thorax Flashcards
1
Q
1. Which of the following is NOT a synovial joint? A. costovertebral joint B. costotransverse joint C. costochondral joint D. interchondral joint E. sternocostal joint
A
c
2
Q
- In the intercostal space, A. neurovascular bundle travels between external & internal intercostal layers B. 1st intercostal nerve does NOT have a cutaneous branch C. anterior cutaneous branch of intercostal nerve crosses anterior to internal thoracic artery to supply the ventral strip of skin D. supreme intercostal artery supplies the 1st 2 intercostal space posteriorly E. there are 2 anterior intercostal arteries for each intercostal space
A
b
3
Q
- Regarding the diaphragm, the following is FALSE: A. aortic opening is at the T12 level & transmits aorta, thoracic duct & azygos vein B. oesophageal opening is at T10 level & transmits oesophagus, vagal trunks & oesophageal vessels C. caval opening is at T8 level & transmits IVC & hemiazygos D. greater, lesser & least splanchnic nerves pierces the R & L crus E. L phrenic nerve pierces the dome of diaphragm.
A
c
4
Q
- Regarding diaphragm: A. R & L inferior phrenic artery supply the diaphragm from its thoracic surface B. Lower intercostal nerves assists phrenic nerve in motor supply of the diaphragm C. Subcostal vessels pass behind the medial arcuate ligament D. 55% of diaphragmatic muscles are of slow twitch variety E. All of the above are true
A
d
5
Q
- At the level of lower border of T4: A. trachea bifuricates into L & R main bronchus B. azygos vein enters SVC C. thoracic duct lies to the L of oesophagus D. L recurrent laryngeal nerve hooks around the ligamentum arteriosum E. all of the above
A
e
6
Q
- In the superior mediastinum: A. oesophagus & trachea lies to the right of midline B. aorta arches over the R main bronchus C. aorta gives off L subclavian, L common carotid & brachiocephalic branch at its convexity D. L lung apex is in contact with the trachea E. R brachiocephalic vein has longer coursethan the L brachiocephalic vein
A
c
7
Q
- Regarding trachea: A. cricoid cartilage lies at the level of C6 B. azygos vein arches over the L main bronchus C. L recurrent laryngeal nerve travels anterior to trachea throughout its course in the superior mediastinum D. Both R & L pulmonary artery are found at the level of carina E. All of the above
A
a
8
Q
- Regarding the phrenic nerve, the following is FALSE: A. it contains C3,4,5 fibers B. medial relations include the left common carotid, subclavian artery, aortic arch & left ventricle in the mediastinum. C. It supplies the left ½ of diaphragm including R crus D. It ravels through the caval opening with IVC E. It crosses behind the L main bronchus
A
d
9
Q
- Regarding the oesophagus, the following is INCORRECT: A. it narrows at the level where it is crossed by the aortic arch & L main bronchus B. blood supplies are from inferior thryoid artery, left gastric artery & aorta C. it is not drained by the azygos system D. lymphatic drains to deep cervical, tracheobronchial & coeliac lymph nodes E. all of the above are false
A
c
10
Q
- Regarding the heart, A. oblique sinus is found in the area between the great arteries & pulmonary veins B. inferior border consists of right ventricle & apex of left ventricles C. visceral pericardium is supplied by the phrenic nerve D. R & L auricles have smooth inner surface. E. All of the above are true
A
b
11
Q
- Which of the following is NOT seen on the posterior surface of the heart? A. L atrium B. R atrium C. L ventricle D. R ventricle E. Coronary sinus
A
d
12
Q
- Regarding the heart, A. R coronary artery lies in the R atrio-ventricular groove B. R branch of conducting bundle lies within the septomarginal trabecula C. Posterior cusp is the smallest cusp in the tricuspid valve D. L ventricular wall is 3x thicker than the R ventricular wall E. All of the above
A
e
13
Q
- Regarding the R coronary artery, the following is FALSE: A. RCA supplies the sino-atrial node in 60% cases B. RCA gives posterior interventricular branch in 90% cases (R dominant) C. AV node & conducting bundle is supplied by the RCA entirely in 90% cases D. Anastomosis with LCA in atrio-ventricular groove occurs at arteriolar level only E. All of the above
A
c
14
Q
- Tributaries of L brachio-cephalic veins include: A. thoracic duct B. vertebral veins C. inferior thyroid vein D. internal thoracic vein E. all of the above
A
e
15
Q
- Regarding the pleura: A. visceral pleura is supplied by the phrenic nerve B. pleural aspiration should be taken at the 4th intercostal space in mid-axillary line C. lowest extent of the pleura reaches the T10 level D. pulmonary ligament attaches the lung hila posteriorly E. all of the above are true
A
b