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49 notecards = 13 pages (4 cards per page)

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Ch. 2 Chest Part B

front 1

Which type of body habitus is associated with a broad and deep thorax?

back 1

Hypersthenic

front 2

Which one of the following types of body habitus may cause the costophrenic angles to be cut off if careful vertical collimation is not used?

back 2

Hyposthenic and asthenic

front 3

What is the minimum number of ribs that should be demonstrated above the diaphragm on a PA radiograph of an average adult chest with full inspiration?

back 3

10 ribs

front 4

Which of the following objects should be removed before chest radiography?

A. Necklace D. dentures G. Oxygen lines

B. Bra E. Pants

C. Religious medallion around neck F. Hair fasteners

back 4

A, B, C, F, G

front 5

T/F Chest radiography is the most commonly repeated radiographic procedure because of poor positioning or exposure factor selection errors.

back 5

True

front 6

Chest radiography for the adult patient usually employs a kilovoltage peak of ____ to ____ kV.

back 6

110-125

front 7

T/F Generally, you do not need to use radiographic grids for adult patients for PA or lateral chest radiographs.

back 7

False

front 8

Optimal technical factor selection ensures proper penetration of the?

back 8

Heart, Great vessels, Lung region, Hilar region

front 9

Which of the following devices should be used for the erect PA and lateral chest projection for an infant

back 9

Pigg-o-stat

front 10

Describe the way optimum density of the lungs and mediastinal structures can be determined on a PA chest radiograph

back 10

should be able to see faint outlines of at least middle and upper vertebrae and ribs through the heart and other mediastinal.

front 11

T/F Because the heart is always located in the left thorax, the use of anatomic side markers on a PA chest projection may not be necessary.

back 11

False

front 12

Which one if the following sets of exposure factors is recommended for a chest examination of a young pediatric patient

back 12

70 to 85 kV, short exposure time

front 13

T/F Because they have shallower lung fields, the central ray is often centered higher for geriatric patients.

back 13

True

front 14

To ensure better lung inspiration during chest radiography, exposure should be made during the ____ inspiration

back 14

second

front 15

List 4 possible pathologic conditions that suggest the need for both inspiration and expiration PA chest radiographs.

back 15

Small pneumothorax, presence of foreign body, Fixation or lack of normal diaphragm movement, and distinguishing between opacity in rib or lung

front 16

List and explain briefly the three reasons chest radiographs should be taken with the patient in the erect position.

back 16

allows diaphragm to move down farther, show possible air and fluid levels in the chest, prevent engorgement and hyperemia of the pulmonary vessels.

front 17

Why do the lungs tend to expand more with the patient in an erect position than in a supine position?

back 17

Erect position causes abdominal organs to drop allowing the diaphragm to move farther down and the lungs to more fully aerate

front 18

Explain the primary purpose and benefit of performing chest radiography using 72 inch source image receptor distance.

back 18

Reduces distortion and magnification of the heart and other chest structures

front 19

what is a common radiographs sign seen on a chest radiograph for a patient with respiratory distress syndrome?

back 19

Air bronchogram

front 20

which one of the following anatomic structures is examined to determine rotation on a PA chest radiograph?

back 20

Symmetric appearance of sternoclavicular joints

front 21

Which positioning tip will help you prevent the patient's chin and neck from being superimposed over the upper airway and apices of the lungs for a PA chest radiograph?

back 21

extend the neck upward

front 22

For patients with the following clinical histories, which lateral projection would you perform-right or left?

Patient with serve pains in left side of chest

back 22

left

front 23

For patients with the following clinical histories, which lateral projection would you perform-right or left?

Patient with no chest pain but recent history of pneumonia in right lung

back 23

right

front 24

For patients with the following clinical histories, which lateral projection would you perform-right or left?

Patient with no chest pain or history of heart trouble

back 24

left

front 25

Why is it important to raise the patients arms above the head for lateral chest projections?

back 25

Prevents upper arm soft tissues from being superimposed over upper chest fields

front 26

The traditional central ray centering technique for the chest is to place the top of the image receptor _____ inches (____cm ) above the shoulders.

back 26

1 and a half to 2 inches, 5 cm

front 27

A recommended central ray centering technique for a PA chest projection require the technologist to palpate the _________ and measure down from that bony landmark _____ inches ( ____cm) for a male and ____ inches (____cm) for a female patient.

back 27

Vertebra prominens, 8 inches or 20 cm, 7 inches and 18 cm

front 28

Should the 14 x 17 inch image receptor be aligned lengthwise or crosswise for a PA chest projection of a hypersthenic patient?

back 28

crosswise

front 29

Should the 14 x 17 inch image receptor be aligned lengthwise or crosswise for a PA chest projection of a hyposthenic patient?

back 29

lengthwise

front 30

Which one of the following bony landmarks is palpated for centering of the AP chest projection?

back 30

Jugular notch

front 31

T/F With most digital chest units, the question of IR placement into either vertical or crosswise position is eliminated because of the larger IR

back 31

True

front 32

T/F For most patients, the central ray level for a PA chest projection is near the inferior angle of the scapula

back 32

True

front 33

T/F In general, for an average patient more collimation should be visible on the lower margin of the chest image than on the top for a PA or lateral chest position.

back 33

False. should be =

front 34

The height, or vertical dimension, of the average-to-larger person's chest is greater that the width or horizontal dimension.

back 34

False. greater width

front 35

T/F Single-photon emission computed tomography is frequently used to diagnose myocardial infraction.

back 35

True.

front 36

T/F Ultrasound is not an effective modality to detect pleural effusion.

back 36

False

front 37

T//F Echocardiography and electrocardiography are basically the same procedure.

back 37

False.

front 38

one of the most common inherited diseases

back 38

Cystic Fibrosis

front 39

Condition most frequently associated with congestive heart failure

back 39

Pulmonary edema

front 40

dyspnea

back 40

shortness of breath

front 41

Accumulation of pus in pleural cavity

back 41

Empyema

front 42

A form of occupational lung disease

back 42

Silicosis

front 43

A contagious disease caused by an airborne bacterium

back 43

Tuberculosis

front 44

Irreversible dilation of bronchioles

back 44

Bronchiectasis

front 45

Most common form is emphysema

back 45

Chronic obstructive pulmonary disease

front 46

Acute or chronic irritation of bronchi

back 46

Bronchitis

front 47

Collapse of all or portion of lung

back 47

Atelectasis

front 48

Inflammation of pleura

back 48

Pleurisy

front 49

Which one of the following chest projections/prositions is recommended to detect calcifications or cavitations within the upper lung region near the clavicles?

back 49

AP lordotic