Chest and Abdominal Radiographs – Post Test

A 75-year-old man presents with abdominal pain. It is central but radiates to the left loin. He has a history of hypertension and angina. The pain is constant but he has not vomited and his bowels are opening normally. He is tachycardic and pale with a BP of 100/70. Looking at his abdominal x-ray, which of the following statements are true? Select one or more options.

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In which of the following cases is there a clear indication for CXR?

Select one or more options.

Looking at the x-ray on the below, which of the following statements are true?

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Select one or more options.

A 40-year-old man attends complaining of pleuritic left chest pain and breathlessness. He has recently had symptoms of influenza. His temperature is 37.7o, pulse 102, BP 140/80, RR 20 and SaO2 on air 92%. Looking at the image, which statement is true?

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A 50-year-old heavy smoker is brought in complaining of severe increased shortness of breath and a non-productive cough. Pulse 112, BP 105/62, RR 24, SaO2 89% on room air, temperature 36.9o. Looking at the chest x-ray, which one of the following statements is true?

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An elderly gentleman complains of breathlessness on exertion. Looking at the x-ray, which of the following statements are true?

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Select one or more options.

A young man is brought in. He is a pedestrian who has been hit by a car. His GCS is 5, pulse 114, BP 118/64 and SaO2 92% on high flow oxygen. He is assessed and treated by the trauma team and his chest x-ray is shown.

Looking at the x-ray, which of the following statements is true?

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You are handed over a patient by a colleague. It is a young student with colicky abdominal pains and vomiting for 24 hours. One of his housemates had similar symptoms two days earlier. There is no haematemesis and his bowels opened normally yesterday. He has mild epigastric tenderness but no rebound or guarding is elicited. He is otherwise fit and well.

Looking at the x-rays, which one of the following statements is true?

(Click on the x-ray to enlarge)

A confused elderly lady is brought in from a nursing home with a history of severe abdominal pain, vomiting and distension of the abdomen. Looking at the abdominal x-ray, which one of the following statements is true?

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A 46-year-old man attends with a history of abdominal pain and vomiting. He last had his bowels open five days ago. Looking at his abdominal film (upper and lower) which of the following statements is true?

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