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ChapterAnatomy Thorax/Abdomen

Thoracic wall and diaphragm

Free notes, MCQs, tables & flowcharts for USMLE Step 1 Anatomy

10Questions
10Flashcards

Sample Questions

1

A 60-year-old man comes to the clinic complaining of a persistent cough for the last few months. His cough started gradually about a year ago, and it became more severe and persistent despite all his attempts to alleviate it. During the past year, he also noticed some weight loss and a decrease in his appetite. He also complains of progressive shortness of breath. He has a 40-pack-year smoking history but is a nonalcoholic. Physical examination findings are within normal limits. His chest X-ray shows a mass in the right lung. A chest CT shows a 5 cm mass with irregular borders near the lung hilum. A CT guided biopsy is planned. During the procedure, just after insertion of the needle, the patient starts to feel pain in his right shoulder. Which of the following nerves is responsible for his shoulder pain?

AThoracic spinal nerves

BPhrenic nerve

CVagus nerve

DPulmonary plexus

EIntercostal nerves

2

A 40-year-old woman is brought to the emergency department by a paramedic team from the scene of a motor vehicle accident where she was the driver. The patient was restrained by a seat belt and was unconscious at the scene. On physical examination, the patient appears to have multiple injuries involving the trunk and extremities. There are no penetrating injuries to the chest. As part of her trauma workup, a CT scan of the chest is ordered. At what vertebral level of the thorax is this image from?

AT1

BT6

CT4

DT5

ET8

3

A 14-year-old boy is brought to the emergency department because of acute left-sided chest pain and dyspnea following a motor vehicle accident. His pulse is 122/min and blood pressure is 85/45 mm Hg. Physical examination shows distended neck veins and tracheal displacement to the right side. The left chest is hyperresonant to percussion and there are decreased breath sounds. This patient would most benefit from needle insertion at which of the following anatomical sites?

A5th left intercostal space along the midclavicular line

B8th left intercostal space along the posterior axillary line

C2nd left intercostal space along the midclavicular line

DSubxiphoid space in the left sternocostal margin

E5th left intercostal space along the midaxillary line

+ 7 more in the PDF

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