, Hillegass:tyEssentialstyoftyCardiopulmonarytyPhysicaltyTherapy,ty3rdtyEdition
Chapterty1:tyAnatomytyoftythetyCardiovasculartyandtyPulmonarytySyste
mstyTesttyBank
MULTIPLEtyCHOICE
1. Whichtyoftythetyfollowingtychesttywalltystructurestyistylocatedtyleveltywithtythetysecondtycostalty
cartilagetyanteriorlytyandtythoracictyvertebratyT4tyandtyT5typosteriorly?
A. Sternaltyangle
B. Jugulartynotch
C. Xiphoidtyprocess
D. Thirdtycostaltycartilage
ANS:t y t y A
Thetysternaltyangletyoftythety“angletyoftyLouis”tyistyleveltywithtythetysecondtycostaltycartilagetyanterio
rlytyandtythoracictyvertebraetyT4tyandtyT5typosteriorly.
PTS: 1
2. PectustyexcuvatumtyistyBESTtydescribedtyas:
A. Deformitytyoftythetysternumtycausedtybytytrauma
B. Caved-intyappearancetyoftythetychest
C. Diminishedtyribtyangletyanteriorly
D. Conicaltyshapetyoftythetythoracictycage
ANS:t y t y B
Pectustyexcuvatumtyistyatycommontycongenitaltydeformitytyoftythetyanteriortywalltyoftythetychest,ty
intywhichtyseveraltyribstyandtythetysternumtygrowtyabnormally;tyittyproducestyatycaved-
intyortysunkentyappearancetyoftythetychest.
PTS: 1
3. ThetytruetyribstyaretyBESTtydefinedtybytywhichtyoftythetyfollowingtystatements?
A. Vertebrochondraltyribs
B. Vertebrosternaltyribs
C. Ribsty11tyandty12
D. Ribsty8,ty9,tyandty10
ANS:t y t y B
Thetyfirsttyseventyribstyattachtyviatytheirtycostaltycartilagestytotythetysternumtyandtyaretycalledtythetytr
uetyribsty(alsotyknowntyastythetyvertebrosternaltyribs).
PTS: 1
Copyrightty©2011,ty2001,ty1994tybytySaunders,tyantyimprinttyoftyElse
viertyInc.
, TesttyBan 1-2
k
4. WhichtyoftythetyfollowingtyinterventionstyistyMOSTtyappropriatetyfortyatypatienttywithtylowertyribtyfr
actures?
A. Short,tyshallowtybreaths
B. Pursedtyliptybreathing
C. Deeptybreathstywithtysplinting
D. Breathingtywithtyarmstyraised
ANS:t y t y C
Ittyistyimportanttyfortyalltytherapiststytotyrecommendtybreathingty(deeptybreathing),tysplintingty(i.e.,ty
pillow),tyandtycoughingtystrategiestyfortypatientstywithtyribtyfractures.
PTS: 1
5. Whichtyoftythetyfollowingtypositionstyfacilitatestygreatertyexcursiontyoftybothtyhemidiaphragmstyattyr
est?
A. Supinetyposition
B. Sidelyingtyposition
C. Standingtyposition
D. Sittingtyposition
ANS:t y t y A
Intythetysupinetyposition,tywithouttythetyeffectstyoftygravity,tythetyleveltyoftythetydiaphragmtyintythetyth
oracictycavitytyrises.tyThistyallowstyfortyatyrelativelytygreatertyexcursion.
PTS: 1
6. Whichtyoftythetyfollowingtymusclestyhelptytotyachievetythetyactivetyprocesstyoftyinspirationtyattyrest?
A. Sternocleidomastoid
B. Diaphragm
C. Abdominaltymuscles
D. Trapezius
ANS:t y t y B
Thetydiaphragmtyandtyinternaltyintercostalsty(intercartilaginoustyportion)tyaretythetyessentialtymuscle
stytotyachievetythetyactivetyprocesstyoftyinspirationtyattyrest.tyAbdominaltymusclestyassisttywithtyexpi
ration.tyThetysternocleidomastoidtyandtytrapeziustyaretyaccessorytymusclestyandtyassisttywithtyatymo
retyforcefultyinspiration.
