2022-12-18T18:24:28+03:00[Europe/Moscow] en true Which instrument has the appearance of a misshapen pancake spatula?  , How many ribs are considered “true” ribs with direct connection to the sternum with costal cartilage?  ,  For which of the following procedures would the rigid bronchoscope be preferred?  , Lung tissue has what kind of consistency?  , Which nerve could be damaged during lung decortication resulting in paralysis or partial paralysis of the diaphragm?  ,  In which procedure would an incision NOT be required for insertion of the endoscope?  , Which structure within the respiratory tract is the proximal and superior?  , Which of the following are the final branchings of the respiratory tree?  , The manubrium, body, and xiphoid process are portions of the:  , All of the following structures are found within the mediastinum EXCEPT:  , Which membrane covers the surface of the lungs?  , What is the medical term for coughing up blood?  , How many lobes are there in the right lung?  ,  In which part of the respiratory system does the exchange of oxygen and carbon dioxide take place?  , Which of the following regarding blood flow is correct? , What is the name of the device that is attached to suction for collection of mucous or bronchial washing specimens?  ,  What is the medical term for visible changes in density on chest x-ray that indicates pulmonary pathology?  , Thymomas, neurogenic tumors, and pleuropericardial cysts can be biopsied during which procedure?  , Where is the insertion point for the mediastinoscope?  , What is the name of an air-filled sac that has the appearance of a blister on the surface of lung tissue?  ,  In the event that a VATS procedure had to be converted to an open procedure, which open case would be performed?  , Which of the following will be required upon completion of any procedure in which the pleural cavity has been opened?  , Which additional pain control measure is taken for patients undergoing pectus excavatum repair by VATS?  , What is the name of the procedure performed to release constriction of the lungs by fibrin layers?  , The name of the condition created when pus is not cleared from the pleural cavity and makes a fibrous constrictive layer is:  , Prior to the closure of a lobectomy procedure, the anesthesia provider performs a Valsalva maneuver to check for:  ,  What is the term for a collapsed lung?  , Which type of incision is made for a pneumonectomy?  , Which of the following is a crushing clamp with sharp spikes in the jaw used on the bronchus?  , Which instrument is a rib shear?  , What is a commonly used rib self-retaining retractor available in adult and pediatric sizes?  , Which instrument is a lung-grasping forceps that resembles a very large Pennington?  , Which of the following thoracic procedures would require the patient to be put on cardiopulmonary bypass?  , Following lung transplantation, the surgeon will perform which procedure to aspirate secretions and check for leaks?  , The main bronchi, pulmonary arteries, veins, and lymphatic vessels enter the lung on the medial surface through the:  , How many pulmonary veins are there?  , Which diagnostic study is MOST useful for verification of thoracic aortic dissection?  , Which statement regarding the anatomical placement of the heart is correct?, Which structure is considered the “pacemaker” of the heart?  , Which chamber of the heart is responsible for pumping blood into the pulmonary artery?  , Which portion of the heart is responsible for pumping blood into the ascending aorta?  , The coronary arteries originate from the:  , What is the name of the area between the visceral and parietal pleura that contains serous fluid to prevent friction?  , What is the thickest part of the heart?  , Where is the apex of the heart located within the mediastinum?  ,  Which one of the following is NOT one of the cardiac valves?  , Which heart valve is also known as the bicuspid valve?  , The apex of the lung is located: , All of the following are components of the “heart-lung” machine EXCEPT:  , Where are the cannulae MOST commonly placed for cardiopulmonary bypass procedures?  , Which of the following is a commonly used method of preserving the heart by reducing its metabolic needs?  , Which suturing technique maintains the aortic and venous cannulae?  , The force and rate of contraction of the heart is controlled by which part of the central nervous system (CNS)?  , What is the first step in the formation of an atheroma?  , Which of the following is the main underlying pathogenic cause of coronary atherosclerosis and clinical manifestations?  , Which artery accounts for approximately 50% of occlusive coronary lesions?  , What is the name of the acute condition in which heart muscle dies from ischemia and may lead to sudden cardiac death?  , Where is a Swan-Ganz catheter placed?  , Which suture is frequently used for anastomosis of the saphenous vein or internal mammary artery in CABG?  , Which instrument is used to make a small opening into the ascending aorta after the Satinsky partial occlusion clamp is placed?  , With what is the median sternotomy closed?  , Medtronic OCTOPUS® and Guidant Ultima OPCAB® are what type of devices for coronary artery bypass done off- pump?  , What is the name of the device used for patients who are unable to be weaned off of cardiopulmonary bypass?  , Which device is used for patients awaiting heart transplant that allows them to be ambulatory and has both internal and external components to the system?  , What is the general term for incurable diseases of the heart for which the only treatment would be heart transplantation?  , Aortic valve stenosis and aortic regurgitation are often as a result of:  , Which diagnostic method provides the MOST extensive details regarding valvular disorders?  , A heart murmur is often heard with auscultation and indicative of involvement of which structure?  , What is the average lifespan of biologic and mechanical heart valve replacements?  , What is the term for a localized stricture of the aorta found in a pediatric patient?  , Which singular congenital defect involves failure of closure of the connection between the pulmonary artery and aorta?  , What is frequently used to repair atrial and ventricular septal defects in pediatric patients?  , Which congenital defect has four components and is characterized by cyanosis causing appearance of “blue babies”?  , Which surgical approach is used for repair of coarctation of the aorta and patent ductus arteriosus?  ,  Commissurotomy is a surgical separation of the flaps of the:  , The saphenous vein used for coronary artery grafting must be reversed before anastomosis due to the presence of valves in the vein.  , Video-assisted thoracic surgery procedures use carbon dioxide for distention.  , The ventricles of the heart have thicker myocardium than the atria.  ,  Lung reduction surgery is performed for patients with emphysema.  , The drainage and collection device attached to chest tubes relies on a water seal to reestablish negative pressure in the pleural cavity.  , A heart rate that exceeds 100 beats per minute  , Chaotic and disorganized stimulation of the ventricle, making it unable to effectively pump blood  , Abnormally slow electrical impulses and heartbeat below 40 to 60 beats per minute  , Disorganized stimulation of the atria that prevents atrial contraction and does not allow for ventricular filling  , Absence of a heartbeat; cardiac standstill  , Percentage of blood volume pumped out of the heart into the systemic circulation; indicator of ventricular function  ,  Noninvasive study used to diagnose mitral valve stenosis or other valvular disorders  , Monitoring procedure that records electrical activity of the heart  , Electrical conduction disorder requiring permanent pacemaker  , The function accomplished by the cardiopulmonary bypass machine  flashcards

Chapter 22

68D Phase II Chapter 22

  • Which instrument has the appearance of a misshapen pancake spatula? 
    Davidson scapula retractor 
  • How many ribs are considered “true” ribs with direct connection to the sternum with costal cartilage? 
    seven 
  •  For which of the following procedures would the rigid bronchoscope be preferred? 
    removal of foreign body in children
  • Lung tissue has what kind of consistency? 
    friable 
  • Which nerve could be damaged during lung decortication resulting in paralysis or partial paralysis of the diaphragm? 
    phrenic
  •  In which procedure would an incision NOT be required for insertion of the endoscope? 
    bronchoscopy 
  • Which structure within the respiratory tract is the proximal and superior? 
    larynx
  • Which of the following are the final branchings of the respiratory tree? 
     alveoli 
  • The manubrium, body, and xiphoid process are portions of the: 
    sternum
  • All of the following structures are found within the mediastinum EXCEPT: 
    diaphragm 
  • Which membrane covers the surface of the lungs? 
    visceral pleura 
  • What is the medical term for coughing up blood? 
    hemoptysis 
  • How many lobes are there in the right lung? 
    three 
  •  In which part of the respiratory system does the exchange of oxygen and carbon dioxide take place? 
    alveoli 
  • Which of the following regarding blood flow is correct?
    right ventricle, pulmonary artery, lungs, pulmonary vein, left atrium 
  • What is the name of the device that is attached to suction for collection of mucous or bronchial washing specimens? 
