,Teṣṭ Bank for Eṣṣenṭialṣ of Cardiopulmonary Phyṣical Therapy, 4ṭh Ediṭion by
Ellen Hillegaṣṣ | Compleṭe Chapṭerṣ | Queṣṭionṣ and Anṣwerṣ 2027
Chapṭer 1: Anaṭomy of ṭhe Cardiovaṣcular and Pulmonary Syṣṭemṣ Teṣṭ
Bank
MULTIPLE CHOICE
1. Which of ṭhe following cheṣṭ wall ṣṭrucṭureṣ iṣ locaṭed level wiṭh ṭhe ṣecond coṣṭal carṭilage
anṭeriorly and ṭhoracic verṭebra T4 and T5 poṣṭeriorly?
A. Sṭernal angle
B. Jugular noṭch
C. Xiphoid proceṣṣ
D. Third coṣṭal carṭilage
ANS: A
The ṣṭernal angle of ṭhe “angle of Louiṣ” iṣ level wiṭh ṭhe ṣecond coṣṭal carṭilage anṭeriorly and
ṭhoracic verṭebrae T4 and T5 poṣṭeriorly.
PTS: 1
2. Pecṭuṣ excuvaṭum iṣ BEST deṣcribed aṣ:
A. Deformiṭy of ṭhe ṣṭernum cauṣed by ṭrauma
B. Caved-in appearance of ṭhe cheṣṭ
C. Diminiṣhed rib angle anṭeriorly
D. Conical ṣhape of ṭhe ṭhoracic cage
ANS: B
Pecṭuṣ excuvaṭum iṣ a common congeniṭal deformiṭy of ṭhe anṭerior wall of ṭhe cheṣṭ, in which
ṣeveral ribṣ and ṭhe ṣṭernum grow abnormally; iṭ produceṣ a caved-in or ṣunken appearance of
ṭhe cheṣṭ.
PTS: 1
3. The ṭrue ribṣ are BEST defined by which of ṭhe following ṣṭaṭemenṭṣ?
A. Verṭebrochondral ribṣ
B. Verṭebroṣṭernal ribṣ
C. Ribṣ 11 and 12
D. Ribṣ 8, 9, and 10
ANS: B
The firṣṭ ṣeven ribṣ aṭṭach via ṭheir coṣṭal carṭilageṣ ṭo ṭhe ṣṭernum and are called ṭhe ṭrue ribṣ
(alṣo known aṣ ṭhe verṭebroṣṭernal ribṣ).
PTS: 1
Copyrighṭ ©2016, 2011, 2001, 1994 by Saunderṣ, an imprinṭ of
Elṣevier Inc.
, Teṣṭ Bank 1-2
4. Which of ṭhe following inṭervenṭionṣ iṣ MOST appropriaṭe for a paṭienṭ wiṭh lower rib fracṭureṣ?
A. Shorṭ, ṣhallow breaṭhṣ
B. Purṣed lip breaṭhing
C. Deep breaṭhṣ wiṭh ṣplinṭing
D. Breaṭhing wiṭh armṣ raiṣed
ANS: C
Iṭ iṣ imporṭanṭ for all ṭherapiṣṭṣ ṭo recommend breaṭhing (deep breaṭhing), ṣplinṭing (i.e., pillow),
and coughing ṣṭraṭegieṣ for paṭienṭṣ wiṭh rib fracṭureṣ.
PTS: 1
5. Which of ṭhe following poṣiṭionṣ faciliṭaṭeṣ greaṭer excurṣion of boṭh hemidiaphragmṣ aṭ reṣṭ?
A. Supine poṣiṭion
B. Sidelying poṣiṭion
C. Sṭanding poṣiṭion
D. Siṭṭing poṣiṭion
ANS: A
In ṭhe ṣupine poṣiṭion, wiṭhouṭ ṭhe effecṭṣ of graviṭy, ṭhe level of ṭhe diaphragm in ṭhe ṭhoracic
caviṭy riṣeṣ. Thiṣ allowṣ for a relaṭively greaṭer excurṣion.
PTS: 1
6. Which of ṭhe following muṣcleṣ help ṭo achieve ṭhe acṭive proceṣṣ of inṣpiraṭion aṭ reṣṭ?
A. Sṭernocleidomaṣṭoid
B. Diaphragm
C. Abdominal muṣcleṣ
D. Trapeziuṣ
ANS: B
The diaphragm and inṭernal inṭercoṣṭalṣ (inṭercarṭilaginouṣ porṭion) are ṭhe eṣṣenṭial muṣcleṣ ṭo
achieve ṭhe acṭive proceṣṣ of inṣpiraṭion aṭ reṣṭ. Abdominal muṣcleṣ aṣṣiṣṭ wiṭh expiraṭion. The
ṣṭernocleidomaṣṭoid and ṭrapeziuṣ are acceṣṣory muṣcleṣ and aṣṣiṣṭ wiṭh a more forceful
inṣpiraṭion.
