1. Which Gof Gthe Gfollowing Gis Gincorrect Gpertaining Gto Gthe Gribs?
A) The Gfirst G7 Gare Greferred Gto Gas Gvertebrosternal Gribs.
B) Ribs G11 Gand G12 Gare Gtypically G“floating” G(vertebral, Gfree) Gribs.
C) The Gtubercle Gof Ga Gtypical Grib Gattaches Gto Gthe Ginferior Garticular Gfacet Gof
Gthe Gcorresponding Gvertebrae.
D) The Ghead Gof Ga Gtypical Grib Garticulates Gwith Gthe Gbodies Gof Gtwo
Gvertebrae.
E) The Gcostal Ggroove Gis Gassociated Gwith Gthe Gintercostal Gvessels Gand
Gnerve.
2. Rib Gfractures:
A) are Gmore Glikely Gto Goccur Gin Gchildren Gthan Gadults.
B) are Gmost Glikely Gto Goccur Gat Gthe Gjunction Gof Gthe Grib Gand Gits Gcorresponding
Gvertebrae.
C) most Goften Goccur Gin Gthe G1st Grib.
D) in Gthe Glower Gribs Gmay Gbe Gassociated Gwith Gtearing Gof Gthe Gdiaphragm.
E) are Gnot Gtypically Gpainful.
3. The Gsternal Gangle:
A) indicates Gthe Glocation Gof Gthe Gjoint Gbetween Gthe Gcostal Gcartilage Gof Gthe G2nd Grib
Gand Gthe Gsternum.
B) occurs Gwhere Gthe G1st Grib Gattaches Gto Gthe Gsternum.
C) is Gthe Gleast Glikely Gpart Gof Gthe Gsternum Gto Gfracture Gin Gthe Gelderly.
D) occurs Gat Gthe Gsternoclavicular Gjoint.
E) is Ga Gdepression Gin Gthe Gbody Gof Gthe Gsternum.
4. Which Gof Gthe Gfollowing Gis Gincorrect Gpertaining Gto Gthe Gsternum?
A) It Gmay Gbe Gsurgically Gsplit Gin Gthe Gmedian Gplane Gto Ggain Gaccess Gto Gthe Gthoracic
Gcavity.
B) It Gmay Gbe Gused Gfor Ga Gbone Gmarrow Gbiopsy.
C) It Gmay Ghave Ga Gperforation G(sternal Gforamen) Gthat Gis Gsometimes Gthe Gsite Gof Ga
Gpleural Gherniation, Gwhich Gis Ga Glife-threatening Gsituation.
D) In Gviolent Gthoracic Gtrauma G(e.g., Gautomobile Gaccident), Gcomminuted Gfractures
Gare Gnot Guncommon.
E) Its Gxiphoid Gprocess Gmay Gpartially Gossify, Gproducing Ga Gpronounced Glump.
5. The Gsuperior Gthoracic Gaperture:
A) is Gbounded Gposteriorly Gby Gthe Gaxis.
B) is Gbounded Ganterolaterally Gby Gthe Gclavicle.
C) is Gbounded Ganteriorly Gby Gthe Gtrachea.
D) is Ga Glarger Gopening Gthan Gthe Ginferior Gthoracic
Gaperture.
E) is, Ganatomically, Gthe Gthoracic Ginlet.
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, 6. Which Gof Gthe Gfollowing Gassociations Gis Gincorrect?
A) rib Gseparation—separation Gof Ga Grib Gand Gits Gcostal Gcartilage
B) rib Gdislocation G(slipping Grib Gsyndrome)—separation Gof Ga Gcostal Gcartilage Gfrom
Gthe Gsternum
C) joints Gbetween Gcostal Gcartilage Gof Gribs G2–7 Gand Gsternum—symphyses
D) rib Gmovements—mostly Garound Ga Gtransverse Gaxis Gpassing Gthrough Gthe Ghead,
Gneck, Gand Gtubercle
E) rib Gmovements—increase GA-P Gdiameter Gof Gthe Gthorax Gduring Grespiration
7. Which Gof Gthe Gfollowing Gassociations Gis Gincorrect?
A) serratus Gposterior Gsuperior—potentially Gcan Gelevate Gsuperior Gribs
B) scalenus Ganterior—stabilizes G1st Grib Genabling Gmore Geffective Grib Gelevation
Gduring Gforced Ginspiration
C) external Gintercostal Gmuscles—attach Gto Gthe Gsternum
D) intercostal Gvessels Gand Gnerve—travel Gbetween Ginternal Gand Ginnermost
Gintercostals Gmuscles
E) diaphragm—primary Gmuscle Gof Grespiration
8. The Gendothoracic Gfascia:
A) is Gcontinuous Gwith Gthe Gclavipectoral Gfascia.
