Copyright ©2011, 2001, 1994 by Saunders, an imprint of
vb vb vb vb vb v b vb v b
Elsevier
vb
, Hillegass: Essentials of Cardiopulmonary Physical Therapy, 3rd Edition
vb vb vb vb vb vb vb
Chapter 1: Anatomy of the Cardiovascular and Pulmonary Systems
vb vb vb vb vb vb vb vb
vb Test Bank vb
MULTIPLE CHOICE vb
1. Which of the following chest wall structures is located level with the second
vb vb vb vb vb vb vb vb vb vb vb vb
vb costal cartilage anteriorly and thoracic vertebra T4 and T5 posteriorly?
vb vb vb vb vb vb vb vb vb
A. Sternal angle vb
B. Jugular notch vb
C. Xiphoid process vb
D. Third costal cartilage vb vb
ANS: A
The sternal angle of the “angle of Louis” is level with the second costal cartilage anteriorly
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
vb and thoracic vertebrae T4 and T5 posteriorly.
vb vb vb vb vb vb
PTS: 1
2. Pectus excuvatum is BEST described as:
vb vb vb vb vb
A. Deformity of the sternum caused by trauma vb vb vb vb vb vb
B. Caved-in appearance of the chest vb vb vb vb
C. Diminished rib angle anteriorly vb vb vb
D. Conical shape of the thoracic cage vb vb vb vb vb
Copyright ©2011, 2001, 1994 by Saunders, an imprint of
vb vb vb vb vb v b vb v b
Elsevier
vb
, ANS: B
Pectus excuvatum is a common congenital deformity of the anterior wall of the chest,
vb vb vb vb vb vb vb vb vb vb vb vb vb
vb in which several ribs and the sternum grow abnormally; it produces a caved-in or
vb vb vb vb vb vb vb vb vb vb vb vb vb
vb sunken appearance of the chest.
vb vb vb vb
PTS: 1
3. The true ribs are BEST defined by which of the following statements?
vb vb vb vb vb vb vb vb vb vb vb
A. Vertebrochondral ribs vb
B. Vertebrosternal ribs vb
C. Ribs 11 and 12 vb vb vb
D. Ribs 8, 9, and 10 vb vb vb vb
ANS: B
The first seven ribs attach via their costal cartilages to the sternum and are called the
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
vb true ribs (also known as the vertebrosternal ribs).
vb vb vb vb vb vb vb
PTS: 1
Copyright ©2011, 2001, 1994 by Saunders, an imprint of
vb vb vb vb vb v b vb v b
Elsevier
vb
, Test 1-2
Bank
vb
4. Which of the following interventions is MOST appropriate for a patient with
vb vb vb vb vb vb vb vb vb vb vb
vb lower rib fractures?
vb vb
A. Short, shallow breaths vb vb
B. Pursed lip breathing vb vb
C. Deep breaths with splinting
vb vb vb
D. Breathing with arms raised vb vb vb
ANS: C
It is important for all therapists to recommend breathing (deep breathing), splinting
vb vb vb vb vb vb vb vb vb vb vb
vb (i.e., pillow), and coughing strategies for patients with rib fractures.
vb vb vb vb vb vb vb vb vb
PTS: 1
5. Which of the following positions facilitates greater excursion of both hemidiaphragms at
vb vb vb vb vb vb vb vb vb vb vb
rest?
vb
A. Supine position vb
B. Sidelying position vb
C. Standing position vb
D. Sitting position vb
ANS: A
In the supine position, without the effects of gravity, the level of the diaphragm in the
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
vb thoracic cavity rises. This allows for a relatively greater excursion.
vb vb vb vb vb vb vb vb vb
Copyright ©2011, 2001, 1994 by Saunders, an imprint of
vb vb vb vb vb v b vb v b
Elsevier
vb
vb vb vb vb vb v b vb v b
Elsevier
vb
, Hillegass: Essentials of Cardiopulmonary Physical Therapy, 3rd Edition
vb vb vb vb vb vb vb
Chapter 1: Anatomy of the Cardiovascular and Pulmonary Systems
vb vb vb vb vb vb vb vb
vb Test Bank vb
MULTIPLE CHOICE vb
1. Which of the following chest wall structures is located level with the second
vb vb vb vb vb vb vb vb vb vb vb vb
vb costal cartilage anteriorly and thoracic vertebra T4 and T5 posteriorly?
vb vb vb vb vb vb vb vb vb
A. Sternal angle vb
B. Jugular notch vb
C. Xiphoid process vb
D. Third costal cartilage vb vb
ANS: A
The sternal angle of the “angle of Louis” is level with the second costal cartilage anteriorly
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
vb and thoracic vertebrae T4 and T5 posteriorly.
vb vb vb vb vb vb
PTS: 1
2. Pectus excuvatum is BEST described as:
vb vb vb vb vb
A. Deformity of the sternum caused by trauma vb vb vb vb vb vb
B. Caved-in appearance of the chest vb vb vb vb
C. Diminished rib angle anteriorly vb vb vb
D. Conical shape of the thoracic cage vb vb vb vb vb
Copyright ©2011, 2001, 1994 by Saunders, an imprint of
vb vb vb vb vb v b vb v b
Elsevier
vb
, ANS: B
Pectus excuvatum is a common congenital deformity of the anterior wall of the chest,
vb vb vb vb vb vb vb vb vb vb vb vb vb
vb in which several ribs and the sternum grow abnormally; it produces a caved-in or
vb vb vb vb vb vb vb vb vb vb vb vb vb
vb sunken appearance of the chest.
vb vb vb vb
PTS: 1
3. The true ribs are BEST defined by which of the following statements?
vb vb vb vb vb vb vb vb vb vb vb
A. Vertebrochondral ribs vb
B. Vertebrosternal ribs vb
C. Ribs 11 and 12 vb vb vb
D. Ribs 8, 9, and 10 vb vb vb vb
ANS: B
The first seven ribs attach via their costal cartilages to the sternum and are called the
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
vb true ribs (also known as the vertebrosternal ribs).
vb vb vb vb vb vb vb
PTS: 1
Copyright ©2011, 2001, 1994 by Saunders, an imprint of
vb vb vb vb vb v b vb v b
Elsevier
vb
, Test 1-2
Bank
vb
4. Which of the following interventions is MOST appropriate for a patient with
vb vb vb vb vb vb vb vb vb vb vb
vb lower rib fractures?
vb vb
A. Short, shallow breaths vb vb
B. Pursed lip breathing vb vb
C. Deep breaths with splinting
vb vb vb
D. Breathing with arms raised vb vb vb
ANS: C
It is important for all therapists to recommend breathing (deep breathing), splinting
vb vb vb vb vb vb vb vb vb vb vb
vb (i.e., pillow), and coughing strategies for patients with rib fractures.
vb vb vb vb vb vb vb vb vb
PTS: 1
5. Which of the following positions facilitates greater excursion of both hemidiaphragms at
vb vb vb vb vb vb vb vb vb vb vb
rest?
vb
A. Supine position vb
B. Sidelying position vb
C. Standing position vb
D. Sitting position vb
ANS: A
In the supine position, without the effects of gravity, the level of the diaphragm in the
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
vb thoracic cavity rises. This allows for a relatively greater excursion.
vb vb vb vb vb vb vb vb vb
Copyright ©2011, 2001, 1994 by Saunders, an imprint of
vb vb vb vb vb v b vb v b
Elsevier
vb
