Chest imaging

What is the best differential diagnosis ?

• Acute pulmonary embolism

• Aortic dissection

• Boerhaave syndrome

• Viral pneumonia

What do sign of ATAI presented in this chest film ?

• left apical pleural capping

• Left hemothorax

• Fracture of left 1st posterior rib.

• Deviation of the trachea

• Obliteration of the aortic knob

Male 20 years old got motorcycle accident. his vital sign is BP 100/72 HR 110 SpO₂ 92%. What are the proper management for this patient?

• 100% Oxygen supplement

• LRS 500 ml IV load

• needle thoracostomy

• insert chest tube thoracostomy

male 76 yr no known underlying diseases got chronic cough with white sputum and right shoulder and chest pain, slowly worsening over 4 weeks. Wife reports drooping right eyelid. His body weight lose 15 Kg within 3months. What is the best proper investigation for this patient ?

• pulmonary function test

• sputum for GeneXperts

• CT chest wtih abdomen

• No further investigation

what do chest x-ray suggest atelectasis ?

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Male 40 years old got car accident with tree. his vital sign is BP 90/60 HR 101 RR30 SpO₂ 88%. EP gave oxygen mask with bag 10LPM and then SpO₂ raise to 93%.

What is the proper management for this patient?

• Insert gastric tube

• Bag-mask ventilation

• Insert chest tube thoracostomy

• Needle thoracostomy

• CTA chest

Female 56 years old U/D CA cervix was presented with hemotysis and shortness of breath. Her vital sign is BP 149/89 HR 130 RR36 SpO₂ 85% RA. Physical examination is WNL. What sign do it present in this chest film ?

• Cephalization

• Westermark sign

• miliary inflitration

• Knuckle sign

• pleural effusion

What is the diagnosis from this abdominal film ?

• Sigmoid volvulus

• small bowel obstruction

• bowel perforation

• cecal volulus

• Gastroparesis

A 43-year-old woman with a clinical diagnosis

of Crohn disease presented to her physician with severe

rectal pain and increasing abdominal distension.

Which do sign find in this film ?

• hyperlucent liver sign

• continuous diaphragm sign

• fissure for ligamentum teres sign

• football sign

• Rigler sign

Which film do suggested to bowel obstruction ?

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