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Test your skills!

Question 1: Which of the following regarding the right bronchial anatomy is false?

The 3. segmental bronchus (B3) originates cranial of level of the Carina.
The right upper lobe bronchus is visible directly below the level of the Carina and above the level of the right pulmonary artery.
Right and left B3 are situated the most caudal of all upper lobe bronchi.
The 1. segmental bronchus runs straight upwards.
The right 2. segmental bronchus (B2) originates from the upper lobe bronchus at nearly the same level as B3.

Question 2: Which of the following regarding the left bronchial anatomy is false?

The bronchus of the lingula originates near the lower lobe bronchus.
Mostly the medial and anterior lower lobe bronchi originate from a common segmental bronchus.
Because the bronchus of the lingula runs obliquely and ventrally, it is visualized longitudinally."
For a short way apical lower lobe bronchus (B6) runs upward and dorsal of the descending lower lobe artery.
The lower lobe bronchi B8-10 leave the lower lobe bronchus at the level of the left atrium.

Question 3: Which is true in regard of the secondary pulmonary lobule?

It is the smallest unit of lung and is the morphologic framework of the lung parenchyma.
Lymphatics in the lung course within the bronchovascular bundle.
The borders of the secondary pulmonary lobule measure 5-10 cm in length and consist of interlobular septa and visceral pleura.
The region near the origin of the terminal bronchioles is termed the "terminal" region.
A central bronchovascular bundle, consisting of the lobular bronchiole and accompanying pulmonary vein and lymphatics, enters the center of the secondary pulmonary lobule.

Question 4: Where is the retrosternal space on this image?


Question 5: Which structure do the arrows point to?

Right atrium
Right coronary artery
Left ventricle

Question 6: What is the reason of the widening of the cardiac borders?

Cardiac mass
Pericardial fat
Diaphragmatic hernia

Question 7: What is your conclusion regarding this image?

Vascular congestion
Normal chest radiograph
Viscus perforation
Pleural effusion

Question 8: Where is the right diaphragm on this image?

Between the white and black arrows
Label "M"
Black arrow
Can't say for sure - need additional views.
White arrow

Question 9: What structure are the arrows pointing to?

Peripheral vessel
Accessory fissure
Scratch on the film
Thin atelectasis
Needle shaped foreign body

Question 10: This patient has fever and wheezing on the rigt side. What do you need to do next?

Admit the patient
Get a second opinion
Do a CT
Get a second view
Send the patient home

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