A patient complains to you of pain in a limited strip on one side of his chest and back. Upon examination you notice that the skin associated with the T3 dermatome of that side is red with vesicular eruptions.
Which of the following is your most reasonable conclusion about your patient's illness?
A) He has syphilis.
B) He has shingles (herpes zoster).
C) He has localized dermatitis.
D) An underlying thoracic disease has spread through the thoracic wall to the skin.
E) It is likely that the condition will spread to surrounding dermatomes before it improves.
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Question 2) The superior thoracic aperture:
A) is bounded posteriorly by the axis.
B) is bounded anterolaterally by the clavicle.
C) is bounded anteriorly by the trachea.
D) is a larger opening than the inferior thoracic aperture.
E) is, anatomically, the thoracic inlet.
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Question 3) Which of the following is incorrect pertaining to the sternum?
A) It may be surgically split in the median plane to gain access to the thoracic cavity.
B) It may be used for a bone marrow biopsy.
C) It may have a perforation (sternal foramen) that is sometimes the site of a pleural herniation, which is a life-threatening situation.
D) In violent thoracic trauma (e.g., automobile accident), comminuted fractures are not uncommon.
E) Its xiphoid process may partially ossify, producing a pronounced lump.
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Question 4) The sternal angle:
A) indicates the location of the joint between the costal cartilage of the 2nd rib and the sternum.
B) occurs where the 1st rib attaches to the sternum.
C) is the least likely part of the sternum to fracture in the elderly.
D) occurs at the sternoclavicular joint.
E) is a depression in the body of the sternum.
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Question 5) Rib fractures:
A) are more likely to occur in children than adults.
B) are most likely to occur at the junction of the rib and its corresponding vertebrae.
C) most often occur in the 1st rib.
D) in the lower ribs may be associated with tearing of the diaphragm.
E) are not typically painful.
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Question 6) Which of the following is incorrect pertaining to the ribs?
A) The first 7 are referred to as vertebrosternal ribs.
B) Ribs 11 and 12 are typically floating (vertebral, free) ribs.
C) The tubercle of a typical rib attaches to the inferior articular facet of the corresponding vertebrae.
D) The head of a typical rib articulates with the bodies of two vertebrae.
E) The costal groove is associated with the intercostal vessels and nerve.
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Question 7) The woman in the following photograph is suffering from:
A) excessive contraction of platysma.
B) goiter.
C) spasmodic torticollis.
D) lesion of the left facial nerve.
E) overactivity in muscles innervated by the right ansa cervicalis.
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Question 8) Which of the following statements pertaining to the cervical esophagus is incorrect?
A) The recurrent laryngeal nerve supplies somatic innervation.
B) It begins at the inferior border of the cricoid cartilage.
C) Its associated veins drain into the inferior thyroid veins.
D) Perforations typically heal completely, without surgery and without serious complications.
E) Dysphagia is the most common symptom associated with cancerous infiltration.
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Question 9) Which of the following is incorrect (or least likely) pertaining to adenoiditis?
A) It refers to inflammation of the pharyngeal tonsil.
B) It may involve obstruction of the choanae.
C) It may be associated with impairment in hearing.
D) It may be associated with an orbital infection.
E) It may be associated with otitis media.
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Question 10) Which of the following statements pertaining to the pharynx is incorrect?
A) The internal laryngeal nerve passes through the gap between the middle and inferior constrictors.
B) The maxillary and vagus nerves predominantly supply the pharynx with sensory innervation.
C) The inferior constrictor muscle receives some motor innervation from the external laryngeal nerve.
D) The palatine tonsil receives some blood via a branch of the facial artery.
E) The pharyngeal tonsillar ring refers to an incomplete ring of lymphoid tissue within the pharynx.
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