Thoracic Wall - October 2016

Question 1

Dermatotemal level supplied by the T10

Answer 1

UMBILICUS

Question 2

How many intercostal nerves are there?

a. 10
b. 11
c. 12
d. 13

Answer 2

c. 12

Question 3

Suprapleural membrane if is a thickening of

Answer 3

ENDOTHORACIC FASCIA

Question 4

The nipple is located at the-

Answer 4

4th INTERCOSTAL SPACE

Question 5

Intrauterine development of the breasts

a. Connective tissue and adipose
b. Ducts
c. Glands

Answer 5

b. Ducts

Question 6

Dipragmatic hiatus is found at the level of T8

Answer 6

CAVAL OPENING

Question 7

Anterior border of the diaphragm

Answer 7

XIPHISTERNAL JOINT

Question 8

Vagus nerve will pass through what opening-

Answer 8

ESOPHAGEAL OPENING

Question 9

Which would not be penetrated in a stab wound

a. Pectoralis minor
b. Pectoralis major
c. Intercostal muscles

Answer 9

a. Pectoralis minor

Question 10

Stabbed in the peristernal area. A penetrating wound would mean.

a. The intercostal muscles are affected
b. The pectoralis major is affected
c. The endothoracic fascia is affected

Answer 10

b. The pectoralis major is affected

Question 11

You suspect cancer in people who are aged-

Answer 11

50 AND ABOVE

Question 12

An 18 year old girl with movable mass on the breast and not painful-

Answer 12

FIBROADENOMA

Question 13

Level of the manubrium

Answer 13

T3 and T4

Question 14

2nd area prone to cancer

Answer 14

NIPPLE AND AREOLAR AREA

Question 15

Xiphisternal joint level-

Answer 15

T9

Question 16

Which is not an inspiration muscle?

a. External intercostal
b. Internal intercostal
c. Levatores costarum
d. Sternocleidomastoid

Answer 16

b. Internal intercostal

Question 17

Posterior intercostal arteries that supply the 1st 2 intercostal space

Answer 17

COSTOCERVICAL TRUNK

Question 18

Mintral valve is best heard at

a. 2nd right intercostal space parasternal
b. 2nd left intercostal space parasternal
c. 5th left intercostal space midclavicular
d. 5th right intercostal space parasternal

Answer 18

c. 5th left intercostal space midclavicular

Question 19

Level 3 axillary mass-

Answer 19

ABOVE PECTORALIS MINOR

Question 20

Needle thoracostomy is inserted at-

Answer 20

UPPER BORDER OF THE LOWER RIB

Question 21

The intercostal VAN is located

a. Between external intercostal and internal intercostal
b. Between internal intecostal and innermost intercostal
c. Between innermost intercostal and endothoracic fascia

Answer 21

b. BETWEEN INTERNAL INTERCOSTAL AND INNERMOST INTERCOSTAL

Question 22

What happens to pressure during inhalation

a. Decrease intraabdominal pressure, increase intrathoracic
b. Increase intraabdominal pressure, decrease intrathoracic pressure
c. Increase both pressure

Answer 22

b. INCREASE INTRAABDOMINAL PRESSURE, DECREASE INTRATHORACIC PRESSURE

Question 23

Insertion of the diaphragm

Answer 23

CENTRAL TENDON

Question 24

CTT insertion

Answer 24

BETWEEN 4th AND 5th INTERCOSTAL SPACE

Question 25

Flial chest

Answer 25

NEAR THE COSTOCHONDRAL AND ANGLE OF THE RIB

Question 26

Where does the 8th rib attaches a. Sternum b. costal cartilage of the upper rib c. Xiphoid process

Answer 26

b. COSTAL CARTILAGE OF THE UPPER RIB

Question 27

Congenital diaphragmatic hernia

Answer 27

PLEUROPERITONEAL