Question 1

The chest radiograph shows blunting of the patient's costophrenic angles. What does this suggest?

Accepted Answer

A)  The patient did not take a deep enough breath. 
B)  Lung cancer. 
C)  Pleural fluid. 
D)  Underpenetrated exposure on the film. 
A)  The patient did not take a deep enough breath. 
B)  Lung cancer. 
C)  Pleural fluid. 
D)  Underpenetrated exposure on the film. C

Question 2

The respiratory therapist is reviewing the electronic medical record of a patient in the medical ICU. In reading the most recent chest radiograph interpretation, the therapist notes that the cardiothoracic ratio is stated to be less than 1:2 on the PA view. How should the therapist interpret this information?

Accepted Answer

A)  This is a normal cardiothoracic ratio. 
B)  This is a decreased cardiothoracic ratio. 
C)  This ratio shows hyperinflation of the lung fields with subsequent air trapping. 
D)  This interpretation should be ignored because it is inaccurate in the PA view. 
A)  This is a normal cardiothoracic ratio. 
B)  This is a decreased cardiothoracic ratio. 
C)  This ratio shows hyperinflation of the lung fields with subsequent air trapping. 
D)  This interpretation should be ignored because it is inaccurate in the PA view. A

Question 3

The respiratory therapist is reviewing the transthoracic echocardiogram of a patient. The images are very poor. What other type of imaging study can they suggest to the physician to improve the image quality?

Accepted Answer

A)  A transesophageal echocardiogram 
B)  A stress echocardiogram 
C)  A color Doppler 
D)  Fluoroscopy 
A)  A transesophageal echocardiogram 
B)  A stress echocardiogram 
C)  A color Doppler 
D)  Fluoroscopy A

Question 4

The respiratory therapist is called to evaluate a patient with a suspected pulmonary embolus. The respiratory therapist would most likely recommend which of the following diagnostic procedures to help determine if the patient has a pulmonary embolus?

Accepted Answer

A)  CTPA 
B)  Fluoroscopy 
C)  PET scan 
D)  MRI scan 
A)  CTPA 
B)  Fluoroscopy 
C)  PET scan 
D)  MRI scan

Question 5

A patient has a long smoking history and has recently coughed up blood. The physician suspects that there may be lung cancer, but no lesions can be seen on a standard chest radiograph. A CT scan offers which of the following advantages?
1) Bronchial tumors can be seen.
2) Lung tumors as small as 0.4 cm can be seen.
3) A tumor's metabolism can be identified.
4) A mediastinal mass can be seen.

Accepted Answer

A) 1, 3 
B) 1, 2, 4 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1, 3 
B) 1, 2, 4 
C) 2, 3, 4 
D) 1, 2, 3

Question 6

Which of the following would be normal findings of the heart and its surrounding area?
1) The left hilum is about 2 cm higher than the right hilum.
2) Most of the heart shadow is to the right of the sternum.
3) Calcified lymph nodes indicate an adult patient.
4) The cardiothoracic ratio is less than 1:2.

Accepted Answer

A) 1, 4 
B) 2, 3 
C) 1, 2, 4 
D) 2, 3, 4 
A) 1, 4 
B) 2, 3 
C) 1, 2, 4 
D) 2, 3, 4

Question 7

Which of the following can be identified by pulmonary angiography?
1) Pulmonary emboli
2) Coronary artery occlusions
3) Arteriovenous malformations
4) Cause of hemoptysis

Accepted Answer

A) 4 
B) 1, 3 
C) 2, 3, 4 
D) 1, 2, 3 
A) 4 
B) 1, 3 
C) 2, 3, 4 
D) 1, 2, 3

Question 8

A patient has had a ventilation-perfusion scan. What would be identified from the ventilation scan?

Accepted Answer

A)  Location of a lung abscess 
B)  Alveolar consolidation 
C)  Location of a pulmonary embolism 
D)  Location of an airway obstruction 
A)  Location of a lung abscess 
B)  Alveolar consolidation 
C)  Location of a pulmonary embolism 
D)  Location of an airway obstruction

Question 9

The respiratory therapist is called to evaluate a patient with a suspected pleural effusion. The respiratory therapist would most likely recommend which of the following chest radiographic views to help determine if the patient has a pleural effusion?

Accepted Answer

A)  An AP film 
B)  A PA film 
C)  A left lateral film 
D)  A lateral decubitus film 
A)  An AP film 
B)  A PA film 
C)  A left lateral film 
D)  A lateral decubitus film

Question 10

For most chest x-ray studies, what is usually done?

