Surface anatomy

Question 1

Chest drain

Answer 1

5th intercostal space slightly anterior to midaxillary line

Question 2

Liver biopsy

Answer 2

9th intercostal space midaxillary line (costo-diaphragmatic recess)

Question 3

Aspirate tension pneumothorax

Answer 3

2nd intercostal midclavicular line

Question 4

Carotid pulse

Answer 4

Anterior triangle neck, between trachea and sternocleidomastoid

Question 5

Posterior tibial pulse

Answer 5

Posterior to medial malleolus

Question 6

Aortic valve auscultation

Answer 6

2nd intercostal space right of sternum

Question 7

Pulmonary valve auscultation

Answer 7

2nd intercostal space left of sternum

Question 8

Tricuspid valve ausculation

Answer 8

4th intercostal space, left lower sternal border

Question 9

Mitral valve auscultation

Answer 9

5th intercostal space at left midclavicular

Question 10

Anatomical snuffbox borders

Answer 10

Medial epl, lateral epb and apl

Question 11

Anatomical snuffbox contents

Answer 11

Radial artery& nerve and cephalic vein

Question 12

Biceps brachii action

Answer 12

Flex arm and forearm, supinate forearm (better when flexed)

Question 13

Aortic valve auscultation

Answer 13

2nd intercostal space right of sternum

Question 14

Pulmonary valve auscultation

Answer 14

2nd intercostal space left of sternum

Question 15

Mc Burneys point

Answer 15

1/3 distance from ASIS to umbilicus

Question 16

Masseter action

Answer 16

elevation (closing mouth) and protrusion of mandible

Question 17

SCM unilateral action

Answer 17

Ipsilateral lateral flexion, contralateral rotation

Question 18

SCM bilateral action

Answer 18

Cervical flexion (head forward), sternum elevation(forced inhalation)

Question 19

Iliopsoas action

Answer 19

Hip flexion

Question 20

Rectus femoris action

Answer 20

Hip flexion, knee extension

Question 21

Brachioradialis action

Answer 21

Elbow flexion, supination

Question 22

Deltoid action

Answer 22

Shoulder abduction,flexion, extension

Question 23

Thyroid cartilage

Answer 23

largest cartilage, adams apple

c4-c5

Question 24

Cricothyroid membrane

Answer 24

Just below thyroid cartilage, tracheostomy

Question 25

Mastoid process

Answer 25

Projects down &forwards, behind the earlobe

Question 26

Angle of jaw

Answer 26

Posterior border at the junction of the ramus of the mandible

Question 27

Transpyloric plane

Answer 27

Halfway between jugular notch and upper border pubic symphysis

Question 28

Jugular notch

Answer 28

aka suprasternal notch | Between the clavicles above the sternum, can palpate the trachea behind it

Question 29

Angle of Louis

Answer 29

2nd rib - sternal angle - angle formed between the manubrium& body of the sternum - This level marks the level of the intervertebral discs which lies between thoracic vertebra T4 and T5.

Question 30

Erb's point

Answer 30

- 3rd left ICS, left sternal border - at this point you can hear S1 and S2 - It is the sound of the mitral & tricuspid valves closing as the body empties the ventricles into the lungs (S1) - or the beginning of diastole/relaxation of the heart; the sound of aortic and pulmonic valves closing (S2)