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Elsevier
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, 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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bn Test Bank bn
MULTIPLE CHOICE bn
1. Which of the following chest wall structures is located level with the second
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bn costal cartilage anteriorly and thoracic vertebra T4 and T5 posteriorly?
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A. Sternal angle bn
B. Jugular notch bn
C. Xiphoid process bn
D. Third costal cartilage bn bn
ANS: A
The sternal angle of the “angle of Louis” is level with the second costal cartilage anteriorly
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bn 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 bn bn bn bn bn bn
B. Caved-in appearance of the chest bn bn bn bn
C. Diminished rib angle anteriorly bn bn bn
D. Conical shape of the thoracic cage bn bn bn bn bn
Copyright ©2011, 2001, 1994 by Saunders, an imprint of
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Elsevier
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, ANS: B
Pectus excuvatum is a common congenital deformity of the anterior wall of the chest,
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bn in which several ribs and the sternum grow abnormally; it produces a caved-in or
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bn 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 bn
B. Vertebrosternal ribs bn
C. Ribs 11 and 12 bn bn bn
D. Ribs 8, 9, and 10 bn bn bn bn
ANS: B
The first seven ribs attach via their costal cartilages to the sternum and are called the
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bn 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
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, Test 1-2
Bank
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4. Which of the following interventions is MOST appropriate for a patient with
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bn lower rib fractures?
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A. Short, shallow breaths bn bn
B. Pursed lip breathing bn bn
C. Deep breaths with splinting
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D. Breathing with arms raised bn bn bn
ANS: C
It is important for all therapists to recommend breathing (deep breathing), splinting
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bn (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 bn
B. Sidelying position bn
C. Standing position bn
D. Sitting position bn
ANS: A
In the supine position, without the effects of gravity, the level of the diaphragm in the
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bn thoracic cavity rises. This allows for a relatively greater excursion.
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Copyright ©2011, 2001, 1994 by Saunders, an imprint of
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Elsevier
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