Midterm 2019 Flashcards

1
Q

Demarcated mass in the right dome
of hemidiaphragm. Where is the
actual location?

A

Anterior basal segment of right

lower lobe

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2
Q

Aortopulmonary window best

demonstrated

A

Lateral

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3
Q

Pleural fluid in the left, what is

obliterated

A

Left hemidiaphragm

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4
Q

Retrosternal space

A

1/3

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5
Q

Left subdiaphragmatic air

A

Fluid level

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6
Q

Not seen in chest PA

A

sternum

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7
Q

Not seen in lateral projection

A

Clavicle

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8
Q

Seen in chest PA as radiolucent

column in midline?

A

Trachea

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9
Q

Lungs protrude above clavicle for

about

A

2.5 cm

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10
Q

Child inhaled a foreign object, which

bronchus will it more likely enter

A

Right bronchus

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11
Q

Ventricular systole

A

Open pulmonary valve

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12
Q

Failure of the fusion of 2 septa

A

Atrial septal defect

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13
Q

Inferior vena cava

A

T8

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14
Q

Esophageal opening at diaphragm

A

T10

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15
Q

Aortic opening at diaphragm

A

T12

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16
Q

Visceral layer of the heart

A

epicardium

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17
Q

Supplies the mediastinal pleura

A

Phrenic nerve

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18
Q

Location of AV node

A

Septal cusp of tricuspid valve

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19
Q

Location of SA node

A

Crista terminalis/ coronary sulcus

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20
Q

Moderator band carries

A

Right bundle of AV bundle

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21
Q

Peau d’ orange

A

Lymphatic blockade

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22
Q

Origin of second intercostal artery

A

Costocervical trunk

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23
Q

Diaphragmatic hiatus is found at the

level of T8

A

Caval opening

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24
Q

Mitral valve best heard at

A

5th left intercostal space,

midclavicular

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25
Q

What happens to pressure during

inhalation?

A

Increase intra-abdominal pressure,

decrease intrathoracic pressure

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26
Q

CTT insertion

A

Between 4th and 5th intercostal

space

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27
Q

If enlarged, causes widening of carinal

angle:

A

Left atrium

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28
Q
In posterior-anterior view, which is least
visible?
A. Right ventricle
B. Left ventricle
C. Right atrium
D. Left atrium
E. None of the above
A

D. Left atrium

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29
Q

Retrosternal space seen at

A

Lateral view

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30
Q

In Congenital Torticollis, what muscle is

affected?

A

Sternocleidomastoid m.

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31
Q

At PA view, what structure would you

NOT see?

A

Sternum

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32
Q

Thyroid cancer would most likely

spread/metastasize to which lymph nodes?

A

Tracheal lymph nodes

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33
Q

Not visible on lateral view-

A

Clavicle

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34
Q

What divides the submandibular gland?

A

Mylohyoid

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35
Q

Mumps

A

Parotid glands

36
Q

Level of ascending arch and pulmonary

trunk

A

Sternal angle

37
Q

Breast exam, nipple and areolar area is

palpated. This area is _____ prone to cancer

A

Second most

38
Q
Highest risk of having cancer
A. Px's Mother had bilateral mastectomy
at 35y/o
B. Px's mother had mastectomy at 60y/o
C. Px's mother had removal of cyst at 25y/o
A

A. Px’s Mother had bilateral mastectomy

at 35y/o

39
Q
Caval opening transmits?
A. Right vagus nerve
B. Right Phrenic nerve
C. Thoracic duct
D. Azygos vein
A

B. Right Phrenic nerve

40
Q

Where parietal pleura becomes

continuous with visceral pleura?

A

Hilum of Lungs

41
Q
Effect of contraction of diaphragm to
\_\_\_\_\_\_\_\_\_ intrathoracic pressure \_\_\_\_\_\_\_\_
intraabdominal pressure
A. Increase, increase
B. Decrease, decrease
C. Increase, decrease
D. Decrease, increase
A

D. Decrease, increase

42
Q
Brain drainage?
A. Internal Jugular v.
B. External Jugular v.
C. Facial v.
D. Retromandibular v.
E. Venous sinus
A

E. Venous sinus

43
Q

Where are the venous sinuses located?

A

Venous sinuses are situated between the
periosteal and the meningeal layer of the
dura mater with thick, fibrous walls, but
they possess no valves.

44
Q

What vein meets the facial vein before it

enters the internal jugular vein?

A
Retromandibular vein (Anterior
division)
45
Q

Superficial temporal + maxillary veins

A

Retromandibular vein

46
Q
What nerve accompanies the superficial
temporal vein and artery?
A. Hypoglossal nerve
B. Auriculotemporal nerve
C. Facial Nerve
D. Chorda Tympani
E. Deep temporal nerve
F. Maxillary nerve
A

B. Auriculotemporal nerve

47
Q

TRUE or FALSE: The veins of the brain

has valves

A

FALSE

48
Q

TRUE or FALSE: Clamping of internal

jugular vein in massive hemorrhage.

A

FALSE: One may clamp the vagus nerve.
Clamping of internal jugular vein will lead to
death.

49
Q
Which of the following is a complication
as a result of cannulation of the internal
jugular or subclavian vein?
A. Arrhythmia
B. Pleural effusion
C. Cardiac tamponade
D. Pneumothorax
A

D. Pneumothorax

50
Q
Where does the Stensen's duct open?
A. Upper 2nd molar
B. Lower 2nd molar
C. Upper 1st molar
D. Lower 1st molar
A

A. Upper 2nd molar

51
Q

Middle thyroid vein is torn, what is

affected?

