Respiratory

Question 1

Asculate Middle lobe of the right lung

Answer 1

Between 4th and 6th rib in the mid-clavicular and mid-axillary lines

Question 2

Asculate Lung bases

Answer 2

Posteriorly, in the scapular line at T11 vertebral level

Question 3

Horizontal fissure of the right lung

Answer 3

Level of rib 4

Question 4

Oblique fissure of left and right lungs

Answer 4

Level rib 6 anteriorly, rising to level of T3 posteriorly

Question 5

Larynx to trachea

Answer 5

C6

Question 6

What is the anterior intercostal arteries a branch of?

Answer 6

Internal thoracic artery

Question 7

Where do the anterior intercostal veins drain?

Answer 7

Internal thoracic veins

Question 8

What is the posterior intercostal arteries a branch of?

Answer 8

Thoracic aorta

Question 9

Where do the posterior intercostal veins drain

Answer 9

-Azygous vein

Question 10

Intercostal neurovascular bundles contain

Answer 10

Vein, artery, nerve (from superior to inferior- VAN)

Question 11

The most superior structure in the NVB, 4th intercostal space

Answer 11

4th intercostal vein

Question 12

Mneumonic for openings in the diaphragm

Answer 12

I Ate (8) 10 Eggs At 12

Question 13

When does the IVC pierce the diaphragm

Answer 13

T8

Question 14

When does the Esophagus pierce the diaphragm

Answer 14

T10

Question 15

When does the Aorta piece the diaphragm

Answer 15

T12

Question 16

What is the diaphragm

Answer 16

Skeletal muscle

Question 17

What type of muscle is the diaphragm

Answer 17

Skeletal muscle

Question 18

What is the phrenic nerve made of

Answer 18

The anterior rami of C3, C4, C5

Question 19

What does the long thoracic nerve supply

Answer 19

Serratus Anterior

Question 20

Paralysis of the long thoracic nerve results in

Answer 20

Winged scapula

Question 21

What are the 3 blood vessels on either side of the sternum

Answer 21

Internal thoracic artery (anterior intercostal arteries branch from this) and a pair of veins

Question 22

What branches from the internal thoracic artery?

Answer 22

Anterior Inter-coastal arteries

Question 23

What is the most inferior part of the pleural cavity

Answer 23

Costodiaphragmatic recess

Question 24

The most inferior part of the costodiaphragmatic recess

Answer 24

Costophrenic angle

Question 25

Fluid build-up causes on CXR?

Answer 25

Blunting of angles and a fluid level

Question 26

Costophrenic angle and fluid?

Answer 26

Blunts the angle

Question 27

The ‘tongue’ of the superior lobe of the left lung

Answer 27

Lingula

Question 28

Where is the cephalic vein located

Answer 28

Delto-pectoral groove

Question 29

What level does the trachea bifurcate?

Answer 29

Sternal angle (2nd rib)
and T4/5 (intervertebral disc)

Question 30

Where do the inguinal ligaments attach

Answer 30

Between ASIS and pubic tubercle

Question 31

Midpoint of the inguinal ligament?

Answer 31

Deep ring

Question 32

Where is the deep ring with regards to the inguinal ligament

Answer 32

Midpoint

Question 33

Describe a direct inguinal hernia

Answer 33

A bit of peritoneum is forced through the posterior wall of the inguinal canal and DIRECTLY out of the SUPERFICIAL ring

Question 34

Describe an indirect inguinal hernia

Answer 34

A bit of peritoneum is forced through the DEEP, into the inguinal canal, and then out of the superficial ring

Question 35

Direct vs indirect inguinal hernia test

Answer 35

Reduce the hernia, occlude the deep ring with the fingertip and ask the patient to cough

Question 36

If reduced, a direct hernia will…

Answer 36

Reappear as it does not need to pass through the deep ring to get out of the scrotum

Question 37

If reduced, an indirect hernia will…

Answer 37

(Shy away) not reappear as it needs to pass through the deep ring to get out of the scotum