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OSPE 2020 > Respiratory > Flashcards

Respiratory Flashcards

1
Q

What forms the sternum?

A

Manubrium, body of sternum, xiphphoid process

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2
Q

What type are the sternocostal joints?

A

Synovial apart from 1st (synarthrosis)

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3
Q

What level is the subcostal plane at?

A

L3

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4
Q

What are the surface markings for Upper lobe of right lung?

A

Apex 2-3cm abover medial third f clavicle -> sternoclavicular joint -> right 2nd CC (lateral to sternal angle) -> 4th CC -> T3 lateral to PML -> T1 lateral to PML

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5
Q

What are the surface marings for the upper lobe of the left lung?

A

Apex 2-3cm abover medial third f clavicle -> sternoclavicular joint -> left 2nd CC (lateral to sternal angle) -> 4th CC -> 6th CC lateral to AML -> T3 lateral to PML -> T1 lateral to PML

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6
Q

What occurs at the sternal angle and where?

A

Trachea bifurcates, aortic arch begins and ends, 2nd CC attaches at T4/5

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7
Q

Where is the xiphisternum?

A

T8/9

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8
Q

How do you find T2?

A

Superior spine of scapula

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9
Q

How do you find T3?

A

Spine of scapula

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10
Q

How do you find T7?

A

Inferior angle of scapula

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11
Q

What does tracheal deviation to the same side of lesion indicate?

A

Upper lobe collapse or fibrosis

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12
Q

What does tracehal deviation to opposite side of lesion indicate?

A

large pleural effusion, tension pneumothorax

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13
Q

What are common causes of unilateral chest expansion?

A

pneumothorax, pleural effusion, collapsed lung

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14
Q

WHat level is body of the sternum at?

A

T5-T8

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15
Q

Where is the transpylorric and subcostal planes?

A

L1 and L2

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16
Q

What structures pass through the intervetebral foramina?

A

Spinal nerve and radicular arteries

17
Q

What joint is between the articular facets of the vetebrae?

A

synovial

18
Q

What are the anterior surface markings of the lung?

A

1) winch above medial 3rd of clavilce 2) sternoclavicular joint 3) manubriosternal joint 4) Rib 4 5) xiphisternal joint 6) follows 6th costal cartialge

19
Q

Posterior surface markings of the lung?

A

Apex at T1, medial edge follows the spine, bottomg of the lung at T10

20
Q

Where does the pleura run to?

A

T12

21
Q

Where is the oblique fissure?

A

Posterior starts at T3 and anterior at 6th rib

22
Q

Where is the lung hilum?

A

T4-T6

23
Q

What level is the umbilicus at?

A

L3/L4

24
Q

What level is the supracristal plane at?

A

L4

25
Q

Where do you percuss the superior right lung lobe?

A

Medial 3rd clavicle and 3rd ICS at MCC

26
Q

Where do you percuss the middle right lung lobe?

A

4th/5th ICS (beneath nipple) and below axila and MAL

27
Q

Where do you percuss the lower right lung lobe?

A

6th/7th ICS MAL

28
Q

Where would you auscultate the upper right lobe of the right lung Anterior

A

Lung apex and 3rd ICS MCL

29
Q

Where would you auscultate the upper right lobe of the right lung Posterior?

A

near scapula spine

30
Q

Describe auscultation of the middle right lobe anteriorly?

A

5th ICS MCL and below axilla MAL

31
Q

Where would you auscultate the lower right lobe of the right lung anteriorly?

A

7th ICS MAL

32
Q

Where would you auscultate the lower right lobe of the right lung posteriorly?

A

from scapula to T10

33
Q

What would dimished breath sounds show?

A

airway obstruction, hyperinflation, oneumothroax, pleural effusion

34
Q

What would adventitious breath sounds show?`

A

Wheezes for asthma or COPD, crackles for pneumonia/bronchiectasis

35
Q

Where is the inferior border of visceral pleura?

A

MCL at 6th rib, MAL at 8th rib, scapula line at T10

36
Q

WHere is the inferior border of parietal pleura?

A

MCL at 8th rib, MAL at 10th rib and scapula line at T12, CC at 6th and L1 at PML

37
Q

Where is the mediastinal border of pleura?

A

Medial 3rd of clavicle, sternoclavicular joint, 2nd CC, 4th CC, 6th CC

38
Q

What are the surface markings for the transverse fissure of the right lung?

A

Identify4th CC and it runs along the 4th Rib till it meet s the oblique

39
Q

WHere is the correct location for a chest drain?

A

Posterior Border: anterior border of latissimus dorsi, ANterior: posterior border or pec major, Inferior: 5th ICC at MAL and Superior: below apex of axilla

OSPE 2020 (6 decks)

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