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CHEST REVIEW

Bonus Procedure Worksheets. May add a few extra questions. Images are on Kahoot!

QuestionAnswer
True or False: For anterior oblique radiographs of the chest, the elongated (widened) aspect of the thorax is generally farthest from the image receptor. TRUE
The upper margin of the lungs is at the level of the: vertebra prominens
Which chest oblique position will BEST demonstrate the air-filled trachea, heart, greater vessels? (Think of ANT. OBL) 60 degrees LAO
The asthenic body type makes up ___% of the population 10
True or False: Contrary to common belief, the vertical dimension of an average PA chest is greater than the horizontal dimension. FALSE
True or False: Collimation guidelines indicate the upper border of the collimation field should be about 2 inches (5 cm) above the vertebra prominens. FALSE
The lower concave area of the lung is termed the: base
Which one of the following clinical indications often requires the inspiration/expiration chest series to be taken? Small pneumothorax
Which of the following is NOT true? - The LT bronchus is more verticle than the RT bronchus - The RT bronchus is shorter than the LT bronchus - The angle of divergence of the LT bronchus is greater than that of the RT bronchus - The LT bronchus is more verticle than the RT bronchus
For an AP portable chest on an older or hypersthenic male patient, what should occur? The CR should be centered 3 inches (8 cm) BELOW the jugular notch.
A condition characterized as an irreversible dilation or widening of bronchi or bronchioles that may result from repeated pulmonary infection or obstruction is termed: Bronchiectasis
Which positioning line must be placed perpendicular to the plane of the IR for an AP projection of the upper airway? Acanthiomeatal (AML)
The heart is located in the anterior chest at the level of: T5-T8
True or False: As a general rule, the use of high kV (110 k) requires the use of a grid during chest radiography. TRUE
True or False: Geriatric patients generally require higher central ray (CR) centering than younger patients. TRUE
Which type of body habitus typically requires that the image receptor be placed CROSSWISE rather than lengthwise for a posteroanterior (PA) chest? Hypersthenic
A correctly positioned lateral chest radiograph demonstrates some separation of the posterior ribs owing to the divergent x-ray beam. But a separation of greater than ____ inch indicates objectionable rotation from a true lateral. 1 inch
A patient is in the ICU with multiple injuries. The attending physician is concerned about a pleural effusion in the left lung. The patient had surgery recently and cannot stand. Which position/projection would be best to rule out the pleural effusion? LEFT lateral decubitus
What is the name for the structure that serves as a lid over the larynx to prevent aspiration of food or fluid? Epiglottis
What factor is the most crucial to demonstrate possible air or fluid levels in the chest? Patient in erect OR decubitus position
A PA chest radiograph reveals that the left sternoclavicular joint is closer to the spine than the right joint. What specific positioning error has been committed? Rotation into the left anterior oblique (LAO) position
Which of the following is a condition in which all or part of a lung is collapsed, requiring an increase in manual exposure factors? Atelectasis
True or False: A small pneumothorax may be detected by performing inspiration and expiration PA projections.. TRUE
What is the name of the structure that serves as a common passageway for both food and air? Pharynx
An ambulatory patient comes to radiology with a clinical history of possible pneumonia. The patient complains of pain in the center of her chest. What positioning routine should be performed on this patient? PA and LEFT lateral projections.
A patient comes to radiology with a possible mass beneath the right clavicle. The PA and left lateral projections are inconclusive. Which additional projection can be taken to demonstrate this possible mass? AP Lordotic
What type of CR angle is required for the AP semi-axial projection for the lung apices? 15 to 20 degrees
For an average size female patient, where is the CR placed for a PA projection of the chest? 7 inches (18 cm) BELOW the vertebra prominens
A PA chest radiograph reveals that the pendulous breasts of the patient are obscuring the base of the lungs. What should be done to lessen the effects of the breast shadow? Ask patient to lift breasts up AND outward.
