Below is a stretch-and-challenge MCQ of clinically applied thoracic anatomy addressing learning outcomes of both the Anatomical Society of Great Britain and Northern Ireland’s “Anatomical Society core regional anatomy syllabus for undergraduate medicine” and the MRCS Part A Basic Science syllabus. Best of luck!
Reference: Smith, C et al. (2015). The Anatomical Society core regional anatomy syllabus for undergraduate medicine. Journal of Anatomy. Available here when last accessed 7th Oct 2019.
Reviewed by: awaiting review
Thorax Anatomy - Part Three
Lateral aspect of arm
Medial aspect of arm
Lateral aspect of forearm
Medial aspect of forearm
Dorsal palmar surface
Formed of hyaline cartilage
Is translucent in appearance
Adds resilience to the thoracic cage
Risks increased likelihood of blunt fracture
Directly enables ribs 1-7 to articulate with the sternum
Acromial head of the clavicle
Left brachiocephalic artery
Left brachiocephalic vein
Left common carotid artery
Left subclavian artery
Right mediastinal lung parenchyma
Right anterior lung parenchyma
Stem 1 of 4
A 42YOM presents with dyspnoea, orthopnoea, dysphagia. His wife notes during collateral history that he sounds "hoarse" when speaking, and has increasingly sounded this way over a course of months. On examination, there is an unexpected dullness noted over palpation of the sternal body. The patient is otherwise asymptomatic.Based on the information, which is the best matched diagnosis?
Left ventricular heart failure
Heart failure with preserved ejection fraction
Aorticopulmonary space-occupying lesion
Stem 2 of 4A sternotomy is performed to ablate the hypertrophic tissue. Which of the following described organs is not accessed in a similar manner?
The secretor of ANP
The secretor of ACE
The site of T cell maturation
The site of PT hormone release
Stem 3 of 4A patient has recently been successfully trying to lose weight and presents to their GP asymptomatic with a superior epigastrium mass. Which is the most appropriate diagnosis below?
Compaction of the small intestine
Normal xiphoid process
Stem 4 of 4From superior to inferior, which is the middle-most structure within a neuro-vascular bundle of a costal groove?
Anterior intercostal vein
Posterior intercostal vein
Posterior intercostal artery
The haemorrhagic potential of the internal intercostal muscle
The dorsal rami of the thoracic spinal nerves
The superior costal groove
The insertion through the superior aspect of the rib surface
The superficial risk of visceral pleural rupture to cause a haemopneumothorax