Question 1

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. A

Question 2

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

Question 3

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

Question 4

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 5

Which of the following are evaluated on a chest radiograph?
1) The bony structures
2) Exposure quality
3) The heart shadow
4) The tracheobronchial tree

Accepted Answer

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

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

Question 7

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 8

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

Question 9

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

Question 10

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 11

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.

Question 12

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

Question 13

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 all of the following advantages EXCEPT:

Accepted Answer

A)  bronchial tumors can be seen. 
B)  lung tumors as small as 0.4 cm can be seen. 
C)  a tumor's metabolism can be identified. 
D)  a mediastinal mass can be seen. 
A)  bronchial tumors can be seen. 
B)  lung tumors as small as 0.4 cm can be seen. 
C)  a tumor's metabolism can be identified. 
D)  a mediastinal mass can be seen.

Exam 7: Radiologic Examination of the Chest

Which of the following is true of a chest radiograph?

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?

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?

Which of the following are evaluated on a chest radiograph? 1) The bony structures 2) Exposure quality 3) The heart shadow 4) The tracheobronchial tree

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

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

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

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?

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 all of the following advantages EXCEPT:

The Patient Interview

The Physical Examination and Its Basis in Physiology

Pulmonary Function Study Assessments

Arterial Blood Gas Assessments

Oxygenation Assessments

Cardiovascular System Assessments

Other Important Tests and Procedures

The Therapist-Driven Protocol Program and the Role of the Respiratory Therapist

Respiratory Failure and the Mechanical Ventilation Protocol

Recording Skills: The Basis for Data Collection, Organization, Assessment Skill

Chronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, and Emphysema

Asthma

Bronchiectasis

Cystic Fibrosis

Pneumonia

Lung Abscess

Tuberculosis

Fungal Diseases of the Lung

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Interstitial Lung Diseases

Cancer of the Lung

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Sleep Apnea

Clinical Manifestations Common with Newborn and Early Childhood Respiratory Dis

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndromes

Respiratory Syncytial Virus (Bronchiolitis or Pneumonitis)

Bronchopulmonary Dysplasia

Congenital Diaphragmatic Hernia

Congenital Heart Diseases

Croup Syndrome: Laryngotracheobronchitis and Acute Epiglottitis

Near Drowning/Wet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Atelectasis

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