    Lukens tube 
  •  What is the medical term for visible changes in density on chest x-ray that indicates pulmonary pathology? 
    infiltrate 
  • Thymomas, neurogenic tumors, and pleuropericardial cysts can be biopsied during which procedure? 
    mediastinoscopy 
  • Where is the insertion point for the mediastinoscope? 
    suprasternal notch
  • What is the name of an air-filled sac that has the appearance of a blister on the surface of lung tissue? 
     bleb
  •  In the event that a VATS procedure had to be converted to an open procedure, which open case would be performed? 
     thoracotomy 
  • Which of the following will be required upon completion of any procedure in which the pleural cavity has been opened? 
     chest tube attached to a Pleur-evac system
  • Which additional pain control measure is taken for patients undergoing pectus excavatum repair by VATS? 
    epidural
  • What is the name of the procedure performed to release constriction of the lungs by fibrin layers? 
    lung decortication 
  • The name of the condition created when pus is not cleared from the pleural cavity and makes a fibrous constrictive layer is: 
    empyema 
  • Prior to the closure of a lobectomy procedure, the anesthesia provider performs a Valsalva maneuver to check for: 
    air leakage from bronchial closure
  •  What is the term for a collapsed lung? 
    atelectasis 
  • Which type of incision is made for a pneumonectomy? 
    posterolateral 
  • Which of the following is a crushing clamp with sharp spikes in the jaw used on the bronchus? 
    Sarot 
  • Which instrument is a rib shear? 
    Bethune 
  • What is a commonly used rib self-retaining retractor available in adult and pediatric sizes? 
    Finochietto 
  • Which instrument is a lung-grasping forceps that resembles a very large Pennington? 
    Lovelace
  • Which of the following thoracic procedures would require the patient to be put on cardiopulmonary bypass? 
    pulmonary thromboendarterectomy 
  • Following lung transplantation, the surgeon will perform which procedure to aspirate secretions and check for leaks? 
    bronchoscopy 
  • The main bronchi, pulmonary arteries, veins, and lymphatic vessels enter the lung on the medial surface through the: 
    hilum 
  • How many pulmonary veins are there? 
    four 
  • Which diagnostic study is MOST useful for verification of thoracic aortic dissection? 
    stress test 
  • Which statement regarding the anatomical placement of the heart is correct?
     It is positioned in the mediastinum with approximately 2/3 of the heart on the left side. 
  • Which structure is considered the “pacemaker” of the heart? 
    SA node
  • Which chamber of the heart is responsible for pumping blood into the pulmonary artery? 
    right ventricle
  • Which portion of the heart is responsible for pumping blood into the ascending aorta? 
     left ventricle 
  • The coronary arteries originate from the: 
     ascending aorta 
  • What is the name of the area between the visceral and parietal pleura that contains serous fluid to prevent friction? 
    pleural space
  • What is the thickest part of the heart? 
    myocardium 
  • Where is the apex of the heart located within the mediastinum? 
    inferiorly on the left side 
  •  Which one of the following is NOT one of the cardiac valves? 
    septal
  • Which heart valve is also known as the bicuspid valve? 
    mitral
  • The apex of the lung is located:
    superiorly and just above the clavicle 
  • All of the following are components of the “heart-lung” machine EXCEPT: 
    defibrillator
  • Where are the cannulae MOST commonly placed for cardiopulmonary bypass procedures? 
     right atrium and ascending aorta
  • Which of the following is a commonly used method of preserving the heart by reducing its metabolic needs? 
    hypothermia 
  • Which suturing technique maintains the aortic and venous cannulae? 
    purse-string
  • The force and rate of contraction of the heart is controlled by which part of the central nervous system (CNS)? 
