Test Bank for Essentials of Cardiopulmonary Physical T
n n n n n n n
herapy 3rd edition by Hillegass test bank A+
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Chaptern1:nAnatomynofnthenCardiovascularnandnPulmonarynSystemsnTestnBank
MULTIPLEnCHOICE
1.
Whichnofnthenfollowingnchestnwallnstructuresnisnlocatednlevelnwithnthensecondncostalncartilag
enanteriorlynandnthoracicnvertebranT4nandnT5nposteriorly?
A. Sternalnangle
B. Jugularnnotch
C. Xiphoidnprocess
D. Thirdncostalncartilage
ANS:nnA
Thensternalnanglenofnthen“anglenofnLouis”nisnlevelnwithnthensecondncostalncartilagenanteriorlynandntho
racicnvertebraenT4nandnT5nposteriorly.
PTS: 1
2. PectusnexcuvatumnisnBESTndescribednas:
A. Deformitynofnthensternumncausednbyntrauma
B. Caved-innappearancenofnthenchest
C. Diminishednribnanglenanteriorly
D. Conicalnshapenofnthenthoracicncage
ANS:nnB
Pectusnexcuvatumnisnancommonncongenitalndeformitynofnthenanteriornwallnofnthenchest,ninnwhichnsev
eralnribsnandnthensternumngrownabnormally;nitnproducesnancaved-
innornsunkennappearancenofnthenchest.
PTS: 1
A+ Pagen1
,CreatednBy:nAnSolutionn
3. ThentruenribsnarenBESTndefinednbynwhichnofnthenfollowingnstatements?
A. Vertebrochondralnribs
B. Vertebrosternalnribs
C. Ribsn11nandn12
D. Ribsn8,n9,nandn10
ANS:nnB
Thenfirstnsevennribsnattachnviantheirncostalncartilagesntonthensternumnandnarencallednthentruenribsn(alson
knownnasnthenvertebrosternalnribs).
PTS: 1
n
4.
WhichnofnthenfollowingninterventionsnisnMOSTnappropriatenfornanpatientnwithnlowernribnfrac
tures?
A. Short,nshallownbreaths
B. Pursednlipnbreathing
C. Deepnbreathsnwithnsplinting
D. Breathingnwithnarmsnraised
ANS:nnC
Itnisnimportantnfornallntherapistsntonrecommendnbreathingn(deepnbreathing),nsplintingn(i.e.,npillow),na
ndncoughingnstrategiesnfornpatientsnwithnribnfractures.
PTS: 1
5.
Whichnofnthenfollowingnpositionsnfacilitatesngreaternexcursionnofnbothnhemidiaphragmsnatnr
est?
A. Supinenposition
B. Sidelyingnposition
C. Standingnposition
D. Sittingnposition
A+ Pagen2
,CreatednBy:nAnSolutionn
ANS:nnA
Innthensupinenposition,nwithoutntheneffectsnofngravity,nthenlevelnofnthendiaphragmninnthenthoracicncavi
tynrises.nThisnallowsnfornanrelativelyngreaternexcursion.
PTS: 1
6. Whichnofnthenfollowingnmusclesnhelpntonachieventhenactivenprocessnofninspirationnatnrest?
A. Sternocleidomastoid
B. Diaphragm
C. Abdominalnmuscles
D. Trapezius
ANS:nnB
Thendiaphragmnandninternalnintercostalsn(intercartilaginousnportion)narenthenessentialnmusclesntonac
hieventhenactivenprocessnofninspirationnatnrest.nAbdominalnmusclesnassistnwithnexpiration.nThenstern
ocleidomastoidnandntrapeziusnarenaccessorynmusclesnandnassistnwithnanmorenforcefulninspiration.
PTS: 1
7.
Whichnofnthenfollowingnaccessorynmusclesnofnventilationnfunctionntonelevatenandnfixnthenfirs
tnandnsecondnribs?
A. Sternocleidomastoidnmuscle
B. Serratusnanterior
C. Latissimusndorsi
D. ScalenenmusclenANS:nD
n
Thenscalenenmusclesnliendeepntonthensternocleidomastoid,nbutnmaynbenpalpatedninnthenposteriorntrian
glenofnthenneck.nThesenmusclesnfunctionnasnanunitntonelevatenandnfixnthenfirstnandnsecondnribs.nThenste
rnocleidomastoidnmusclenelevatesnthensternum.
PTS: 1
A+ Pagen3
, CreatednBy:nAnSolutionn
8.
Whennthenarmsnandnshouldersnarenfixed,nbynleaningnonnthenelbowsnorngraspingnontonantable,nt
hisnmusclencannusenitsninsertionnasnitsnoriginnandnfacilitatenannincreaseninnthenA-
Pndiameternofnthenthorax.
A. Upperntrapezius
B. Pectoralisnmajor
C. Sternocleidomastoid
D. Serratusnanterior
ANS:nnB
Whenntheninsertionnandnoriginnofnthenpectoralisnmusclenarenreversednbynleaningnonnantablentonfixnthen
arms,nthenmusclenwillnpullnonnthenanteriornchestnwall,nliftingnthenribsnandnsternumntonincreasenthenA-
Pndiameternofnthenthoracicncage.
PTS: 1
9.
Thenserousnfluidnwithinnthenpleuralnspacenservesntonprovidenwhichnofnthenfollowingnfunction
s?
A. Createnanconstantnnegativenpressure
B. Assistnwithnvenousnreturnnofnbloodntonthenheart
C. Reducenfrictionnbetweennthenlungsnandnthoracicnwall
D. Serventonallownseparationnofnthenpleuralnlayers
ANS:nnC
Thenserousnfluidnwithinnthenpleuralnspacenservesntonholdnthenpleuralnlayersntogethernduringnventilati
onnandnreducenfrictionnbetweennthenlungsnandnthenthoracicnwall.nThenspacencreatesnthennegativenpres
surentonmaintainnlungninflation,nnotnthenfluidnitself.
PTS: 1
10.
Irritationnofnthenphrenicnsuppliednpleuranresultsninnwhichnofnthenfollowingnpainnreferralnpatte
rns?
A. Thoracicnwall
B. Abdominalnwall
C. Mediasternalnregion
A+ Pagen4