Question 1

Which would be a reason for performing a bronchoscopy?

Accepted Answer

A)  To obtain a biopsy specimen 
B)  To insert a chest tube 
C)  To excise a wedge resection 
D)  To perform a tracheotomy 
A)  To obtain a biopsy specimen 
B)  To insert a chest tube 
C)  To excise a wedge resection 
D)  To perform a tracheotomy A

Question 2

MATCHING
Match each condition with its definition.
-Collection of pus and fluid in intrathoracic spaces

Accepted Answer

A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax 
A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax G

Question 3

MATCHING
Match each condition with its definition.
-Bloody in the pleural space

Accepted Answer

A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax 
A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax A

Question 4

The primary reason for most lung resections is the presence of infections.

Accepted Answer

A) True 
 B)False

Question 5

MATCHING
Match each condition with its definition.
-Compression of lung due to intrapleural pressure changes

Accepted Answer

A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax 
A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax

Question 6

MATCHING
Match each condition with its definition.
-Air in the pleural space

Accepted Answer

A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax 
A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax

Question 7

What type of device is used to prolong resuscitation after a patient is removed from cardiopulmonary bypass?

Accepted Answer

A)  BCMA 
B)  ACLS 
C)  CPRS 
D)  ECMO 
A)  BCMA 
B)  ACLS 
C)  CPRS 
D)  ECMO

Question 8

Which ribs have no fixation anteriorly?

Accepted Answer

A)  5th,6th,and 7th ribs 
B)  7th and 8th ribs 
C)  8th,9th,and 10th ribs 
D)  11th and 12th ribs 
A)  5th,6th,and 7th ribs 
B)  7th and 8th ribs 
C)  8th,9th,and 10th ribs 
D)  11th and 12th ribs

Question 9

A mediastinoscopy may be performed using a needle and syringe.

Accepted Answer

A) True 
 B)False

Question 10

What type of bronchoscope is mainly used for foreign body removal and to find the cause of persistent bleeding?

Accepted Answer

A)  Indirect 
B)  Rigid 
C)  Flexible 
D)  Bypass 
A)  Indirect 
B)  Rigid 
C)  Flexible 
D)  Bypass

Question 11

Which is an effective treatment for a spontaneous pneumothorax?

Accepted Answer

A)  Chest radiograph 
B)  Radiation followed by chemotherapy 
C)  Pleurodesis 
D)  Thymectomy 
A)  Chest radiograph 
B)  Radiation followed by chemotherapy 
C)  Pleurodesis 
D)  Thymectomy

Question 12

A thymectomy is performed to relieve the symptoms of what disease?

Accepted Answer

A)  Graves' disease 
B)  Tuberculosis 
C)  Bronchospasm 
D)  Myasthenia gravis 
A)  Graves' disease 
B)  Tuberculosis 
C)  Bronchospasm 
D)  Myasthenia gravis

Question 13

MATCHING
Match each condition with its definition.
-Funnel chest

Accepted Answer

A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax 
A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax

Question 14

What type of tube is used to restore an airtight pleural cavity and maintain negative pressure?

Accepted Answer

A)  Jackson-Pratt drain connected to a reservoir 
B)  Chest tube connected to a closed water-seal drainage system 
C)  A Penrose drain covered with sterile gauze 
D)  Sengstaken-Blakemore tube 
A)  Jackson-Pratt drain connected to a reservoir 
B)  Chest tube connected to a closed water-seal drainage system 
C)  A Penrose drain covered with sterile gauze 
D)  Sengstaken-Blakemore tube

Question 15

Which is a factor that influences the choice of incisions for thoracic surgery?

Accepted Answer

A)  Patient age 
B)  Surgeon preference 
C)  Intrapleural pressure 
D)  Hemodynamic quality 
A)  Patient age 
B)  Surgeon preference 
C)  Intrapleural pressure 
D)  Hemodynamic quality

Question 16

MATCHING
Match each condition with its definition.
-Diaphragmatic bulging

Accepted Answer

A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax 
A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax

Question 17

Which lung has three lobes and a straighter bronchus?

Accepted Answer

A)  Left 
B)  Right lower 
C)  Left lower 
D)  Right 
A)  Left 
B)  Right lower 
C)  Left lower 
D)  Right

Question 18

Which type of pressure is necessary within the thorax to maintain normal inhalation and expiration?

Accepted Answer

A)  Negative 
B)  Positive 
C)  Internal 
D)  Blunt 
A)  Negative 
B)  Positive 
C)  Internal 
D)  Blunt

Question 19

MATCHING
Match each condition with its definition.
-Vessel and nerve impingement at first rib

Accepted Answer

A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax 
A) Hemothorax 
B) Pectus carinatum 
C) Mediastinal shift 
D) Thoracic outlet syndrome 
E) Hiatal hernia
F)Pectus excavatum
G)Empyema
H)Pneumothorax

Question 20

Where is the thymus located?

Accepted Answer

A)  Middle of the esophagus 
B)  Hilus of the lung 
C)  Anterior section of the mediastinum 
D)  Base of the visceral pleura 
A)  Middle of the esophagus 
B)  Hilus of the lung 
C)  Anterior section of the mediastinum 
D)  Base of the visceral pleura

Exam 42: Thoracic Surgery

Which would be a reason for performing a bronchoscopy?

MATCHING Match each condition with its definition. -Collection of pus and fluid in intrathoracic spaces

MATCHING Match each condition with its definition. -Bloody in the pleural space

The primary reason for most lung resections is the presence of infections.

MATCHING Match each condition with its definition. -Compression of lung due to intrapleural pressure changes

MATCHING Match each condition with its definition. -Air in the pleural space

What type of device is used to prolong resuscitation after a patient is removed from cardiopulmonary bypass?

Which ribs have no fixation anteriorly?

A mediastinoscopy may be performed using a needle and syringe.

What type of bronchoscope is mainly used for foreign body removal and to find the cause of persistent bleeding?

Which is an effective treatment for a spontaneous pneumothorax?

A thymectomy is performed to relieve the symptoms of what disease?

MATCHING Match each condition with its definition. -Funnel chest

What type of tube is used to restore an airtight pleural cavity and maintain negative pressure?

Which is a factor that influences the choice of incisions for thoracic surgery?

MATCHING Match each condition with its definition. -Diaphragmatic bulging

Which lung has three lobes and a straighter bronchus?

Which type of pressure is necessary within the thorax to maintain normal inhalation and expiration?

MATCHING Match each condition with its definition. -Vessel and nerve impingement at first rib

Where is the thymus located?

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions, implants, and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

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Urologic Surgery

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Neurosurgery of the Brain and Peripheral Nerves

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Otorhinolaryngologic and Head and Neck Surgery

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