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Merrills Ch10 Chest
Test Question
| Question | Answer |
|---|---|
| • The thoracic viscera consists of | lungs and mediastinum |
| • The area between the two lungs is called | the mediastinum |
| • the respiratory system proper consists of | larynx, trachea and bronchi, and both lungs |
| • where does the trachea lie in relation to the esophagus | anterior |
| • Name of hook like process on lateral tracheal cartilage | carina |
| • After entering the hilum each primary bronchus divides, how many primary branches are in the right lung | 3 |
| • The lungs are composed of an elastic substance called | parenchyma |
| • The right lung is __ in shorter than the left | 1 |
| • Name of double walled serous sac that encloses the lung | pleura |
| • tongue shaped process on left lung | lingula |
| • area in figure above is hilum | (know that pic) |
| • part of mediastinum | heart and esophagus (not lungs) |
| • Which is not included in mediastinum | larynx and diaphragm |
| • Where is the esophagus in relation to the trachea | behind |
| • Which best describes the position of the thymus gland | behind manubrium |
| • Optimal position of patient for heart and lung exams | upright |
| • Why is left lateral chest most commonly used | heart closer to IR |
| • Presence of gas or air in pleural cavity | pneumothroax |
| • Which radiographs re taken on a patient with small amount of free air in plural cavity | AP full inspiration and AP full expiration |
| • Which techniques is needed to penetrate thoracic anatomy | high KVP |
| • Advantages of using 72" SID for chest | Decrease magnification of heart, shaper outlines of lung structures (ONLY) |
| • Where are hand s placed for PA chest | back of hands on hips |
| • CR angle for PA chest | perpendicular |
| • Optimal respiration for PA or lateral chest | full inspiration on second breath |
| • How many ribs visible above diaphragm on PA chest | 10 ribs |
| • Which plane is parallel on lateral chest | midsagital |
| • How many degrees of body rotation are required for a routine AP or PA oblique chest | 45 degrees |
| • Where is top of IR for PA lungs | 1.5 - 2 in above vertebral prominence |
| • When patient is properly positioned for PA oblique chest, the CR will enter the body where | midway between the lateral surface of the elevated side and the spine |
| • For AP oblique projections of the chest, the side of interest is generally the side | closest to the IR |
| • The AP oblique RPO of the chest shows the same images as the | PA oblique LAO |
| • Recommended SID for supine chest | 72" |
| • What will be observed on a supine AP chest | lung fields projected shorter and clavicles projected higher (ONLY) |
| • CR angle for limbolm method for pulmonary apices | 0 degrees |
| • Linbolm is used to show | pulmonary apices |
| • How far should patient stand from grid before leaning back for lordotic position | 1ft |
| • Resp for AP axial pulmonary apices | inspiration |
| • If patient cannot be placed in lordotic for pulmonary apices what can the CR be angled to project clavicles above apices | 15-20 degrees cephalad |
| • How long should the patient remain in position before making exposure in lateral or dorsal decubitus position | 5 min |
| • If lateral decub is used to show fluid which side must patient lie on | affected |
| • If lat decub is used to show free air which side should they lie on | unaffected side |
| • The positions used for decubitus are | Lateral and AP/PA (ONLY) |
| • position FOR LATERAL DORSAL DECUB | SUPINE |
| • Which side of patients chest is against IR for ventral or dorsal decub | affected |
| • Respiration for AP or lateral in decubitus | full inspiration |
| • Which are required for decubitus radiographs | recumbent and horizontal beam (ONLY) |
| • What must be included on decubitus projections | entire lung field, patients arms not visible, ID for which decubitus |
| • Thoracic cavity contains which | heart, thymus glands and inferior esophagus (ALL) |
| • Costophrenic angel is part of the | lungs |
| • O2 and CO2 are exchanged via diffusion within | alveoli |
| • Smallest subdivision of bronchiole tree is | terminal bronchiole |
| • Space between two pleural walls is the | pleural cavity |
| • Each lung is divided into segments called | lobes |
| • Recommended SID for PA chest | 72" |
| • Which is clearly shown on AP or PA oblique of lungs | lungs in entirety, trachea filled with air (ONLY) |
| • Where is top of IR for AP oblique lungs | 1.5 - 2 in above vertebral prominens or 5 in above jugular notch |
| • How far above the shoulders should IR be for any decub of chest | 1.5 - 2 in above shoulders |
| • Chronic condition with persistent obstruction of bronchiole airflow | chronic obstructive pulmonary disease |
| • Fluid in the pleural cavity | pleural effusion |
| • Aspiration of a foreign particle in lung is | aspiration lung |