A

Internal jugular vein

52
Q

Nerves involved in Frey’s syndrome

A

Auriculotemporal nn. and Great

auricular nn.

53
Q
What structure do you avoid during
careful dissection of the inferior thyroid
muscles?
A. Vagus nerve
B. Common carotid artery
C. Inferior vena cava
D. Recurrent laryngeal nerve
E. Superior laryngeal nerve
A

D. Recurrent laryngeal nerve

54
Q

To confirm enlargement of the thyroid

gland ask patient to..

A

Swallow

55
Q
Which nerve supplies the anterior and
lateral surfaces of the neck?
A Great occipital
B. Lesser occipital
C. Great auricular
D. Transverse cutaneous
E. Supraclavicular nerves
A

D. Transverse cutaneous

56
Q

Manometer

A

Angle of Louis

57
Q
Length of the external jugular vein in a
supine position at 30 degrees
A. 1/4
B. 1/2
C. 1/3
D. 3/4
A

C. 1/3

58
Q

Innervates platysma

A

Facial Nerve

59
Q

Action of the anterior belly of the

digastric to the hyoid bone

A

Opens mouth by lowering the mandible;

raises the hyoid bone

60
Q
What innervates the omohyoid muscle?
A. Facial nerve
B. Hypoglossal nerve
C. Spinal accessory nerve
D. Ansa cervicalis
E. Recurrent laryngeal nerve
A

C. Spinal accessory nerve

61
Q

Ludwig’s angina infection

A

Submandibular abscess

62
Q

Branch of external carotid artery

A

Lingual artery

63
Q

Anastomosis between 2 cerebral a. and

2 vertebral a.

A

Circle of willis

64
Q

Location of SA node

A

Crista Terminalis

65
Q
Medial end right second intercostal
space
A. Tricuspid valve
B. Mitral valve
C. Pulmonary valve
D. Aortic valve
A

D. Aortic valve

66
Q
Enlarged lymph nodes on the superior
vena cava impinged on the level where the
two brachiocephalic veins unite. What
route does the venous flow take get into the
right atrium?
A. Superior hemiazgos vein
B. Inferior hemiazygos vein
C. Internal Thoracic artery
D. Inferior Vena Cava
E. Azygos Vein
A

E. Azygos Vein

67
Q

Roughening of the visceral and parietal

layers of serous pericardium?

A

Pericardial friction rub

68
Q

Aortic opening

A

T12

69
Q
What level does the inferior vena cava
pierce the diaphragm?
A. T12
B. T10
C. T8
D. T6
A

C. T8

70
Q
Where will the cancer from the distal
third of the esophagus most likely spread
first?
A. Celiac nodes
B. Deep cervical nodes
C. Superior mediastinal nodes
D. Arch of the aorta
A

A. Celiac nodes

71
Q

How high does the lung apex project up

into the neck?

A

2.5 cm above the clavicle

72
Q

A 5-year old child swallowed a marble
which entered the trachea and lodged in a
bronchus. In which bronchus would it most
probably lodge?

A

Right bronchus

73
Q
The esophageal opening of the
diaphragm lies at the level of?
A. T8
B. T9
C. T10
D. T12
A

C. T10

74
Q
What level does the carina lie during
deep inspiration?
A. 6th cervical vertebra
B. 2nd thoracic vertebra
C. 4th thoracic vertebra
D. 6th thoracic vertebra
A

D. 6th thoracic vertebra

75
Q

Which is true regarding the bronchi?
A. The right bronchus is shorter, wider,
and more vertical than the left
B. The right bronchus is shorter, wider, and
more horizontal than the left
C. The right bronchus is longer, narrower,
and more vertical than the left
D. The right bronchus is longer, narrower,
and more horizontal than the left

A

A. The right bronchus is shorter, wider,

and more vertical than the left

76
Q
A 65-year old smoker is diagnosed to
have lung carcinoma. This patient later
developed hoarseness. How is this
possible?
A. Spread of the cancer to the vocal cords
B. Compression of the bronchi by the cancer
C. Spread of the cancer to the
tracheobronchial lymph nodes which
compress the recurrent laryngeal nerve
D. Spread of the cancer to the
tracheobronchial nodes which compress the
pharynx/throat
A

C. Spread of the cancer to the
tracheobronchial lymph nodes which
compress the recurrent laryngeal nerve

77
Q
What level does the pericardium lie?
A. 5th to 8th thoracic vertebrae
B. 3rd to 6th costal cartilages
C. Posterior mediastinum
D. Anterior mediastinum
A

A. 5th to 8th thoracic vertebrae

78
Q
What supplies the greater part of the
left cardiac chambers?
A. Left coronary artery
B. Left circumflex artery
C. Interventricular artery
A

A. Left coronary artery

79
Q

What branch of Arch of aorta that

supplies the head and neck?

A

Left common carotid artery

80
Q

Cutaneous nerve across parotid

A

Great auricular nerve

81
Q

Internal Jugular Vein Tributary

A

Lingual vein

82
Q

Where Internal Jugular Vein originates

A

Sigmoid sinus

83
Q

Spread of Infection

A

Emissary veins

84
Q
In the axial CT scan, what structure
located in the THORACIC INLET is NOT
visible?
A. Ascending aorta
B. Right ventricle
C. Esophagus
D. Left anterior descending (LAD) a.
A

D. Left anterior descending (LAD) a.

85
Q

Dermatome level of nipple?

A

T4