Chest And Abdominal Radiography Test! Trivia Quiz

52 Questions | Total Attempts: 102

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Chest And Abdominal Radiography Test! Trivia Quiz

As a medical practitioner you may be requested to carry out a chest and abdominal radiography test for some of your patients and it is important to know how to do it and interpret the results. The quiz below is designed to see just how well informed you are when it comes to the given task. Give it a try and gauge your understanding!


Questions and Answers
  • 1. 
    An optimal chest x-ray should include sharply defined: 1. Lung markings 2. Diaphragm 3. Heart borders 4. Greater vessels 5. bony cortical outlines. 
    • A. 

      1, 2, 3, and 5

    • B. 

      1, 2, and 5

    • C. 

      1, 2, 4, and 5

    • D. 

      1, 2, 3, 4, and 5

  • 2. 
    Image analysis of a chest x-ray would include: 1.Presence of facility's identification 2. Presence of a right or left marker 3. No evidence of preventable artifacts 4. Demonstration of the kidney shadows 5. demonstration of the thoracic vertebrae and mediastinal structures
    • A. 

      2, 3, 4, 5

    • B. 

      1, 2, 3, 4

    • C. 

      3, 4, 5

    • D. 

      1, 2, 3, 5

  • 3. 
    On a PA chest x-ray, the thoracic vertebrae should not be visible.
    • A. 

      TRUE

    • B. 

      FALSE

  • 4. 
    What indicates adequate beam penetration on a PA chest image?
    • A. 

      Demonstration of mediastinal structures

    • B. 

      Demonstration of thoracic vertebrae

    • C. 

      Demonstration of cervical vertebrae

    • D. 

      Both A and B are correct

    • E. 

      A, B, and C are correct

  • 5. 
    Contrast and density should be adjusted so as to make fluid levels in the lungs invisible on a chest x-ray.
    • A. 

      TRUE

    • B. 

      FALSE

  • 6. 
    Contrast and density are inadequate when the vascular lung markings and fluid levels or air within the pleural cavity, when present, are demonstrated.
    • A. 

      TRUE

    • B. 

      FALSE

  • 7. 
    Beam penetration is adequate on a posteroanterior (PA) chest image when the thoracic vertebrae and anterior ribs are seen through the heart and mediastinal structures.  
    • A. 

      TRUE

    • B. 

      FALSE

  • 8. 
    Beam penetration is adequate on a posteroanterior (PA) chest image when the thoracic vertebrae and posterior ribs are seen through the heart and mediastinal structures.  
    • A. 

      TRUE

    • B. 

      FALSE

  • 9. 
    The absence of lung markings on a PA chest is indicative of a possible: 1. pneumothorax 2. pneumectomy 3. emphysema
    • A. 

      1 only

    • B. 

      2 only

    • C. 

      3 only

    • D. 

      1 and 2 only

    • E. 

      2 and 3 only

  • 10. 
    Which is an indicator of rotation on a PA chest radiograph?
    • A. 

      Unequal distances between the vertebral column and the sternal extremity of the clavicle.

    • B. 

      Unequal length of the posterior ribs right and left of the vertebral column.

    • C. 

      Both A and B are correct

    • D. 

      Neither A or B are correct

  • 11. 
    Both lungs, from the apices to the costophrenic angles should be included on a PA chest x-ray.
    • A. 

      TRUE

    • B. 

      FALSE

  • 12. 
    On a PA chest with no rotation, which posterior ribs should normally appear longer?
    • A. 

      Right side should be longer for each corresponding pair of ribs

    • B. 

      Right side should be longer for each corresponding pair of ribs

    • C. 

      Each sides should be of equal length for each corresponding pair of ribs

    • D. 

      Only the anterior ribs are observed to check for rotation

  • 13. 
    On a PA chest, the clavicles should be on the same _____________________.
    • A. 

      Longitudinal plane

    • B. 

      Vertical plane

    • C. 

      Coronal plane

    • D. 

      Horizontal plane

  • 14. 
    On an optimal PA chest, the scapulae are barely visible inside the mid-portion of each lung.
    • A. 

      TRUE

    • B. 

      FALSE

  • 15. 
    On a PA chest, the manubrium is superimposed by the T-4, with approximately ______ of the apical lung field visible above the clavicles.
    • A. 

      1 inch

    • B. 

      2 inches

    • C. 

      3 inches

    • D. 

      4 inches

  • 16. 
    On a PA chest, what structure is superimposed over the fourth thoracic vertebra?
    • A. 

      Xiphoid tip

    • B. 

      Clavicle

    • C. 

      Gladiolus

    • D. 

      Manubrium

  • 17. 
    How many anterior ribs should be visible above the diaphragm on a fully aerated PA chest?
    • A. 

      9-10

    • B. 

      10-11

    • C. 

      11-12

    • D. 

      The visibility of the posterior ribs, not anterior, should be observed when checking for complete aeration of the lungs.

