12th Edition by Stewart C Bushong, Verified Chapters 1
- 40, Complete Newest Version
Right Middle Lobe - ANSWER PA chest radiograph in a patient with worsening
cough and fever and suspected pneumonia
shows a confluent opacity in the right lung obscuring the right heart border. In which
lobe is
the pneumonia located?
-Pneumonia
-Pulmonary edema
-Pulmonary hemorrhage
-Acute Respiratory Distress Syndrome (ARDS) - ANSWER Which conditions are
associated with a presentation on chest x-ray of "air bronchograms" (seen
in the associated radiograph)?
Spine Sign - ANSWER On later chest x-ray, you are looking for a lower lobe
pneumonia in a patient who presented
with fever, chills, shortness of breath and egophony over that region. Which of the
following
are you likely to see with this condition (seen in the associated radiograph)?
-Extremity radiographs
-Chest radiograph
-Barium enema
-CT chest, abdomen & pelvis - ANSWER Radiography exposes the patient and
radiology professional to variable radiation (depending on
the study). The Physician Assistant should consider the relative value of exposure
versus
potential diagnostic value toward treatment. Place the following 4 radiographic
procedures in
order of radiation exposure to the patient (low to high).
-Cardiomegaly
-Engorgement of upper lobe vasculature
-Pleural Effusions
-Peri-hilar shadowing - ANSWER Typical findings on a chest radiograph in
congestive heart failure (CHF)?
Metal, Calcium, water, fat, air - ANSWER Which of the following shows the order of
radiologic densities from DENSEST (most dense) to
least dense?
-Abnormal presence of fluid in a normally air-filled cavity
, -Abnormal presence of gas and/or purulent fluid in an abscess
-Normal presence of fluid and air in the stomach - ANSWER An air-fluid level is the
horizontal edge between air and fluid in any medical image. Which of
the following is revealed or cannot be ascertained with the presence of an air-fluid
level on a
radiologic image?
Both AP and PA projections are viewed as if the patient is looking at you. - ANSWER
Technical quality of the chest radiography significant aids in accurate diagnosis and
treatment
Which of the following is most accurate about chest radiographic projection?
Provides more information about physiologic activity than CT - ANSWER In
comparison to other modalities, nuclear medicine imaging does what?
Pleural Effusion - ANSWER The associated chest radiography shows an area of
pathology (labeled "f"). This area most likely
represents which of the following?
Neck fracture of the humerus - ANSWER This 68 y/o women "fell" just prior to
arrival by ambulance to the ED. Her chest image shown
depicts which of the following conditions?
Anterior shoulder dislocation - ANSWER The patient depicted in the image has
which of the following conditions?
AC joint separation - ANSWER The patient in this image has which of the following?
Degenerative joint disease of first carpometacarpal joint - ANSWER The patient in
this image has which of the following?
Osgood-Schlatter disease - ANSWER Patient presents with knee pain that has
progressed over the past few weeks. There is no
history of trauma noted, but that information may not be reliable. Based on the image
of this
pediatric patient, what is the most obvious condition the patient has?
-Pleural Fluid
-Pleural thickness
-Pleural Effusion - ANSWER Chest ultrasound is a useful tool for detecting signs in
the chest cavity. Ultrasound scan of the chest is good at detecting which one of the
following?
Lateral Malleolar fracture - ANSWER Patient presents with a painful ankle joint after
tripping over a road curb. The patient in this
image has suffered what type of injury?