KETTERING TMC ACTUAL STUDY GUIDE
QUESTIONS AND ANSWERS SURE A+
✔✔will show intervertebral disc space through the shadow of the mediastinum -
✔✔proper exposure/penetration
✔✔image doesn't allow visualization of the intervertebral disc through the heart shadow
- ✔✔under penetrated
✔✔images will show black lung parenchyma without blood vessels - ✔✔over penetrated
✔✔what condition causes blunting of costophrenic angles? - ✔✔pleural effusion
✔✔in what pathology is the diaphragm flattened? - ✔✔COPD
✔✔what pathology causes crowding of the ribs? - ✔✔atelectasis
✔✔what pathology causes straight or horizontal ribs? - ✔✔air trapping
✔✔posterior to anterior cxr - ✔✔PA
✔✔anterior to posterior cxr - ✔✔AP
✔✔lying on affected side
detects small pleural effusion (liquid moves) if doesn't move then it's pneumonia -
✔✔lateral decubitus
✔✔end of exhalation
detects small pneumothorax
can measure diaphoretic excursion - ✔✔end expiratory image
,✔✔below vocal chords
2-6 cm above the carina
at level of aortic knob or arch - ✔✔position of ETT
✔✔what is the FIRST way to determine adequate ventilation following intubation? -
✔✔inspection and auscultation (followed by CXR)
✔✔in pleural space surrounding the lung - ✔✔chest tube
✔✔positioned in the stomach 2-6 cm below diaphragm - ✔✔NG or feeding tube
✔✔right lower lung field - ✔✔pulmonary artery catheter
✔✔positioned in the right ventricle - ✔✔pacemaker
✔✔subclavian/jugular vein should rest in superior vena cava/right atrium of the heart
(4th intercostal space and right of sternum) - ✔✔central venous catheter
✔✔steeple sign
picket fence
pencil point
hourglass - ✔✔croup (laryngotracheobronchitis)
✔✔thumb sign - ✔✔epiglottitis (supraglottic narrowing)
✔✔what type of radiographs are helpful in locating areas of air trapping? -
✔✔inspiratory/expiratory radiographs
✔✔aspirated FB (food) are - and cant be see on X-rays - ✔✔radiolucent
✔✔dark pattern = air
normal lungs - ✔✔radiolucency
✔✔white = solid/fluid (thick)
bones or organs - ✔✔radiodense (radiopacity)
✔✔any ill defined radiodensity
atelectasis - ✔✔infiltrates
✔✔solid white area
pneumonia or pleural effusion - ✔✔consolidation
✔✔extra pulmonary air
, COPD pneumo asthma attack - ✔✔hyperlucency
✔✔lymphatics, vessels, lung tissue
increased with CHF absent with pneumothorax - ✔✔vascular markings
✔✔spread throughout
atelectasis/pneumonia - ✔✔diffuse
✔✔fluid/solid
consolidation - ✔✔opaque
✔✔*xray terminology*
fluffy infiltrates
butterfly pattern
batwing pattern - ✔✔pulmonary edema
✔✔*xray description*
diffuse whiteness
infiltrates in shape of a butterfly - ✔✔pulmonary edema
✔✔*treatment*
diuretics (decrease fluid)
digitalis
digoxin (both strengthen heart) - ✔✔pulmonary edema
✔✔*xray terminology & description*
patchy infiltrates
scattered density
thin layered density - ✔✔atelectasis
✔✔*treatment*
lung expansion
PEEP
IPPB
CPAP - ✔✔atelectasis
✔✔*xray terminology and description*
ground glass (reticulogranular)
honeycomb (reticulonodular)
diffuse bilateral radiopacity - ✔✔ARDS (IRDS)
✔✔*treatment*
O2
QUESTIONS AND ANSWERS SURE A+
✔✔will show intervertebral disc space through the shadow of the mediastinum -
✔✔proper exposure/penetration
✔✔image doesn't allow visualization of the intervertebral disc through the heart shadow
- ✔✔under penetrated
✔✔images will show black lung parenchyma without blood vessels - ✔✔over penetrated
✔✔what condition causes blunting of costophrenic angles? - ✔✔pleural effusion
✔✔in what pathology is the diaphragm flattened? - ✔✔COPD
✔✔what pathology causes crowding of the ribs? - ✔✔atelectasis
✔✔what pathology causes straight or horizontal ribs? - ✔✔air trapping
✔✔posterior to anterior cxr - ✔✔PA
✔✔anterior to posterior cxr - ✔✔AP
✔✔lying on affected side
detects small pleural effusion (liquid moves) if doesn't move then it's pneumonia -
✔✔lateral decubitus
✔✔end of exhalation
detects small pneumothorax
can measure diaphoretic excursion - ✔✔end expiratory image
,✔✔below vocal chords
2-6 cm above the carina
at level of aortic knob or arch - ✔✔position of ETT
✔✔what is the FIRST way to determine adequate ventilation following intubation? -
✔✔inspection and auscultation (followed by CXR)
✔✔in pleural space surrounding the lung - ✔✔chest tube
✔✔positioned in the stomach 2-6 cm below diaphragm - ✔✔NG or feeding tube
✔✔right lower lung field - ✔✔pulmonary artery catheter
✔✔positioned in the right ventricle - ✔✔pacemaker
✔✔subclavian/jugular vein should rest in superior vena cava/right atrium of the heart
(4th intercostal space and right of sternum) - ✔✔central venous catheter
✔✔steeple sign
picket fence
pencil point
hourglass - ✔✔croup (laryngotracheobronchitis)
✔✔thumb sign - ✔✔epiglottitis (supraglottic narrowing)
✔✔what type of radiographs are helpful in locating areas of air trapping? -
✔✔inspiratory/expiratory radiographs
✔✔aspirated FB (food) are - and cant be see on X-rays - ✔✔radiolucent
✔✔dark pattern = air
normal lungs - ✔✔radiolucency
✔✔white = solid/fluid (thick)
bones or organs - ✔✔radiodense (radiopacity)
✔✔any ill defined radiodensity
atelectasis - ✔✔infiltrates
✔✔solid white area
pneumonia or pleural effusion - ✔✔consolidation
✔✔extra pulmonary air
, COPD pneumo asthma attack - ✔✔hyperlucency
✔✔lymphatics, vessels, lung tissue
increased with CHF absent with pneumothorax - ✔✔vascular markings
✔✔spread throughout
atelectasis/pneumonia - ✔✔diffuse
✔✔fluid/solid
consolidation - ✔✔opaque
✔✔*xray terminology*
fluffy infiltrates
butterfly pattern
batwing pattern - ✔✔pulmonary edema
✔✔*xray description*
diffuse whiteness
infiltrates in shape of a butterfly - ✔✔pulmonary edema
✔✔*treatment*
diuretics (decrease fluid)
digitalis
digoxin (both strengthen heart) - ✔✔pulmonary edema
✔✔*xray terminology & description*
patchy infiltrates
scattered density
thin layered density - ✔✔atelectasis
✔✔*treatment*
lung expansion
PEEP
IPPB
CPAP - ✔✔atelectasis
✔✔*xray terminology and description*
ground glass (reticulogranular)
honeycomb (reticulonodular)
diffuse bilateral radiopacity - ✔✔ARDS (IRDS)
✔✔*treatment*
O2
