Thorax Practice Examination

A. middle cardiac
B. anterior cardiac
C. small cardiac
1. Which of the following cardiac veins
empties directly into the right atrium of the D. great cardiac
heart? E. none of the above

A. pulmonary veins
B. left atrium
C. right ventricle
2. A blood clot (embolus) found in the left
pulmonary artery probably came from D. left brachiocephalic vein
which of the following? E. left ventricle

A. the ascending lumbar veins enter it

B. it communicates with the common
iliac vein
C. it frequently receives the left
3. All of the following are true statements
about the azygos system of veins EXCEPT pulmonary vein
that: D. it empties into the superior vena cava
E. it drains the thoracic wall

A. anterior
B. middle
C. posterior
4. The heart is located in which anatomical D. lateral
subdivision of the mediastinum?
E. superior

A. superior
 B. middle
C. posterior
5. The aortic arch is located in which
subdivision of the mediastinum? D. anterior
E. none of the above

A. superior vena cava, coronary sinus and

hemiazygos vein
B. coronary sinus and pulmonary vein
C. pulmonary and bronchial veins the following
6. Which group of structures empties D. superior and inferior venae cavae and coronary
directly into the right atrium? sinus
E. coronary sinus and azygos vein

A. the posterior wall of the esophagus

B. the left wall of the esophagus
C. the right wall of the esophagus
7. The esophageal branches of the right
vagus nerve in the lower thorax (just before D. the anterior wall of the esophagus
it enters the stomach) are found mainly on: E. none of the above

A. plane of the sternal angle

B. suprasternal (or jugular) notch
C. first rib
8. The trachea bifurcates into right and left D. seventh cervical vertebra
primary bronchi at the level of the:
E. xiphoid process

A. a ligament connecting the liver to the

anterior abdominal wall
B. a fibrous remnant of a fetal channel
connecting the left pulmonary artery
to the aorta
C. remnant of the embryonic umbilical
artery
9. The ligamentum arteriosum is:
D. remnant of a fetal channel connecting
 the right atrium to the left atrium
E. remnant of a channel that allowed the
blood to bypass the liver

A. the pulmonary semilunar valve opens

B. the right atrioventricular valve closes
C. blood enters the coronary arteries
10. Which of the following does NOT occur
during contraction of the left ventricle of a D. the left atrioventricular valve closes
normal heart? E. the aortic semilunar valve opens

A. right ventricle
B. left atrium
11. Increased resistance to pulmonary C. right atrium
blood flow in the lungs would cause a D. left ventricle
direct strain on which chamber of the
heart?
E. none of the above

A. middle cardiac vein

B. coronary sinus
C. small cardiac vein
12. Which of the following accompanies D. great cardiac vein
the anterior interventricular artery?
E. anterior cardiac vein

A. on the mediastinal surface of the lung

B. within the major fissure/s of the lung
C. between all the pulmonary segments
13. A layer of visceral pleura is normally
of the lung
present: D. on or between both A and B
E. within or between both B and C

A. sympathetic chain
 A. sympathetic chain
B. inferior vena cava
C. phrenic nerve
14. The vagus nerve accompanies which of D. aorta
the following through the diaphragm? E. esophagus

A. right recurrent laryngeal nerve

B. left phrenic nerve
C. left recurrent laryngeal nerve
15. During surgical repair of a patent
ductus arteriosus, the surgeon must be D. left vagus
careful not to injure the: E. right phrenic nerve

A. subserous (or extrapleural) fascia

B. internal intercostal muscle
C. parietal pleura
16. When considering the structures that
make up the thoracic wall, which of the D. intercostal vessels and nerve
following is most superficial? E. external intercostal muscles

A. phrenic nerve
B. vagus nerve
17. During the early stages of tuberculosis C. recurrent laryngeal nerve
infections, the costal parietal pleura
becomes inflamed and results in pain at D. intercostal nerve
the involved area. What nerve carries these E. splanchnic nerve
painful sensations?

18. On the diagram, identify the structure

labeled A.

A. does not move

B. moves upward
C. moves downward
D. relaxes
19. When you inhale, the diaphragm: E. does none of the above
 A. 1
B. 2
C. 3
20. The left lung is made up of how many D. 4
lobes?
E. 5

A. plane of the sternal angle

B. xiphisternal junction
C. second thoracic vertebra
21. The bifurcation of the trachea lies at
D. attachment of the 4th costal cartilage
about the level of the: to the sternum
E. plane of the jugular notch

A. right vagus nerve

B. azygos vein
C. right phrenic nerve
22. Which structure below leaves the most
pronounced impression on the right lung of D. thoracic aorta
the cadaver? E. right common carotid artery

For questions 23 - 30, select the lettered item that best matches with the numbered structure. A
letter may be used more than once.

