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Module II Diagnostics Flashcards | StudBud
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Module II Diagnostics
Module II Diagnostics
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1
Which imaging study is the study of choice for a PE in most situations?
Chest X-ray
PET Scan
CTPA
V/Q Lung scan
2
The RIGHT hilar shadow is never _____ to/than the LEFT?
Higher
Lower
Equal
3
Type A Tympanogram represents ______ peak compliance
No
High
Low
Normal
4
Which pathology is represented in this chest x-ray?
Pneumothorax
TB
Hiatal Hernia
COPD
5
A routine chest x-ray includes an AP view and a lateral view with the patient's right side against the film.
True
False
6
What's that thing!?
Stomach
Diaphragm
Liver
Kidney
7
When collecting a specimen for the Rapid Strep Test, it is necessary to avoid swabbing which of the following?
Tonsils
Buccal Mucosa
Posterior Pharynx
8
What would you suspect to be the cause of the pathology pictured on this chest x-ray?
Pneumonia
Sarcoidosis
TB
Cancer
9
Normal volume range for a Tympanogram is...
0 - 2.0 ml
0 - 5.0 ml
0.2 - 2.0 ml
0.2 - 5.0 ml
10
Over 90% of Pulmonary Embolisms (PE) develop from DVTs.
False
True
11
Which of the following is false about the following picture?
This is a pseudotumor
This is cancer
Almost always associated with CHF
Fluid in the minor fissure
12
Which pathology is displayed in this chest x-ray?
Mediastinal Widening
Cardio Megaly
Sarcoidosis
Pnemonia
13
IV iodinated contrast is contraindicated in patients with severe renal disease.
False
True
14
Which of the follow value ranges displays Mild OSA?
16-30
>30
6-15
0-5
15
Which is not a method of administration for CT contrast material?
Rectal
IV
IM
Oral
16
Regarding Sound Conduction tests, masking refers to...
Presenting white noise to the non-test ear
presenting white noise to the test ear
Covering the test ear
Covering the non-test ear
17
Which of the follow is not an indication of COPD on a conventional radiograph?
Hyperlucent upper lobes
Decrease in the size of the retrosternal air space
Lung Hyperinflation
Flattening of the diaphrams
18
Acoustic reflex is a contraction of the stapedius muscle in response to sound.
True
False
19
IF the Type B Tympanogram was showing a FLAT-LINE with a HIGH VOLUME, this would be indicative of...
Eustachian tube dysfunction
Loss of TM elasticity/Disarticulation of ossicles
Middle ear fluid
TM perforation/patent tube
20
What are these!?
Boob Hats
Nipple Shadows
Sensitive Chest Raisins
High Beams
21
What type of lesion is shown in the picture below of a fluorescein stain test?
Corneal Abrasion
Dendritic Lesion
Chardee Macdennis 2: Electric Boogaloo
22
On PA view, the cardiothoracic ratio should not exceed 40%?
True
False
23
The main use for Otoacoustic Emissions testing is...
Malingering
All of the above
Newborn screening
Determining sensory vs neural dysfunction in a pt with sensorineural HL
24
Which hemidiaphragm is the arrow pointing to?
Left
Right
25
The picture below represents which type of hearing loss?
Sensorineural
Mixed
Conductive
26
The Rapid Influenza Test is not effective after...
> 24 hours since onset
> 72 hours since onset
> 96 hours since onset
> 48 hours since onset
27
When interpreting Polysomnography results, AHI and RDI include all the these EXCEPT...
# resp. related arousals
# of desaturations of O2
# of apneas
# hypopneas
28
Pseudohypacusis is the complaint of hearing loss without clinical or audiologic evidence.
False
True
29
The Multiple Sleep Latency Test (MSLT) measures latency to assess narcolepsy. What is normal for latency to sleep?
> 7 minutes
> 5 minutes
> 14 minutes
> 9 minutes
30
Indication for Acoustic Immittance Testing
To support a suspicion of middle ear fluid
To evaluate complaint of pressure/fullness in ear with normal audiometry
Audiometry shows conductive hearing loss, but otoscopy appears normal
All of the above
31
Pleural Effusions are often identified by sharpening of costophrenic angles.
True
False
32
Which of the following is not a window that can be used during a CT scan?
Lung Windows
Blood Windows
Bone Windows
Mediastinal Windows
33
What is # 1?