  • 18. 
    How many posterior ribs should be visible above the diaphragm on a fully aerated PA chest?
    • A. 

      9-10

    • B. 

      10-11

    • C. 

      11-12

    • D. 

      The visibility of the anterior ribs, not posterior, should be observed when checking for complete aeration of the lungs.

  • 19. 
    What is the best way to ensure full aeration of the lungs for a PA chest?
    • A. 

      Exposure should be made before any full inspiration.

    • B. 

      Exposure should be made on the second full inspiration.

    • C. 

      Exposure should be made as the patient begins to expire.

    • D. 

      The exam should be done supine.

  • 20. 
    On a left lateral chest position, the _________________ should be at the center of the collimation field a the level of the 8th thoracic vertebra.
    • A. 

      Midsagittal plane

    • B. 

      Midcoronal plane

    • C. 

      Sternal ends of the clavicles

    • D. 

      Transverse plane

  • 21. 
    Which of the following statements is not accurate when evaluating a left lateral chest image? 1. Posterior and anterior ribs are nearly superimposed 2. No more than a 1-inch space should be demonstrated between the posterior and anterior ribs 3. The sternum is demonstrated in lateral profile 4. The thoracic intervertebral foramina are closed
    • A. 

      1, 2, and 3 only

    • B. 

      1 and 3 only

    • C. 

      2 and 4 only

    • D. 

      2, 3, and 4

    • E. 

      1, 2, 3, and 4

  • 22. 
    On a left lateral chest, the CR should enter at the level of ________________.
    • A. 

      Vertebral prominens

    • B. 

      T-4

    • C. 

      T-7

    • D. 

      T-8

    • E. 

      T-10

  • 23. 
    Posterior ribs should be included in the collimation field in a left lateral chest x-ray.
    • A. 

      TRUE

    • B. 

      FALSE

  • 24. 
    Which of the following structures should be parallel to the IR to avoid rotation when performing a left lateral chest exam? 1. shoulders 2. posterior ribs 3. posterior pelvic wings
    • A. 

      1 only

    • B. 

      1 and 2 only

    • C. 

      1, 2, and 3

    • D. 

      None of these structures should be positioned parallel to the IR.

  • 25. 
    Which of the following structures should be perpendicular to the IR to avoid rotation when performing a left lateral chest exam? 1. shoulders 2. posterior ribs 3. posterior pelvic wings
    • A. 

      1 only

    • B. 

      1 and 2 only

    • C. 

      1, 2, and 3

    • D. 

      None of these structures should be positioned perpendicular to the IR.

  • 26. 
    Alignment of the shoulder, posterior ribs, and pelvic wings is accomplished for a left lateral chest exam by resting a flat hand against the back and then adjusting the patient’s rotation until the hand is positioned perpendicular to the IR. 
    • A. 

      TRUE

    • B. 

      FALSE

  • 27. 
    What is an advantage of performing a left lateral chest versus a right lateral chest? 1. the heart shadow is minimized 2. superimposition of the hemidiaphragm 3. the patient is more comfortable
    • A. 

      1 and 2 only

    • B. 

      2 and 3 only

    • C. 

      1 only

    • D. 

      1, 2, and 3

    • E. 

      None of these is an advantage

  • 28. 
    For demonstration of air-fluid levels in cases of possible pleural effusion, images of the chest should be done erect and with a horizontal beam.
    • A. 

      TRUE

    • B. 

      FALSE

  • 29. 
    On a supine or mobile chest radiograph, ___________________ should be demonstrated. 1. Time of exam 2. Degree of patient elevation 3. Patient birthdate
    • A. 

      1 only

    • B. 

      2 only

    • C. 

      1 and 2 only

    • D. 

      1 and 3 only

    • E. 

      2 and 3 only

  • 30. 
    How many posterior ribs should be demonstrated above the diaphragm for a supine or portable chest x-ray?
    • A. 

      9-10

    • B. 

      10-11

    • C. 

      11-12

    • D. 

      It is not important in supine or portable radiography.

  • 31. 
    On a portable or supine AP chest exam, which vertebra should be at the center of the collimation field?
    • A. 

      T-4

    • B. 

      T-7

    • C. 

      T-8

    • D. 

      T-10

  • 32. 
    A 45-degree angle between the midcoronal plane and the IR describes which position?.
    • A. 

      AP lordotic

    • B. 

      PA lordotic

    • C. 

      Left lateral chest

    • D. 

      KUB / supine abdomen

  • 33. 
    In a PA lordotic chest exam, if the patient is able to arch their body to a 25-degree angle with the IR, how much cephalic angulation of the tube will be required?
    • A. 

      15 degrees

    • B. 

      20 degrees

    • C. 

      25 degrees

    • D. 

      30 degrees

  • 34. 
    Superimposition of the lung apices with the _________________ is being avoided by angling the tube for a lordotic chest exam?
    • A. 

