Must Know Chest Xray

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Must Know Chest Xray - Quiz

This is a quiz for must know chest xray for BIMC Doctors.


Questions and Answers
  • 1. 

    A 25 yo male, after motorbike accident, presented at BIMC ER with this chest xray. What would you like to do next ?

    • A.

      Arrange consultation to surgeon

    • B.

      Immediately arrange chest tube insertion by surgeon

    • C.

      Admit patient to ward for observation

    • D.

      Perform CT-scan of the chest

    Correct Answer
    B. Immediately arrange chest tube insertion by surgeon
    Explanation
    With a case of massive pneumothorax, we need to act immediately. Therefore, immediate chest tube insertion performed by surgeon would be ideal. There's no need to do CT-scan with an obvious pneumothorax. We must not only arrange for consultation with surgeon, as he will give advise to put chest tube anyway, which then resulted in more delay of arranging the team, financial, etc.

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  • 2. 

    What would be the course of action in a 45 yo male with this chest xray ?

    • A.

      Thoracotomy

    • B.

      Chest tube insertion

    • C.

      Thoracentesis for diagnostic only

    • D.

      Thoracentesis for diagnostic and treatment

    Correct Answer
    D. Thoracentesis for diagnostic and treatment
    Explanation
    At first onset of pleural effusion, with a modeate amount of fluid, thoracentesis for diagnostic and treatment would be adequate. Chest tube insertion and Thoracotomy is reserved for persistent cases.

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  • 3. 

            What do you see in this chest xray ?

    • A.

      Cavitary  lesion

    • B.

      Lung abscess

    • C.

      Lung Mass

    • D.

      Calcification

    Correct Answer
    A. Cavitary  lesion
    Explanation
    From the image, there seems to be a cavity-like structure, suggesting a cavitary lesion. This is characterized by an air-filled space within the lung tissue, which can be due to various causes like infections (e.g., tuberculosis) or other conditions.

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  • 4. 

    What would be the symptoms of this patient ?

    • A.

      Chest pain, heaviness in character, radiates to left arm and neck

    • B.

      Chest pain, squeezing in character, middle, alleviated upon leaning forward

    • C.

      Chest pain, tearing in character, middle, radiated to the back

    • D.

      Chest pain, retrosternal, burning in character, aggravated with food intake

    Correct Answer
    C. Chest pain, tearing in character, middle, radiated to the back
    Explanation
    Xray above is Aortic dissection. The most common character of chest pain is option C.

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  • 5. 

    A 78 yo male with persistent cough for 7 days, productive of greenish phlegm, presented to our hospital with shortness of breath. Xray as shown above. He is a heavy alcoholic drinker. What would be the possible cause of the above findings ?

    • A.

      Streptococcus Pneumoniae

    • B.

      Legionella Sp.

    • C.

      Klebsiella Sp.

    • D.

      H. Influenzae

    Correct Answer
    C. Klebsiella Sp.
    Explanation
    In alcoholic and Diabetic patient, Klebsiella is more common.

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  • 6. 

    This 47 year old man presented with sudden onset sharp, central, abdominal pain. He has a history of indigestion. Examination of the abdomen: abdomen was tender; rigid; no masses. What would be the possible diagnosis ?

    • A.

      Pneumothorax

    • B.

      Diaphragmatic Hernia

    • C.

      Perforated Duodenal Ulcer

    • D.

      Diaphragma Paralysis

    Correct Answer
    C. Perforated Duodenal Ulcer
    Explanation
    Above xray showed Pneumoperitoneum. It is a free air under diaphragm. The most possible cause from above options is Perforated Duodenal Ulcer.

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  • 7. 

    67 yo male presented with this chest xray in the clinic. His Calcium level is high. What type of cancer do you think this man has ?

    • A.

      Small Cell Lung Cancer

    • B.

      Adenocarcinoma

    • C.

      Squamous cell Lung Cancer

    • D.

      Large Cell Lung Cancer

    Correct Answer
    C. Squamous cell Lung Cancer
    Explanation
    The above xray showed lung mass. As the patient has Hypercalcemia, the most common type of cancer is Squamous cell, due to the secretion of parathyroid hormone-like peptides. Small cell lung cancer may secret ADH or ACTH.

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  • Current Version
  • Jul 10, 2024
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    ProProfs Editorial Team
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