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



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