Cardiothoracic Surgery EMQs

Options For Questions 1 - 8

A. Three small incisions to the chest wall

B. Right-sided mini-thoracotomy incision

C. Within the 5th intercostal space and mid and anterior axillary lines

D. Clamshell incision

E. Posterolateral thoracotomy

F. Left-sided mini-thoracotomy incision

G. Midline sternotomy incision

H. Supraclavicular incision

 

Match the operation to the most relevant incision:

1. Open repair of a thoracic aortic aneurysm

2. Minimally invasive mitral valve surgery

3. Video-assisted thoracoscopic surgery

4. Single lung transplant

5. Double lung transplant

6. Lobectomy

7. Coronary artery bypass graft

8. Chest drain

 

Options For Questions 9 - 15

A. Pancoast tumour

B. Granular cell lung tumour

C. Small cell lung cancer

D. Large-cell carcinoma

E. Adenocarcinoma

F. Mesothelioma

G. Squamous cell carcinoma

 

Match the feature to the most relevant type of lung cancer:

9. Can release ectopic parathyroid hormone

10. Can cause syndrome of inappropriate ADH

11. Most common form of lung cancer

12. Associated with asbestos exposure

13. Can cause Lambert-Eaton myasthenic syndrome

14. Can cause Horner’s syndrome

15. Can cause Cushing’s syndrome

 

Options For Questions 16 - 23

A. Ventricular septal defect

B. Mitral regurgitation

C. Pericardial effusion

D. Mechanical mitral valve

E. Coarctation of the aorta

F. Aortic stenosis

G. Mechanical aortic valve

H. Atrial septal defect

 

Match the examination finding to the underlying diagnosis:

16. Mid-systolic, crescendo-decrescendo murmur loudest at the upper left sternal border

17. A click replaces S1

18. Ejection-systolic, high-pitched, crescendo-decrescendo murmur

19. Pan-systolic, high pitched “whistling” murmur

20. Systolic murmur heard below the left clavicle

21. Pan-systolic murmur most prominently heard at the left lower sternal border in the third and fourth intercostal spaces

22. Fixed split second heart sound

23. Murmur radiating to the carotids

24. Quiet heart sounds

  1. Open repair of a thoracic aortic aneurysm. G. Midline sternotomy incision
  2. Minimally invasive mitral valve surgery. B. Right-sided mini-thoracotomy incision
  3. Video-assisted thoracoscopic surgery. A. Three small incisions to the chest wall
  4. Single lung transplant. E. Posterolateral thoracotomy
  5. Double lung transplant. D. Clamshell incision
  6. Lobectomy. E. Posterolateral thoracotomy
  7. Coronary artery bypass graft. G. Midline sternotomy incision
  8. Chest drain. C. Within the 5th intercostal space and mid and anterior axillary lines
  9. Can release ectopic parathyroid hormone. G. Squamous cell carcinoma
  10. Can cause syndrome of inappropriate ADH. C. Small cell lung cancer
  11. Most common form of lung cancer. E. Adenocarcinoma
  12. Associated with asbestos exposure. F. Mesothelioma
  13. Can cause Lambert-Eaton myasthenic syndrome. C. Small cell lung cancer
  14. Can cause Horner’s syndrome. A. Pancoast tumour
  15. Can cause Cushing’s syndrome. C. Small cell lung cancer
  16. Mid-systolic, crescendo-decrescendo murmur loudest at the upper left sternal border. H. Atrial septal defect
  17. A click replaces S1. D. Mechanical mitral valve
  18. Ejection-systolic, high-pitched, crescendo-decrescendo murmur. F. Aortic stenosis
  19. Pan-systolic, high pitched “whistling” murmur. B. Mitral regurgitation
  20. Systolic murmur heard below the left clavicle. E. Coarctation of the aorta
  21. Pan-systolic murmur most prominently heard at the left lower sternal border in the third and fourth intercostal spaces. A. Ventricular septal defect
  22. Fixed split second heart sound. H. Atrial septal defect
  23. Murmur radiating to the carotids. F. Aortic stenosis
  24. Quiet heart sounds. C. Pericardial effusion

 

Maximum score = 24

Your % = your score x 4.17

 

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