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35. All of the following commonly occur on inhalation except:
Poll
  •   a) The diaphragm descends
  •   b) The external intercostal muscles contract
  •   c) The abdominal muscles contract and push the abdominal viscera cranially
  •   d) The ribs are raised
  •   e) The vertical dimension of the thoracic cavity increases
5 votes


34. The following statements concerning the thoracic wall are correct except:
Poll
  •   a) trachea bifuricates opposite manubriosternal joint (angle of Louis) in midrespiratory position
  •   b) The arch of the aorta lies behind the body of the sternum
  •   c)apex beat of heart can normally be felt in left intercostals space about 3.5 inch 9cm from midline
  •   d) lower margin of the right lung on full inspiration could extend to eighth costal cartilage
  •   e) All intercostals nerves are derived from the anterior rami of thoracic spinal nerves
4 votes


33. The following statements concerning the thoracic outlet (anatomic inlet) are true except:
Poll
  •   a) The manubrium sterni forms the anterior border
  •   b) On each side, the lower trunk of brachial plexus and the subclavian artery emerge through inlet
  •   c) The body of the seventh cervical vertebra forms the posterior boundary
  •   d) The first ribs form the lateral boundaries
  •   e) The esophagus and trachea pass through the outlet
39 votes


32. To pass a needle into the pleural cavity in the midaxillary line, the following structures will have to be pierced except the:
Poll
  •   a) Internal intercostal muscle
  •   b) Levatores costarum
  •   c) External intercostal muscle
  •   d) Parietal pleura
  •   e) Innermost intercostals muscle
54 votes


31. With a patient in the standing position, fluid in the left pleural cavity tends to gravitate down to the:
Poll
  •   a) Oblique Fissure
  •   b) Cardiac Notch
  •   c) Costomediastinal Recess
  •   d) Horizontal Fissure
  •   e) Costodiaphragmatic Recess
78 votes


30. Which of the following statements is incorrect concerning the intercostals nerves?
Poll
  •   a) They provide motor innervation to the peripheral parts of the diaphragm
  •   b) The provide motor innervation to the intercostals muscles
  •   c) They provide sensory innervation to the costal parietal pleura
  •   d) They contain sympathetic fibres to innervate the vascular smooth muscle
  •   e)The seventh to eleventh intercostals nerves provide sensory innervation to the parietal peritoneum
50 votes


29. The following statements concerning the diaphragm are correct except:
Poll
  •   a)right crus provides a muscular sling prevents regurgitation of stomach contents into esophagus
  •   b) On contraction,diaphragm raises intraabdominal pressure and assists in return of venous blood
  •   c) The level of the diaphragm is higher in the recumbent position than in the standing position
  •   d) On contraction, the central tendon descends, reducing the intrathoracic pressure
  •   e)esophagus passes through diaphragm at the level of the eighth thoracic vertebra
47 votes


28. The following statements regarding structures in the intercostals spaces are correct except:
Poll
  •   a)The anterior intercostals arteries are branches of internal thoracic artery
  •   b)intercostals nerves travel in intercostal space between intercostal&innermost intercostals muscles
  •   c) intercostals vessels and nerves are posterior in the order of vein nerve and artery
  •   d)lower five intercostals nerves supply sensory innervation to skin of lateral thoracic
  •   e) The posterior intercostals veins drain backward into the azygos and hemiazygous veins
44 votes


27. Pain arising in the heart is commonly referred to the following skin areas except:
Poll
  •   a) Up into the neck and jaw
  •   b) Down the medial side of the arm
  •   c) The point of the shoulder
  •   d) The epigastric area
  •   e) Over the sternum
83 votes


26. In patients with the tetralogy of Fallot, there are four cardiac anomalies. Which of the following is characteristic of the condition?
Poll
  •   a) Pulmonary stenosis with hypertrophy of the right ventricle
  •   b) Large atrial septal defect
  •   c) Hypertrophy of the left ventricle
  •   d) Stenosis of the aorta
  •   e) High blood pressure in the left ventricle
76 votes


25. During fetal life, the following facts regarding the circulatory system are true except:
Poll
  •   a)blood passing throughforamen ovale is more oxygenated than through right atrioventricular orifice
  •   b) The direction of blood flow through the ductus arteriosus is from right to left
  •   c) The ductus venosus permits blood to bypass the liver
  •   d) The blood in the abdominal aorta is relatively more oxygenated than internal carotid arteries
  •   e) The valve of the inferior vena cava deflects blood toward the foramen ovale
55 votes


24. The following anatomic facts regarding the right coronary artery are true except:
Poll
  •   a) It gives rise to a marginal branch
  •   b) It passes forward between the right auricle and the pulmonary trunk
  •   c) It gives rise to an anterior interventricular branch
  •   d) It arises from the anterior aortic sinus
  •   e) It descend in the right atrioventricular groove
81 votes


23. The conducting system of the heart is composed of the following structures except:
Poll
  •   a) The purkinje plexus
  •   b) The deep cardiac plexus
  •   c) The sinoatrial node
  •   d) The atrioventricular bundle
  •   e) The atrioventricular node
106 votes


22. Sudden occlusion of the anterior interventricular branch of the left coronary artery produces infarction (tissue death) in which one of the following areas?
Poll
  •   a) The entire diaphragmatic surface of the left ventricle
  •   b) The anterior part of ventricular septum and anterior septal papillary muscle of left ventricle
  •   c) The posterior wall of the right atrium
  •   d) The atrioventricular bundle
  •   e) The right auricle
85 votes


21. All of the following structures open into the right atrium except:
Poll
  •   a) The superior vena cava
  •   b) The coronary sinus
  •   c) The anterior cardiac vein
  •   d) The inferior vena cava
  •   e) The right pulmonary veins
123 votes


20. The following anatomic events occur at the level of the sternal angle (angle of Louis) except:
Poll
  •   a) The right and left pulmonary arteries enter the lungs
  •   b) The right recurrent laryngeal nerve arises from the right vagus nerve
  •   c) The trachea bifuricates
  •   d) The ascending aorta becomes continuous with the arch of the aorta
  •   e) The second costal cartilages articulate with the sternum
94 votes


19. When aging, the following detrimental changes occur in the thorax except:
Poll
  •   a) The ribs and costal cartilages become more rigid
  •   b) The elastic tissue in the lungs tends to degenerate
  •   c) The maubriosternal joint becomes more mobile
  •   d) The thoracic and abdominal muscles tend to atrophy
  •   e) The xiphoid process becomes ossified
100 votes


18. Which of the following statements concerning the lungs is incorrect?
Poll
  •   a)lung is elastic and should thoracic cavity be opened lung shrinks to one-third or less in volume
  •   b) The cardiac notch lies in the lower lobe of the left lung
  •   c)visceral pleura covering each lung lines fissures that are situated between the lobes
  •   d)The apex of each lung extend up into root of neck and lies anterior to lower roots brachial plexus
  •   e)bronchi connective tissue and visceral pleura of lungs are supplied by bronchial arteries
75 votes


17. The following statements concerning the diaphragm are true except:
Poll
  •   a) All the muscle of the diaphragm is supplied by the phrenic nerves
  •   b) On contraction, the diaphragm increases the intrathoracic pressure
  •   c) The right crus provides a sphincterlike mechanism for the esophagus
  •   d)On contractiondiaphragm assists in return of venous blood toright atrium of lymph to thoracic duct
  •   e) When viewed from the front, the central tendon of the diaphragm lies behind xiphisternal joint
130 votes

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