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RT 51A Chest quiz review

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1. Chest/Thorax is divided into 3 sections. Name the 3 Card Set

sections. RT 51A Chest quiz review
Bony thorax- framework Description
RT 51A chest quiz
Respiratory system- lungs and airways
Updated
Mediastinum- space between lungs  10/7/2012, 7:51:29 AM

Show Answers

2. The bony thorax consists of: 

Sternum- manubrium, body, xiphoid process

Clavicles (2)

Scapula (2)

12 pairs of ribs

12 thoracic vertebra

3. The vertebra prominens is located?

C-7 spinous process

4. The jugular notch is located?

suprasternal notch
manubrial notch
depression on upper  sternum T2-T3 interspace

5. The xiphoid process is located?

Anterior margin of diaphragm T9-T10
 6. what is the purpose of the Respiratory system?
To exchange gaseous substances  between air and blood

7. The Respiratory system has 4 divisions and a

diaphragm. name the four divisions.
Pharynx

Trachea

Bronchi

Lungs

8. The pharynx is an upper airway. what are the 3

pharynx?
nasopharynx

oropharynx

laryngopharynx

9. What is the Larynx?

Organ of voice

1.5-2in. long

suspended from hyoid bone

Level of C3-C6

Thyroid cartilage forms anterior wall of larynx

Laryngeal prominence/ Adam's apple= C5

Cridoid cartilage forms inferior and posterior wall

epligottis

10. What is the Trachea?

4.5 inches long

3/4 inch in diameter

16-20 ridges cartilagenous rings

 Level of C6-T4

11. Bronchi
Level of T5 trachea bifurcates into right and left main
stem bronchi

Area of bifurcation is carina

Right bronchus is straight and larger

12. The right lung has ___ lobes. The left lung has ___
lobes.
Right= 3 lobes      Left= 2 lobes

13. The pleura is a doublwall layers covering the lungs.

Name the layers
Pulmonary/visceral layer= inner layer

Parietal layer= outer

Pleural cavity= space between the two layers

14. Regions and specific:chest radiographic anatomy

trachea

apex(apices=2)

carina

base

Right and Left hemidiaphragms

costophrenic angles

hilum

15. Regions and specific:radiographic anatomy

(bones/joints)
clavicles

ribs (anterior/posterior)
 sternum

sternoclavicular joints

16. Regions and specific:left lateral position

apices

costophrenic angles

bases

hemidiaphragms

hilum

scapula

17. Mediastinum: Medial portion of thoracic cavity

between lungs
Be able to locate:

Trachea

Esophagus

Thymus gland

Heart

Great vessels: aorta, superior vena cava, inferior vena

cava, pulmonary artery and veins

18. Chest x-ray Pt. prep.

undress from the waist up

remove all opaque objects

always have patient wear shoes

caution: long hair

19. PA projection of chest x-ray pt. positioning

pt. erect, feet spread slightly.

chin raised
 hands on lower hips, palms out, elbows slightly flexed

shoulders rotated forward against IR to move scapula

away from lung field

depress shoulders downward

align MSP to CR and to midline of IR with equal margins

between lateral thorax and sides of IR.

Ensure no rotation of thorax

Raise or lower CR and IR to the level of T-7

Top of IR will be 1.5-2 inches above shoulders

20. Breathing instructions for Chest x-ray

Inspiration

clear, concise directions

expose on 2nd breath

dont assume pt. can hold their breath

21. Degree of Inspiration

minimum 10-11 ribs

count posterior ribs

3 dimensions: vertical, transverse, AP

22. PA chest
14x17 lw/cw depending on pt's body habitus

pronate marker

pt faces IR with shoulders rotated forward

CR directed perpendicular to T7 and midcoronal plane

Top of IR 1 1/2-2 inches above top of shoulders

expose on inspiration

23. AP chest positioning

 position: supine, semi-upright, or upright

CR: angled caudad, perpendicular with long axis of the

sternum. (+/- 5 degrees)

CR centering: Level of T7, 3 to 4 inches below the jugular

notch

Top of IR 1.5 inches above shoulders

24. AP chest criteria

Heart will appear larger due to increased OID.
(magnification)

Inspiration will not be as full as erect , 8 to 9 posterior

wibs visualized above the diaphragm

Scapula might not be all the way out of the lung fields

Correct CR Angle = Three posterior ribs should be seen

above the clavicles

25. Left lateral chest

14x17 lw

left side against film

both arms above pt's head

mid-coronal plane perpendicular to IR

Mid-saggital plane parallel to IR

CR perpendicular to T7 and mid-coronal plane

Top of IR at level of top of shoulders

expose on inspiration

26. Radiation Protection

Limit repeat exposures

collimation

gonadal shielding

reduce back scatter

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