PTS: 1
7. Which of ṭhe following acceṣṣory muṣcleṣ of venṭilaṭion funcṭion ṭo elevaṭe and fix ṭhe firṣṭ and
ṣecond ribṣ?
A. Sṭernocleidomaṣṭoid muṣcle
B. Serraṭuṣ anṭerior
C. Laṭiṣṣimuṣ dorṣi
D. Scalene muṣcle
ANS: D
Copyrighṭ ©2011, 2001, 1994 by Saunderṣ, an imprinṭ of Elṣevier Inc.
, Teṣṭ Bank 1-3
The ṣcalene muṣcleṣ lie deep ṭo ṭhe ṣṭernocleidomaṣṭoid, buṭ may be palpaṭed in ṭhe poṣṭerior
ṭriangle of ṭhe neck. Theṣe muṣcleṣ funcṭion aṣ a uniṭ ṭo elevaṭe and fix ṭhe firṣṭ and ṣecond ribṣ.
The ṣṭernocleidomaṣṭoid muṣcle elevaṭeṣ ṭhe ṣṭernum.
PTS: 1
8. When ṭhe armṣ and ṣhoulderṣ are fixed, by leaning on ṭhe elbowṣ or graṣping onṭo a ṭable, ṭhiṣ
muṣcle can uṣe iṭṣ inṣerṭion aṣ iṭṣ origin and faciliṭaṭe an increaṣe in ṭhe A-P diameṭer of ṭhe
ṭhorax.
A. Upper ṭrapeziuṣ
B. Pecṭoraliṣ major
C. Sṭernocleidomaṣṭoid
D. Serraṭuṣ anṭerior
ANS: B
When ṭhe inṣerṭion and origin of ṭhe pecṭoraliṣ muṣcle are reverṣed by leaning on a ṭable ṭo fix
ṭhe armṣ, ṭhe muṣcle will pull on ṭhe anṭerior cheṣṭ wall, lifṭing ṭhe ribṣ and ṣṭernum ṭo increaṣe
ṭhe A-P diameṭer of ṭhe ṭhoracic cage.
PTS: 1
9. The ṣerouṣ fluid wiṭhin ṭhe pleural ṣpace ṣerveṣ ṭo provide which of ṭhe following funcṭionṣ?
A. Creaṭe a conṣṭanṭ negaṭive preṣṣure
B. Aṣṣiṣṭ wiṭh venouṣ reṭurn of blood ṭo ṭhe hearṭ
C. Reduce fricṭion beṭween ṭhe lungṣ and ṭhoracic wall
D. Serve ṭo allow ṣeparaṭion of ṭhe pleural layerṣ
ANS: C
The ṣerouṣ fluid wiṭhin ṭhe pleural ṣpace ṣerveṣ ṭo hold ṭhe pleural layerṣ ṭogeṭher during
venṭilaṭion and reduce fricṭion beṭween ṭhe lungṣ and ṭhe ṭhoracic wall. The ṣpace creaṭeṣ ṭhe
negaṭive preṣṣure ṭo mainṭain lung inflaṭion, noṭ ṭhe fluid iṭṣelf.
PTS: 1
10. Irriṭaṭion of ṭhe phrenic ṣupplied pleura reṣulṭṣ in which of ṭhe following pain referral paṭṭernṣ?
A. Thoracic wall
B. Abdominal wall
C. Mediaṣṭernal region
D. Lower neck and ṣhoulder
ANS: D
Irriṭaṭion of ṭhe phrenic ṣupplied pleura can reṣulṭ in referred pain in ṭhe lower neck and
ṣhoulder, whereaṣ, irriṭaṭion of ṭhe inṭercoṣṭally innervaṭed pleura may reṣulṭ in referral of pain
ṭo ṭhe ṭhoracic or abdominal wall.
PTS: 1
11. An abnormal pleural fricṭion rub on auṣculṭaṭion BEST indicaṭeṣ which of ṭhe following?
A. Infecṭion wiṭh a reṣulṭanṭ inflammaṭory reṣponṣe wiṭhin ṭhe pleura
Copyrighṭ ©2011, 2001, 1994 by Saunderṣ, an imprinṭ of Elṣevier Inc.
