Deck 32: Thoracic and Pulmonary Surgery

Question 1

__________________ is the loss of elasticity and distention of the alveoli.

A) Emphysema
B) Fibrosis
C) Pleural effusion
D) Sarcoidosis

Answer 1

A

Question 2

Patients who undergo a VATS technique for resection of blebs may be placed on mechanical _______ in the immediate postoperative period.

A) ventilation
B) hypoventilation
C) hyperventilation
D) diffusion

Answer 2

A

Question 3

______________________ is bloody sputum or bleeding arising from the respiratory tract.

A) Empyema
B) Hemoptysis
C) Hypoxia
D) Pleuritis

Answer 3

B

Question 4

The surgical removal of a portion of the parietal pleura is called ________________.

A) lung volume reduction
B) pneumonectomy
C) decortication of the lung
D) lobectomy

Question 5

____________ of one or both lungs is performed to remove a diseased lung and replace it with a donor lung.

A) Donors
B) Transplantation
C) Transferred
D) A and B

Question 6

Decortication of the lung is the surgical removal of a portion of the ______________.

A) pericardium
B) parietal pleura
C) diaphragm
D) visceral pleura

Question 7

Pulmonary angiography is performed when computed tomography (CT) scans are inconclusive for diagnosis of __________.

A) pulmonary infusion
B) obstructive pulmonary disease
C) pulmonary embolism
D) spontaneous pneumothorax

Question 8

________________ is generally used only for the removal of large tissue or a foreign body.

A) Rigid bronchoscopy
B) Flexible bronchoscopy
C) Mediastinoscopy
D) Thoracoscopy

Question 9

With the patient in the ___________ position, it is necessary to position a magnetic instrument pad over the top drape to serve as a neutral zone and to retain any instruments that are placed on the drape.

A) prone
B) lateral
C) supine
D) dorsal recumbent

Question 10

When a thoracotomy is performed, the edges of the wound are covered with laparotomy sponges to protect the wound edges from ____________.

A) hemorrhaging
B) sticking
C) drying
D) bruising

Question 11

With a thoracotomy, the shoulder muscles are retracted using a __________.

A) wide Deaver
B) scapular retractor
C) ribbon retractor
D) Finochietto retractor

Question 12

_____________ is the distribution of oxygen to the tissue.

A) Diffusion
B) Ventilation
C) Respiration
D) Perfusion

Question 13

The procedure that removes an entire lung to debulk (reduce the size of) a malignant tumor is called a _______________________.

A) lobectomy
B) pneumonectomy
C) decortication of the lung
D) lung volume reduction

Question 14

_____________ is defined as difficulty in breathing.

A) Hypoxia
B) Empyema
C) Dyspnea
D) Pleuritis

Question 15

The ________ begin(s) at the larynx and branch(es) into two main airways.

A) bronchi
B) hilum
C) trachea
D) pharynx

Question 16

The ________ nerves are carefully preserved during pneumonectomy.

A) vagus, left recurrent laryngeal, and phrenic
B) vagus, pneumatic, and phrenic
C) phrenic, pneumatic, and epigastric
D) pneumatic, vagus, and left recurrent laryngeal

Question 17

__________________ requires 10-mm lenses in sizes 0 and 30 degrees.

A) Rigid bronchoscopy
B) Mediastinoscopy
C) Thoracoscopy
D) Flexible bronchoscopy

Question 18

Thoracic and _____________ surgery includes procedures of the _________ system and thoracic cavity, excluding those that involve the heart and cardiac vessels.

A) pulmonary, endocrine
B) cardiac, respiratory
C) pulmonary, respiratory
D) none of the above

Question 19

Bronchoscopy is the insertion of a flexible fiberoptic or rigid telescope into the _________.

A) trachea
B) mediastinum
C) pleura
D) thoracic cavity

Question 20

During a pulmonary function test, the total volume of air is exhaled after maximum inspiration. This is called ____________________.

A) tidal volume
B) vital capacity
C) total lung capacity
D) minute volume

Question 21

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Bronchoscopy
b.Mediastinoscopy
c.Thoracoscopy
Can be either rigid or flexible

Question 22

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Pneumothorax
b.Hemothorax
c.Pulmonary embolism
d.Emphysema
Air enters the pleural cavity

Question 23

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Bronchoscopy
b.Mediastinoscopy
c.Thoracoscopy
Used to remove foreign body from airway

Question 24

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Bronchoscopy
b.Mediastinoscopy
c.Thoracoscopy
A small portion of lung tissue is removed for pathological assessment

Question 25

An arterial blood gas test assesses the arterial blood for ___________.

A) red and white blood cells and platelets
B) oxygen and carbon dioxide levels, as well as pH
C) pH of blood only
D) number of red and white blood cells and platelets

Question 26

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Bronchoscopy
b.Mediastinoscopy
c.Thoracoscopy
Uses a stainless steel endoscope inserted through a small incision at the suprasternal notch

Question 27

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Pneumothorax
b.Hemothorax
c.Pulmonary embolism
d.Emphysema
Loss of elasticity and distention of the alveoli

Question 28

When the diaphragm __________, the potential space between the two pleural membranes is decreased and air is pulled into airways and lungs.

A) expands
B) contracts
C) closes
D) opens

Question 29

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Bronchoscopy
b.Mediastinoscopy
c.Thoracoscopy
Lymph node biopsy is performed routinely during the procedure

Question 30

The patient is placed in semi-Fowler position to perform a _____ bronchoscopy.

A) rigid
B) flexible
C) laparoscopic
D) open

Question 31

A pneumothorax is air in the chest cavity that prevents the lungs from expanding and may ____________________.

A) displace the mediastinal structures
B) collapse the contralateral lung
C) inflate the contralateral lung
D) cause bilateral lung inflation

Question 32

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Bronchoscopy
b.Mediastinoscopy
c.Thoracoscopy
Uses trocars and cannulas

Question 33

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Bronchoscopy
b.Mediastinoscopy
c.Thoracoscopy
Uses a 10-mm, 0-degree, and 30-degree lens

Question 34

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Bronchoscopy
b.Mediastinoscopy
c.Thoracoscopy
Used to perform a lung biopsy

Question 35

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Pneumothorax
b.Hemothorax
c.Pulmonary embolism
d.Emphysema
Lung volume reduction surgery is used to treat

Question 36

The lung is divided into anatomical regions. The right lung has ____ lobes and the left lung has _____ lobes.

A) two, three
B) three, two
C) four, three
D) three, four

Question 37

The reason inhaled foreign material is more likely to enter the right lung is because the right bronchus is _______ than the left.

A) larger
B) straighter
C) smaller
D) longer

Question 38

Diffusion is the transfer of oxygen from the __________________.

A) bronchi in the lungs to the alveoli
B) alveoli in the lungs to the bloodstream
C) capillaries to the alveoli in the lungs
D) alveoli in the lungs to the capillaries

Question 39

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Bronchoscopy
b.Mediastinoscopy
c.Thoracoscopy
Inserts a scope into the trachea

Question 40

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Pneumothorax
b.Hemothorax
c.Pulmonary embolism
d.Emphysema
Blood in the pleural cavity

Question 41

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Pneumothorax
b.Hemothorax
c.Pulmonary embolism
d.Emphysema
Results in abnormal overinflation of the lungs