Must Know Chest Xray
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This is a quiz for must know chest xray for BIMC Doctors.
- 1.
A 25 yo male, after motorbike accident, presented at BIMC ER with this chest xray. What would you like to do next ?
- A.
Arrange consultation to surgeon
- B.
Immediately arrange chest tube insertion by surgeon
- C.
Admit patient to ward for observation
- D.
Perform CT-scan of the chest
Correct Answer
B. Immediately arrange chest tube insertion by surgeonExplanation
With a case of massive pneumothorax, we need to act immediately. Therefore, immediate chest tube insertion performed by surgeon would be ideal. There's no need to do CT-scan with an obvious pneumothorax. We must not only arrange for consultation with surgeon, as he will give advise to put chest tube anyway, which then resulted in more delay of arranging the team, financial, etc.Rate this question:
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- 2.
What would be the course of action in a 45 yo male with this chest xray ?
- A.
Thoracotomy
- B.
Chest tube insertion
- C.
Thoracentesis for diagnostic only
- D.
Thoracentesis for diagnostic and treatment
Correct Answer
D. Thoracentesis for diagnostic and treatmentExplanation
At first onset of pleural effusion, with a modeate amount of fluid, thoracentesis for diagnostic and treatment would be adequate. Chest tube insertion and Thoracotomy is reserved for persistent cases.Rate this question:
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- 3.
What do you see in this chest xray ?
- A.
Cavitary
- B.
Lung abscess
- C.
Lung Mass
- D.
Calcification
Correct Answer
B. Lung abscessExplanation
The correct answer is Lung abscess. A lung abscess is a localized collection of pus within the lung parenchyma, typically caused by a bacterial infection. It appears as a cavity or cavitary lesion on a chest x-ray. The presence of a cavitary lesion suggests liquefaction of lung tissue due to necrosis, resulting in the formation of a cavity filled with pus. This is different from a lung mass, which would appear as a solid lesion on the x-ray. Calcification refers to the deposition of calcium within a lesion, which is not seen in this case.Rate this question:
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- 4.
What would be the symptoms of this patient ?
- A.
Chest pain, heaviness in character, radiates to left arm and neck
- B.
Chest pain, squeezing in character, middle, alleviated upon leaning forward
- C.
Chest pain, tearing in character, middle, radiated to the back
- D.
Chest pain, retrosternal, burning in character, aggravated with food intake
Correct Answer
C. Chest pain, tearing in character, middle, radiated to the backExplanation
Xray above is Aortic dissection. The most common character of chest pain is option C.Rate this question:
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- 5.
A 78 yo male with persistent cough for 7 days, productive of greenish phlegm, presented to our hospital with shortness of breath. Xray as shown above. He is a heavy alcoholic drinker. What would be the possible cause of the above findings ?
- A.
Streptococcus Pneumoniae
- B.
Legionella Sp.
- C.
Klebsiella Sp.
- D.
H. Influenzae
Correct Answer
C. Klebsiella Sp.Explanation
In alcoholic and Diabetic patient, Klebsiella is more common.Rate this question:
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- 6.
This 47 year old man presented with sudden onset sharp, central, abdominal pain. He has a history of indigestion. Examination of the abdomen: abdomen was tender; rigid; no masses. What would be the possible diagnosis ?
- A.
Pneumothorax
- B.
Diaphragmatic Hernia
- C.
Perforated Duodenal Ulcer
- D.
Diaphragma Paralysis
Correct Answer
C. Perforated Duodenal UlcerExplanation
Above xray showed Pneumoperitoneum. It is a free air under diaphragm. The most possible cause from above options is Perforated Duodenal Ulcer.Rate this question:
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- 7.
67 yo male presented with this chest xray in the clinic. His Calcium level is high. What type of cancer do you think this man has ?
- A.
Small Cell Lung Cancer
- B.
Adenocarcinoma
- C.
Squamous cell Lung Cancer
- D.
Large Cell Lung Cancer
Correct Answer
C. Squamous cell Lung CancerExplanation
The above xray showed lung mass. As the patient has Hypercalcemia, the most common type of cancer is Squamous cell, due to the secretion of parathyroid hormone-like peptides. Small cell lung cancer may secret ADH or ACTH.Rate this question:
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Current Version
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Mar 21, 2023Quiz Edited by
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Oct 20, 2011Quiz Created by
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