NUR 622 (Adult_Gero Acute) MOD #6, CXR, PFT's Questions with CORRECT Answers (Grade A+)
Question 1:
white vs black on CRX
Answer:
black - air white - mass, tissue, density, bone
Question 2:
one way to show an x-ray is properly rotated
Answer:
the two heads of the clavicle are equal distance from the spine
Question 3:
how many ribs should you see on CXR
Answer:
8-10 posterior ribs (requires good inspiratory effort)
Question 4:
ABCDE mnemonic for x-ray
Answer:
Airway - is trachea midline Breathing - inspect from apices (top), to costophrenic angles Circulation
- inspect heart (should be on left side, not more than half of the diameter Diaphragm - right side
will be a little higher because if liver, gastric bubble on left is normal Extras - lines and tubes
Question 5:
cardiac diameter over thoracic diameter
Answer:
cardiothoracic ratio (CTR) **normal is 0.42-0.5
Question 6:
CTR greater than 0.5 means
Answer:
cardiomegaly
, Question 7:
CTR less than 0.42 could indicate
Answer:
small heart, COPD/emphysema
Question 8:
tracheal deviation on CXR
Answer:
black tube (air filled) will be off to the unaffected side
Question 9:
areas of black on CRX where white should be
Answer:
Pneumomediastinum (could indicated subq emphysema) *can be a result of abdominal surgery
Question 10:
so if a patient it s/p appendectomy and you see a small black line on CXR where the right
diaphragm should be, that would indicate:
Answer:
pneumomediastinum
Question 11:
pneumonia on CXR
Answer:
-consolidation (white-fluid) in specific area of the lung - lower common
Question 12:
ARDS on CXR
Answer:
diffuse (everywhere) "white-out" of entire lungs
Question 13:
COPD on CXR
Question 1:
white vs black on CRX
Answer:
black - air white - mass, tissue, density, bone
Question 2:
one way to show an x-ray is properly rotated
Answer:
the two heads of the clavicle are equal distance from the spine
Question 3:
how many ribs should you see on CXR
Answer:
8-10 posterior ribs (requires good inspiratory effort)
Question 4:
ABCDE mnemonic for x-ray
Answer:
Airway - is trachea midline Breathing - inspect from apices (top), to costophrenic angles Circulation
- inspect heart (should be on left side, not more than half of the diameter Diaphragm - right side
will be a little higher because if liver, gastric bubble on left is normal Extras - lines and tubes
Question 5:
cardiac diameter over thoracic diameter
Answer:
cardiothoracic ratio (CTR) **normal is 0.42-0.5
Question 6:
CTR greater than 0.5 means
Answer:
cardiomegaly
, Question 7:
CTR less than 0.42 could indicate
Answer:
small heart, COPD/emphysema
Question 8:
tracheal deviation on CXR
Answer:
black tube (air filled) will be off to the unaffected side
Question 9:
areas of black on CRX where white should be
Answer:
Pneumomediastinum (could indicated subq emphysema) *can be a result of abdominal surgery
Question 10:
so if a patient it s/p appendectomy and you see a small black line on CXR where the right
diaphragm should be, that would indicate:
Answer:
pneumomediastinum
Question 11:
pneumonia on CXR
Answer:
-consolidation (white-fluid) in specific area of the lung - lower common
Question 12:
ARDS on CXR
Answer:
diffuse (everywhere) "white-out" of entire lungs
Question 13:
COPD on CXR