Descending Aorta
Right Pulmonary Artery
Aortic Arch
Ascending Aorta
34
The picture below represents which type of hearing loss?
Mixed
Sensorineural
Conductive
35
Which of the following is NOT an indication for a Sleep Study?
Increased latency to sleep
Loud, irregular snoring
Daytime somnolence
Frequent awakenings
36
Which pathology is displayed on this chest x-ray?
Bronchial cuffing
Pneumonia
Kerley B lines
Atelectasis
37
Stenger Test: a LESSER tone is played in the _____ ear, and a LOUDER tone is played in the _____ ear.
Affected; Unaffected
Unaffected; Affected
38
Which hearing threshold represents normal hearing?
26-50 dB
71-90 dB
51-70 dB
0-25 dB
39
The CT Pulmonary Angiogram (CTPA) requires iodinated contrast.
False
True
40
Which pathology is indicated by the chest x-ray below?
Tuberculosis
COPD
Pneumonia
Metastatic Disease
41
The picture below represents which type of hearing loss?
Conductive
Mixed
Sensorineural
42
Which pathology is pictured in this chest x-ray?
Atelectasis
Cardiomegaly
Tracheal Deviation
Mediastinal Widening
43
Where is the pneumonia?
Left lower lobe
Right middle lobe
Right lower lobe
Left middle lobe
44
Heart Failure with Reduced Ejection Fraction is the most common cause of Pleural Effusion
True
False
45
Stability for more than _____ indicates benignity.
2 years
1 year
3 years
4 years
46
What is the pathology in this chest x-ray?
Pneumothorax
Pneumonia
Sarcoidosis
Pleural Effusion
47
What's this?
Descending Aorta
Liver
Bronchial Bifurcation
Trachea
48
What is shown in the picture below?
Liver
Gastric bubble
Pnemoperitoneum
Diaphragm
49
Type A(S) Tympanogram shows a LOW peak compliance. This is indicative of...
Loss of TM elasticity/Disarticulation of ossicles
Tympanosclerosis/Otosclerosis
Middle ear fluid
Eustachian tube dysfunction
50
Contrast Material has the same radiographic density as bone.
True
False
51
This patient can have an MRI.
True
False
52
What is the minimum number of visible ribs required for a chest x-ray to be considered good inspiratory effort?
11
8
10
9
53
What type of test is shown here?
Auditory Brainstem Response
Acoustic Reflex Testing
Otoacoustic Emissions
Sleep Apnea Test
54
What is displayed as most dark on a T2 weight MRI?
Bone
Fat
Water
Soft Tissue
55
Which of the following is NOT an indicator of malignancy?
Associated atelectasis
Poorly defined margins
Calcification
Growth over time
56
Type A(D) Tympanogram shows a HIGH peak compliance. This is indicative of...
Loss of TM elasticity/Disarticulation of ossicles
Middle ear fluid
Tympanosclerosis/Otosclerosis
Eustachian tube dysfunction
57
What metallic densities are seen on this film?
Sternotomy wires
Stiches
A bunch of swallowed rings
Mechanical valve
58
A nodule is considered a benign granuloma if it is less than _____.
2 cm
4 cm
1 cm
3 cm
59
What light filter setting on a Slit Lamp Exam makes vessels appear black, making irregularities easier to see?
Red-free (green) filter
Yellow filter
Green-free (red) filter
Cobalt blue filter
60
The most common type of contrast used for MRIs is...
Gadolinium Contrast
IV Iodinated Contrast
Magnetic Contrast
Barium Contrast
61
From left to right, what is the correct order for describing the penetration of the XR images below?
Normal - Under - Over
Under - Normal - Over
Over - Normal - Under
Normal - Over - Under
62
Which of the following is NOT a clue that would help you determine that it is atelectasis and not pneumonia?
May have volume loss
Rapid appearance and resolution
"Fluffy" appearance
Triangular/wedge shaped
63
Which of the following is NOT TRUE when comparing CT vs MRI?
MRI is faster
CT is more readily available
CT is cheaper
MRI has no ionizing radiation
64
What is # 4?
Left Main Stem Bronchus
Right Main Stem Bronchus
Ascending Aorta
Trachea
65
What is a good thing to look for on a chest x-ray when suspecting pneumonia?
Cavitary lesion
Spine sign
Kerley B Lines
Atelectasis
66
Which of the following Sleep Studies (Polysomnography, PSG) includes CPAP or BiPAP titration?
