Chapter 32 Flashcards

1
Q

thoracic cavity is under _________ pressure

A

negative

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2
Q

thoracotomy:

A

open chest surgery

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3
Q

name the 3 process involved in respiratory function:

A
  1. ventilitation
  2. diffusion
  3. perfusion
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4
Q

ventilitation:

A

the breathing process; contraction of the diaphragm and accessory muscles and expansion of ribs to pull air into the lungs

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5
Q

diffusion:

A

transfer of oxygen from alveoli in the lungs to the bloodstream

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6
Q

perfusion:

A

movement and absorption of oxygen molecules into body tissue

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7
Q

the internal nose is highly_____________

A

vascular

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8
Q

the pharynx is located behind the __________ cavity

A

oral

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9
Q

the pharynx communicates with the _________ ________

A

nasal cavities

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10
Q

the oropharynx lies immediately below the _____

A

mouth

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11
Q

the larynx connects the _____ with the ________

A

trachea, oropharynx

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12
Q

the cricord cartiliage is the only completly closed ring in the trachea? true or false

A

true

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13
Q

the right lung has _______ lobes

A

3

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14
Q

pleuritis:

A

inflammation of pleural membranes

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15
Q

increase of fluid is called:

A

pleural effusion

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16
Q

pleural space is called __________ space

A

potential

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17
Q

in pleural effusion the lungs can not expand fully. true or false

A

true

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18
Q

breathing is a complex PHYSIOLOGICAL and __________ process

A

mechanical

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19
Q

the thoracic cavity is a _______ space

A

closed

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20
Q

skin prep extends from ________ to __________

A

neck, iliac crest

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21
Q

Most common incisions in pulmonary surgery are :

A

posterolateral and anterolaterial

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22
Q

Lukens trap is used in what procedure?

A

rigid bronchoscopy

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23
Q

__________ bronchoscopy is used for interventional procedures which require a large bore endoscope for removal of tissue mass or foreign body

A

Rigid

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24
Q

______ scope is larger than that of a flexible bronchoscope

A

Rigid

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25
Q

_____ bronchoscopy is preferred over ______ bronchoscopy

A

Flexible

rigid

26
Q

thoracoscopy in an adult requires __mm lenses in sizes 0 degree and 30 degree

A

10

27
Q

__________ is endoscopic exam of the mediastinum through an incision

A

Mediastinoscopy

28
Q

duval forceps are used in what procedure

A

lung volum reduction

29
Q

Thoracotomy:

A

open surgery for the thoracic cavity

30
Q

Sarot clamp is used in what procedure?

A

thoracotomy

31
Q

a Finochietto self retaining retractor is commonly used in ?

A

Thoracotomy procedure

32
Q

Sauerbruch rib shears are used in what procedure?

A

Thoracotomy

33
Q

in a thoracotomy, a rib approximator ( THE BAILEY) is used to?

A

bring the ribs together

34
Q

lobectomy:

A

a lobe of the lung is removed to prevent the spread of cancer or to treat benign tumor

35
Q

Pneumonectomy:

A

removal of entire lung

36
Q

__________ is also a pallative measure to slow progression of cancer

A

debulking

37
Q

Sarot clamp is commponly used in what procedure>

A

Pneumonectomy

38
Q

Rib resection for Thoracic Outlet Syndrome:

A

(TOS) is a rare condition in which subclavian vessels and the brachial plexus are compressed at the apex of the thorax

39
Q

the goal of what procedure is to release the compression of the neurovascular tissue and restore function to the upper extremilty, neck and shoulder

A

Ribe Resection for Thoracic Outlet Syndrome

40
Q

Decortication of the lung:

A

surgical removal of a portion of the parietal pleura

41
Q

____________ is the removal of the pleura:

A

Pleurectomy

42
Q

Pleurectomy are performed to treat pleural cancer such as_________

A

mesothelioma

43
Q

______________ lung procedures require ____________ support

A

bilateral

cardiopulmonary

44
Q

Pulmonary funtion test measure

A

lung function

45
Q

Arterial blood test are the most important blood test for _____________

A

pulmonary function

46
Q

bronchoscopy is the insertion of a flexable fiberoptic or _________ telescope into the trachea and bronchi

A

rigid

47
Q

functions as a flap to close the entrance to the trachea during swallowing

A

epiglottis

48
Q

The lumen of a rigid bronchoscope is larger than that of a flexable bronchoscope true or false

A

true

49
Q

Pneumonectomy is preformed in what position?

A

lateral

50
Q

Incision for mediastinoscopy is made __________

A

suprasternal

51
Q

Important complication of the Rigid Bronchoscopy is?

A

injury to the tracheobronchial structures

52
Q

The trachea is mainly composed of ____ shaped rings

A

C

53
Q

Large blood vessels and primary bronchi enter the lungs at the _________

A

hilum

54
Q

diaphragm contracts during __________

A

inhalation

55
Q

diaphragm relaxes during ____________

A

exhalation

56
Q

Tidal volume:

A

amount of air exhauled during normal respiration

57
Q

Minute volume:

A

amount of air exhauled per minute

58
Q

vital capacity:

A

total volume of air after maxium INSPIRATION

59
Q

functional residual capacity:

A

volume of air remaing in the lungs

60
Q

forced vital capacity

A

amount of air expelled in the 1st, 2nd and 3rd second after echalation

61
Q

peak expiratory flow rate

A

maximum amount of air expelled in forced EXPIRATION