Thorax I (Thoracic Wall) - 2018

Question 1

Patient Relaxed arms, mass still immovable and even if hands placed on hips mass is still fixed

A. Mass is penetrating pectoralis major
B. Mass is penetrating chest wall

Answer 1

B. Mass is penetrating chest wall

Question 2

Patient relaxed arms, mass is palpable and movable but when asked to place hands on hips mass is immovable.

A. Mass is penetrating pectoralis major
B. Mass is penetrating chest wall

Answer 2

A. Mass is penetrating pectoralis major

Question 3

With tenderness except:

A. Fibrous cyst
B. Mastitis
C. Fibroadenoma
D. Cancer

Answer 3

C. Fibroadenoma

Question 4

Origin of 2nd intercostal artery:

Answer 4

Costocervical trunk

Question 5

High risk-breast cancer

Answer 5

Early menarche

Question 6

Sternal angle is at the same horizontal plane with the disc between

A. T3 and T4
B. T2 and T3
C. T4 and T5
D. T5 and T6

Answer 6

C. T4 and T5

Question 7

Serratus involvement:

Answer 7

Midaxillary line

Question 8

Esophageal opening

Answer 8

T10

Question 9

Highest risk of breast cancer:

A. 35 yr old with cancer on left breast
B. 34 yr old with cancer on both breasts
C. 60 yr old with mastectomy
D. 55 yr old with bilateral mastectomy

Answer 9

B. 34 yr old with cancer on both breasts

Question 10

Gun shot at xiphoid process possible injury where?

A. Heart
B. Stomach and liver
C. Lungs
D. Stomach, liver, lungs, heart

Answer 10

D. Stomach, liver, lungs, heart

Question 11

External intercostal muscle

Answer 11

Inhalation/ Inspiration

Question 12

Mitral valve best heard

Answer 12

5th left intercostal space midclavicular line

Question 13

Jugular notch

Answer 13

T2

Question 14

In contraction of diaphragm, the abdominal pressure:

Answer 14

Increases

Question 15

Sternum caved in:

Answer 15

Pectus excavatum

Question 16

Peau d’ orange:

Answer 16

Lymphatic blockade

Question 17

Injury in the second intercostal parasternal space, what is not affected:

Answer 17

Pectoralis minor

Question 18

Origin of second intercostal artery

Answer 18

Costocervical trunk

Question 19

Stab in this area will hit serratus anterior:

Answer 19

Midaxillary

Question 20

Root of great vessels

Answer 20

Sternal angle

Question 21

What will drain to your superior vena cava?

Answer 21

Azygos vein

Question 22

Least area to get breast cancer

Answer 22

Inner lower