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Chest Radiography

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

A 17 year old female comes to your clinic for a routine checkup. She has no significant past medical history. She currently has no symptoms - no cough, fever, DOB, weight loss. You see this in her Chest X-ray. What is the most likely explanation for this finding?

a)

Mediastinal lymphoma

b)

Thoracic sarcoidosis

c)

Primary pulmonary tuberculosis

d)

Bird fancier's lung

2.

A 39 year old male comes to the hospital with the following vitals: BP 110/70 PR 108 RR 24 T 38.4C SpO2 92. You order a chest x-ray to be done and this is what you see. Interpret the scan

a)

Right lower lobe pneumonia

b)

Right middle lobe pneumonia

c)

Right upper lobe pneumonia

d)

Left lower lobe pneumonia

3.

On this film, you see that there is minimal blunting of the right costophrenic angle. Which of the following followup scans will differentiate between pleural thickening and pleural effusion?

a)

Right lateral decubitus view

b)

Lateral chest view

c)

Expiratory view

d)

All of the above

4.

Which feature in this scan most strongly suggests active PTB?

a)

Fibrosis

b)

Prominent left hilum

c)

Slight tracheal deviation

d)

Cavitation in the left upper area

5.

A patient comes to the ER with sudden DOB. Vitals are as follows: BP 70 palp PR 122 RR 28 SpO2 87. Which of the following radiographic signs suggest the presence of TENSION pneumothorax?

a)

Mediastinal shift to the left

b)

Widened intercostals on the right

c)

Collapsed right lung

d)

Both A and B

e)

Both B and C

6.

A 17 year old male comes to the ER with history of collision (motorcycle vs tree) 3 hours prior. The opacity seen in the left lung field is can be best explained by

a)

Pneumonia

b)

Pulmonary edema

c)

Pulmonary contusion

d)

Pleural effusion

7.

A 68 year old male comes to the ER due to chest heaviness and DOB. The patient has been having 3 pillow orthopnea, easy fatiguability, and progressive bilateral lower limb edema in the past week. Over the past year, the patient also noticed that he was more easily tired, with him having to stop to rest after each flight of stairs. What is seen in this radiograph?

a)

Bilateral pneumonia

b)

Bilateral hilar enlargement

c)

Pulmonary edema

d)

Pulmonary fibrosis

8.

What is the most likely cause of the atelectasis seen in this radiograph?

a)

A significant loss of surfactant in the left lung is causing adhesive atelectasis

b)

A large pleural effusion in the left lung is causing compressive atelectasis

c)

Fibrosis in the left lung is causing cicatricial atelectasis

d)

The ET tube is placed too deep causing obstructive atelectasis

9.

A motorcycle rider was suddenly side swept by a car, hitting his right chest area, causing him to fling to the ground. He was brought to the ER and this is what you see on the chest radiograph. What problem does the patient have in this radiograph?

a)

Pneumomediastinum

b)

Pulmonary contusion

c)

Subcutaneous emphysema

d)

A and B

e)

A and C

10.

A 58 year old female came to you for evaluation of cough which she developed one month ago. She said that she has been given antibiotics by her GP but none seems to have worked. When you take a closer look at her history, you note that she had a progressively enlarging palpable right breast mass with associated ulceration which she first noticed 1 year ago but she didn't seek consult for it. You then order a chest x-ray and this is what you see. What can explain the opacity?

a)

Multiple lung metastases

b)

Pulmonary adenocarcinoma

c)

Multiple aspergilloma

d)

PTB