Chest Radiology > Post-Test

Post-Test

All of the material covered in this test can be found on the previous pages.

1) Opacification of what part of the lung will silhouette the left heart border?



 Left lower lobe
  Superior segment left lower lobe
  Right middle lobe
  Lingula

2) What is the most likely diagnosis on the following chest x-ray?



 Atelectasis
  Pulmonary edema
 Bilateral pneumonia
  Pneumothorax

Questions 3-7: Please refer to the following image.



3) Identify the object labeled "3" in the above image.

 Ascending aorta
 Aortic arch
  Aortopulmonary window
  Right atrium

4) Identify the object labeled "4" in the above image.

  Ascending aorta
   Right atrium
  Right hilum
   Right ventricle

5) Identify the object labeled "5" in the above image.

 Ascending aorta
  Aortic arch
 Left hilum
  Mass in the left aortopulmonary window

6) Identify the object labeled "6" in the above image.

 Left ventricle
  Aortic arch
  Ascending aorta
  Left pulmonary artery

7) Identify the object labeled "7" in the above image.

 Aortic arch
  Right atrium
  Left ventricle
 Left pulmonary artery

8) The normal chest x-ray seen below is not technically adequate. Why?



 The patient is rotated.
  The radiograph is over penetrated.
  The radiograph was performed during expiration.
  The radiograph is under penetrated.

9) Which of the following is not a characteristic of a technically adequate PA chest radiograph?

 Thoracic spine disc spaces should be barely visible through the heart.
  The osseous detail of the thoracic spine is always clearly visualized.
 The clavicular heads should be equal distance from the spinous process of the thoracic vertebral bodies.
  Bronchovascular structures can usually be seen through the heart.

10) Identify the abnormality shown in the image below.



 Right middle lobe pneumonia
  Right upper lobe pneumonia
 Right lower lobe pneumonia
  Right upper lobe atelectasis

11) Admission PA and Lateral chest radiograph of a trauma patient with a left-sided pleural effusion demonstrates what other notable abnormality ?



 Right tension pneumothorax
  Left pulmonary opacity representing pulmonary hemorrhage
 Left pulmonary opacity representing pneumonia
  Left pulmonary opacity representing pneumonia

12) Based on your findings, what lobe is involved in the above image?

 Left upper lobe
 Right middle lobe
  Left lower lobe
  None of the above

13) Name the abnormality shown in the image below?



 Left lower lobe atelectasis
  Luftsichel sign
  Hampton's hump
 None of the above

14) What other clinical finding(s) would you expect to find in a patient with the abnormality shown above?

 Enlarged axillary lymph nodes
  Hypoxia and dyspnea
 Normal serum D-dimer
  None of the above

15) Identify the abnormality shown in the image below?



 Bilateral basilar atelectasis
  Right middle lobe pneumonia
  Hampton's hump
  Bilateral pleural effusions

16) What study may be used to further evaluate the nature of the finding seen above?

 Bilateral decubitus chest x-ray
 Supine chest x-ray
  Apical lordotic chest x-ray
  None of the above

17) Pneumonia causes volume loss or collapse of the affected lung parenchyma.

 True
  False

18) A pneumothorax is best demonstrated by an upright expiratory chest x-ray.

 True
 False

19) Identify the abnormality shown in the image below.



 Large pleural effusion
  Tension pneumothorax
 Left lower lobe pneumonia
  None of the above.

20) The next step in diagnosis and treatment of the abnormality seen above is?

 Admit and observe patient.
  Perform chest CT scan.
  Immediate chest tube placement.
 Thoracentesis to remove effusion.

21) Why is prompt diagnosis and treatment of the above process important?

 Patient will experience persistent shortness of breath.
  Patient may expire secondary to hypoxia.
  The contralateral lung may collapse if not treated.
  Patient may expire secondary to decreased venous return to the heart.

22) The image seen below is a magnified view of a lateral chest x-ray. The blue arrows indicate the left ribs and the red arrows indicate the right ribs. Which of the following statements is true?



 The right ribs are further away from the cassette and therefore magnified less than the left ribs.
  The lateral chest x-ray is obtained with the left chest against the film cassette which diminishes magnification
of the heart and left ribs.
 The left ribs are usually projected posterior to the right ribs on a true lateral chest x-ray.
  None of the above are true.

23) Identify the bronchus labeled "23" in the image below.



 Right mainstem bronchus
  Right middle lobe bronchus
  Bronchus intermedius
 Right lower lobe bronchus

24) Identify the bronchus labeled "24" in the image above.

 Left upper lobe bronchus
  Left middle lobe bronchus
  Left lower lobe bronchus
  Lingular bronchus

25) Identify the abnormality shown in the images below.



 Right pleural effusion
  Hydropneumothorax
 Right basilar pneumothorax
  Right lower lobe atelectasis

26) Which of the following statements is true when distinguishing between a pulmonary, pleural, and extrapleural mass?

 Masses with acute margins to lung tissue indicate the process is pleural or extrapleural.
  Masses with obtuse margins to lung tissue indicate the process is pleural or extrapleural.
 Rib destruction indicates pleural involvement and possibly the origin of the mass.

27) What sign is seen in the image below?



 Concave margin sign
  Indistinct margin sign
  Crescent sign
  Silhouette sign
 All of the above

28) Identify the abnormality shown in the images below.



 Hiatal hernia
 Bochdalek hernia
  Morgagni hernia
  Eventration

29) The following characteristics of calcification in a solitary pulmonary nodule would be considered benign except:

 Central calcification
  Stippled calcification
  Irregular calcification
 Complete calcification

30) What finding is least consistent with lobar atelectasis?

 Air bronchograms
  Crowding of vascular markings
  Expansion of other lobes
  Elevation of the diaphragm
  None of the above.

Your score is out of 30.

Answers