B) provides Ga Gsurgical Gcleavage Gplane Gbetween Gthe Gthoracic Gwall Gand Gthe Gcostal
Gparietal Gpleura.
C) attaches Gto Gthe Gsuspensory Gligaments Gof Gthe Gbreast.
D) contains Gthe Gintercostal Gmuscles.
E) may Gbecome Gfibrous Gand Gthus Ginterfere Gwith Gnormal Grespiratory Gmovements.
9. A Gpatient Gcomplains Gto Gyou Gof Gpain Gin Ga Glimited Gstrip Gon Gone Gside Gof Ghis Gchest Gand
Gback. GUpon Gexamination Gyou Gnotice Gthat Gthe Gskin Gassociated Gwith Gthe GT3
Gdermatome Gof Gthat Gside Gis Gred Gwith Gvesicular Geruptions. Which Gof Gthe Gfollowing
Gis Gyour Gmost Greasonable Gconclusion Gabout Gyour Gpatient's Gillness?
A) He Ghas Gsyphilis.
B) He Ghas Gshingles G(herpes Gzoster).
C) He Ghas Glocalized Gdermatitis.
D) An Gunderlying Gthoracic Gdisease Ghas Gspread Gthrough Gthe Gthoracic Gwall Gto Gthe
Gskin.
E) It Gis Glikely Gthat Gthe Gcondition Gwill Gspread Gto Gsurrounding Gdermatomes Gbefore Git
Gimproves.
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, 10. Which Gof Gthe Gfollowing Gis Gincorrect Gpertaining Gto Gthe Ginternal Gthoracic
G(mammary) Gartery?
A) It Ghelps Gsupply Gthe Gbreast Gvia Gits Ganterior Gintercostal Gbranches.
B) It Gpasses Ganterior Gto Gthe Gclavicle.
C) It Glies Gsuperficial Gto Gthe Gslips Gof Gthe Gtransverse Gthoracic Gmuscle.
D) It Gis Gin Gcontact Gwith Gthe Gparietal Gpleura.
E) It Gterminates Gin Gthe G6th Gintercostal Gspace Gby Gbecoming Gthe Gsuperior Gepigastric
Gand Gmusculophrenic Garteries.
11. A Gwomen Gpatient Gcomplains Gto Gyou Gthat Gher Gbreasts Ghave Ga Gstrange Gappearance.
GUpon
examination Gyou Gnotice Gdimples Gin Gthe Gskin Gof Gher Gbreast. GYou Gknow Gthat Gthe Gmost
Glikely Gexplanation Gfor Gthese Gdimples G(peau Gd' Gorange Gsign) Gis:
A) interference Gwith Glymph Gdrainage.
B) pregnancy.
C) overproduction Gof Gmilk.
D) menopause.
E) bacterial Ginfection Gof Gthe Glactiferous Gducts G(ductus Glactiferi).
12. Lymphatic Gdrainage Gof Gthe Gbreast:
A) is Gprincipally Gto Gthe Gipsilateral Gparasternal Glymph Gnodes.
B) and Gultimately Gfrom Gboth Gbreasts Genters Gthe Gthoracic Gduct.
C) is Gprincipally Gto Gthe Gipsilateral Ginternal Gthoracic Gvein.
D) is Gprincipally Gto Gthe Gipsilateral Gaxillary Gnodes.
E) is Gprincipally Gto Gthe Gipsilateral Glymph Gvessels Grunning Gdeep Gto Gthe Gpectoralis
Gmajor.
13. Simple Gmastectomy Gfor Gbreast Gcancer Ginvolves Gremoval
Gof:
A) all Gbreast Gtissue Gand Gthe Gunderlying Gmuscles.
B) the Gnipple Gand Gareola.
C) only Gone Gbreast Gquadrant.
D) all Gbreast Gtissue Gsuperficial Gto Gthe Gretromammary
Gspace.
E) all Gof Gthe Glymph Gnodes Gthat Gdrain Gthe Gbreast.
14. Your Gexamination Gof Ga Gmale Gpatient Greveals Ga Gtender Gsubareolar Gmass Gin Ghis
Gbreast. GWhich Gof Gthe Gfollowing Gconditions Gis Gmost Glikely Gbased Gon Gthis
Gfinding?
