CHEST X-RAY

Which of the following tissues will look radiolucent on a chest x-ray?

• BONE

• BLOOD

• LUNGS

• LIVER

A patient’s chest radiograph reveals diffusely black lung parenchyma without evidence of blood vessels. The therapist should interpret this as a:

• NORMAL FINDING

• CONSOLIDATION

• PNEUMOTHORAX

• PLEURAL EFFUSION

During radiographic assessment, the RT determines that there is increased density and consolidation in the LUL with air bronchograms. The surgical resident asks the therapist to interpret these findings. The therapist should respond that the patient has:

• EMPHYSEMA

• ASTHMA

• PNEUMONIA

• EXTRA-PULMONARY AIR

Which of the following are common radiographic findings seen in patients with volume loss due to atelectasis?

1. ELEVATION OF THE HEMIDIAPHRAGM

2. NARROWING OF THE SPACE BETWEEN THE RIBS

3. INCREASE IN THE RETROSTERNAL AIRSPACE

4. SHIFT OF THE MEDIASTINUM

• 1, 2, 3, AND 4

• 1, 3, AND 4

• 3 AND 4 ONLY

• 1, 2, AND 4

A physician suspects a patient may have a pulmonary embolism. The results of a V/Q scan and spiral CT scan are inconclusive. The therapist should recommend a/an:

• BRONCHOGRAM

• PET SCAN

• PULMONARY ANGIOGRAM

• ECHOCARDIOGRAM

Which of the following is false regarding the visualization of air bronchograms on a chest film?

• They indicate fluid is in the pleura

• They are caused by air-filled airways with consolidation

• They are the hallmark of alveolar consolidation

• They signify airspace disease

•A right heart shadow is not visible on your patient’s chest radiograph. Which of the following pathologies may explain this?

• Right middle lobe pneumonia

• Right lung pneumothorax

• Bilateral emphysema

• Bleb in the right lower lobe

Which of the following is associated with an optimally exposed chest radiograph?

• Pleural spaces and heart borders are well defined

• Vertebrae and lung markings are clearly visible

• Pulmonary vascular markings are absent

• Air bronchograms are easily identified

A RT reviews a chest radiograph in which clavicles are asymmetrically spaced around the sternum. The therapist should immediately consider:

• Body rotation

• A pleural effusion

• A tension pneumothorax

• An overexposed radiograph

A female presents to the ED with recent onset of fever, chills, cough, and SOB. Bronchial breath sounds are noted in the left lung base. An AP chest radiograph will most likely reveal:

• Patchy segmental infiltrates

• Increased density with air bronchograms

• Multiple fibronodular cavitations

• Bilateral ground-glass appearance