Midterm 2019 Flashcards
1
Q
Demarcated mass in the right dome
of hemidiaphragm. Where is the
actual location?
A
Anterior basal segment of right
lower lobe
2
Q
Aortopulmonary window best
demonstrated
A
Lateral
3
Q
Pleural fluid in the left, what is
obliterated
A
Left hemidiaphragm
4
Q
Retrosternal space
A
1/3
5
Q
Left subdiaphragmatic air
A
Fluid level
6
Q
Not seen in chest PA
A
sternum
7
Q
Not seen in lateral projection
A
Clavicle
8
Q
Seen in chest PA as radiolucent
column in midline?
A
Trachea
9
Q
Lungs protrude above clavicle for
about
A
2.5 cm
10
Q
Child inhaled a foreign object, which
bronchus will it more likely enter
A
Right bronchus
11
Q
Ventricular systole
A
Open pulmonary valve
12
Q
Failure of the fusion of 2 septa
A
Atrial septal defect
13
Q
Inferior vena cava
A
T8
14
Q
Esophageal opening at diaphragm
A
T10
15
Q
Aortic opening at diaphragm
A
T12
16
Q
Visceral layer of the heart
A
epicardium
17
Q
Supplies the mediastinal pleura
A
Phrenic nerve
18
Q
Location of AV node
A
Septal cusp of tricuspid valve
19
Q
Location of SA node
A
Crista terminalis/ coronary sulcus
20
Q
Moderator band carries
A
Right bundle of AV bundle
21
Q
Peau d’ orange
A
Lymphatic blockade
22
Q
Origin of second intercostal artery
A
Costocervical trunk
23
Q
Diaphragmatic hiatus is found at the
level of T8
A
Caval opening
24
Q
Mitral valve best heard at
A
5th left intercostal space,
midclavicular
25
What happens to pressure during
| inhalation?
Increase intra-abdominal pressure,
| decrease intrathoracic pressure
26
CTT insertion
Between 4th and 5th intercostal
| space
27
If enlarged, causes widening of carinal
| angle:
Left atrium
28
```
In posterior-anterior view, which is least
visible?
A. Right ventricle
B. Left ventricle
C. Right atrium
D. Left atrium
E. None of the above
```
D. Left atrium
29
Retrosternal space seen at
Lateral view
30
In Congenital Torticollis, what muscle is
| affected?
Sternocleidomastoid m.
31
At PA view, what structure would you
| NOT see?
Sternum
32
Thyroid cancer would most likely
| spread/metastasize to which lymph nodes?
Tracheal lymph nodes
33
Not visible on lateral view-
Clavicle
34
What divides the submandibular gland?
Mylohyoid
35
Mumps
Parotid glands
36
Level of ascending arch and pulmonary
| trunk
Sternal angle
37
Breast exam, nipple and areolar area is
| palpated. This area is _____ prone to cancer
Second most
38
```
Highest risk of having cancer
A. Px's Mother had bilateral mastectomy
at 35y/o
B. Px's mother had mastectomy at 60y/o
C. Px's mother had removal of cyst at 25y/o
```
A. Px's Mother had bilateral mastectomy
| at 35y/o
39
```
Caval opening transmits?
A. Right vagus nerve
B. Right Phrenic nerve
C. Thoracic duct
D. Azygos vein
```
B. Right Phrenic nerve
40
Where parietal pleura becomes
| continuous with visceral pleura?
Hilum of Lungs
41
```
Effect of contraction of diaphragm to
_________ intrathoracic pressure ________
intraabdominal pressure
A. Increase, increase
B. Decrease, decrease
C. Increase, decrease
D. Decrease, increase
```
D. Decrease, increase
42
```
Brain drainage?
A. Internal Jugular v.
B. External Jugular v.
C. Facial v.
D. Retromandibular v.
E. Venous sinus
```
E. Venous sinus
43
Where are the venous sinuses located?
Venous sinuses are situated between the
periosteal and the meningeal layer of the
dura mater with thick, fibrous walls, but
they possess no valves.
44
What vein meets the facial vein before it
| enters the internal jugular vein?
```
Retromandibular vein (Anterior
division)
```
45
Superficial temporal + maxillary veins
Retromandibular vein
46
```
What nerve accompanies the superficial
temporal vein and artery?
A. Hypoglossal nerve
B. Auriculotemporal nerve
C. Facial Nerve
D. Chorda Tympani
E. Deep temporal nerve
F. Maxillary nerve
```
B. Auriculotemporal nerve
47
TRUE or FALSE: The veins of the brain
| has valves
FALSE
48
TRUE or FALSE: Clamping of internal
| jugular vein in massive hemorrhage.
FALSE: One may clamp the vagus nerve.
Clamping of internal jugular vein will lead to
death.
49
```
Which of the following is a complication
as a result of cannulation of the internal
jugular or subclavian vein?
A. Arrhythmia
B. Pleural effusion
C. Cardiac tamponade
D. Pneumothorax
```
D. Pneumothorax
50
```
Where does the Stensen's duct open?
A. Upper 2nd molar
B. Lower 2nd molar
C. Upper 1st molar
D. Lower 1st molar
```
A. Upper 2nd molar
51
Middle thyroid vein is torn, what is
| affected?
