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thoracic test review
thoracic surgery test review
| Question | Answer |
|---|---|
| how is pt placed in a posterolateral postion | situated on side and towards back |
| how is pt placed in a anterolateral position | situated in front and to 1 side |
| smaller subdivision of lobes; seperated by connective tissue; supplied by seperate brances of the bronchus | segments of lung |
| secretions obtained from the bronchi for lab exam following injection & aspiration of small amts of saline | bronchial washings |
| mass of tissue/organs bound by the lungs on the sides & separating the sternum in front & the vertebral column behind | mediastinum |
| congential malformation of the chest wall characterized by a funnel shaped depression of the lower end of the sternum & costal cartilages | pectus excavatum |
| serous membrane enclosing the lungs & lining the walls of the thoracic cavity | pleura |
| space between 2 ribs | intercostal space |
| surgical procedure in which a vertical inline incision is made along the sternum, after which the sternum itself is divided, or "cracked". | sternotomy |
| soft indentation along the midline immediately above the sternum | suprasternal notch |
| well-defined portions; right lung has 3 and left lung has 2 | lobes |
| accumulation of air/gas in the pleural cavity; resulting in the collapse of the lung on the affected side | pneumothorax |
| abnormal accumulation of fluid in the pleural space | pleural effusion |
| maximum vol of air that can be expired from the resting expiratory level | reserve air |
| amt of air remaining in the lungs at the end of a maximum expiration | residual air |
| amt of air inhaled & exhaled during normal quiet breathing | tidal air |
| direct visualization of the mediastinal space & lymph nodes by means of a lighted scope | mediastinoscopy |
| direct visualization of the tracheobronchial tree following insertion of a rigid/flexible lighted scope | bronchoscopy |
| direct visualization of the esophagus & cardic portion of the stomach by means of a lighted scope | esophagoscopy |
| a purpose of thoracic surgery is | to treat diseased tissue by resection or repair |
| which position is used for a median sternotomy incision | supine |
| which position used for a full posterolateral thoracotomy incision | lateral |
| which position is used for a anterolateral thoracotomy incision & thoracic endoscopic procedures | modified supine |
| a purpose of thoracic endoscopic procedure is | to observe periodically the effects of therapy |
| which is the most often used thoracic incision | posterolateral thoracotomy incision |
| which incision is an inframmary incision made from anterior midline or sternal border to midaxillary line | anterolateral thoracotomy incision |
| which type of incision is used for surgery in the mediastinum such as a thymectomy | median sternotomy incision |
| what should be in the room as a special considerations of thoracic surgery | pre-operative chest x-rays |
| what should always be ready in thoracic surgery | hemostatic agents |
| excision of a small portion of lung tissue for diagnosis | lung biopsy |
| insertion of a catheter thru a very small incision in an intercostal space to establish a closed drainage system | closed thoracostomy |
| excision of fibrinous deposits/restrictive membranes of pleurae that interfere w/respiratory function | decortication of the lung |
| chest tubes are sterile tubes w/multiple openings in the end available in a variety of sizes from 16-36 french | true |
| a pleural vac is a compact disposable unit; can act as 1,2 or 3 bottle system | true |
| for a open thoracotomy surgeon incises over selected | intercostal space |
| for a open thoracotomy periosteum is incised by the surgeon & freed from the | rib |
| instrument used to incise the periosteum over the intercostal space | doyen raspatories |
| surgeon trims bone edges w/a rongeur or sauerbruch shears & applies what for hemostasis | bone wax |
| tech hands surgeon moist laps to cover & protect wound from what | retractor edges |
| tech passes the surgeon the retractor of choice which is inserted between what and opened slowly | ribs |
| following the procedure, the surgeon may insert 1 or 2 chest tubes into what | pleural space |
| surgeon places heavy pericostal sutures around the 2 ribs & holds them with what | hemostat |
| surgeon reapproximates periosteum w/a running absorbable suture, closes and anchors drains to chest wall and connects to | closed drainage system |
| direct visualization of the interior of the larynx w/a lighted scope | laryngoscopy |
| thymectomy is the excision of which gland with or w/out enbloc resection | thymus |
| thymectomy is performed to relief symptoms of | myasthensia gravis |
| repair of a depression in the sternum & cartilage | repair of pectus excavatum |
| condition of the chest wall due to 2 or more rib fractures in which segments are not attached to the other end causing paradoxic movement during inspiration/expiration | flail chest |
| the approach used for a thymectomy | median sternotomy |
| excision of a small part of the periphery of a pulmonary lobe | wedge section |
| accumulation of blood/fluid in the pleural cavity caused by rupture of sm. blood vessels, due to trauma/inflammation of the lungs in pneumonia, pulmonary TB or malignant growth | hemothorax |
Created by:
clmcnees
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