EVALUATION EXAMS SET LATEST VERSION
⩥ extra pulmonary air indicates. Answer: -pneumothorax
-pneumoperitoneum
-pneumomediastinum
-pneumopericardium
-sub cu. emphysema
⩥ Epiglottitis. Answer: -above glottis
-confirm with lat. neck cxr; supraglottic narrowing with enlarged
flattened epiglottis
-thumb sign
Tx: intubate
⩥ Croup (laryngotracheobronchitis). Answer: infection of upper airway
characterized by a barky cough seen in children
CXR: tracheal narrowing with subglottic swelling (steeple sign, picket
fence, pencil point, hour glass)
,Treatment: racemic epi and O2
⩥ ETT Placement. Answer: 2-6 cm above carina-- level of aortic arch
To confirm- first listen to breath sounds, then CXR
⩥ AP radiograph. Answer: front to back
⩥ PA radiograph. Answer: back to front
⩥ Lateral radiograph. Answer: sides
⩥ Oblique CXR. Answer: standing/diagonal- lesions
⩥ Lateral decubitus. Answer: lying on AFFECTED side-- pleural
effusions
⩥ Apical lordotic. Answer: tops of lungs used to confirm TB
⩥ End exp. image. Answer: detect small pnuemos
⩥ Confirming quality of CXR image. Answer: - clavicles are level
- penetration- vertabrae visible just behind heart
-mediastinum- area between lungs, heart, blood vessels and bronchi are
found
, -vascular markings
⩥ Enlarged Heart in CXR. Answer: cardiomegaly--- CHF- pericardial
effusion
⩥ Normal CXR. Answer: -hemidiaphragms
-R diaphragm elevated (liver underneath)
-L diaphragm at level of 6 anterior rib
-trachea midline
-bilateral radiolucent appearance
-sharp costophrenic angles
- heart not consuming 50% of picture
⩥ Blood Pressure. Answer: 120/80
90-140 systolic acceptable
60-90 diastolic acceptable
hypertension- O2
hypotension- fluids, hypovolemia, chf
⩥ Heart sounds. Answer: S1- ventricles contract
S2-ventricles relax
(LUB-DUB)