Deck 7: Radiologic Examination of the Chest

Question 1

Your patient has a long smoking history and has recently coughed up blood. The physician suspects that there may be lung cancer but no lesions can be seen on a standard chest radiograph. A CT scan offers all of the following advantages EXCEPT:

A) bronchial tumors can be seen.
B)lung tumors as small as 0.4 cm can be seen.
C)a tumor's metabolism can be identified.
D)a mediastinal mass can be seen.

Answer 1

a tumor's metabolism can be identified.

Question 2

The heart shadow on a chest radiograph will show up larger than normal on:

A) an AP film.
B)a PA film.
C)a left lateral film.
D)a computed tomography (CT) scan.

Answer 2

an AP film.

Question 3

Which of the following are steps used in the evaluation of a chest radiograph?
1) Evaluation of the bony structures
2) Evaluation of exposure quality
3) Evaluation of the heart shadow
4) Evaluation of the tracheobronchial tree

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

Answer 3

1, 2, 3, 4

Question 4

For most chest x-ray studies, what is usually done?

A) There is a full exhalation.
B)There is a full inspiration.
C)Separate inspiratory and expiratory films are taken.
D)The patient is told to pant to provide a middle lung volume.

Question 5

Which of the following would be normal findings of the heart and surrounding area?
1) The left hilum is about 2 cm higher than the right hilum.
2) Most of the heart shadow is to the right of the sternum.
3) Calcified lymph nodes indicate an adult patient.
4) The cardiothoracic ratio is less than 1:2.

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

Question 6

The chest radiograph shows blunting of the patient's costophrenic angles. What does this suggest?

A) The patient did not take a deep enough breath.
B)Lung cancer
C)Pleural fluid
D)Underpenetrated exposure on the film

Question 7

Your patient has had a ventilation-perfusion scan. What would be identified from the ventilation scan?

A) Location of a lung abscess
B)Alveolar consolidation
C)Location of a pulmonary embolism
D)Location of an airway obstruction

Question 8

Which of the following can be identified by pulmonary angiography?
1) Pulmonary emboli
2) Coronary artery occlusions
3) Arteriovenous malformations
4) Cause of hemoptysis

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

Question 9

Which of the following is true of a chest radiograph?

A) Lateral films are shot through one side of an upright patient.
B)AP films are typically taken in the x-ray department.
C)PA films artificially increase the size of the heart shadow.
D)Lateral decubitus films are shot with the patient lying supine.

Question 10

A PET/CT scan can provide all of the following:
1) Early detection of cancer metastasis
2) Accurate staging of cancer
3) Radiation treatment of the cancer
4) Activation of chemotherapy drugs within the tumor

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