      Clavicle

    • B. 

      Sternum

    • C. 

      Superior ribs

    • D. 

      T-2 and T-3

  • 35. 
    AP lordotic chest exam usually requires ____________ tube angulation.
    • A. 

      Caudad

    • B. 

      Cephalad

    • C. 

      Axiolateral

    • D. 

      No

  • 36. 
    The cortical outlines of which structures should be visible on an abdomen exam? 1. posterior ribs 2. lumber vertebra 3. pelvis
    • A. 

      2 and 3 only

    • B. 

      1 and 2 only

    • C. 

      1 and 3 only

    • D. 

      1, 2, and 3

  • 37. 
    Intestinal gases should be clearly visible on a correct techniques abdomen x-ray, but stomach gases should not be visible.
    • A. 

      TRUE

    • B. 

      FALSE

  • 38. 
    In position for a supine abdomen, which anatomical structures should be equal distances from the exam table surface on both sides? 1. shoulders 2. anterosuperior iliac spines 3. knees
    • A. 

      1 only

    • B. 

      2 only

    • C. 

      1 and 2 only

    • D. 

      2 and 3 only

    • E. 

      1, 2, and 3

  • 39. 
    Why are the shoulders and anterosuperior iliac spines places at equal distances from the exam table on both sides when performing a supine abdomen?
    • A. 

      To increase patient comfort

    • B. 

      To minimize motion

    • C. 

      To avoid rotation

    • D. 

      None of the above

  • 40. 
    The arms should be adducted during a supine abdomen exam to avoid superimposition with the area of interest.
    • A. 

      TRUE

    • B. 

      FALSE

  • 41. 
    The shoulder and anterosuperior iliac spines should be positioned for an upright abdomen exam in the same way that they are positioned for a supine abdomen exam.  The only difference is that the patient is in an erect position instead of recumbent.
    • A. 

      TRUE

    • B. 

      FALSE

  • 42. 
    To evaluate for pneumothorax air in an erect abdomen exam, the patient should be positioned upright for 5 to 20 minutes before the image is taken. 
    • A. 

      TRUE

    • B. 

      FALSE

  • 43. 
    How many minutes should a patient be positioned to allow for air to move from the soft tissues in the abdomen to the diaphragm when performing an erect abdomen?
    • A. 

      1-5

    • B. 

      5-10

    • C. 

      5-20

    • D. 

      10-20

    • E. 

      It should be performed immediately with no waiting period.

  • 44. 
    Which structure should be seen in the center of the collimation field when evaluating a supine abdomen radiograph?
    • A. 

      T-12

    • B. 

      L-3

    • C. 

      L-4

    • D. 

      L5-S1 space

  • 45. 
    Which of the following structures should be demonstrated in a supine abdomen radiograph? 1. T-9 2. Iliac wings 3. Symphysis pubis 4. lateral soft tissue of the body 5. right and left hemidiaphragm
    • A. 

      1, 2, and 3 only

    • B. 

      2, 3, and 4 only

    • C. 

      1 and 3 only

    • D. 

      1, 2, 4, and 5 only

    • E. 

      1, 2, 3, 4, and 5

  • 46. 
    Which of the following structures should be demonstrated in an upright abdomen radiograph? 1. T-9 2. iliac wings 3. symphysis pubis 4. lateral body soft tissue 5. right and left hemidiaphragm
    • A. 

      1, 2, and 3 only

    • B. 

      2, 3, and 4 only

    • C. 

      1 and 3 only

    • D. 

      1, 2, 4, and 5 only

    • E. 

      1, 2, 3, 4, and 5

  • 47. 
    Which structure should be seen in the center of the collimation field when evaluating an erect abdomen radiograph?
    • A. 

      T-12

    • B. 

      L-3

    • C. 

      L-4

    • D. 

      L4-L5 space

  • 48. 
    L-3 is seen at the center of the collimated field for a _______________ exam.
    • A. 

      Upright abdomen

    • B. 

      Supine abdomen

    • C. 

      Left lateral chest

    • D. 

      AP lordotic chest

  • 49. 
    L-4 is seen at the center of a supine abdomen radiograph.
    • A. 

      TRUE

    • B. 

      FALSE

  • 50. 
    L-4 is seen at the center of an erect abdomen radiograph.
    • A. 

      TRUE

    • B. 

      FALSE

  • 51. 
    The hemidiaphragms must be clearly demonstrated in both upright and supine abdomen images.
    • A. 

      TRUE

    • B. 

      FALSE

  • 52. 
    The symphysis pubis should be demonstrated in which exams? 1. KUB 2. erect abdomen 3. supine abdomen 4. upright abdomen
    • A. 

      1 and 2 only

    • B. 

      1 and 3 only

    • C. 

      2 and 4 only

    • D. 

      1, 2, and 3 only

    • E. 

      1, 2, 3, and 4