PTS: 1
7. Whichtyoftythetyfollowingtyaccessorytymusclestyoftyventilationtyfunctiontytotyelevatetyandtyfixtythet
yfirsttyandtysecondtyribs?
A. Sternocleidomastoidtymuscle
B. Serratustyanterior
C. Latissimustydorsi
D. Scalenetymuscl
etyANS:t y D
Copyrightty©2011,ty2001,ty1994tybytySaunders,tyantyimprinttyoftyElse
viertyInc.
, TesttyBan 1-3
k
Thetyscalenetymusclestylietydeeptytotythetysternocleidomastoid,tybuttymaytybetypalpatedtyintythetypos
teriortytriangletyoftythetyneck.tyThesetymusclestyfunctiontyastyatyunittytotyelevatetyandtyfixtythetyfirsttya
ndtysecondtyribs.tyThetysternocleidomastoidtymuscletyelevatestythetysternum.
PTS: 1
8. Whentythetyarmstyandtyshoulderstyaretyfixed,tybytyleaningtyontythetyelbowstyortygraspingtyontotyat
ytable,tythistymuscletycantyusetyitstyinsertiontyastyitstyorigintyandtyfacilitatetyantyincreasetyintythety
A-Ptydiametertyoftythetythorax.
A. Uppertytrapezius
B. Pectoralistymajor
C. Sternocleidomastoid
D. Serratustyanterior
ANS:t y t y B
Whentythetyinsertiontyandtyorigintyoftythetypectoralistymuscletyaretyreversedtybytyleaningtyontyatyt
abletytotyfixtythetyarms,tythetymuscletywilltypulltyontythetyanteriortychesttywall,tyliftingtythetyribstya
ndtysternumtytotyincreasetythetyA-Ptydiametertyoftythetythoracictycage.
PTS: 1
9. Thetyseroustyfluidtywithintythetypleuraltyspacetyservestytotyprovidetywhichtyoftythetyfollowingtyfuncti
ons?
A. Createtyatyconstanttynegativetypressure
B. Assisttywithtyvenoustyreturntyoftybloodtytotythetyheart
C. Reducetyfrictiontybetweentythetylungstyandtythoracictywall
D. Servetytotyallowtyseparationtyoftythetypleuraltylayers
ANS:t y t y C
Thetyseroustyfluidtywithintythetypleuraltyspacetyservestytotyholdtythetypleuraltylayerstytogethertydurin
gtyventilationtyandtyreducetyfrictiontybetweentythetylungstyandtythetythoracictywall.tyThetyspacetycreat
estythetynegativetypressuretytotymaintaintylungtyinflation,tynottythetyfluidtyitself.
PTS: 1
10. Irritationtyoftythetyphrenictysuppliedtypleuratyresultstyintywhichtyoftythetyfollowingtypaintyreferraltypat
terns?
A. Thoracictywall
B. Abdominaltywall
C. Mediasternaltyregion
D. Lowertynecktyandtyshoulder
ANS:t y t y D
Irritationtyoftythetyphrenictysuppliedtypleuratycantyresulttyintyreferredtypaintyintythetylowertynecktyan
dtyshoulder,tywhereas,tyirritationtyoftythetyintercostallytyinnervatedtypleuratymaytyresulttyintyreferralt
yoftypaintytotythetythoracictyortyabdominaltywall.
PTS: 1
11. AntyabnormaltypleuraltyfrictiontyrubtyontyauscultationtyBESTtyindicatestywhichtyoftythetyfollowing?
A. Infectiontywithtyatyresultanttyinflammatorytyresponsetywithintythetypleura
Copyrightty©2011,ty2001,ty1994tybytySaunders,tyantyimprinttyoftyElse
viertyInc.
