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Chest and Abdomen
RAD Positioning
| Question | Answer |
|---|---|
| CR Location for an AP Chest | 3-4" below the jugular notch and perpendicular to the long axis of the sternum |
| TRUE or FALSE: The diaphragm is at its lowest position when the patient is erect and on full inspiration. | TRUE |
| TRUE or FALSE: COPD is an additive disease process | FALSE |
| Is Ascites an additive or destructive disease process? | Additive |
| Pathology best demonstrated on an expiration chest? | Pneumothorax |
| Position/projection best demonstrating the apices free of clavicular superimposition. | AP or Apical Lordotic |
| Mediastinal structures | Heart, great vessels, esophagus, trachea and thymus gland |
| Pos/Proj's of the abdomen that must include the diaphragm | Upright, Lt. Lat Decub, Ventral or Dorsal Decub or Lateral Abd |
| A Rt Lat Decub chest will best demonstrate air or fluid if the Rt lung is the area of interest? | Fluid |
| Area where the right and left main stem bronchus bifurcate | Carina |
| Rotation on the PA chest is seen as | Unequal distance of the SC joints from the spine |
| Is a patient more likely to aspirate into the right lung or the left lung? Why? | Right, because it is wider and more vertical |
| Breathing instructions for a chest | Second full inspiration |
| Breathing instructions for abdominal radiography | Expiration |
| Three parts of the pharynx | Naso, Oro and Laryngo |
| Blood in the pleural cavity | Hemothorax |
| Narrow, shallow thorax, that is long vertically indicates what body habitus | Asthenic |
| Indicates a good inspiratory chest x-ray | 10 posterior ribs above the diaphragm |
| TRUE or FALSE: A grid is optional for adult abdominal imaging | FALSE |
| CR for the upright abdomen? What must be included on the image? | 2" above the iliac crest and to the MSP. Diaphragm |
| What anatomical part must be included on the KUB? | Symphysis Pubis |
| Spongy substance lung tissue is made up of | Parenchyma |
| Inner lining of the pleural cavity | Pulmonary or visceral pleura |
| An occupational lung disease | Anthracosis (black lung), Asbestosis or Silicosis (quartz) |
| Performed when a patient is unable to stand for an erect abdomen | Lt Lat decub abdomen |
| Gland that functions through puberty and lies above and anterior to the heart | Thymus |
| Central area of each lung best seen on a Lat where bronchi, blood vessels, lymph vessels and nerves enter and leave the lungs | Hilum |
| Routine for the AAS | PA Chest, Upright Abdomen, KUB |
| TRUE or FALSE: The Bladder, uterus and IVC are Infraperitoneal structures. | FALSE. The Bladder is, the uterus passes into the peritoneal cavity, and the IVC is retroperitoneal |
| TRUE or FALSE: The liver occupies most of the RUQ | TRUE |
| When positioning for a decub, how long should the patient be in position for the air to rise | 5-20 minutes |
| To what part of the lung does the vertebral prominens correspond? | Apices |
| Why is the erect position preferred for Chest imaging? | Demonstrates air/fluid levels, drops diaphragm to lowest position, prevents engorgement of pulmonary vessels |
| Telescoping of the bowel into itself causing obstruction | Intussusception |