🥵 HARD
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
Question 1 |
Lateral aspect of arm | |
Medial aspect of arm | |
Lateral aspect of forearm | |
Medial aspect of forearm | |
Dorsal palmar surface |
Question 2 |
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 |
Question 3 |
First rib | |
Second rib | |
Acromial head of the clavicle | |
Sternal body | |
Costal cartilage |
Question 4 |
Left brachiocephalic artery | |
Aortic arch | |
Left brachiocephalic vein | |
Left common carotid artery | |
Left subclavian artery |
Question 5 |
Right pleura | |
Left pleura | |
Right mediastinal lung parenchyma | |
Pericardium | |
Right anterior lung parenchyma |
Question 6 |
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 | |
Retrosternal goitre | |
Pleurisy | |
Aorticopulmonary space-occupying lesion |
Question 7 |
Stem 2 of 4
A 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 |
Question 8 |
Stem 3 of 4
A 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?Gastrinoma | |
Bowel perforation | |
Compaction of the small intestine | |
IBD | |
Normal xiphoid process |
Question 9 |
Stem 4 of 4
From 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 | |
Intercostal nerve | |
Intercostal lymphatics |
Question 10 |
Inferomedial | |
Superolateral | |
Transverse | |
Inferosuperior | |
Superoinferior |
Question 11 |
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 |