Chapterty1:tyAnatomytyoftythetyCardiovasculartyandtyPulmonarytySyste
mstyTesttyBank
MULTIPLEtyCHOICE
1. Whichtyoftythetyfollowingtychesttywalltystructurestyistylocatedtyleveltywithtythetysecondtycostalty
cartilagetyanteriorlytyandtythoracictyvertebratyT4tyandtyT5typosteriorly?
A. Sternaltyangle
B. Jugulartynotch
C. Xiphoidtyprocess
D. Thirdtycostaltycartilage
ANS:t y t y A
Thetysternaltyangletyoftythety“angletyoftyLouis”tyistyleveltywithtythetysecondtycostaltycartilagetyanterio
rlytyandtythoracictyvertebraetyT4tyandtyT5typosteriorly.
PTS: 1
2. PectustyexcuvatumtyistyBESTtydescribedtyas:
A. Deformitytyoftythetysternumtycausedtybytytrauma
B. Caved-intyappearancetyoftythetychest
C. Diminishedtyribtyangletyanteriorly
D. Conicaltyshapetyoftythetythoracictycage
ANS:t y t y B
Pectustyexcuvatumtyistyatycommontycongenitaltydeformitytyoftythetyanteriortywalltyoftythetychest,ty
intywhichtyseveraltyribstyandtythetysternumtygrowtyabnormally;tyittyproducestyatycaved-
intyortysunkentyappearancetyoftythetychest.
PTS: 1
3. ThetytruetyribstyaretyBESTtydefinedtybytywhichtyoftythetyfollowingtystatements?
A. Vertebrochondraltyribs
B. Vertebrosternaltyribs
C. Ribsty11tyandty12
D. Ribsty8,ty9,tyandty10
ANS:t y t y B
Thetyfirsttyseventyribstyattachtyviatytheirtycostaltycartilagestytotythetysternumtyandtyaretycalledtythetytr
uetyribsty(alsotyknowntyastythetyvertebrosternaltyribs).
PTS: 1
Copyrightty©2011,ty2001,ty1994tybytySaunders,tyantyimprinttyoftyElse
viertyInc.
, TesttyBan 1-2
k
4. WhichtyoftythetyfollowingtyinterventionstyistyMOSTtyappropriatetyfortyatypatienttywithtylowertyribtyfr
actures?
A. Short,tyshallowtybreaths
B. Pursedtyliptybreathing
C. Deeptybreathstywithtysplinting
D. Breathingtywithtyarmstyraised
ANS:t y t y C
Ittyistyimportanttyfortyalltytherapiststytotyrecommendtybreathingty(deeptybreathing),tysplintingty(i.e.,ty
pillow),tyandtycoughingtystrategiestyfortypatientstywithtyribtyfractures.
PTS: 1
5. Whichtyoftythetyfollowingtypositionstyfacilitatestygreatertyexcursiontyoftybothtyhemidiaphragmstyattyr
est?
A. Supinetyposition
B. Sidelyingtyposition
C. Standingtyposition
D. Sittingtyposition
ANS:t y t y A
Intythetysupinetyposition,tywithouttythetyeffectstyoftygravity,tythetyleveltyoftythetydiaphragmtyintythetyth
oracictycavitytyrises.tyThistyallowstyfortyatyrelativelytygreatertyexcursion.
PTS: 1
6. Whichtyoftythetyfollowingtymusclestyhelptytotyachievetythetyactivetyprocesstyoftyinspirationtyattyrest?
A. Sternocleidomastoid
B. Diaphragm
C. Abdominaltymuscles
D. Trapezius
ANS:t y t y B
Thetydiaphragmtyandtyinternaltyintercostalsty(intercartilaginoustyportion)tyaretythetyessentialtymuscle
stytotyachievetythetyactivetyprocesstyoftyinspirationtyattyrest.tyAbdominaltymusclestyassisttywithtyexpi
ration.tyThetysternocleidomastoidtyandtytrapeziustyaretyaccessorytymusclestyandtyassisttywithtyatymo
retyforcefultyinspiration.
