Midterm 2019 Flashcards
Demarcated mass in the right dome
of hemidiaphragm. Where is the
actual location?
Anterior basal segment of right
lower lobe
Aortopulmonary window best
demonstrated
Lateral
Pleural fluid in the left, what is
obliterated
Left hemidiaphragm
Retrosternal space
1/3
Left subdiaphragmatic air
Fluid level
Not seen in chest PA
sternum
Not seen in lateral projection
Clavicle
Seen in chest PA as radiolucent
column in midline?
Trachea
Lungs protrude above clavicle for
about
2.5 cm
Child inhaled a foreign object, which
bronchus will it more likely enter
Right bronchus
Ventricular systole
Open pulmonary valve
Failure of the fusion of 2 septa
Atrial septal defect
Inferior vena cava
T8
Esophageal opening at diaphragm
T10
Aortic opening at diaphragm
T12
Visceral layer of the heart
epicardium
Supplies the mediastinal pleura
Phrenic nerve
Location of AV node
Septal cusp of tricuspid valve
Location of SA node
Crista terminalis/ coronary sulcus
Moderator band carries
Right bundle of AV bundle
Peau d’ orange
Lymphatic blockade
Origin of second intercostal artery
Costocervical trunk
Diaphragmatic hiatus is found at the
level of T8
Caval opening
Mitral valve best heard at
5th left intercostal space,
midclavicular
What happens to pressure during
inhalation?
Increase intra-abdominal pressure,
decrease intrathoracic pressure
CTT insertion
Between 4th and 5th intercostal
space
If enlarged, causes widening of carinal
angle:
Left atrium
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
Retrosternal space seen at
Lateral view
In Congenital Torticollis, what muscle is
affected?
Sternocleidomastoid m.
At PA view, what structure would you
NOT see?
Sternum
Thyroid cancer would most likely
spread/metastasize to which lymph nodes?
Tracheal lymph nodes
Not visible on lateral view-
Clavicle
What divides the submandibular gland?
Mylohyoid
Mumps
Parotid glands
Level of ascending arch and pulmonary
trunk
Sternal angle
Breast exam, nipple and areolar area is
palpated. This area is _____ prone to cancer
Second most
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
Caval opening transmits? A. Right vagus nerve B. Right Phrenic nerve C. Thoracic duct D. Azygos vein
B. Right Phrenic nerve
Where parietal pleura becomes
continuous with visceral pleura?
Hilum of Lungs
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
Brain drainage? A. Internal Jugular v. B. External Jugular v. C. Facial v. D. Retromandibular v. E. Venous sinus
E. Venous sinus
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.
What vein meets the facial vein before it
enters the internal jugular vein?
Retromandibular vein (Anterior division)
Superficial temporal + maxillary veins
Retromandibular vein
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
TRUE or FALSE: The veins of the brain
has valves
FALSE
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.
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
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
Middle thyroid vein is torn, what is
affected?
Internal jugular vein
Nerves involved in Frey’s syndrome
Auriculotemporal nn. and Great
auricular nn.
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
To confirm enlargement of the thyroid
gland ask patient to..
Swallow
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
Manometer
Angle of Louis
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
Innervates platysma
Facial Nerve
Action of the anterior belly of the
digastric to the hyoid bone
Opens mouth by lowering the mandible;
raises the hyoid bone
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
Ludwig’s angina infection
Submandibular abscess
Branch of external carotid artery
Lingual artery
Anastomosis between 2 cerebral a. and
2 vertebral a.
Circle of willis
Location of SA node
Crista Terminalis
Medial end right second intercostal space A. Tricuspid valve B. Mitral valve C. Pulmonary valve D. Aortic valve
D. Aortic valve
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
Roughening of the visceral and parietal
layers of serous pericardium?
Pericardial friction rub
Aortic opening
T12
What level does the inferior vena cava pierce the diaphragm? A. T12 B. T10 C. T8 D. T6
C. T8
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
How high does the lung apex project up
into the neck?
2.5 cm above the clavicle
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
The esophageal opening of the diaphragm lies at the level of? A. T8 B. T9 C. T10 D. T12
C. T10
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
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
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
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
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
What branch of Arch of aorta that
supplies the head and neck?
Left common carotid artery
Cutaneous nerve across parotid
Great auricular nerve
Internal Jugular Vein Tributary
Lingual vein
Where Internal Jugular Vein originates
Sigmoid sinus
Spread of Infection
Emissary veins
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.
Dermatome level of nipple?
T4
