Test your skills!
Question 1: Which of the following regarding the right bronchial anatomy is false?
Right and left B3 are situated the most caudal of all upper lobe bronchi.
The right 2. segmental bronchus (B2) originates from the upper lobe bronchus at nearly the same level as B3.
The right upper lobe bronchus is visible directly below the level of the Carina and above the level of the right pulmonary artery.
The 1. segmental bronchus runs straight upwards.
The 3. segmental bronchus (B3) originates cranial of level of the Carina.
Question 2: Which of the following regarding the left bronchial anatomy is false?
Because the bronchus of the lingula runs obliquely and ventrally, it is visualized longitudinally."
Mostly the medial and anterior lower lobe bronchi originate from a common segmental bronchus.
The bronchus of the lingula originates near the lower lobe bronchus.
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?
A central bronchovascular bundle, consisting of the lobular bronchiole and accompanying pulmonary vein and lymphatics, enters the center of the secondary pulmonary lobule.
The region near the origin of the terminal bronchioles is termed the "terminal" region.
It is the smallest unit of lung and is the morphologic framework of the lung parenchyma.
The borders of the secondary pulmonary lobule measure 5-10 cm in length and consist of interlobular septa and visceral pleura.
Lymphatics in the lung course within the bronchovascular bundle.
Question 4: Where is the retrosternal space on this image?
Question 5: Which structure do the arrows point to?
Right coronary artery
Question 6: What is the reason of the widening of the cardiac borders?
Question 7: What is your conclusion regarding this image?
Normal chest radiograph
Question 8: Where is the right diaphragm on this image?
Can't say for sure - need additional views.
Between the white and black arrows
Question 9: What structure are the arrows pointing to?
Scratch on the film
Needle shaped foreign body
Question 10: This patient has fever and wheezing on the rigt side. What do you need to do next?
Do a CT
Admit the patient
Get a second opinion
Send the patient home
Get a second view
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