Respiratory

Question 1

What forms the sternum?

Answer 1

Manubrium, body of sternum, xiphphoid process

Question 2

What type are the sternocostal joints?

Answer 2

Synovial apart from 1st (synarthrosis)

Question 3

What level is the subcostal plane at?

Answer 3

L3

Question 4

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

Answer 4

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

Question 5

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

Answer 5

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

Question 6

What occurs at the sternal angle and where?

Answer 6

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

Question 7

Where is the xiphisternum?

Answer 7

T8/9

Question 8

How do you find T2?

Answer 8

Superior spine of scapula

Question 9

How do you find T3?

Answer 9

Spine of scapula

Question 10

How do you find T7?

Answer 10

Inferior angle of scapula

Question 11

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

Answer 11

Upper lobe collapse or fibrosis

Question 12

What does tracehal deviation to opposite side of lesion indicate?

Answer 12

large pleural effusion, tension pneumothorax

Question 13

What are common causes of unilateral chest expansion?

Answer 13

pneumothorax, pleural effusion, collapsed lung

Question 14

WHat level is body of the sternum at?

Answer 14

T5-T8

Question 15

Where is the transpylorric and subcostal planes?

Answer 15

L1 and L2

Question 16

What structures pass through the intervetebral foramina?

Answer 16

Spinal nerve and radicular arteries

Question 17

What joint is between the articular facets of the vetebrae?

Answer 17

synovial

Question 18

What are the anterior surface markings of the lung?

Answer 18

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

Question 19

Posterior surface markings of the lung?

Answer 19

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

Question 20

Where does the pleura run to?

Answer 20

T12

Question 21

Where is the oblique fissure?

Answer 21

Posterior starts at T3 and anterior at 6th rib

Question 22

Where is the lung hilum?

Answer 22

T4-T6

Question 23

What level is the umbilicus at?

Answer 23

L3/L4

Question 24

What level is the supracristal plane at?

Answer 24

L4

Question 25

Where do you percuss the superior right lung lobe?

Answer 25

Medial 3rd clavicle and 3rd ICS at MCC

Question 26

Where do you percuss the middle right lung lobe?

Answer 26

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

Question 27

Where do you percuss the lower right lung lobe?

Answer 27

6th/7th ICS MAL

Question 28

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

Answer 28

Lung apex and 3rd ICS MCL

Question 29

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

Answer 29

near scapula spine

Question 30

Describe auscultation of the middle right lobe anteriorly?

Answer 30

5th ICS MCL and below axilla MAL

Question 31

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

Answer 31

7th ICS MAL

Question 32

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

Answer 32

from scapula to T10

Question 33

What would dimished breath sounds show?

Answer 33

airway obstruction, hyperinflation, oneumothroax, pleural effusion

Question 34

What would adventitious breath sounds show?`

Answer 34

Wheezes for asthma or COPD, crackles for pneumonia/bronchiectasis

Question 35

Where is the inferior border of visceral pleura?

Answer 35

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

Question 36

WHere is the inferior border of parietal pleura?

Answer 36

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

Question 37

Where is the mediastinal border of pleura?

Answer 37

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

Question 38

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

Answer 38

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

Question 39

WHere is the correct location for a chest drain?

Answer 39

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