PTS: 1
7. Whichtyoftythetyfollowingtyaccessorytymusclestyoftyventilationtyfunctiontytotyelevatetyandtyfixtythet
yfirsttyandtysecondtyribs?
A. Sternocleidomastoidtymuscle
B. Serratustyanterior
C. Latissimustydorsi
D. Scalenetymuscl
etyANS:t y D
Copyrightty©2011,ty2001,ty1994tybytySaunders,tyantyimprinttyoftyElse
viertyInc.
, TesttyBan 1-3
k
Thetyscalenetymusclestylietydeeptytotythetysternocleidomastoid,tybuttymaytybetypalpatedtyintythetypos
teriortytriangletyoftythetyneck.tyThesetymusclestyfunctiontyastyatyunittytotyelevatetyandtyfixtythetyfirsttya
ndtysecondtyribs.tyThetysternocleidomastoidtymuscletyelevatestythetysternum.
PTS: 1
8. Whentythetyarmstyandtyshoulderstyaretyfixed,tybytyleaningtyontythetyelbowstyortygraspingtyontotyat
ytable,tythistymuscletycantyusetyitstyinsertiontyastyitstyorigintyandtyfacilitatetyantyincreasetyintythety
A-Ptydiametertyoftythetythorax.
A. Uppertytrapezius
B. Pectoralistymajor
C. Sternocleidomastoid
D. Serratustyanterior
ANS:t y t y B
Whentythetyinsertiontyandtyorigintyoftythetypectoralistymuscletyaretyreversedtybytyleaningtyontyatyt
abletytotyfixtythetyarms,tythetymuscletywilltypulltyontythetyanteriortychesttywall,tyliftingtythetyribstya
ndtysternumtytotyincreasetythetyA-Ptydiametertyoftythetythoracictycage.
PTS: 1
9. Thetyseroustyfluidtywithintythetypleuraltyspacetyservestytotyprovidetywhichtyoftythetyfollowingtyfuncti
ons?
A. Createtyatyconstanttynegativetypressure
B. Assisttywithtyvenoustyreturntyoftybloodtytotythetyheart
C. Reducetyfrictiontybetweentythetylungstyandtythoracictywall
D. Servetytotyallowtyseparationtyoftythetypleuraltylayers
ANS:t y t y C
Thetyseroustyfluidtywithintythetypleuraltyspacetyservestytotyholdtythetypleuraltylayerstytogethertydurin
gtyventilationtyandtyreducetyfrictiontybetweentythetylungstyandtythetythoracictywall.tyThetyspacetycreat
estythetynegativetypressuretytotymaintaintylungtyinflation,tynottythetyfluidtyitself.
PTS: 1
10. Irritationtyoftythetyphrenictysuppliedtypleuratyresultstyintywhichtyoftythetyfollowingtypaintyreferraltypat
terns?
A. Thoracictywall
B. Abdominaltywall
C. Mediasternaltyregion
D. Lowertynecktyandtyshoulder
ANS:t y t y D
Irritationtyoftythetyphrenictysuppliedtypleuratycantyresulttyintyreferredtypaintyintythetylowertynecktyan
dtyshoulder,tywhereas,tyirritationtyoftythetyintercostallytyinnervatedtypleuratymaytyresulttyintyreferralt
yoftypaintytotythetythoracictyortyabdominaltywall.
PTS: 1
11. AntyabnormaltypleuraltyfrictiontyrubtyontyauscultationtyBESTtyindicatestywhichtyoftythetyfollowing?
A. Infectiontywithtyatyresultanttyinflammatorytyresponsetywithintythetypleura
Copyrightty©2011,ty2001,ty1994tybytySaunders,tyantyimprinttyoftyElse
viertyInc.
