Chest X-Ray in Cardiology

3
Chest X-Ray in Cardiology






  1. A 52-year-old African American male was admitted with complaints of shortness of breath and edema. He has a history of methamphetamine use. A chest X-ray (Figure 3.1a) was performed in the emergency room (ER). What does the chest X-ray show?



    1. Cardiomegaly
    2. Cardiomegaly, automatic implantable cardioverter-defibrillator (AICD) lead
    3. Normal findings
    4. Cardiomegaly, AICD lead, left pleural effusion
    Photograph shows X-ray of person having shortness of breath and edema with markings upright and L on top.

    Figure 3.1a




  2. An 84-year-old male was admitted with shortness of breath. He was diagnosed with left pleural effusion. He underwent thoracentesis. A few hours later he developed increasing oxygen requirements. A chest X-ray was done (see Figure 3.2a). What does it show?



    1. Pulmonary edema
    2. Right apical pneumothorax
    3. Left apical pneumothorax
    4. Right-sided pneumonia
    Photograph shows X-ray of person having shortness of breath with left pleural effusion.

    Figure 3.2a




  3. A 59-year-old male was admitted with a history of subarachnoid hemorrhage. A PA chest X-ray (Figure 3.3a) was performed in the ER. What does the chest X-ray show?



    1. Normal chest X-ray
    2. Prosthetic valve in the mitral position
    3. Prosthetic valve in the aortic position
    4. Prosthetic valves in the aortic and mitral positions
    Photograph shows X-ray of person having subarachnoid hemorrhage with markings like 0155 STA, 16834, et cetera.

    Figure 3.3a




  4. A 75-year-old male presented to the ER with complaints of shortness of breath. A chest X-ray (Figure 3.4a) was performed in the ER. What does the X-ray show?



    1. Left pleural effusion
    2. Right pleural effusion
    3. Consolidation
    4. Pulmonary edema
    Photograph shows X-ray of person having complaints of shortness of breath with markings like suspine port 0415 ajc/av/jv.

    Figure 3.4a




  5. A 59-year-old Pakistani male presented to the ER with complaints of headache. He had a computed tomography (CT) scan of his head, which showed evidence of subdural hemorrhage. He also had a chest X-ray (Figure 3.5a) in the ER. What does the X-ray show?



    1. Bioprosthetic valve in the aortic position
    2. Bileaflet mechanical prosthesis in the mitral position
    3. Bioprosthetic valve in the mitral position
    4. No prosthetic valve is seen
    Photograph shows X-ray of person having complaints of headache with markings semi up gas.

    Figure 3.5a




  6. A 56-year-old male presented to the ER with complaints of shortness of breath on exertion, cough with whitish expectoration, and pedal edema. In the ER he had a chest X-ray (see Figure 3.6a). What is the most important finding on the X-ray?



    1. Pneumothorax
    2. Right pleural effusion only
    3. Left pleural effusion
    4. Bilateral pleural effusion
    5. No abnormality seen
    Photograph shows X-ray of person having shortness of breath on exertion, cough and edema.

    Figure 3.6a




  7. A 39-year-old male presented to the hospital after a cardiac arrest at home. He was brought to the hospital and had a chest X-ray (Figure 3.7). What does the chest X-ray show?



    1. Normal heart size
    2. Cardiomegaly
    3. Left pneumothorax
    4. Right pneumothorax
    Photograph shows X-ray of person having cardiac arrest with markings supine EAD 0935.

    Figure 3.7




  8. A 51-year-old male came to the hospital with complaints of fatigue, cough. He had a chest X-ray (see Figure 3.8a) in the ER. What does his chest X-ray show?



    1. Normal aortic size
    2. Prominent aortic knob
    3. Prominent main pulmonary artery
    4. Prominent left bronchus
    Photograph shows X-ray of person having fatigue cough.

    Figure 3.8a




  9. The patient in Question 3.8 then had an echocardiogram. He had mild tricuspid regurgitation, velocity of 4.7 m/s, elevated right atrial pressure of 20 mmHg, and estimated pulmonary artery systolic pressure of 110 mmHg. What are these findings suggestive of?



    1. Primary pulmonary hypertension
    2. Pulmonary vascular congestion
    3. Right to left shunt
    4. None of the above



  10. A 69-year-old male was admitted to the hospital complaining of shortness of breath. His initial chest X-ray showed pulmonary edema and he was started on intravenous diuretics. Two days later he complained of feeling feverish, temperature was 101°F, with chills and greenish expectoration. What does the repeat chest X-ray (Figure 3.10a) show?



    1. Pulmonary edema
    2. Right hilar consolidation with superimposed pulmonary vascular congestion
    3. Left hilar consolidation
    4. Right hilar consolidation
    Photograph shows X-ray of person having shortness of breath leading to fever with 101 degree F and greenish expectoration.

    Figure 3.10a




  11. A 62-year-old male was admitted with complaints of shortness of breath. What does the chest X-ray in Figure 3.11a show?



    1. Left atrial enlargement
    2. Right ventricular enlargement
    3. Left ventricular enlargement
    4. Right atrial and right ventricular enlargement
    Photograph shows X-ray of person having shortness of breath.

    Figure 3.11a




  12. An 80-year-old female patient has a history of long-standing systolic murmur at the base. She had a chest X-ray (Figure 3.12a). What is the most important finding?



    1. Marked enlargement of main pulmonary artery
    2. Marked enlargement of the aorta
    3. Marked enlargement of the right pulmonary artery
    4. Marked enlargement of the main pulmonary artery and left pulmonary artery
    Photograph shows X-ray of person having long-standing systolic murmur.

    Figure 3.12a




  13. What does the blue arrow point to on the chest X-ray in Figure 3.13?



    1. Enlarged left atrium
    2. Aortic knob
    3. Enlarged pulmonary artery
    4. None of the above
    Photograph shows X-ray of person where one blue arrow mark is seen on top pointing from right to left of X-ray.

    Figure 3.13




  14. What structure indicated by the blue arrow in Figure 3.14 forms the cardiac boundary:



    1. Ascending aorta
    2. Arch of the aorta
    3. Right pulmonary artery
    4. Superior vena cava
    Photograph shows X-ray of person where one blue arrow mark is seen on top pointing from left to right of X-ray.

    Figure 3.14




  15. Figure 3.15a shows a 93-year-old female patient with a history of shortness of breath who has undergone what procedure?



    1. Surgical replacement of mitral valve
    2. Surgical replacement of aortic valve
    3. Transaortic valve replacement (TAVR)
    4. None of the above
    Photograph shows X-ray of person having shortness of breath who has undergone treatment.

    Figure 3.15a




  16. The patient in Question 3.15 has also undergone another procedure. What is this other procedure?



    1. Permanent single-chamber pacemaker
    2. Dual-chamber pacemaker
    3. Dual-chamber AICD
    4. None of the above



  17. What does the blue arrow in Figure 3.17 point to?



    1. Right atrial pacer lead
    2. Right ventricular pacer lead
    3. Right ventricular implantable cardioverter-defibrillator (ICD) lead
    4. Coronary sinus lead
    Photograph shows X-ray of person where blue arrow is seen pointing from right to left on top.

    Figure 3.17

    Only gold members can continue reading. Log In or Register to continue

    Related posts:

    1. Pacemakers and Defibrillators
    2. Genetics
    3. Aortic Diseases
    4. Cardiac Masses

    Stay updated, free articles. Join our Telegram channel
Tags:
Apr 23, 2020 | Posted by in CARDIOLOGY | Comments Off on Chest X-Ray in Cardiology

Full access? Get Clinical Tree
Get Clinical Tree app for offline access