Where is the jugular notch located? on the Sternum
Of the following positioning actions, which one will remove the majority of the scapulae from the lung fields? Roll shoulders forward
The laryngeal prominence (AKA- Adam's Apple) is a positioning landmark located at the level of: C5
Correct anatomic name for Adam's Apple? Laryngeal prominens
The central ray (CR) for an anteroposterior (AP) supine, adult chest projection, should be centered: 3 to 4 inches (8 to 10 cm) BELOW the jugular notch
What factor may be applied to minimize distortion of the heart? SID. 72-inch.
What is a common radiographic sign seen on a chest radiograph for a patient with respiratory distress syndrome (RDS)? Air bronchogram
The vertebra prominens corresponds to the level of ___. C7
A patient enters the ED with a possible hemothorax in the right lung. With help, the patient can sit erect on a cart. Which of the following routines would best demonstrate this condition? Erect PA an erect right lateral ON CART.
Name the structure that is NOT considered a mediastinal structure. Epiglottis
True or False: When performing the lateral projection of the upper airway, exposure should be made during a slow, deep inspiration rather than at the end of the inspiration. TRUE
True or False: The CR is centered to midsternum for the AP apical Lordotic projection with a 14 X 17-inch IR. TRUE
The thyroid gland is located at the approximate level of ___. C5-C7
The internal prominence or ridge in which the trachea bifurcates into the right AND left bronchi is termed as: Carina
Pleurisy may be demonstrated radiographically by associated: Pleural Effusion
Which of the following objects does NOT have to be removed or moved before a chest radiography? a. Necklace b. Bra c. T-shirt d. Glasses d. Glasses
Why must the technologist slightly angle the CR caudad for most AP projections of the chest? Prevents clavicles from obscuring apices of the lungs
True OR False: An electrocardiography and echocardiography are the SAME procedure FALSE
What is the primary disadvantage of performing an AP projection of the chest rather than a PA? Increased magnification of the heart
The two most common landmarks for chest positioning are the: Jugular Notch and Vertebra Prominens
True OR False: Scoliosis and kyphosis may produce asymmetry of the sternoclavicular joints and rib cage as demonstrated on a PA chest radiograph. TRUE
A PA chest radiograph reveals that only seven ribs are seen above the diaphragm on a healthy adult. What is a good suggestion that would improve the inspiration of lungs? Take exposure on the second inspiration rather than on first.
Which of the following is NOT a form of occupational lung disease? a. Silicosis b. Tuberculosis c. Anthracnosis d. Asbestosis b. Tuberculosis
Which of the following structures is considered to be most posterior? a. Larynx b. Esophagus c. Trachea d. Hyoid bone b. Esophagus
Air or gas that escapes into the pleural cavity results in a condition known as: Pneumothorax
What additional projection would be taken if a patient comes to radiology for a routine chest study and on the PA projection, the radiologist notices a possible calcification near a rib but can't tell if the calcification is in the lung or on the rib..? My answer: Apical Lordotic (???) Correct Answer: Inspiration/Expiration PA
A well-inspired average adult chest PA projection will have a minimum of ____ posterior ribs seen above the diaphragm. 10
The thymus gland is at its maximum size at: Puberty
Which of the following structures is considered to be most inferior? a. Epiglottis b. Hyoid bone c. Carina d. Vocal cords c. Carina
A patient enters the ED with a possible pneumothorax in the left lung. Because of trauma, the patient cannot stand or sit erect. Which of the following positions would best demonstrate this condition? RIGHT Lateral Decubitus
The inner layer of the pleura that encloses the lungs and heart is called the: Pulmonary Pleura
True OR False: Top of image receptor placed approximately 3 inches (7.6 cm) above the shoulders is a recommended centering technique for adult chest radiography. FALSE
A patient enters the emergency department (ED) to be treated for severe trauma. The physician orders an AP supine chest to evaluate the lungs. What can the technologist do to reduce the magnification of the heart? INCREASE SID AS MUCH AS POSSIBLE
A general rule states that radiographic grids must be used in chest radiography for: Exposure factors using 100 kV or greater
True OR False: The xiphoid process is a reliable positioning landmark for determining the lower margin of the lungs for chest positioning. FALSE
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