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WorksheetsXray Clinic
Total questions: 47
Worksheet time: 2hrs 34mins
Name
Class
Date
1.
Which of the following describes imaging that is more radiolucent?
a)
X-rays that pass through low-density lung tissue strike the film more directly and cause an image that is darker in appearance.
b)
X-rays that pass through high-density tissue (e.g. bone) are more absorbed and cause an image that is lighter in appearance.
c)
Tissue that x-rays are unable to pass through
d)
Radiopaque
2.
What are air bronchograms?
a)
A pattern on a chest radiograph that shows air-filled bronchi surrounded by areas of consolidation
b)
A pattern on a chest radiograph that shows an air-fluid level
c)
A pattern on a chest radiograph that shows the mediastinum and trachea being pushed away from the affected side
d)
A pattern on a chest radigraph that shows a cavitation related to a TB infection
3.
Does air appear radiolucent or radiopaque?
a)
Radiolucent
b)
Radiopaque
c)
It depends on the density of the surrounding tissue.
d)
Air does not appear on an x-ray.
4.
What is a description of the AP view?
a)
The x-ray source is positioned in front with the film behind the patient’s back.
b)
The x-ray source is positioned behind the patient with the film in front of the patient's chest.
c)
The x-ray source and the film are both positioned behind the patient.
d)
The x-ray source and the film are both positioned in front of the patient.
5.
What is the best film for detecting small amounts of pleural fluid?
a)
Lateral decubitus
b)
PA view
c)
AP view
d)
Oblique view
6.
Does bone appear radiolucent or radiopaque?
a)
Radiopaque
b)
Radiolucent
c)
Bone appears transparent on x-rays.
d)
It depends on the type of bone.
7.
What is a costophrenic angle?
a)
The arch where the diaphragm and chest wall meet and form a point.
b)
A junction between two adjacent ribs.
c)
The fourth type of angle -- acute, obtuse, right, and costophrenic
d)
Double fractures of three or more adjacent ribs
8.
Does an embolus show up on a CT scan?
a)
Yes
b)
No
c)
Only if it's large
d)
Only if it's in the heart
9.
Can an ultrasound detect pleural effusions?
a)
Yes, even small ones.
b)
No, only large ones.
c)
Yes, but only a hemothorax
d)
No, it can only detect bone.
10.
Fluid build-up in the alveoli causes what appearance?
a)
Kerley B lines
b)
Deep sulcus sign
c)
Meniscus sign
d)
Cavitations
11.
The heart shadow should not exceed what?
a)
It should not exceed 50% of the thoracic diameter.
b)
It should not exceed 25% of the thoracic diameter.
c)
It should not exceed the size of the lungs.
d)
There is no limit to the size of the heart shadow.
12.
How much fluid can be detected in the lateral decubitus view?
a)
5 mL
b)
50 mL
c)
100 mL
d)
500 mL
13.
If more than seven anterior ribs are visible above the diaphragm, this indicates what?
a)
Hyperinflation
b)
Atelectasis
c)
Pleural effusion
d)
Pulmonary embolism
14.
What are infiltrates?
a)
Patchy white shadows
b)
Solid, well-defined masses
c)
Fluid-filled cysts
d)
Air-filled cavities
15.
Is the diaphragm visible on a chest radiograph?
a)
Yes
b)
No
c)
Only in the lateral view
d)
Only in the supine position
16.
When is a PET scan indicated?
a)
They are often used to localize tumors and metastases.
b)
They are used for routine check-ups.
c)
They are used to detect fractures.
d)
They are used to study the brain.
17.
What are the radiographic signs of cardiac decompensation?
a)
Cardiac enlargement, pleural effusion, Kerley B lines, and alveolar filling
b)
Cardiac shrinking, increased blood volume, clear lungs, and normal vessel definition
c)
Cardiac arrhythmias, elevated blood pressure, and fever
d)
Cardiac dilation, pulmonary hypertension, and clear lung fields
18.
What can allow blood vessels to be distinguished from soft tissue in a CT scan?
a)
The injection of iodinated contrast material
b)
The use of ultrasound waves
c)
The position of the patient
d)
The use of a stronger x-ray source
19.
What is used to assess the correct endotracheal tube position?
a)
A chest radiograph
b)
A blood test
c)
A physical examination
d)
An ultrasound
20.
What helps visualize the end of the endotracheal tube on a chest x-ray?
a)
The radiopaque marker
b)
A special light
c)
A magnifying glass
d)
A colored marker
21.
What a CT Angiography?
a)
It is a way to perform a CT scan of the pulmonary vessels.
b)
It is a type of x-ray that uses contrast dye.
c)
It is a type of MRI that uses magnets.
d)
It is a type of ultrasound.
22.
Why is the PA view preferred over the AP view regarding the heart?
a)
The heart is less magnified, and it is of better quality
b)
The heart is more magnified, which is better for diagnosis
c)
The PA view is faster to perform
d)
The PA view uses less radiation
23.
