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Department of Anesthesiology College of Medicine

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ICU Chest X-Ray

*Please take the quiz below the video to receive credit.

Objectives

Understand basic principles of radiology
Describe basic chest anatomy
Demonstrate basic chest x-ray interpretation
Identify normal chest x-ray anatomy
Discuss indications for ICU chest x-rays

Reading

Radiology Assistant

Introduction to Chest Radiology

Lecture

Quiz

Image for Question 9

Image for Question 10

Chest X-Ray

Name*
First Last
1) An underexposed chest radiograph will:*
- a. Appear black because too few xrays penetrate through the thorax.
- b. Appear black because too many xrays penetrate through the thorax.
- c. Appear white because too few xrays penetrate through the thorax.
- d. Appear white because too many xrays penetrate through the thorax.
2) Which correct lists radiograph densities from most to least dense?*
- a. Bone, metal, fat, water, air
- b. Bone, metal, water, fat, air
- c. Metal, bone, fat, water, air
- d. Metal, bone, water, fat, air
- e. Air, water, fat, bone, metal
- f. Air, fat, water, bone, metal
3) Which of the following is NOT an anatomic lung lobe.*
- a. Right upper lobe
- b. Right middle lobe
- c. Right lower lobe
- d. Left upper lobe
- e. Left middle lobe
- f. Left lower lobe
4) On an AP chest radiograph, a right middle lobe pneumonia classically causes silhouetting of the:*
- a. Right heart border
- b. Right hemidiaphragm
- c. Right cardiophrenic angle
- d. Right costophrenic angle
5) A primary esophageal tumor would most likely be found in which portion of the mediastinum?*
- a. Anterior
- b. Middle
- c. Posterior
6) An underinflated chest xray would be expected to have _________ hemi diaphragms.*
- a. Elevated
- b. Depressed
7) Stable ICU patients should receive daily chest radiographs to prevent early manifestation of pulmonary disease.*
- True
- False
8) A patient’s respiratory status is stable 3 days after chest tube removal when it is discovered that a follow-up chest radiograph was never ordered. Assuming no clinical signs of respiratory compromise, it is reasonable to forego chest radiograph evaluation.*
- True
- False
9) See image above. What is the appropriate next step in management?*
- a. Chest CT
- b. Diuretic therapy
- c. Pericardiocentesis
- d. Needle decompression
10) See image above. What is the appropriate next step in therapy?*
- a. Chest tube placement
- b. Bronchoscopy and aspiration
- c. Chest CT
- d. ETT repositioning

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