Lungs and Pleurae

1. 1Label the diagram to show the lobes and fissures of the lungs.

   

   1. AHorizonal fissure
   2. BSuperior lobe
   3. CMiddle lobe
   4. DInferior lobe
   5. ESuperior lobe
   6. FInferior lobe
   7. GOblique fissure
   8. HOblique fissure
   9. ILingula
   10. JCardiac notch
2. 2The right lung is slightly larger than the left.

   1. ATrue
   2. BFalse
3. 3Where is the lingula in relation to the heart?

   1. ALoops around the left border
   2. BLoops around the aortic arch
   3. CDeep to the inferior vena cava
   4. DLoops around the apex
4. 4How many lobes does the right lung have?

   1. A3
   2. B2
   3. C1
   4. D4
5. 5How many lobes does the left lung have?

   1. A1
   2. B2
   3. C3
   4. D4
6. 6Drag and drop the correct answers to describe the orientation of the lubes of the lungs.
   The left and right oblique fissures run from the spinous process of [blank_start]T3[blank_end] to the [blank_start]6th rib[blank_end] at the [blank_start]midclavicular line[blank_end].
   The right horizontal fissure runs from the [blank_start]5th rib[blank_end] at the [blank_start]midaxillary line[blank_end] and the [blank_start]4th rib[blank_end].

   1. AT3
   2. BT1
   3. CT2
   4. D6th rib
   5. E7th rib
   6. F3rd rib
   7. Gmidclavicular line
   8. H5th rib
   9. Imidaxillary line
   10. J4th rib
7. 7Why can PET scans show lung masses?

   1. AShow metabolic activity
   2. BLung masses will be formed of dense tissue that absorbs X ray
   3. CLung masses will be formed of dense tissue that absorbs gamma
   4. DLung masses will be formed of dense tissue that has resonance
8. 8What is a pneumothorax?

   1. APuncture of the pleural cavity causing abnormal movements of air
   2. BExcess fluid in the pleural cavity due to infection
   3. CExcess fluid in the pericardial cavity
   4. DBlood in the pericardial cavity
9. 9What will happen to air in a pneumothorax during expiration?

   1. AAir leaves pleural cavity
   2. BAir enters pleural cavity
10. 10What will happen to air in a pneumothorax during inspiration?

    1. ALeaves the pleural cavity
    2. BEnters the pleural cavity

11. 11Fill in the blanks to describe a tension pneumothorax.
    A tension pneumothorax occurs when the defect in the chest wall acts as a flap [blank_start]valve[blank_end]. During [blank_start]expiration[blank_end], the defect [blank_start]closes[blank_end] and air cannot leave the thorax. During [blank_start]inspiration[blank_end], great pressure caused by the pleural cavity filling with [blank_start]air[blank_end] causes the heart to be shifted to the right. This compresses the heart and lung.

    1. Avalve
    2. Bcloses
    3. Cexpiration
    4. Dinspiration
    5. Eair
12. 12What name do we have the harsh transition between misty grey tissue and black tissue on an X-ray of a pneumothorax?

    1. APleural stripe
    2. BPleural margin
    3. CPleural edge
    4. DPleural boundary
13. 13Drag and drop the correct lung pathology to its x ray.

    

    1. APneumothorax
    2. BPneumonia
    3. CPleural effusion
14. 14Why is there consolidation of lung tissue in x-rays of chests with pneumonia?

    1. AAccumulation of lymphocytes causes fluid buildup
    2. BIrritants in pleura stimulate serous membranes to produce extra fluid
    3. CAir in the pleural cavity appears misty grey
    4. DAccumulation of pus
15. 15What is pleural effusion?

    1. AIrritants in the parietal pleura stimulate serous membranes to produce extra fluid
    2. BAccumulation of lymphocytes causes fluid buildup
    3. CIrritants in parietal pleura cause serous membranes to stop producing serous fluid
    4. DAir in the pleural cavity due to puncture of the parietal pleura
16. 16What is the terminal functional unit of the lung?

    1. ABronchopulmonary segment
    2. BLobe
    3. CBronchiole
    4. DAlveolus
17. 17What is the correct orientation of the hilum of the right lung, superior to inferior?