On a standard x-ray study of the chest, what are the two most common views?
a)
Posterior-anterior and Anterior-posterior
b)
Lateral and oblique
c)
Left lateral and right lateral
d)
Supine and prone
24.
What has the greatest radiodensity?
a)
Bone
b)
Air
c)
Water
d)
Fat
25.
When evaluating a PA film of the chest, you note that the right costophrenic angles are blunted. What does this suggest?
a)
It suggests a pleural effusion on the right side.
b)
It suggests pneumonia on the right side.
c)
It suggests a rib fracture on the right side.
d)
It suggests lung cancer on the right side.
26.
When evaluating a PA film of the chest, you note that in the upper lobe, there is a 1 cm wide sliver along the lateral margin, descending from the apex, merging with the ribs at the 3rd rib. This narrow sliver is very black and devoid of vascular markings. What does this indicate?
a)
Pneumothorax
b)
Atelectasis
c)
Pleural effusion
d)
Pneumonia
27.
When evaluating the position of an ET tube on an AP chest film, where should the tip of the tube rest?
a)
It should rest at a point 2-3 cm above the carina.
b)
It should rest at the level of the clavicle.
c)
It should rest at the level of the diaphragm.
d)
It should rest at the level of the heart.
28.
What are obliterated costophrenic angles an indication of?
a)
Pleural effusion
b)
Pneumonia
c)
Atelectasis
d)
Lung cancer
29.
What does a reticulogranular or granular pattern indicate?
a)
ARDS or IRDS
b)
Lung cancer
c)
Pleural effusion
d)
Pneumothorax
30.
What does a flattened diaphragm indicate?
a)
COPD
b)
Pneumonia
c)
Atelectasis
d)
Pleural effusion
31.
What does a ground glass or honeycomb pattern indicate?
a)
ARDS or IRDS
b)
Pleural effusion
c)
Pneumonia
d)
Atelectasis
32.
Fluffy infiltrates indicate what?
a)
Pulmonary edema
b)
Pleural effusion
c)
Atelectasis
d)
Pneumonia
33.
What does plate-like or patchy infiltrates indicate?
a)
Atelectasis
b)
Pleural effusion
c)
Pneumonia
d)
Lung cancer
34.
Wedge-shaped infiltrates indicate what?
a)
Pulmonary embolism
b)
Pneumothorax
c)
Pleural effusion
d)
Atelectasis
35.
What does a butterfly or batwing appearance indicate?
a)
Pulmonary edema
b)
Atelectasis
c)
Pleural effusion
d)
Pneumonia
36.
What do air bronchograms indicate?
a)
Pneumonia
b)
COPD
c)
Pleural effusion
d)
Pulmonary edema
37.
Should the tip of the ET tube be positioned above the clavicle on a chest x-ray?
a)
No; if it is above the clavicle, it’s too high.
b)
Yes; it should be as high as possible.
c)
It depends on the patient's height.
d)
Yes; it should be in the neck.
38.
What will croup (laryngotracheobronchitis) look like on a lateral neck x-ray?
a)
It will look like a steeple, picket fence, or pencil point.
b)
It will look like a honeycomb.
c)
It will look like a butterfly.
d)
It will look like a mass.
39.
What will epiglottitis show on a lateral neck x-ray?
a)
It will show supraglottic narrowing and a “thumb sign.”
b)
It will show an enlarged thyroid gland.
c)
It will show a normal airway.
d)
It will show a foreign object in the airway.
40.
What diagnosis is likely if the chest x-ray shows consolidation?
a)
Pneumonia or pleural effusion
b)
COPD or asthma
c)
Lung cancer or metastases
d)
Normal lungs
41.
What diagnosis is likely if the chest x-ray shows hyperlucency?
a)
COPD or an obstructive disease
b)
Pneumonia or pleural effusion
c)
Lung cancer or metastases
d)
Normal lungs
42.
What does an increase in vascular markings indicate?
a)
CHF
b)
Pneumothorax
c)
COPD
d)
Pleural effusion
43.
If vascular markings are absent, this would indicate what?
a)
Pneumothorax
b)
CHF
c)
COPD
d)
Pleural effusion
44.
How would pulmonary edema show up on a chest x-ray?
a)
It would show a butterfly/batwing pattern.
b)
It would show a mass in the lung.
c)
It would show a deep sulcus sign.
d)
It would show a meniscus sign.
45.
How would atelectasis show up on a chest x-ray?
a)
It would show patchy or plate-like infiltrates.
b)
It would show fluffy infiltrates with a butterfly/batwing pattern.
c)
It would show pleural effusion.
d)
It would show normal lung markings.
46.
How would ARDS show up on a chest x-ray?
a)
Ground glass appearance
b)
Pleural effusion and costophrenic angle blunting
c)
Fluffy infiltrates and air bronchograms
d)
Wedge-shaped opacity
47.
How would a pleural effusion show up on a chest x-ray?
a)
It would show a concave superior interface.
b)
It would show patchy or plate-like infiltrates.
c)
It would show a mass in the lung.
d)
It would show normal lung markings.
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