Final Review-Thoracic Cavity

Question 1

What is it called when two or more ribs are broken consecutively causing opposite breathing motion?

Answer 1

Flail Chest

Question 2

What are the 7 accessory respiratory muscles?

Answer 2

1.Anterior Scalene 2.Middle Scalene 3.Posterior Scalene 4.External Intercostal 5.Internal Intercostal 6. Innermost Innercostal 7.Transversis Thoracisis

Question 3

What is it called when AIR invades the Pleural Space?

Answer 3

Pneumothorax

Question 4

What is it called when BLOOD invades the Pleural Space?

Answer 4

Hemothroax

Question 5

How many CURA are around the Aortic and Esophageal Hiatus?

Answer 5

2 Cura, R Cura and L Cura

Question 6

What supplies the intercosal muscles with blood? What is their source?

Answer 6

The intercostal arteries and they come from the aorta

Question 7

Where does the neurovascular bundle run along the rib?

Answer 7

THE LOWER portion (underside) of the rib

Question 8

What is the procedure to sew the cura over the esophagus to stop acid reflux?

Answer 8

Nissen

Question 9

What structure does the RECURRENT Vagus nerve wrap around on the Right side of the body? What about the Left side of the body?

Answer 9

R: The subclavian artery, Left: Aorta

Question 10

Which cervical nerve branches keep the diaphragm alive?

Answer 10

C3 C4 C5 keep the diaphragm alive!

Question 11

What nerve runs ANTERIOR to the hyaline of the lung? What nerve runs POSTERIOR to the hyaline of the lung?

Answer 11

Anterior:Phrenic Posterior:Vagus PARTY IN THE BACK ROOM IN VEGAS!!

Question 12

The recurrent Laryngeal nerve is a branch of which CN?

Answer 12

X Vagus

Question 13

What are the two nerves of concern during a Mastectomy?

Answer 13

Long Thoracic and Thoracodorsal

Question 14

DUE to the set up of Lymph in the lungs, if you see a tumor in the Right neck, where did the tumor probably originate?

Answer 14

Lung cancer on the LEFT side

Question 15

Which anatomical location can a lung tumor spread to?

Answer 15

The atropulmonary window

Question 16

What is the procedure where a surgeon will poop his pants to take a biopsy of a lymph node?

Answer 16

Mediastinoscopy

Question 17

What is dark fluid in the pleura?

Answer 17

Exudate

Question 18

What is clear fluid in the pleura?

Answer 18

Tansudate (TRANSLUCID)

Question 19

What is fluid in the pleura called?

Answer 19

Plural Effusion

Question 20

How do you diagnose a pleural effusion in an x ray?

Answer 20

A meniscus like rounded edge in the bottom of the thorax

Question 21

What is the patient doing in a lateral delubitus?

Answer 21

The Pt is lying down

Question 22

What does the the pleura look like in mesothelioma(ASBESTOSIS)?

Answer 22

The pleura is thick in the Xray

Question 23

What is a “giant heart”?

Answer 23

CardioMyoPathy

Question 24

What is puss in the PLEURAL space called?

Answer 24

EM-PY-EE-MA

Question 25

What is puss in the lungs?

Answer 25

A lung abscess

Question 26

What is a thoracentesis? What consistency/color do you want to see in the fluid?

Answer 26

Sticking a needle in the thorax to pull fluid out. Clear fluid is good, not clear is bad!

Question 27

What are the bubble like structures in an emphysema pt?

Answer 27

"BLEBS"

Question 28

How do you treat a tension pneumothorax?

Answer 28

Puncture the lung with a needle (the lung will be PUSHING the trachea one way)

Question 29

What substance do you use to stop a chronic pleural effusion/Pleuradesis?

Answer 29

Sterile Baby Talc

Question 30

What is one way of fixing Empyema?

Answer 30

An ELO-ESSER Flap

Question 31

How can a guy in a bar hold his head under water for 10 minutes?

Answer 31

With a BRONCHIO-PLEURAL FISTULA!!

Question 32

What are the two DUCTS of the lymph systems in the thorax? (L & R)

Answer 32

Left is Thoracic Duct, Right is Lymphatic Duct

Question 33

What is a normal amount of fluid in the pleura?

Answer 33

10cc's

Question 34

What is a chylothorax? What is the best initial treatment?

Answer 34

Lymph fluid in pleural space. Do nothing.

Question 35

What is cut when the surgeon puts a "central line" in and there is a pleural effusion?

Answer 35

The Thoracic Duct

Question 36

Intercostal Arteries are branches of what main artery?

Answer 36

The Thoracic Aorta