Pleura and breast

Question 0

Visceral (lung)

Answer 0

6th rib MCL
8th rib MAL
10 rib sides of vert column

Question 1

Parietal pleura (costal line)

Answer 1

8th rib in MCL
10th rib in MAL
12th rib sides of vertebral column

Question 2

Thoracocenresis done at

Answer 2

Rib 8-10 (anterior)

Question 3

Nerve supply of parietal pleura

Answer 3

Visceral/splanchnic plexus

Question 4

Root of the lung

Answer 4

Bronchi
Pulmonary a.
Pulmonary v.
Lymph vessels
Bronchial vessels

Question 5

Trachea

Answer 5

C6-T4

Question 6

Eparterial bronchus

Answer 6

Above the pulmonary a.

R superior bronchus

Question 7

Total bronchopulmonary segments

Answer 7

18
R lung:10
L lung: 8

Question 8

Conductive unit of lung

Answer 8

Trachea
Bronchi
1 B
2 B
3 B
Bronchiole (without cart)
Terminal Bronchiole (simple columnar)

Question 9

Respiratory unit

Answer 9

Respiratory bronchioles

AD, AS, Alveoli

Question 10

Foreign body aspiration

Sitting/standing

Answer 10

Post basal BPS of R lobe

Question 11

Foreign body aspiration

Supine

Answer 11

Superior BPS of R lower lobe

Question 12

Foreign body aspiration

Lying on the R side

Answer 12

Posterior BPS of the R upper lobe

Question 13

Foreign body aspiration

Lying on the L side

Answer 13

Inferior lingular BPS of the left upper lobe

Question 14

Blood supply of the lung

Answer 14

Bronchial a. - desc thoracic aorta

Pulmonary a. - pulmonary trunk

Question 15

Venous drainage

Answer 15

Bronchial v.–> Azygous and hemiazygous

Pulmonary v. –> LA

Question 16

Thoracentesis done

Answer 16

Above the rib

Avoid hitting VAN at posterior of the rib

Question 17

Thoracentesis

Answer 17

Skin
Ext IC
Int IC
Innermost IC
Thoracic cavity

Question 18

Aortic coarctation with better prognosis

Answer 18

Postductal
Development of collateral circulation
DISTAL (adult) to ligamentumarteriosum
PROXIMAL (infantile) to ligamentumarteriosum

Question 19

Common sites for CVP

Answer 19

Internal jugular
Subclavian
Femoral

Question 20

CVP- int jugular vein

Answer 20

Apex of triangle formed by scm and clavicle on the r side

Question 21

CVP- subclavian vein

Answer 21

Intersection of first rib and clavicle

Question 22

Internal jugular and subclavian unite to form SVC

Answer 22

First R costal cartilage

Question 23

SVC ends

Answer 23

3rd R costal cartilage

Question 24

Nipple retraction in breast CA

Answer 24

Pulling of lactiferous ducts

Question 25

Skin dimpling in breast CA

Answer 25

Shortening of suspensory lig of Cooper

Question 26

Radical mastectomy n. Injury

Answer 26

Long thoracic: winging of scapula
Thoracodorsal: difficulty in dorsal extension of upper extremities
IC: loss of sensation in the upper inner surface of the arm
Medial pectoral: difficulty in lifting a child

Question 27

Lymph drainage of the breast

Answer 27

Lateral quadrants–> Axillary LN
Medial quadrants –> parasternal LN
Inferior –> subdiaphragmatic inf phrenic lymph nodes

Question 28

Axillary LN

Answer 28

Lateral/humeral- I
Central - II
Apical - III

Question 29

Only motor nerve supply to the diaphragm

Answer 29

Phrenic nerve

Question 30

Caval

Answer 30

T8

IVC, R phrenic n.

Question 31

Esophageal

Answer 31

T10

Esophagus, vagus n.

Question 32

Aortic

Answer 32

T12

Aorta, thoracic duct, Azygous v.