review for thoracic surgery test
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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| posterolateral position | situated on the side and toward the back
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| anterolateral position | situated in front and to one side
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| 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
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| secretions obtained from the bronchi for laboratory examination following injection and aspiration of small amounts of saline | bronchial washings
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| mass of tissues and organs bound by the lungs on the sides and separating the sternum in front and the vertebral column behind | mediastinum
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| congenital malformation of the chest wall characterized by a funnel-shaped depression of the lower end of the sternum and costal cartilages | pectus excavatum
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| serous membrane enclosing the lungs and lining the walls of the thoracic cavity | pleura
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| the space between two ribs | intercostal space
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| an incision through or splitting of the sternum | sternotomy
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| soft indentation along the midline immediately above the sternum | suprasternal notch
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| well-defined portions of the lungs; the right lung has 3 and left lung has 2 | lobes
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| 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
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| abnormal accumulation of fluid in the intrapleural space | pleural effusion
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| the maximum volume of air that can be expired from the resting expiratory level | reserve air
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| the amount of air remaining in the lungs at the end of a maximum expiration | residual air
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| the amount of air inhaled and exhaled during normal quiet breathing | tidal air
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| direct visualization of the mediastinal space and lymph nodes by means of a lighted scope | mediastinoscopy
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| direct visualization of the interior of the larynx through a lighted scope | laryngoscopy
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| direct visualization of the tracheobronchial tree following insertion of a rigid or flexible lighted scope | bronchoscopy
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| direct visualization of the esophagus and cardiac portion of the stomach by means of a lighted scope | esophagoscopy
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| purpose of thoracic surgery | 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 is used for a full posterolateral thoracotomy incision? | lateral
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| which position is used for anterolateral thoracotomy incision? | modified supine
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| purpose of thoracic endoscopic procedures | to observe periodically the effects of therapy
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| which incision is most often used for thoracic procedures? | posterolateral thoracotomy incision
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| what would the median sternotomy incision be used for? | thymectomy
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| which incision uses an inframammary incision form the anterior midline or sternal border to mid axillary line? | anterolateral thoracotomy incision
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| what should be in the room as a special consideration of thoracic surgery? | pre-op chest x-rays
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| what should always be ready as a special consideration of thoracic surgery? | hemostatic agents
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| the excision of a small portion of lung tissue for diagnosis is ___? | lung biopsy
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| insertion of a catheter through a very small incision in an intercostal space to establish a closed drainage system | closed thoracostomy
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| excision of fibrinous deposits or restrictive membranes of pleurae that interfere with respiratory function | decortication of the lung
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| sterile chest tubes with multiple openings on the end available in sizes from 16-36 French | underwater drainage system
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| Pleuravac is the preferred drainage system b/c it is lighter, safer, and easier to use. it is a ___? | compact disposable unit
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| in an open thoracotomy, the surgeon incises over selected ___? | intercostal spaces
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| in an open thoracotomy, the periosteum is incised and freed from the ___? | rib
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| what is used to incise the periosteum over the intercostal space? | Doyen raspatory
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| in an open thoracotomy, the surgeon uses rongeurs or Sauerbruch rib shears to trim bone edges and then applies ___ for hemostasis | bone wax
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| during an open thoracotomy, the surgeon uses wet laps to protect the wound from ___? | retractor
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| in an open thoracotomy, retractors are inserted between the ___? | ribs
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| following a thoracotomy, chest tubes are inserted into the ___? | pleural space
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| pericostal sutures are held around 2 ribs with a ___? | hemostat
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| the surgeon reapproximates periosteum and connects drains to a ___? | closed drainage system
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| removal of the thymus gland | thymectomy
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| thymectomy is performed to relieve symptoms of ___? | myesthenia gravis
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| the approach used for a thymectomy is ___? | median sternotomy
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| the repair of pectus ___ is the repair of a depression in the sternum and cartilage | excavatum
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| excision of a small part from the periphery of a pulmonary lobe is ___ | wedge resection
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| 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
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