Lungs

Question 1

The trachea bifurcates at the level of?

Answer 1

T4 to T5

Question 2

Trace the costal line of Pleural reflection

Answer 2

or the limit of the parietal pleura

1. 8th rib in MCL
2. 10th rib in MAL
3. 12th rib sides of vertebral column

Question 3

Trace the lower margin of the lungs

Answer 3

or the limit of the visceral pleura

1. 6th rib in MCL
2. 8th rib in MAL
3. 10th rib sides of vertebral column

Question 4

In thoracentesis, you should not puncture at the site lower than this intercostal space

Answer 4

9th ICS

Question 5

what are the ideal sites for thoracentesis?

Answer 5

7th ICS
8th ICS
9th ICS

Question 6

{Visceral/Parietal Pleura]

sensitive to pain, touch, temp pressure

Answer 6

Parietal pleura

Question 7

{Visceral/Parietal Pleura]

sensitive to stretch only

Answer 7

visceral pleura

Question 8

What are the fissures of the right lung

Answer 8

1. Oblique fissure

2. Horizontal fissure

Question 9

What are the fissures of the left lung

Answer 9

1. Oblique fissure

Question 10

The apex of both lung is located ___ cm above the clavicle

Answer 10

2.5cm

Question 11

[Right/Left lung]

larger, heavier, but shorter and wider

Answer 11

right lung

Question 12

[Right/Left lung]

has 3 lobar bronchi
10 segmental bronchi

Answer 12

right lung

Question 13

What are the grooves located in the right lung

Answer 13

1. SVC
2. Arch of azygous vein
3. Esophagus

Question 14

[Right/Left lung]

2 lobar bronchi
8 to 10 segmental bronchi

Answer 14

left lung

Question 15

[Right/Left lung]

contains the lingula

Answer 15

lef lung

Question 16

What are the grooves located in the left lung

Answer 16

1. Aortic arch

2. Descending aorta

Question 17

___ is where the parietal and visceral pleura meet

Answer 17

root of the lung

Question 18

[Right/Left lung]

contains epiarterial bronchi

Answer 18

right lung

Question 19

the right hyparterial bronchi is part of what lobe

Answer 19

middle and inferior

Question 20

[Right/Left lung]

The apicoposterior segment is found in what lung?

Answer 20

left lung

Question 21

[Breath sounds]

what lobe is auscultated at the posterior and inferior aspects of the back

Answer 21

inferior lobe

Question 22

[Breath sounds]

what lobe is auscultated in the anterior chest wall near the sternum

Answer 22

middle lobe

Question 23

[PE of classic respiratory disease]

vocal fremitus increased
tactile fremitus increased

Answer 23

consolidation

Question 24

[PE of classic respiratory disease]

vocal fremitus decreased
tactile fremitus decreased

Answer 24

pleural effusion or COPD

Question 25

How many secondary bronchi are there in the left lung

Answer 25

2

Question 26

On the right pulmonary hilum, the superior structure is the ____

Answer 26

eparterial bronchus

Question 27

On the left pulmonary hilum, the superior structure is the ___

Answer 27

pulmonary artery

Question 28

[Right/Left Bronchus] shorter, wider, more vertical

Answer 28

right main bronchus

Question 29

[Foreign body aspiration] If patient is standing or sitting

Answer 29

posterobasal segment of the inferior lobe of the right lung

Question 30

[Foreign body aspiration] if the patient is supine

Answer 30

superior BPS of the right lower lob

Question 31

[Foreign body aspiration] if the patient is lying on the right

Answer 31

posterior BPS of the right upper lobe

Question 32

[Foreign body aspiration] if the patient is lying on the left side

Answer 32

inferior lingular BPS on the left upper lobe

Question 33

The bronchial arteries suppling the trachea is a branch of?

Answer 33

descending thoracic aorta

Question 34

[Right vs left pulmonary artery] shorter, narrower

Answer 34

right pulmonary artery

Question 35

the right pulmonary artery runs __ (above or below) the arch of the aorta

Answer 35

below

Question 36

the left pulmonary artery runs over the ____

Answer 36

left primary bronchus

Question 37

the bronchial veins drain to what structire

Answer 37

azygous and hemiazygous veins

Question 38

____ tumor is a malignant neoplasm involving the apex of the lung

Answer 38

superior pulmonary sulcus tumor

Question 39

___ syndrome pain radiating to the shoulder and medial aspect of the arm; notable atrophy of the muscles of the forearm and hand

Answer 39

pancoast syndrome

Question 40

___ syndrome ptosis, enophtalmos, miosis, anhidrosis, vasodilation

Answer 40

horner syndrome

Question 41

What LN drains the lymph from the surface to the hilum of the lung

Answer 41

subpleural plexus

Question 42

What LN drain into bronchopulmonary or hilar LN

Answer 42

tracheobronchial LN

Question 43

Trace the lymphatic drainage of the lungs

Answer 43

1. Bronchopulmonary nodes 2. Tracheobronchial nodes 3. Paratracheal nodes 4. bronchomediastinal trunks

Question 44

The thymus and pericardium drain to what LN

Answer 44

Anterior mediastinal then to the tracheomediastinal trunk

Question 45

The esophagus and sternal LN drain to what LN

Answer 45

posterior mediastinal then to the thoracic duct

Question 46

The trachea, bronchi, lungs, heart drain to the

Answer 46

tracheobronchial LN then to the tracheomediastinal tunk

Question 47

the LN in the right lung drains to the

Answer 47

right lymphatic duct

Question 48

The sympathetic efferent fiber of the pulmonary plexus produce what to the bronchioles and blood vessels

Answer 48

1. Bronchodilation | 2. Vasoconstriction

Question 49

The parasympathetic efferent fiber of the pulmonary plexus produce what to the bronchioles and blood vessels

Answer 49

1. Bronchoconstriction 2. Vasodilation 3. Increased glandular secretion

Question 50

In chest tube insertion, the incision is made on the ____

Answer 50

5th or 6th ICS, MAL

Question 51

The posterior intercostal artery for rib 1 and 2 are branches of

Answer 51

Superior intercostal of the costovertebral trunk

Question 52

Anterior intercostal artery of the first six ribs is a branch of

Answer 52

internal thoracic artery

Question 53

In thoracentesis, the needle is pierced through

Answer 53

8th ICS, MAL