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Thoracic surgery ST
review for thoracic surgery test
| Question | Answer |
|---|---|
| posterolateral position | situated on the side and toward the back |
| anterolateral position | situated in front and to one side |
| smaller subdivisions of the lobes of the lung, separated from others by connective tissue and supplied by seperate branches of the bronchus leading to the particular lobe | segments of the lung |
| secretions obtained from the bronchi for laboratory examination following injection and aspiration of small amounts of saline | bronchial washings |
| mass of tissues and organs bound by the lungs on the sides and separating the sternum in front and the vertebral column behind | mediastinum |
| congenital malformation of the chest wall characterized by a funnel-shaped depression of the lower end of the sternum and costal cartilages | pectus excavatum |
| serous membrane enclosing the lungs and lining the walls of the thoracic cavity | pleura |
| the space between two ribs | intercostal space |
| an incision through or splitting of the sternum | sternotomy |
| soft indentation along the midline immediately above the sternum | suprasternal notch |
| well-defined portions of the lungs; the right lung has 3 and left lung has 2 | lobes |
| accumulation of blood or fluid in the pleural cavity caused by rupture of small blood vessels, due to trauma or inflammation of the lungs in pneumonia, pulmonary TB, or a malignant growth | hemothorax |
| abnormal accumulation of fluid in the intrapleural space | pleural effusion |
| the maximum volume of air that can be expired from the resting expiratory level | reserve air |
| the amount of air remaining in the lungs at the end of a maximum expiration | residual air |
| the amount of air inhaled and exhaled during normal quiet breathing | tidal air |
| direct visualization of the mediastinal space and lymph nodes by means of a lighted scope | mediastinoscopy |
| direct visualization of the interior of the larynx through a lighted scope | laryngoscopy |
| direct visualization of the tracheobronchial tree following insertion of a rigid or flexible lighted scope | bronchoscopy |
| direct visualization of the esophagus and cardiac portion of the stomach by means of a lighted scope | esophagoscopy |
| purpose of thoracic surgery | to treat diseased tissue by resection or repair |
| which position is used for a median sternotomy incision? | supine |
| which position is used for a full posterolateral thoracotomy incision? | lateral |
| which position is used for anterolateral thoracotomy incision? | modified supine |
| purpose of thoracic endoscopic procedures | to observe periodically the effects of therapy |
| which incision is most often used for thoracic procedures? | posterolateral thoracotomy incision |
| what would the median sternotomy incision be used for? | thymectomy |
| which incision uses an inframammary incision form the anterior midline or sternal border to mid axillary line? | anterolateral thoracotomy incision |
| what should be in the room as a special consideration of thoracic surgery? | pre-op chest x-rays |
| what should always be ready as a special consideration of thoracic surgery? | hemostatic agents |
| the excision of a small portion of lung tissue for diagnosis is ___? | lung biopsy |
| insertion of a catheter through a very small incision in an intercostal space to establish a closed drainage system | closed thoracostomy |
| excision of fibrinous deposits or restrictive membranes of pleurae that interfere with respiratory function | decortication of the lung |
| sterile chest tubes with multiple openings on the end available in sizes from 16-36 French | underwater drainage system |
| Pleuravac is the preferred drainage system b/c it is lighter, safer, and easier to use. it is a ___? | compact disposable unit |
| in an open thoracotomy, the surgeon incises over selected ___? | intercostal spaces |
| in an open thoracotomy, the periosteum is incised and freed from the ___? | rib |
| what is used to incise the periosteum over the intercostal space? | Doyen raspatory |
| in an open thoracotomy, the surgeon uses rongeurs or Sauerbruch rib shears to trim bone edges and then applies ___ for hemostasis | bone wax |
| during an open thoracotomy, the surgeon uses wet laps to protect the wound from ___? | retractor |
| in an open thoracotomy, retractors are inserted between the ___? | ribs |
| following a thoracotomy, chest tubes are inserted into the ___? | pleural space |
| pericostal sutures are held around 2 ribs with a ___? | hemostat |
| the surgeon reapproximates periosteum and connects drains to a ___? | closed drainage system |
| removal of the thymus gland | thymectomy |
| thymectomy is performed to relieve symptoms of ___? | myesthenia gravis |
| the approach used for a thymectomy is ___? | median sternotomy |
| the repair of pectus ___ is the repair of a depression in the sternum and cartilage | excavatum |
| excision of a small part from the periphery of a pulmonary lobe is ___ | wedge resection |
| condition of the chest wall due to two or more rib fractures in which segments are not attached to the other end causing paradoxic movement during inspiration and expiration | flail chest |
Created by:
bellajerrent429
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