A) gynecomastia
B) Klinefelter's Gsyndrome
C) cancer
D) shingles
E) fibrous Gatrophy Gof Ghis Gpectoralis Gmajor
Page 3
A) The Gfirst G7 Gare Greferred Gto Gas Gvertebrosternal Gribs.
B) Ribs G11 Gand G12 Gare Gtypically G“floating” G(vertebral, Gfree) Gribs.
C) The Gtubercle Gof Ga Gtypical Grib Gattaches Gto Gthe Ginferior Garticular Gfacet Gof
Gthe Gcorresponding Gvertebrae.
D) The Ghead Gof Ga Gtypical Grib Garticulates Gwith Gthe Gbodies Gof Gtwo
Gvertebrae.
E) The Gcostal Ggroove Gis Gassociated Gwith Gthe Gintercostal Gvessels Gand
Gnerve.
2. Rib Gfractures:
A) are Gmore Glikely Gto Goccur Gin Gchildren Gthan Gadults.
B) are Gmost Glikely Gto Goccur Gat Gthe Gjunction Gof Gthe Grib Gand Gits Gcorresponding
Gvertebrae.
C) most Goften Goccur Gin Gthe G1st Grib.
D) in Gthe Glower Gribs Gmay Gbe Gassociated Gwith Gtearing Gof Gthe Gdiaphragm.
E) are Gnot Gtypically Gpainful.
3. The Gsternal Gangle:
A) indicates Gthe Glocation Gof Gthe Gjoint Gbetween Gthe Gcostal Gcartilage Gof Gthe G2nd Grib
Gand Gthe Gsternum.
B) occurs Gwhere Gthe G1st Grib Gattaches Gto Gthe Gsternum.
C) is Gthe Gleast Glikely Gpart Gof Gthe Gsternum Gto Gfracture Gin Gthe Gelderly.
D) occurs Gat Gthe Gsternoclavicular Gjoint.
E) is Ga Gdepression Gin Gthe Gbody Gof Gthe Gsternum.
4. Which Gof Gthe Gfollowing Gis Gincorrect Gpertaining Gto Gthe Gsternum?
A) It Gmay Gbe Gsurgically Gsplit Gin Gthe Gmedian Gplane Gto Ggain Gaccess Gto Gthe Gthoracic
Gcavity.
B) It Gmay Gbe Gused Gfor Ga Gbone Gmarrow Gbiopsy.
C) It Gmay Ghave Ga Gperforation G(sternal Gforamen) Gthat Gis Gsometimes Gthe Gsite Gof Ga
Gpleural Gherniation, Gwhich Gis Ga Glife-threatening Gsituation.
D) In Gviolent Gthoracic Gtrauma G(e.g., Gautomobile Gaccident), Gcomminuted Gfractures
Gare Gnot Guncommon.
E) Its Gxiphoid Gprocess Gmay Gpartially Gossify, Gproducing Ga Gpronounced Glump.
5. The Gsuperior Gthoracic Gaperture:
A) is Gbounded Gposteriorly Gby Gthe Gaxis.
B) is Gbounded Ganterolaterally Gby Gthe Gclavicle.
C) is Gbounded Ganteriorly Gby Gthe Gtrachea.
D) is Ga Glarger Gopening Gthan Gthe Ginferior Gthoracic
Gaperture.
E) is, Ganatomically, Gthe Gthoracic Ginlet.
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, 6. Which Gof Gthe Gfollowing Gassociations Gis Gincorrect?
A) rib Gseparation—separation Gof Ga Grib Gand Gits Gcostal Gcartilage
B) rib Gdislocation G(slipping Grib Gsyndrome)—separation Gof Ga Gcostal Gcartilage Gfrom
Gthe Gsternum
C) joints Gbetween Gcostal Gcartilage Gof Gribs G2–7 Gand Gsternum—symphyses
D) rib Gmovements—mostly Garound Ga Gtransverse Gaxis Gpassing Gthrough Gthe Ghead,
Gneck, Gand Gtubercle
E) rib Gmovements—increase GA-P Gdiameter Gof Gthe Gthorax Gduring Grespiration
7. Which Gof Gthe Gfollowing Gassociations Gis Gincorrect?
A) serratus Gposterior Gsuperior—potentially Gcan Gelevate Gsuperior Gribs
B) scalenus Ganterior—stabilizes G1st Grib Genabling Gmore Geffective Grib Gelevation
Gduring Gforced Ginspiration
C) external Gintercostal Gmuscles—attach Gto Gthe Gsternum
D) intercostal Gvessels Gand Gnerve—travel Gbetween Ginternal Gand Ginnermost
Gintercostals Gmuscles
E) diaphragm—primary Gmuscle Gof Grespiration
8. The Gendothoracic Gfascia:
A) is Gcontinuous Gwith Gthe Gclavipectoral Gfascia.