Accepted Answer

A)  There is a full exhalation. 
B)  There is a full inspiration. 
C)  Separate inspiratory and expiratory films are taken. 
D)  The patient is told to pant to provide a middle lung volume. 
A)  There is a full exhalation. 
B)  There is a full inspiration. 
C)  Separate inspiratory and expiratory films are taken. 
D)  The patient is told to pant to provide a middle lung volume.

Question 11

Which of the following are evaluated on a chest radiograph?
1) Examination of baby in pregnant women
2) Exposure quality
3) The heart shadow
4) The tracheobronchial tree

Accepted Answer

A) 4 
B) 1, 4 
C) 1, 2, 4 
D) 2, 3, 4 
A) 4 
B) 1, 4 
C) 1, 2, 4 
D) 2, 3, 4

Question 12

A PET/CT scan can provide which of the following?
1) Early detection of cancer metastasis
2) Accurate staging of cancer
3) Radiation treatment of the cancer
4) Activation of chemotherapy drugs within the tumor

Accepted Answer

A) 1, 2 
B) 3, 4 
C) 1, 2, 4 
D) 1, 2, 3 
A) 1, 2 
B) 3, 4 
C) 1, 2, 4 
D) 1, 2, 3

Question 13

The heart shadow on a chest radiograph will show up larger than normal on a(n):

Accepted Answer

A)  AP film. 
B)  PA film. 
C)  left lateral film. 
D)  computed tomography (CT) scan. 
A)  AP film. 
B)  PA film. 
C)  left lateral film. 
D)  computed tomography (CT) scan.

Question 14

Which of the following is true of a chest radiograph?

Accepted Answer

A)  Lateral films are shot through one side of an upright patient. 
B)  AP films are typically taken in the x-ray department. 
C)  PA films artificially increase the size of the heart shadow. 
D)  Lateral decubitus films are shot with the patient lying supine. 
A)  Lateral films are shot through one side of an upright patient. 
B)  AP films are typically taken in the x-ray department. 
C)  PA films artificially increase the size of the heart shadow. 
D)  Lateral decubitus films are shot with the patient lying supine.

Exam 8: Radiologic Examination of the Chest

The chest radiograph shows blunting of the patient's costophrenic angles. What does this suggest?

The respiratory therapist is reviewing the transthoracic echocardiogram of a patient. The images are very poor. What other type of imaging study can they suggest to the physician to improve the image quality?

The respiratory therapist is called to evaluate a patient with a suspected pulmonary embolus. The respiratory therapist would most likely recommend which of the following diagnostic procedures to help determine if the patient has a pulmonary embolus?

Which of the following can be identified by pulmonary angiography? 1) Pulmonary emboli 2) Coronary artery occlusions 3) Arteriovenous malformations 4) Cause of hemoptysis

A patient has had a ventilation-perfusion scan. What would be identified from the ventilation scan?

The respiratory therapist is called to evaluate a patient with a suspected pleural effusion. The respiratory therapist would most likely recommend which of the following chest radiographic views to help determine if the patient has a pleural effusion?

For most chest x-ray studies, what is usually done?

Which of the following are evaluated on a chest radiograph? 1) Examination of baby in pregnant women 2) Exposure quality 3) The heart shadow 4) The tracheobronchial tree

A PET/CT scan can provide which of the following? 1) Early detection of cancer metastasis 2) Accurate staging of cancer 3) Radiation treatment of the cancer 4) Activation of chemotherapy drugs within the tumor

The heart shadow on a chest radiograph will show up larger than normal on a(n):

Which of the following is true of a chest radiograph?

The Patient Interview

The Physical Examination

The Pathophysiologic Basis for Common Clinical Manifestations

Pulmonary Function Testing

Blood Gas Assessment

Assessment of Oxygenation

Assessment of the Cardiovascular System

Other Important Tests and Procedures

The Therapist-Driven Protocol Program

Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols

Recording Skills and Intra-Professional Communication

Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema

Asthma

Cystic Fibrosis

Bronchiectasis

Atelectasis

Pneumonia, Lung Abscess Formation, and Important Fungal Diseases

Tuberculosis

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Cancer of the Lung, Prevention and Palliation

Interstitial Lung Diseases

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Cardiopulmonary Assessment and Care of Patients With Neuromuscular Disease

Sleep Apnea

Newborn Assessment and Management

Pediatric Assessment, Protocols, and Pals Management

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndrome

Respiratory Syncytial Virus Infection Bronchiolitis

Chronic Lung Disease of Infancy

Congenital Diaphragmatic Hernia

Congenital Heart Disease

Croup and Croup-Like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis, and Acute Epiglottitis

Near Drowningwet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Filters