Resp

Question 1

Level of superior scapular angle

Answer 1

T2

Question 2

Medial spine of scapula

Answer 2

T3

Question 3

Level of inferior scapula angle

Answer 3

T7

Question 4

Suprasternal notch level

Answer 4

T2/3

Question 5

Superior and inferior levels of manubrium

Answer 5

T2/3

T4/5

Question 6

Sternal body levels

Answer 6

T5-T8

Question 7

Level of xiphisternum

Answer 7

T8/9

Question 8

Transpyloric plane level

Answer 8

L1

Question 9

Sub coastal plane level

Answer 9

L2

Question 10

Why do you do asymmetry on posterior side

Answer 10

Because gives idea of lower lobes

Anterior side only for middle+upper lobes

Question 11

What to ask patient when percussing back?

Answer 11

To cross arms

Question 12

Anterior sites for lung apex

Answer 12

1

Question 13

Anterior sites for right upper lobe

Answer 13

2

Question 14

Sites of left upper lobe

Answer 14

2,3,5

Question 15

Sites for middle lobe percussion and auscultation

Answer 15

3,5

Question 16

Sites for lower lobe

Answer 16

4

Question 17

Surface markings of right upper lobe

Answer 17

Ribs 1-4

Question 18

Surface markings of middle right lobe

Answer 18

Ribs 4-6

Question 19

Surface markings right lower lobe

Answer 19

ribs 5-7 laterally

Question 20

Surface marking left upper lobe

Answer 20

ribs 1-6 medially

Question 21

Surface markings left lower lobe

Answer 21

ribs 5-7 laterally

Question 22

Inferior margin of lower visceral pleura

Answer 22

Medially 6th costal, 6th rib MCL, 8th rib MAL and scapular line 10th rib

Question 23

Reasons for chest drain

Answer 23

Pneumothorax, haemothorax and pleural effusion

Question 24

Safety triangle for triangle

Answer 24

Superiorly axilla and inferiorly 5th ICS

Lateral border of pec major and anterior border of lat Dorsi

Question 25

Where to place needle for chest drain

Answer 25

Upper border of rib Direction of medially upwards Best if anterior to MAL in order to avoid long thoracic nerve

Question 26

Inferior border of right lung parietal pleura

Answer 26

Starts at transverse process of T1 then goes around root of neck. Projects above 1st costal cartilage to inch above medial 1/3 of clavicle. Runs down sternum to 6th costal cartilage and then reflects onto diaphragm above costal margin, goes around thoracic wall. Inferior boundaries are medially 6th costal cartilage, 8th rib MCL, 10th rib MAL, 12th rib and transverse process of L1 vertebral

Question 27

Inferior borders of left lung parietal pleura

Answer 27

Starts at transverse process of T1 then goes around root of neck. Projects to left sternoclavicular joint an inch above medial 1/3 of clavicle. Runs down sternum to 4th costal cartilage and deviates to left because of cardiac notch. Inferior boundaries are, 8th rib MCL, 10th rib MAL, 12th rib and transverse process of L1 vertebral

Question 28

Horizontal fissure

Answer 28

Runs from 4th CC to meet onlique fissure in MAL

Question 29

Oblique fissure

Answer 29

Runs from 6th CC to T3 posteriorly