B) provides Ga Gsurgical Gcleavage Gplane Gbetween Gthe Gthoracic Gwall Gand Gthe Gcostal
Gparietal Gpleura.
C) attaches Gto Gthe Gsuspensory Gligaments Gof Gthe Gbreast.
D) contains Gthe Gintercostal Gmuscles.
E) may Gbecome Gfibrous Gand Gthus Ginterfere Gwith Gnormal Grespiratory Gmovements.
9. A Gpatient Gcomplains Gto Gyou Gof Gpain Gin Ga Glimited Gstrip Gon Gone Gside Gof Ghis Gchest Gand
Gback. GUpon Gexamination Gyou Gnotice Gthat Gthe Gskin Gassociated Gwith Gthe GT3
Gdermatome Gof Gthat Gside Gis Gred Gwith Gvesicular Geruptions. Which Gof Gthe Gfollowing
Gis Gyour Gmost Greasonable Gconclusion Gabout Gyour Gpatient's Gillness?
A) He Ghas Gsyphilis.
B) He Ghas Gshingles G(herpes Gzoster).
C) He Ghas Glocalized Gdermatitis.
D) An Gunderlying Gthoracic Gdisease Ghas Gspread Gthrough Gthe Gthoracic Gwall Gto Gthe
Gskin.
E) It Gis Glikely Gthat Gthe Gcondition Gwill Gspread Gto Gsurrounding Gdermatomes Gbefore Git
Gimproves.
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, 10. Which Gof Gthe Gfollowing Gis Gincorrect Gpertaining Gto Gthe Ginternal Gthoracic
G(mammary) Gartery?
A) It Ghelps Gsupply Gthe Gbreast Gvia Gits Ganterior Gintercostal Gbranches.
B) It Gpasses Ganterior Gto Gthe Gclavicle.
C) It Glies Gsuperficial Gto Gthe Gslips Gof Gthe Gtransverse Gthoracic Gmuscle.
D) It Gis Gin Gcontact Gwith Gthe Gparietal Gpleura.
E) It Gterminates Gin Gthe G6th Gintercostal Gspace Gby Gbecoming Gthe Gsuperior Gepigastric
Gand Gmusculophrenic Garteries.
11. A Gwomen Gpatient Gcomplains Gto Gyou Gthat Gher Gbreasts Ghave Ga Gstrange Gappearance.
GUpon
examination Gyou Gnotice Gdimples Gin Gthe Gskin Gof Gher Gbreast. GYou Gknow Gthat Gthe Gmost
Glikely Gexplanation Gfor Gthese Gdimples G(peau Gd' Gorange Gsign) Gis:
A) interference Gwith Glymph Gdrainage.
B) pregnancy.
C) overproduction Gof Gmilk.
D) menopause.
E) bacterial Ginfection Gof Gthe Glactiferous Gducts G(ductus Glactiferi).
12. Lymphatic Gdrainage Gof Gthe Gbreast:
A) is Gprincipally Gto Gthe Gipsilateral Gparasternal Glymph Gnodes.
B) and Gultimately Gfrom Gboth Gbreasts Genters Gthe Gthoracic Gduct.
C) is Gprincipally Gto Gthe Gipsilateral Ginternal Gthoracic Gvein.
D) is Gprincipally Gto Gthe Gipsilateral Gaxillary Gnodes.
E) is Gprincipally Gto Gthe Gipsilateral Glymph Gvessels Grunning Gdeep Gto Gthe Gpectoralis
Gmajor.
13. Simple Gmastectomy Gfor Gbreast Gcancer Ginvolves Gremoval
Gof:
A) all Gbreast Gtissue Gand Gthe Gunderlying Gmuscles.
B) the Gnipple Gand Gareola.
C) only Gone Gbreast Gquadrant.
D) all Gbreast Gtissue Gsuperficial Gto Gthe Gretromammary
Gspace.
E) all Gof Gthe Glymph Gnodes Gthat Gdrain Gthe Gbreast.
14. Your Gexamination Gof Ga Gmale Gpatient Greveals Ga Gtender Gsubareolar Gmass Gin Ghis
Gbreast. GWhich Gof Gthe Gfollowing Gconditions Gis Gmost Glikely Gbased Gon Gthis
Gfinding?
A) gynecomastia
B) Klinefelter's Gsyndrome
C) cancer
D) shingles
E) fibrous Gatrophy Gof Ghis Gpectoralis Gmajor
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