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OSPE Revision Resp > Resp > Flashcards

Resp Flashcards

1
Q

1st palpable spinous process?

A

C7

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2
Q

Superior angle of scapula?

A

T2

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3
Q

Inferior angle of scapula?

A

T7

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4
Q

Surface markings for the lungs?

A 
1 inch above medial end of clavicle.
Sternoclavicular joint.
Manubriosternal joint
(LHS - 4-6 has cardiac notch)
Xiphisternal joint - (rib 6 medial border ends)
Inferior border cross MCL at rib 6
Crosses midaxillary plane at rib 8
(Posteriorly - crosses scapular line at rib 10)
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5
Q

Where are the hilum of the lungs located?

A

T4 to t6

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6
Q

Lung marking for superior lobe LHS.

A
  1. Apex at 1inch medial 1/3 above clavicle.
  2. Over sternoclavicular joint. Down right sternal border to R6 (deviation of 2/3cm from r4-6)
  3. From R6, goes to T3 posteriorly.
    THIS IS oblique fissure.
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7
Q

How to draw oblique fissure?

A
  1. T3 posteriorly at lung border

2. 6th CC anteriorly. connect 2 lines. Point at MCL 6th rib and R4 MAL

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8
Q

How to draw horizontal fissure (RL)

A
  1. 4th CC anteriorly

2. Runs along R4 to MAL to join oblique fissure.

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9
Q

Middle lobe RHS?

A
  1. RSB R4
  2. R4 to R6.
  3. Follow R6 to MCL.
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10
Q

Inferior lobe RHS?

A
  1. R6 MCL to R4 MAL to T3

2. FROM T3 to t10 down. T10 round to R6 MCL.

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11
Q

Describe/demonstrate surface marking of parietal pleura of R/L lung

A
  1. Apex 1 inch above medial 1/3 clavicle.
  2. Over sternoclavicular joint
  3. Down sternal border to xiphisternal joint (r6)
  4. R8 at MCL.
  5. R10 at MAL.
  6. Up lateral to spine to T1
    (LHS has deviation 1cm from r4-6)
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12
Q

Triangle of safety for a chest drain?

A 
Anterior = axillary fold of pec major
Posterior = axillary fold of lat dorsi
Inferior = 5th ICS at MAL
Superior = Below apex of axilla

Place above the superior border of inferior rib to avoid Long thoracic nerve

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13
Q

Mediastinal pleura?

A

R sternoclavicular joint over RSB to R6, break at sternal angle for lung root

L sternoclavicular joint over RSB to R6, indentation fro r4-r6 of 2/3 cm

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14
Q

Where to percuss on lungs?

A

Superior:
Ant = apex, 2nd ICS MCL, (LHS 4th ICS MCL)
Post = 1st ICS medial sternal border, 3rd ICS medial sternal border

Middle = ant= 4th ICS MCL (RHS), 6th ICS MAL

Inf = ant: 6th ICS MCL, 6TH ICS MAL
Post = 7th ICS Scapular line
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15
Q

Lungs should sound and trachea should sound?

A

Vesicular and bronchial

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16
Q

When would you use a chest drain?

A

Pneumothorax, harm-thorax, pleural effusion, post op

OSPE Revision Resp (1 decks)

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