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AN21.1-11 | Thoracic cage — Practice Quiz

Practice 12 questions · Untimed · Unlimited attempts

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Q1 AN21.1 1 pt

The sternal angle (Angle of Louis) is the junction between the manubrium and the body of the sternum. It marks the level of the 2nd costal cartilage and which vertebral level posteriorly?

A T2/T3 intervertebral disc
B T4/T5 intervertebral disc
C T6/T7 intervertebral disc
D T1 vertebral body

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Q2 AN21.2 1 pt

The 1st rib is considered the most atypical of all ribs. Which of the following features is unique to the 1st rib?

A It has two articular facets on its head
B It has a costal groove on its inferior surface
C It is broad and flat with grooves for the subclavian vessels on its superior surface
D It has no neck or tubercle

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Q3 AN21.3 1 pt

A typical thoracic vertebra has demifacets (half-facets) on its body for rib articulation. Which of the following vertebrae has a COMPLETE (full) costal facet on its body rather than demifacets?

A T5
B T7
C T10
D T4

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Q4 AN21.4 1 pt

A patient presents with numbness and tingling in the medial forearm and hand, and weakness of grip. Imaging reveals an extra rib arising from the C7 vertebra compressing structures at the thoracic inlet. Which of the following structures is most likely compressed?

A Upper trunk of the brachial plexus (C5, C6)
B Lower trunk of the brachial plexus (C8, T1) and subclavian artery
C Phrenic nerve
D Vagus nerve

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Q5 AN21.7 1 pt

In a typical intercostal space, the neurovascular bundle runs in the costal groove on the inferior border of the rib above. From superior to inferior, the order of structures in the bundle is:

A Nerve, Artery, Vein
B Artery, Vein, Nerve
C Vein, Artery, Nerve
D Vein, Nerve, Artery

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Q6 AN21.6 1 pt

A patient suffering a myocardial infarction reports referred pain along the inner (medial) aspect of the left arm. This referred pain is carried by a nerve that is the lateral cutaneous branch of which intercostal nerve?

A 1st intercostal nerve (T1)
B 2nd intercostal nerve (T2)
C 4th intercostal nerve (T4)
D 6th intercostal nerve (T6)

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Q7 AN21.5 1 pt

The intercostal neurovascular bundle lies between which two muscle layers of the intercostal space?

A External intercostal and internal intercostal muscles
B Internal intercostal and innermost intercostal muscles
C Innermost intercostal and endothoracic fascia
D External intercostal membrane and internal intercostal muscle

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Q8 AN21.7 1 pt

A chest drain needs to be inserted in the triangle of safety. The correct intercostal space and technique for insertion is:

A 4th or 5th intercostal space, mid-axillary line, just below the rib above
B 2nd intercostal space, mid-clavicular line, just above the rib below
C 4th or 5th intercostal space, mid-axillary line, just above the rib below
D 7th intercostal space, posterior axillary line, just above the rib below

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Q9 AN21.9 1 pt

During inspiration, the anteroposterior diameter of the thorax increases primarily due to which type of rib movement?

A Bucket-handle movement of lower ribs
B Pump-handle movement of upper ribs
C Caliper movement of floating ribs
D Vertical descent of the sternum

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Q10 AN21.8 1 pt

A typical rib articulates with the vertebral column at two joints — the joint of the head and the costotransverse joint. Which ribs LACK a costotransverse joint?

A 1st and 2nd ribs
B 9th and 10th ribs
C 11th and 12th ribs
D 7th and 8th ribs

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Q11 AN21.11 1 pt

A CT scan of the thorax at the level of T4/T5 intervertebral disc would show the boundary between which two mediastinal compartments?

A Anterior and posterior mediastinum
B Superior and inferior mediastinum
C Middle and posterior mediastinum
D Superior mediastinum and neck

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Q12 AN21.10 1 pt

A 35-year-old man presents with sharp, localised chest pain at the left sternal border, worsening with breathing and palpation. There is visible swelling over the 2nd costochondral junction. ECG and cardiac enzymes are normal. The most likely diagnosis is:

A Acute myocardial infarction
B Tietze syndrome
C Rib fracture
D Pulmonary embolism

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