Deck 42: Thoracic Surgery

Question 1

Which is a factor that influences the choice of incisions for thoracic surgery?

A) Patient age
B) Surgeon preference
C) Intrapleural pressure
D) Hemodynamic quality

Answer 1

C
Factors influencing the location of the thoracic incision include physiologic intrapleural pressure changes and constant movement of the chest,adequate exposure into the thoracic cavity,maintenance of integrity of the chest wall and diaphragm,the condition of the underlying pleura and lung,and the objective of a minimally invasive procedure if possible.

Question 2

The primary reason for most lung resections is the presence of infections.

Answer 2

False
The presence of neoplasms on the lung is the predominant indication for performing a lung resection.

Question 3

What type of bronchoscope is mainly used for foreign body removal and to find the cause of persistent bleeding?

A) Indirect
B) Rigid
C) Flexible
D) Bypass

Answer 3

B
The rigid scope can pass a biopsy or foreign body forceps and can allow oxygenation through perforations along the side of the tube.

Question 4

What process,caused by a puncture of the left pleural cavity,may result in a collapsed right lung?

A) Pectus excavatum
B) Median sternotomy
C) Mediastinal shift
D) Segmental resection

Question 5

Which is an effective treatment for a spontaneous pneumothorax?

A) Chest radiograph
B) Radiation followed by chemotherapy
C) Pleurodesis
D) Thymectomy

Question 6

A mediastinoscopy may be performed using a needle and syringe.

Question 7

What type of tube is used to restore an airtight pleural cavity and maintain negative pressure?

A) Jackson-Pratt drain connected to a reservoir
B) Chest tube connected to a closed water-seal drainage system
C) A Penrose drain covered with sterile gauze
D) Sengstaken-Blakemore tube

Question 8

Which type of pressure is necessary within the thorax to maintain normal inhalation and expiration?

A) Negative
B) Positive
C) Internal
D) Blunt

Question 9

MATCHING
Match each condition with its definition.
a.Hemothorax
b.Pectus carinatum
c.Mediastinal shift
d.Thoracic outlet syndrome
e.Hiatal hernia
f.Pectus excavatum
g.Empyema
h.Pneumothorax
Collection of pus and fluid in intrathoracic spaces

Question 10

MATCHING
Match each condition with its definition.
a.Hemothorax
b.Pectus carinatum
c.Mediastinal shift
d.Thoracic outlet syndrome
e.Hiatal hernia
f.Pectus excavatum
g.Empyema
h.Pneumothorax
Air in the pleural space

Question 11

MATCHING
Match each condition with its definition.
a.Hemothorax
b.Pectus carinatum
c.Mediastinal shift
d.Thoracic outlet syndrome
e.Hiatal hernia
f.Pectus excavatum
g.Empyema
h.Pneumothorax
Funnel chest

Question 12

Where is the thymus located?

A) Middle of the esophagus
B) Hilus of the lung
C) Anterior section of the mediastinum
D) Base of the visceral pleura

Question 13

MATCHING
Match each condition with its definition.
a.Hemothorax
b.Pectus carinatum
c.Mediastinal shift
d.Thoracic outlet syndrome
e.Hiatal hernia
f.Pectus excavatum
g.Empyema
h.Pneumothorax
Diaphragmatic bulging

Question 14

Which is a reason for inserting an airway stent?

A) Alternative to endotracheal intubation
B) Palliative care for obstruction of neoplasm
C) To prevent postoperative bleeding
D) To assist with laser use in the thoracic cavity

Question 15

Which lung has three lobes and a straighter bronchus?

A) Left
B) Right lower
C) Left lower
D) Right

Question 16

Which would be a reason for performing a bronchoscopy?

A) To obtain a biopsy specimen
B) To insert a chest tube
C) To excise a wedge resection
D) To perform a tracheotomy

Question 17

MATCHING
Match each condition with its definition.
a.Hemothorax
b.Pectus carinatum
c.Mediastinal shift
d.Thoracic outlet syndrome
e.Hiatal hernia
f.Pectus excavatum
g.Empyema
h.Pneumothorax
Bloody in the pleural space

Question 18

What type of device is used to prolong resuscitation after a patient is removed from cardiopulmonary bypass?

A) BCMA
B) ACLS
C) CPRS
D) ECMO

Question 19

Which ribs have no fixation anteriorly?

A) 5th,6th,and 7th ribs
B) 7th and 8th ribs
C) 8th,9th,and 10th ribs
D) 11th and 12th ribs

Question 20

A thymectomy is performed to relieve the symptoms of what disease?

A) Graves' disease
B) Tuberculosis
C) Bronchospasm
D) Myasthenia gravis

Question 21

MATCHING
Match each condition with its definition.
a.Hemothorax
b.Pectus carinatum
c.Mediastinal shift
d.Thoracic outlet syndrome
e.Hiatal hernia
f.Pectus excavatum
g.Empyema
h.Pneumothorax
Pigeon chest

Question 22

MATCHING
Match each condition with its definition.
a.Hemothorax
b.Pectus carinatum
c.Mediastinal shift
d.Thoracic outlet syndrome
e.Hiatal hernia
f.Pectus excavatum
g.Empyema
h.Pneumothorax
Compression of lung due to intrapleural pressure changes

Question 23

MATCHING
Match each condition with its definition.
a.Hemothorax
b.Pectus carinatum
c.Mediastinal shift
d.Thoracic outlet syndrome
e.Hiatal hernia
f.Pectus excavatum
g.Empyema
h.Pneumothorax
Vessel and nerve impingement at first rib