Split-Night Study
Sleep-Screening Study
Four-Channel PSG
Full PSG
67
What is # 2?
Right Main Stem Bronchus
Trachea
Left Main Stem Bronchus
Ascending Aorta
68
Which side of the body is indicated by the star on the CT image below?
Right
Anterior
Left
Posterior
69
Barium contrast is more likely to cause a reaction in patients with asthma, severe atopy, or a history of prior reaction
True
False
70
What is # 3?
Ascending Aorta
Esophagus
Trachea
AP Window
71
What's that?
Right Atrium
Hilum
Bronchial Bifurcation
Aortic Knob
72
What is # 3?
Trachea
Aortic Arch
Descending Aorta
Right Main Stem Bronchus
73
Which of the following is TRUE regarding V/Q lung scans for a PE?
It works well for patients with asthma and COPD
It is a type of CT scan
It is good in obese patients
It requires IV contrast
74
What is # 1?
Descending Aorta
Ascending Aorta
Aortic Arch
Esophagus
75
What are those?
Costophrenic Angles
Diaphragmatic Angles
Bewbs
Lung Apices
76
Type B Tympanogram shows a FLAT-LINE (no discernible peak/compliance) with a LOW VOLUME. This is indicative of...
Tympanosclerosis/Otosclerosis
TM perforation/patent tube
Loss of TM elasticity/Disarticulation of ossicles
Middle ear fluid
77
Type C Tympanogram shows a NORMAL peak compliance with a NEGATIVE peak pressure. This is indicative of...
Eustachian tube dysfunction
Tympanosclerosis/Otosclerosis
Middle ear fluid
Loss of TM elasticity/Disarticulation of ossicles
78
The units used to describe densities on a CT can are called...
Hatsfield Units
Hobbsfield Units
Hounsfield Units
Scoville Units
79
What type of lesion is shown in the picture below of a fluorescein stain test?
Eye booger
Corneal Abrasion
Dendritic Lesion
80
If you see this nodule on a chest x-ray, what would be the next step?
Biopsy
CT
V/Q Lung Scan
MRI
81
If a Rapid Strep Test comes back negative, the patient does not have GABHS.
True
False
82
Which answer choice correctly lists densities in order of RADIOPAQUE to RADIOLUCENT?
Metal-Bone-Water-Fat-Air
Air-Fat-Water-Bone-Metal
Water-Fat-Bone-Air-Metal
Metal-Bone-Air-Water-Fat
83
What is the range of normal intraocular pressure?
20-31 mmHg
10-31 mmHg
10-21 mmHg
15-30 mmHg
84
What is the first imaging step in diagnosing a Pulmonary Embolism?
Ventilation/Perfusion Lung Scan
Lung X-ray
Chest X-ray
CT Pulmonary Angiogram
85
For hearing thresholds of the Right and Left ear to be symmetrical, they should be within how many dB of each other?
5 dB
20 dB
15 dB
10 dB
86
What is # 2?
Trachea
Pulmonary Trunk
Esophagus
Descending Aorta
87
MRI can be used to measure the density of a nodule or mass if calcification is not clear on chest radiograph.
False
True
88
The CT below shows large bullae and blebs, which are indicative of...
Pseudotumor
Atelectasis
Pleural Effusion
COPD
89
US (Ultrasound) is great for bone or lung imaging.
False
True
90
When air conduction thresholds are lower than bone conduction thresholds, this is considered Sensorineural Hearing Loss.
False
True
91
What causes atelectasis?
Pulmonary edema
Fluid in the pleural space
Pneumonia
Lung collapse or incomplete expansion
92
The Rapid Strep Test (Rapid Streptococcal Antigen Test; RSAT) has a Specificity of > 95%. This means...
A patient likely DOES NOT have strep if they test NEGATIVE
A patient likely DOES NOT have strep if they test POSITIVE
A patient likely DOES have strep if they test POSITIVE
A patient likely DOES have strep if they test NEGATIVE
93
The presence of any ferromagnetic object is a contraindication for an MRI scan.
True
False
94
What is indicated by the arrow?
Gastric Bubble
Pneumothorax
Pleural Effusion
Pneumoperitoneum
95
What light filter setting on a Slit Lamp Exam is used with Fluorescein Staining highlight corneal lesions?
Green-free (red) filter
Red-free (green) filter
Yellow filter
Cobalt blue filter
