ray interpretation from a patient's chart,the radiologist notes that the right costophrenic angle is blunted.What does this indicate?
A)A right pleural effusion
B)Atelectasis of the right lung
C)Consolidation in the right lower lobe
D)Subcutaneous emphysema in the right lung
A)A right pleural effusion
B)Atelectasis of the right lung
C)Consolidation in the right lower lobe
D)Subcutaneous emphysema in the right lung
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15
What is defined on a chest radiograph by describing the affected area by an increase in radiodensity that appears lighter than the surrounding regions (owing to less air density).?
A)Hyperinflation
B)Pneumomediastinum
C)Atelectasis
D)Subcutaneous emphysema
A)Hyperinflation
B)Pneumomediastinum
C)Atelectasis
D)Subcutaneous emphysema
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16
Where on the chest radiograph should the pulmonary artery catheter be located?
A)Superior vena cava
B)Cardiac silhouette
C)Right side of the heart
D)Pulmonary artery
A)Superior vena cava
B)Cardiac silhouette
C)Right side of the heart
D)Pulmonary artery
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17
During a normal full inspiration,the hemidiaphragms should be at about what level?
A)Tenth rib
B)Fourth rib
C)Clavicles
D)Sternal notch
A)Tenth rib
B)Fourth rib
C)Clavicles
D)Sternal notch
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18
Which view is utilized to identify and quantify the extent of pleural effusion?
A)Lateral
B)Lateral decubitus
C)Apical lordotic
D)Portable
A)Lateral
B)Lateral decubitus
C)Apical lordotic
D)Portable
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19
At what level on a chest radiograph is the carina located?
A)First rib
B)Second rib
C)Third rib
D)Fourth rib
A)First rib
B)Second rib
C)Third rib
D)Fourth rib
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20
Which of the following is FALSE concerning reading and interpreting a chest x-ray?
A)One of the most important aspects of reading chest radiographs is consistency.
B)Reading chest radiographs requires repeated practice.
C)The practitioner should not be systematic in looking at the entire film.
D)It is best to have repeated discussions with radiologists when viewing and interpreting films.
A)One of the most important aspects of reading chest radiographs is consistency.
B)Reading chest radiographs requires repeated practice.
C)The practitioner should not be systematic in looking at the entire film.
D)It is best to have repeated discussions with radiologists when viewing and interpreting films.
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21
When observing the chest x-ray of a patient,how can you tell if a patient is rotated?
A)The trachea should be at the level of the fourth thoracic vertebra
B)The spine should lie equal distance between each clavicle
C)The trachea should be about 4 to 6 cm in length
D)The clavicles should be connected to the sternum
A)The trachea should be at the level of the fourth thoracic vertebra
B)The spine should lie equal distance between each clavicle
C)The trachea should be about 4 to 6 cm in length
D)The clavicles should be connected to the sternum
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22
The respiratory care practitioner is asked to evaluate a patient's chest x-ray.Upon evaluation,the practitioner notes that the hemidiaphragms extend beyond the tenth rib space and no longer maintain their characteristic domed shape.How should this be reported?
A)Atelectasis is present bilaterally
B)The patient has bilateral pneumonia
C)The lungs are hyperinflated
D)There is a unilateral pneumothorax
A)Atelectasis is present bilaterally
B)The patient has bilateral pneumonia
C)The lungs are hyperinflated
D)There is a unilateral pneumothorax
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23
The respiratory care practitioner evaluates the patient's chest x-ray to determine any abnormalities.The practitioner evaluates the lung field and the diaphragms.Which hemidiaphragm should be higher than the other?
A)The right hemidiaphragm
B)The left hemidiaphragm
C)They both should be at the same level
D)The hemidiaphragm over the stomach
A)The right hemidiaphragm
B)The left hemidiaphragm
C)They both should be at the same level
D)The hemidiaphragm over the stomach
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24
What can be evaluated on a chest radiograph besides the heart and lungs?
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25
A patient with a bilateral hyperresonant percussion note has a chest x-ray taken.What would you expect to find on the chest x-ray?
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26
By comparing which views of the chest can a three-dimensional image be created?
A)Posterior-anterior film,lateral film
B)Lordotic film,anterior-posterior film
C)Anterior-posterior film,posterior-anterior film
D)Lordotic film,lateral film
A)Posterior-anterior film,lateral film
B)Lordotic film,anterior-posterior film
C)Anterior-posterior film,posterior-anterior film
D)Lordotic film,lateral film
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27
How can the practitioner tell if the chest radiograph is overpenetrated (overexposed)with x-ray energy?
A)The spinal processes will just barely be distinguishable from one another
B)The lung fields will appear white
C)The carina will be distinguishable
D)Dark lines will clearly separate the spinal processes
A)The spinal processes will just barely be distinguishable from one another
B)The lung fields will appear white
C)The carina will be distinguishable
D)Dark lines will clearly separate the spinal processes
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28
Air appears dark on the chest radiograph.What type(s)of pathology would appear dark on the chest x-ray?
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