    1. ABronchus, artery, vein
    2. BArtery, bronchus, vein
    3. CVein, artery, bronchus
    4. DVein, bronchus, artery
18. 18What is the correct orientation of the lung hilum of the left lung, superior to inferior?

    1. AArtery, bronchus, vein
    2. BBronchus, vein, artery
    3. CBronchus, artery, vein
    4. DVein, bronchus, artery
19. 19Label this image of the posterior surfaces of the lungs and their relations.

    

    1. ASuperior vena cava
    2. BCardiac notch
    3. CInferior vena cava
    4. DAzygos vein
    5. EOesophagus
    6. FOesophagus
    7. GDescending aorta
    8. HAortic arch
    9. IPulmonary artery
    10. JBronchus
    11. KPulmonary vein
    12. LCardiac notch
20. 20The bronchus starts dividing in the hilum of the lung at the root.

    1. ATrue
    2. BFalse
21. 21Label this image to show the positions of the structures of the lungs.

    

    1. ALeft oblique fissure
    2. BVisceral pleura
    3. CParietal pleura
    4. DCostodiaphragmatic recess
    5. ERight oblique fissure
    6. FRight horizontal fissure
    7. GMidaxillary line
    8. HMidclavicular line
22. 22Drag the correct answers to describe how you would perform auscultation on the anterior chest wall.
    To listen to the apex of the lung you would listen [blank_start]above the clavicle[blank_end].
    To listen to the superior lobe of the right lung you would listen [blank_start]in the 2nd intercostal space[blank_end].
    To listen to the middle lobe of the right lung you would listen [blank_start]in the 4th intercostal space[blank_end].
    To listen to the inferior lobe of the right lung you would listen [blank_start]in the 6th intercostal space[blank_end].

    1. Aabove the clavicle
    2. Bin the 2nd intercostal space
    3. Cin the 3rd intercostal space
    4. Din the 4th intercostal space
    5. Ein the 5th intercostal space
    6. Fin the 6th intercostal space
    7. Gin the 7th intercostal space
23. 23Label this image to show the lymph drainage of the lungs.

    

    1. ABronchopulmonary nodes
    2. BIntrapulmonary nodes
    3. CIntrapulmonary nodes
    4. DInferior tracheobronchial nodes
    5. EBronchopulmonary nodes
    6. FLeft superior tracheobronchial nodes
    7. GRight superior tracheobronchial nodes
    8. HBronchomediastinal lymphatic trunk
    9. IRight paratracheal nodes
    10. JLeft paratracheal nodes
    11. KBronchomediastinal lymphatic trunk
    12. LRight lymphatic duct
    13. MThoracic duct
24. 24Which of the pleural membranes are supplied by branches of segmental intercostal nerves from the thoracic vertebrae?

    1. ACervical
    2. BCostal
    3. CDiaphragmatic
    4. DMediastinal
25. 25Which of the pleural membranes are innervated by the phrenic nerves?

    1. ACostal
    2. BCervical
    3. CDiaphragmatic
    4. DMediastinal
26. 26Where is pain more highly localised?

    1. ACostal and cervical pleura
    2. BDiaphragmatic and mediastinal pleura
27. 27Where is pain referred to the shoulders?

    1. ADiaphragmatic and mediastinal
    2. BCostal and cervical
28. 28What is the parasympathetic innervation of the lungs from?

    1. AVagus
    2. BAccessory cranial nerve
    3. CT1-T4/5
    4. DPhrenic nerves
29. 29What is the sympathetic innervation of the lungs from?

    1. AT1-T4/5
    2. BPhrenic nerves
    3. CVagus nerve
    4. DAccessory cranial nerve
30. 30Parasympathetic stimulation causes bronchoconstriction.

    1. ATrue
    2. BFalse
31. 31Sympathetic stimulation causes bronchodilatation.

    1. ATrue
    2. BFalse
32. 32The sympathetic and parasympathetic nerves that innervate the lungs form anterior and posterior plexuses.

    1. ATrue
    2. BFalse

Description

Medicine Anatomy of Systems Quiz on Lungs and Pleurae, created by Charlotte Jakes on 27/01/2020.

Author

Charlotte Jakes

Language

English

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