Chest and Bony Thorax

Sternum, 12 pairs of ribs, 12 thoracic vertebrae

Which of the following form the bony thorax

Manubrium

The anatomical part of the sternum identified in the figure above is the:

PA oblique, RAO

Which of the following is the essential projection and body position for demonstration of the sternum?

PA oblique, RAO

Which projection and body position will demonstrate the sternum through the heart?

AP Projection

Which of the following projections would be used to demonstrate the sternum on a trauma patient who must remain relatively supine?

15-20 degrees

How much should the body be rotated for a PA oblique projection of the sternum?

T7

Where is the IR centered for a PA oblique sternum?

Expiration and slow shallow breathing

Which breathing technique can be used when performing an oblique projection of the sternum?

72" SID

Which SID is recommended for the lateral projection of the sternum for management of magnification?

Locked behind the back

Where should the patient's hands be positioned for an upright lateral sternum?

Deep Inspiration

What is the respiration phase for a lateral projection of the sternum?

T3

Where is the center of the IR positioned for a PA projection of sternoclavicular joints?

MSP vertical

How is the head positioned for a PA projection of both sternoclavucular articulations?

Turn the head to face the affected side

How is the patient's head positioned for a PA projection of the one sternoclavicular joint?

Expiration

The phase of respiration for a PA projection of the sternoclavicular joint is:

0 degrees

The central-ray angulation for a PA projection of the sternoclavicular joint is:

10-15 degrees

How much is the body rotated for the PA oblique projection of the sternoclavicular joint (body rotation technique) is:

The joint closest to the IR

When performing the PA oblique projection (body rotation technique) of the sternoclavicular articulations, which of the joints would be demonstrated?

6

The Approximate length of the sternum is

The jugular notch

The easily palpable superior border of the manubrium is called

30

What is the recommended SID necessary to blur the posterior ribs on a PA oblique Projection Sternum?

Expiration

To obtain a more uniform density, the respiration phase or the PA oblique projection of the sternoclavicular joints is

Mediastinum

The area between the two lungs is termed the

Larynx/ Trachea and bronchi/Both lungs

The respiratory system proper consists of the

Anterior

The trachea lies where in relation to the esophagus

Apex

The part of the lung that extends above the clavicle is termed the

Behind

The esophagus lies where to the trachea

Upright

What is the most optimal position of the patient for examinations of the heart and lungs?

Patient's heart is closer to the Ir

Why is the left lateral chest position the most commonly used for lateral radiographs of the chest?

High kVp

Which of the following exposure factors is required to penetrate all of the thoracic anatomy?

Perpendicular

What is the central-ray angle for a PA chest radiograph?

Full inspiration on the second breathe

What is the optimal respiration phase for PA or lateral chest radiograph?

10

How many posterior ribs should be visible above the diaphragm on a PA chest radiograph?

MSP

Which plane must be completely parallel with the IR to prevent distortion of the thoracic structures during a lateral chest radiograph?

45 degrees

How many degrees of body rotation are required for routine AP or PA oblique chest radiography?

55-60 degrees

What is the degree of body rotation for the PA oblique, LAO position of the chest during a cardiac series?

0 degrees

What is the central-ray angulation for an AP or PA oblique projection of the chest?

Side closer to the IR

For AP oblique projections of the chest, the side of interest is generally:

the side farther from the IR

For PA oblique projections of the chest, the side of interest is generally:

PA oblique position, LAO

The AP oblique projection, RPO position of the chest corresponds to and essentially produces the same image as the:

60"-72

What is the recommended SID for a supine AP chest radiograph?

Pulmonary Apices

The Lindbolm method is used to demonstrate the:

0 degrees

What is the central-ray angle for the Lindblom method (lordotic position) of demonstrating the pulmonary apices?

1 foot

How far should the patient stand in front of the grid device before leaning backward for the lordotic position?

Inspiration

What is the respiration phase for the AP axial projection of the pulmonary apices?

Horizontal

How is the central ray positioned for an x-ray projection done with the patient placed in a decubitus position?

5 minutes

How long should the patient remain in position before making the exposure when performing a projection in the lateral or dorsal decubitus position?

Affected side

If the lateral decubitus position is used to demonstrate fluid in the pleural cavity, which side must the patient lie on?

Unaffected side

If the lateral decubitus position is used to demonstrate free air in the pleural cavity, which side must the patient lie on?

Lateral, AP/PA

The radiographic projections performed using the decubitus positions are:

Supine

What is the patient position for a lateral projection done in the dorsal decubitus position?

Affected side

Which side of the patient's chest is placed against the vertical IR for a ventral or dorsal decubitus lateral position?

Full inspiration

What is the respiration phase for AP or lateral projections performed in the decubitus position?

patient in the recumbent position
Horizontal x-ray beam

Which of the following are required to produce a radiograph using a decubitus position?

Entire lung fields
Patient's arms not visible in the image
Identification to indicate which decubitus

Which of the following must be clearly demonstrated on radiographic projections done using a decubitus position?

Lungs

The costophrenic angle is a part of the:

both lungs in their entirety
the trachea filled with air

Which of the following should be clearly demonstrated on an AP or PA oblique projection of the lungs?

Rolling the shoulders back

Which positioning maneuver moves the scapulae out of the lateral aspects of the lungs?