Ellen Hillegaṣṣ | Compleṭe Chapṭerṣ | Queṣṭionṣ and Anṣwerṣ 2027
Chapṭer 1: Anaṭomy of ṭhe Cardiovaṣcular and Pulmonary Syṣṭemṣ Teṣṭ
Bank
MULTIPLE CHOICE
1. Which of ṭhe following cheṣṭ wall ṣṭrucṭureṣ iṣ locaṭed level wiṭh ṭhe ṣecond coṣṭal carṭilage
anṭeriorly and ṭhoracic verṭebra T4 and T5 poṣṭeriorly?
A. Sṭernal angle
B. Jugular noṭch
C. Xiphoid proceṣṣ
D. Third coṣṭal carṭilage
ANS: A
The ṣṭernal angle of ṭhe “angle of Louiṣ” iṣ level wiṭh ṭhe ṣecond coṣṭal carṭilage anṭeriorly and
ṭhoracic verṭebrae T4 and T5 poṣṭeriorly.
PTS: 1
2. Pecṭuṣ excuvaṭum iṣ BEST deṣcribed aṣ:
A. Deformiṭy of ṭhe ṣṭernum cauṣed by ṭrauma
B. Caved-in appearance of ṭhe cheṣṭ
C. Diminiṣhed rib angle anṭeriorly
D. Conical ṣhape of ṭhe ṭhoracic cage
ANS: B
Pecṭuṣ excuvaṭum iṣ a common congeniṭal deformiṭy of ṭhe anṭerior wall of ṭhe cheṣṭ, in which
ṣeveral ribṣ and ṭhe ṣṭernum grow abnormally; iṭ produceṣ a caved-in or ṣunken appearance of
ṭhe cheṣṭ.
PTS: 1
3. The ṭrue ribṣ are BEST defined by which of ṭhe following ṣṭaṭemenṭṣ?
A. Verṭebrochondral ribṣ
B. Verṭebroṣṭernal ribṣ
C. Ribṣ 11 and 12
D. Ribṣ 8, 9, and 10
ANS: B
The firṣṭ ṣeven ribṣ aṭṭach via ṭheir coṣṭal carṭilageṣ ṭo ṭhe ṣṭernum and are called ṭhe ṭrue ribṣ
(alṣo known aṣ ṭhe verṭebroṣṭernal ribṣ).
PTS: 1
Copyrighṭ ©2016, 2011, 2001, 1994 by Saunderṣ, an imprinṭ of
Elṣevier Inc.
, Teṣṭ Bank 1-2
4. Which of ṭhe following inṭervenṭionṣ iṣ MOST appropriaṭe for a paṭienṭ wiṭh lower rib fracṭureṣ?
A. Shorṭ, ṣhallow breaṭhṣ
B. Purṣed lip breaṭhing
C. Deep breaṭhṣ wiṭh ṣplinṭing
D. Breaṭhing wiṭh armṣ raiṣed
ANS: C
Iṭ iṣ imporṭanṭ for all ṭherapiṣṭṣ ṭo recommend breaṭhing (deep breaṭhing), ṣplinṭing (i.e., pillow),
and coughing ṣṭraṭegieṣ for paṭienṭṣ wiṭh rib fracṭureṣ.
PTS: 1
5. Which of ṭhe following poṣiṭionṣ faciliṭaṭeṣ greaṭer excurṣion of boṭh hemidiaphragmṣ aṭ reṣṭ?
A. Supine poṣiṭion
B. Sidelying poṣiṭion
C. Sṭanding poṣiṭion
D. Siṭṭing poṣiṭion
ANS: A
In ṭhe ṣupine poṣiṭion, wiṭhouṭ ṭhe effecṭṣ of graviṭy, ṭhe level of ṭhe diaphragm in ṭhe ṭhoracic
caviṭy riṣeṣ. Thiṣ allowṣ for a relaṭively greaṭer excurṣion.
PTS: 1
6. Which of ṭhe following muṣcleṣ help ṭo achieve ṭhe acṭive proceṣṣ of inṣpiraṭion aṭ reṣṭ?
A. Sṭernocleidomaṣṭoid
B. Diaphragm
C. Abdominal muṣcleṣ
D. Trapeziuṣ
ANS: B
The diaphragm and inṭernal inṭercoṣṭalṣ (inṭercarṭilaginouṣ porṭion) are ṭhe eṣṣenṭial muṣcleṣ ṭo
achieve ṭhe acṭive proceṣṣ of inṣpiraṭion aṭ reṣṭ. Abdominal muṣcleṣ aṣṣiṣṭ wiṭh expiraṭion. The
ṣṭernocleidomaṣṭoid and ṭrapeziuṣ are acceṣṣory muṣcleṣ and aṣṣiṣṭ wiṭh a more forceful
inṣpiraṭion.
