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Elsevier
, Hillegass: Essentials of Cardiopulmonary Physical Therapy, 3rd Edition
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Chapter 1: Anatomy of the Cardiovascular and Pulmonary Systems
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h1 Test Bank h1
MULTIPLE CHOICE h1
1. Which of the following chest wall structures is located level with the second
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h1 costal cartilage anteriorly and thoracic vertebra T4 and T5 posteriorly?
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A. Sternal angle h1
B. Jugular notch h1
C. Xiphoid process h1
D. Third costal cartilage h1 h1
ANS: A
The sternal angle of the “angle of Louis” is level with the second costal cartilage anteriorly
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h1 and thoracic vertebrae T4 and T5 posteriorly.
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PTS: 1
2. Pectus excuvatum is BEST described as:
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A. Deformity of the sternum caused by trauma h1 h1 h1 h1 h1 h1
B. Caved-in appearance of the chest h1 h1 h1 h1
C. Diminished rib angle anteriorly h1 h1 h1
D. Conical shape of the thoracic cage h1 h1 h1 h1 h1
Copyright ©2011, 2001, 1994 by Saunders, an imprint of
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Elsevier
, ANS: B
Pectus excuvatum is a common congenital deformity of the anterior wall of the chest,
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h1 in which several ribs and the sternum grow abnormally; it produces a caved-in or
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h1 sunken appearance of the chest.
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PTS: 1
3. The true ribs are BEST defined by which of the following statements?
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A. Vertebrochondral ribs h1
B. Vertebrosternal ribs h1
C. Ribs 11 and 12 h1 h1 h1
D. Ribs 8, 9, and 10 h1 h1 h1 h1
ANS: B
The first seven ribs attach via their costal cartilages to the sternum and are called the
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h1 true ribs (also known as the vertebrosternal ribs).
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PTS: 1
Copyright ©2011, 2001, 1994 by Saunders, an imprint of
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Elsevier
, Test 1-2
Bank
4. Which of the following interventions is MOST appropriate for a patient with
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h1 lower rib fractures?
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A. Short, shallow breaths h1 h1
B. Pursed lip breathing h1 h1
C. Deep breaths with splinting
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D. Breathing with arms raised h1 h1 h1
ANS: C
It is important for all therapists to recommend breathing (deep breathing), splinting
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h1 (i.e., pillow), and coughing strategies for patients with rib fractures.
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PTS: 1
5. Which of the following positions facilitates greater excursion of both hemidiaphragms at
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rest?
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A. Supine position h1
B. Sidelying position h1
C. Standing position h1
D. Sitting position h1
ANS: A
In the supine position, without the effects of gravity, the level of the diaphragm in the
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h1 thoracic cavity rises. This allows for a relatively greater excursion.
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Copyright ©2011, 2001, 1994 by Saunders, an imprint of
h1 h1 h1 h1 h1 h1 h1 h1
Elsevier