Internal jugular vein
52
Nerves involved in Frey's syndrome
Auriculotemporal nn. and Great
| auricular nn.
53
```
What structure do you avoid during
careful dissection of the inferior thyroid
muscles?
A. Vagus nerve
B. Common carotid artery
C. Inferior vena cava
D. Recurrent laryngeal nerve
E. Superior laryngeal nerve
```
D. Recurrent laryngeal nerve
54
To confirm enlargement of the thyroid
| gland ask patient to..
Swallow
55
```
Which nerve supplies the anterior and
lateral surfaces of the neck?
A Great occipital
B. Lesser occipital
C. Great auricular
D. Transverse cutaneous
E. Supraclavicular nerves
```
D. Transverse cutaneous
56
Manometer
Angle of Louis
57
```
Length of the external jugular vein in a
supine position at 30 degrees
A. 1/4
B. 1/2
C. 1/3
D. 3/4
```
C. 1/3
58
Innervates platysma
Facial Nerve
59
Action of the anterior belly of the
| digastric to the hyoid bone
Opens mouth by lowering the mandible;
| raises the hyoid bone
60
```
What innervates the omohyoid muscle?
A. Facial nerve
B. Hypoglossal nerve
C. Spinal accessory nerve
D. Ansa cervicalis
E. Recurrent laryngeal nerve
```
C. Spinal accessory nerve
61
Ludwig's angina infection
Submandibular abscess
62
Branch of external carotid artery
Lingual artery
63
Anastomosis between 2 cerebral a. and
| 2 vertebral a.
Circle of willis
64
Location of SA node
Crista Terminalis
65
```
Medial end right second intercostal
space
A. Tricuspid valve
B. Mitral valve
C. Pulmonary valve
D. Aortic valve
```
D. Aortic valve
66
```
Enlarged lymph nodes on the superior
vena cava impinged on the level where the
two brachiocephalic veins unite. What
route does the venous flow take get into the
right atrium?
A. Superior hemiazgos vein
B. Inferior hemiazygos vein
C. Internal Thoracic artery
D. Inferior Vena Cava
E. Azygos Vein
```
E. Azygos Vein
67
Roughening of the visceral and parietal
| layers of serous pericardium?
Pericardial friction rub
68
Aortic opening
T12
69
```
What level does the inferior vena cava
pierce the diaphragm?
A. T12
B. T10
C. T8
D. T6
```
C. T8
70
```
Where will the cancer from the distal
third of the esophagus most likely spread
first?
A. Celiac nodes
B. Deep cervical nodes
C. Superior mediastinal nodes
D. Arch of the aorta
```
A. Celiac nodes
71
How high does the lung apex project up
| into the neck?
2.5 cm above the clavicle
72
A 5-year old child swallowed a marble
which entered the trachea and lodged in a
bronchus. In which bronchus would it most
probably lodge?
Right bronchus
73
```
The esophageal opening of the
diaphragm lies at the level of?
A. T8
B. T9
C. T10
D. T12
```
C. T10
74
```
What level does the carina lie during
deep inspiration?
A. 6th cervical vertebra
B. 2nd thoracic vertebra
C. 4th thoracic vertebra
D. 6th thoracic vertebra
```
D. 6th thoracic vertebra
75
Which is true regarding the bronchi?
A. The right bronchus is shorter, wider,
and more vertical than the left
B. The right bronchus is shorter, wider, and
more horizontal than the left
C. The right bronchus is longer, narrower,
and more vertical than the left
D. The right bronchus is longer, narrower,
and more horizontal than the left
A. The right bronchus is shorter, wider,
| and more vertical than the left
76
```
A 65-year old smoker is diagnosed to
have lung carcinoma. This patient later
developed hoarseness. How is this
possible?
A. Spread of the cancer to the vocal cords
B. Compression of the bronchi by the cancer
C. Spread of the cancer to the
tracheobronchial lymph nodes which
compress the recurrent laryngeal nerve
D. Spread of the cancer to the
tracheobronchial nodes which compress the
pharynx/throat
```
C. Spread of the cancer to the
tracheobronchial lymph nodes which
compress the recurrent laryngeal nerve
77
```
What level does the pericardium lie?
A. 5th to 8th thoracic vertebrae
B. 3rd to 6th costal cartilages
C. Posterior mediastinum
D. Anterior mediastinum
```
A. 5th to 8th thoracic vertebrae
78
```
What supplies the greater part of the
left cardiac chambers?
A. Left coronary artery
B. Left circumflex artery
C. Interventricular artery
```
A. Left coronary artery
79
What branch of Arch of aorta that
| supplies the head and neck?
Left common carotid artery
80
Cutaneous nerve across parotid
Great auricular nerve
81
Internal Jugular Vein Tributary
Lingual vein
82
Where Internal Jugular Vein originates
Sigmoid sinus
83
Spread of Infection
Emissary veins
84
```
In the axial CT scan, what structure
located in the THORACIC INLET is NOT
visible?
A. Ascending aorta
B. Right ventricle
C. Esophagus
D. Left anterior descending (LAD) a.
```
D. Left anterior descending (LAD) a.
85
Dermatome level of nipple?
T4