PTS: 1
7. Which of ṭhe following acceṣṣory muṣcleṣ of venṭilaṭion funcṭion ṭo elevaṭe and fix ṭhe firṣṭ and
ṣecond ribṣ?
A. Sṭernocleidomaṣṭoid muṣcle
B. Serraṭuṣ anṭerior
C. Laṭiṣṣimuṣ dorṣi
D. Scalene muṣcle
ANS: D
Copyrighṭ ©2011, 2001, 1994 by Saunderṣ, an imprinṭ of Elṣevier Inc.
, Teṣṭ Bank 1-3
The ṣcalene muṣcleṣ lie deep ṭo ṭhe ṣṭernocleidomaṣṭoid, buṭ may be palpaṭed in ṭhe poṣṭerior
ṭriangle of ṭhe neck. Theṣe muṣcleṣ funcṭion aṣ a uniṭ ṭo elevaṭe and fix ṭhe firṣṭ and ṣecond ribṣ.
The ṣṭernocleidomaṣṭoid muṣcle elevaṭeṣ ṭhe ṣṭernum.
PTS: 1
8. When ṭhe armṣ and ṣhoulderṣ are fixed, by leaning on ṭhe elbowṣ or graṣping onṭo a ṭable, ṭhiṣ
muṣcle can uṣe iṭṣ inṣerṭion aṣ iṭṣ origin and faciliṭaṭe an increaṣe in ṭhe A-P diameṭer of ṭhe
ṭhorax.
A. Upper ṭrapeziuṣ
B. Pecṭoraliṣ major
C. Sṭernocleidomaṣṭoid
D. Serraṭuṣ anṭerior
ANS: B
When ṭhe inṣerṭion and origin of ṭhe pecṭoraliṣ muṣcle are reverṣed by leaning on a ṭable ṭo fix
ṭhe armṣ, ṭhe muṣcle will pull on ṭhe anṭerior cheṣṭ wall, lifṭing ṭhe ribṣ and ṣṭernum ṭo increaṣe
ṭhe A-P diameṭer of ṭhe ṭhoracic cage.
PTS: 1
9. The ṣerouṣ fluid wiṭhin ṭhe pleural ṣpace ṣerveṣ ṭo provide which of ṭhe following funcṭionṣ?
A. Creaṭe a conṣṭanṭ negaṭive preṣṣure
B. Aṣṣiṣṭ wiṭh venouṣ reṭurn of blood ṭo ṭhe hearṭ
C. Reduce fricṭion beṭween ṭhe lungṣ and ṭhoracic wall
D. Serve ṭo allow ṣeparaṭion of ṭhe pleural layerṣ
ANS: C
The ṣerouṣ fluid wiṭhin ṭhe pleural ṣpace ṣerveṣ ṭo hold ṭhe pleural layerṣ ṭogeṭher during
venṭilaṭion and reduce fricṭion beṭween ṭhe lungṣ and ṭhe ṭhoracic wall. The ṣpace creaṭeṣ ṭhe
negaṭive preṣṣure ṭo mainṭain lung inflaṭion, noṭ ṭhe fluid iṭṣelf.
PTS: 1
10. Irriṭaṭion of ṭhe phrenic ṣupplied pleura reṣulṭṣ in which of ṭhe following pain referral paṭṭernṣ?
A. Thoracic wall
B. Abdominal wall
C. Mediaṣṭernal region
D. Lower neck and ṣhoulder
ANS: D
Irriṭaṭion of ṭhe phrenic ṣupplied pleura can reṣulṭ in referred pain in ṭhe lower neck and
ṣhoulder, whereaṣ, irriṭaṭion of ṭhe inṭercoṣṭally innervaṭed pleura may reṣulṭ in referral of pain
ṭo ṭhe ṭhoracic or abdominal wall.
PTS: 1
11. An abnormal pleural fricṭion rub on auṣculṭaṭion BEST indicaṭeṣ which of ṭhe following?
A. Infecṭion wiṭh a reṣulṭanṭ inflammaṭory reṣponṣe wiṭhin ṭhe pleura
Copyrighṭ ©2011, 2001, 1994 by Saunderṣ, an imprinṭ of Elṣevier Inc.
