thoracic surgery test review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| how is pt placed in a posterolateral postion | situated on side and towards back
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| how is pt placed in a anterolateral position | situated in front and to 1 side
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| smaller subdivision of lobes; seperated by connective tissue; supplied by seperate brances of the bronchus | segments of lung
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| secretions obtained from the bronchi for lab exam following injection & aspiration of small amts of saline | bronchial washings
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| mass of tissue/organs bound by the lungs on the sides & separating the sternum in front & the vertebral column behind | mediastinum
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| congential malformation of the chest wall characterized by a funnel shaped depression of the lower end of the sternum & costal cartilages | pectus excavatum
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| serous membrane enclosing the lungs & lining the walls of the thoracic cavity | pleura
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| space between 2 ribs | intercostal space
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| surgical procedure in which a vertical inline incision is made along the sternum, after which the sternum itself is divided, or "cracked". | sternotomy
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| soft indentation along the midline immediately above the sternum | suprasternal notch
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| well-defined portions; right lung has 3 and left lung has 2 | lobes
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| accumulation of air/gas in the pleural cavity; resulting in the collapse of the lung on the affected side | pneumothorax
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| abnormal accumulation of fluid in the pleural space | pleural effusion
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| maximum vol of air that can be expired from the resting expiratory level | reserve air
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| amt of air remaining in the lungs at the end of a maximum expiration | residual air
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| amt of air inhaled & exhaled during normal quiet breathing | tidal air
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| direct visualization of the mediastinal space & lymph nodes by means of a lighted scope | mediastinoscopy
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| direct visualization of the tracheobronchial tree following insertion of a rigid/flexible lighted scope | bronchoscopy
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| direct visualization of the esophagus & cardic portion of the stomach by means of a lighted scope | esophagoscopy
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| a purpose of thoracic surgery is | to treat diseased tissue by resection or repair
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| which position is used for a median sternotomy incision | supine
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| which position used for a full posterolateral thoracotomy incision | lateral
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| which position is used for a anterolateral thoracotomy incision & thoracic endoscopic procedures | modified supine
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| a purpose of thoracic endoscopic procedure is | to observe periodically the effects of therapy
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| which is the most often used thoracic incision | posterolateral thoracotomy incision
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| which incision is an inframmary incision made from anterior midline or sternal border to midaxillary line | anterolateral thoracotomy incision
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| which type of incision is used for surgery in the mediastinum such as a thymectomy | median sternotomy incision
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| what should be in the room as a special considerations of thoracic surgery | pre-operative chest x-rays
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| what should always be ready in thoracic surgery | hemostatic agents
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| excision of a small portion of lung tissue for diagnosis | lung biopsy
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| insertion of a catheter thru a very small incision in an intercostal space to establish a closed drainage system | closed thoracostomy
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| excision of fibrinous deposits/restrictive membranes of pleurae that interfere w/respiratory function | decortication of the lung
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| chest tubes are sterile tubes w/multiple openings in the end available in a variety of sizes from 16-36 french | true
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| a pleural vac is a compact disposable unit; can act as 1,2 or 3 bottle system | true
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| for a open thoracotomy surgeon incises over selected | intercostal space
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| for a open thoracotomy periosteum is incised by the surgeon & freed from the | rib
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| instrument used to incise the periosteum over the intercostal space | doyen raspatories
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| surgeon trims bone edges w/a rongeur or sauerbruch shears & applies what for hemostasis | bone wax
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| tech hands surgeon moist laps to cover & protect wound from what | retractor edges
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| tech passes the surgeon the retractor of choice which is inserted between what and opened slowly | ribs
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| following the procedure, the surgeon may insert 1 or 2 chest tubes into what | pleural space
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| surgeon places heavy pericostal sutures around the 2 ribs & holds them with what | hemostat
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| surgeon reapproximates periosteum w/a running absorbable suture, closes and anchors drains to chest wall and connects to | closed drainage system
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| direct visualization of the interior of the larynx w/a lighted scope | laryngoscopy
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| thymectomy is the excision of which gland with or w/out enbloc resection | thymus
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| thymectomy is performed to relief symptoms of | myasthensia gravis
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| repair of a depression in the sternum & cartilage | repair of pectus excavatum
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| 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
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| the approach used for a thymectomy | median sternotomy
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| excision of a small part of the periphery of a pulmonary lobe | wedge section
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| 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
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Created by:
clmcnees
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