     medulla oblongata 
  • What is the first step in the formation of an atheroma? 
    injury to endothelial lining 
  • Which of the following is the main underlying pathogenic cause of coronary atherosclerosis and clinical manifestations? 
    ischemia
  • Which artery accounts for approximately 50% of occlusive coronary lesions? 
    left anterior descending
  • What is the name of the acute condition in which heart muscle dies from ischemia and may lead to sudden cardiac death? 
    myocardial infarction 
  • Where is a Swan-Ganz catheter placed? 
    pulmonary artery 
  • Which suture is frequently used for anastomosis of the saphenous vein or internal mammary artery in CABG? 
     6-0 or 7-0 polypropylene
  • Which instrument is used to make a small opening into the ascending aorta after the Satinsky partial occlusion clamp is placed? 
    aortic punch
  • With what is the median sternotomy closed? 
    heavy gauge stainless steel wire 
  • Medtronic OCTOPUS® and Guidant Ultima OPCAB® are what type of devices for coronary artery bypass done off- pump? 
    stabilizers 
  • What is the name of the device used for patients who are unable to be weaned off of cardiopulmonary bypass? 
    intra-aortic balloon pump
  • Which device is used for patients awaiting heart transplant that allows them to be ambulatory and has both internal and external components to the system? 
    ventricular assist device 
  • What is the general term for incurable diseases of the heart for which the only treatment would be heart transplantation? 
    cardiomyopathies 
  • Aortic valve stenosis and aortic regurgitation are often as a result of: 
    rheumatic fever
  • Which diagnostic method provides the MOST extensive details regarding valvular disorders? 
    cardiac catheterization
  • A heart murmur is often heard with auscultation and indicative of involvement of which structure? 
    mitral valve 
  • What is the average lifespan of biologic and mechanical heart valve replacements? 
    10 to 15 years 
  • What is the term for a localized stricture of the aorta found in a pediatric patient? 
     coarctation 
  • Which singular congenital defect involves failure of closure of the connection between the pulmonary artery and aorta? 
    patent ductus arteriosus 
  • What is frequently used to repair atrial and ventricular septal defects in pediatric patients? 
    Dacron patch 
  • Which congenital defect has four components and is characterized by cyanosis causing appearance of “blue babies”? 
     tetralogy of Fallot 
  • Which surgical approach is used for repair of coarctation of the aorta and patent ductus arteriosus? 
    posterolateral 
  •  Commissurotomy is a surgical separation of the flaps of the: 
    mitral valve 
  • The saphenous vein used for coronary artery grafting must be reversed before anastomosis due to the presence of valves in the vein. 
    True
  • Video-assisted thoracic surgery procedures use carbon dioxide for distention. 
    False
  • The ventricles of the heart have thicker myocardium than the atria. 
    True
  •  Lung reduction surgery is performed for patients with emphysema. 
    True
  • The drainage and collection device attached to chest tubes relies on a water seal to reestablish negative pressure in the pleural cavity. 
    True
  • A heart rate that exceeds 100 beats per minute 
    Ventricular tachycardia 
  • Chaotic and disorganized stimulation of the ventricle, making it unable to effectively pump blood 
    Ventricular fibrillation 
  • Abnormally slow electrical impulses and heartbeat below 40 to 60 beats per minute 
    Bradycardia
  • Disorganized stimulation of the atria that prevents atrial contraction and does not allow for ventricular filling 
    Atrial fibrillation
  • Absence of a heartbeat; cardiac standstill 
    Asystole
  • Percentage of blood volume pumped out of the heart into the systemic circulation; indicator of ventricular function 
    Ejection fraction 
  •  Noninvasive study used to diagnose mitral valve stenosis or other valvular disorders 
    Echocardiography
  • Monitoring procedure that records electrical activity of the heart 
    Electrocardiograph
  • Electrical conduction disorder requiring permanent pacemaker 
    Heart block
  • The function accomplished by the cardiopulmonary bypass machine 
    Perfusion