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BASIC RADIOLOGY

Total questions: 20

Worksheet time: 13mins

Name
Class
Date
1.

Case: 25 year old male who came in for physical examination. What is your diagnosis?

(You can click on the image to magnify.)

a)

Pneumonia

b)

Pulmonary tuberculosis

c)

Cardiomegaly

d)

Normal Chest

2.

Identify the laterality in 1.

Right or Left?

(You can click on the image to magnify.)

(a)  

3.

Identify the laterality in 2.

Right or Left?

(You can click on the image to magnify.)

(a)  

4.

The standard frontal view of the chest is the posteroanterior (PA) radiograph, or the “PA chest.” The terms posterior and anterior refer to the direction of the x-ray beam, which in this case traverses the patient from _________.

a)

front to back

b)

back to front

c)

front to front

d)

back to back

5.

The normal chest image is always done on _____________.

a)

inspiration

b)

expiration

c)

while talking

d)

while singing

6.

Identify the black dotted lines (2).

(You can click on the image to magnify.)

(a)  

7.

Identify the structure shaded with green.

(You can click on the image to magnify.)

(a)  

8.

Identify.

1

(You can click on the image to magnify.)

(a)  

9.

The right upper lobe is separated from the middle lobe by the _____.

a)

Minor fissure

b)

Major fissure

c)

Oblique fissure

d)

Vertical fissure

10.

Case: 30 year old female with sore throat. What is your impression?

(You can click on the image to magnify.)

a)

Pulmonary congestion

b)

Pneumonia

c)

Normal chest

d)

Foreign body aspiration

11.

Case: 69 year old female with difficulty of breathing.

This radiograph shows a "bat wing" pattern. What is your impression?

(You can click on the image to magnify.)

a)

Pulmonary congestion/edema

b)

Pneumonia

c)

Normal chest

d)

Pneumothorax

12.

Identify the structure.

C

(You can click on the image to magnify.)

(a)  

13.

Identify the structure.

H

(You can click on the image to magnify.)

(a)  

14.

The upper limit of normal CARDIOTHORACIC RATIO in PA view is _____________.

a)

42 %

b)

45 %

c)

50 %

d)

55 %

15.

Cardiothoracic (CT) ratio measurements are unreliable on an anteroposterior image because of _____________.

a)

cardiac magnification

b)

the heart being closer to the film

c)

edge unsharpness

d)

grid effect

16.

In a normal erect patient, gravity causes most blood to flow to the _____________.

a)

lung apex

b)

lung base

c)

anterior lung

d)

posterior lung

17.

You should be familiar with this anatomy already.

The trachea bifurcates at the carina into the right and left main bronchi. The right has ________ lobar bronchi, and the left has ________lobar bronchi.

a)

three;

two

b)

two;

three

c)

one;

two

d)

two;

one

18.

This is an erect chest radiograph showing air under the diaphragm.

What is your impression?

(You can click on the image to magnify.)

a)

Pleural effusion

b)

Normal chest

c)

Pneumoperitoneum

d)

Pneumothorax

19.

Case: 60 year old male with sudden onset of abdominal pain.

This abdominal radiograph shows a ‘coffee bean’–shaped loop of distended bowel crossing the midline and extending to the right upper quadrant. What is your impression?

(You can click on the image to magnify.)

a)

Intussusception

b)

Sigmoid volvulus

c)

Normal x-ray of the abdomen

d)

Fecal retention

20.

Case: 8 year old male who fell onto an outstretched hand.

This radiograph shows a fracture in what structure?

(You can click on the image to magnify.)

(a)