23. mitral valve

24. musculi pectinati

25. carina
A. right atrium
 A. right atrium
26. moderator band or (septomarginal B. right ventricle
C. left ventricle
band) D. pericardial cavity
E. trachea

27. crista terminalis

28. tricuspid valve

29. infundibulum (or conus

arteriosus) 30. fossa ovalis

A. right atrial wall

B. left atrial wall
C. right ventricular wall
31. The sinuatrial node is located in the: D. left ventricular wall
E. interventricular septum

A. great cardiac
B. marginal
C. middle cardiac
32. Which vein accompanies the posterior D. small cardiac
interventricular coronary artery?
E. coronary sinus

A. crista terminalis
B. ligamentum teres
C. chordae tendineae
33. Overdistension of the valves of the
atrioventricular orifices of the heart is D. trabeculae carneae
prevented by the papillary muscles and the: E. ligamentum venosum

A. left atrium
 B. left ventricle
C. right atrium
34. The apex of the heart is formed by the: D. right ventricle
E. both left and right ventricles

A. prevents reflux of blood into the right

ventricle
B. prevents reflux of blood into the right
atrium
C. prevents reflux of blood into the left
35. During diastole, the aortic valve: atrium
D. prevents reflux of blood into the left
ventricle
E. the pulmonary artery

A. AV node
B. bundle of His
C. purkinje system
36. The pacemaker of the heart is the: D. SA node

A. hemiazygos vein
B. left posterior superior intercostal vein
37. Which of the following structures lies C. pericardiacophrenic artery
between the azygos vein and the thoracic D. thoracic duct
aorta in the posterior mediastinum of the
thorax?
E. right superior intercostal vein

A. superior vena cava

B. inferior vena cava
C. right atrium
38. The azygos vein drains into the: D. left brachiocephalic vein
E. right brachiocephalic vein
 A. esophagus
B. aortic arch
C. azygos vein
39. Which of the following structures is D. hemiazygos vein
NOT found in the posterior mediastinum? E. splanchnic nerves

A. manubrium
B. sternal angle
C. body of the sternum
D. pericardium on anterior aspect of the
40. The anterior boundary of the posterior heart
mediastinum is the:
E. pericardium on posterior aspect of
the heart

A. internal thoracic artery

B. thoracic duct
C. thymus
41. Which of the following structures is
found in both the superior and the D. aortic arch
posterior mediastinum? E. pericardiacophrenic artery

Match the following numbered items with

the mediastinal region in which they are
found.

42. thymus

43. right brachiocephalic vein

44. esophagus
 A. superior mediastinum
45. left vagus nerve B. anterior mediastinum
C. middle mediastinum
D. posterior mediastinum
46. arch of the azygos vein E. not found in the mediastinum

47. trachea

48. heart

49. right recurrent laryngeal nerve

50. Identify the part of the heart marked

with an "X".

A. apex of the heart

B. pulmonary artery
C. right auricle
51. The upper right border of the
mediastinal shadow as seen on the P-A D. right ventricle
chest radiograph represents the: E. superior vena cava

A. left internal jugular vein

B. left subclavian vein
C. junction of the left internal jugular
and subclavian veins
52. The thoracic duct usually drains into D. superior vena
the:
E. junction of the right internal jugular
and subclavian veins

A. pulmonary lymph nodes

B. bronchopulmonary lymph nodes
C. tracheobronchial lymph nodes
53. The lymph nodes found in the hilum of D. bronchomediastinal lymph nodes
the lung are the: E. anterior mediastinal lymph nodes

A. the action of the muscles of

expiration
B. the elasticity of the visceral pleura
54. When air is allowed into the pleural C. the elasticity of the lung parenchyma
cavity, either from a stab wound or a blown D. expansion of the rib cage
out alveolus of the lung, the lung will E. paralysis of the muscles of
collapse because of:
inspiration

A. lateral
B. anteroposterior
55. Contraction of the diaphragm causes C. superior-inferior
an increase in the thoracic volume by D. any two diameters to the same extent
increasing primarily which of the diameters
of the rib cage?
E. all three diameters to the same extent

A. it is larger, straighter and shorter than

the left
B. it is more curved, longer and smaller
than the left
C. it is straighter, longer and larger than
56. When foreign objects are aspirated into
the trachea, they will usually pass into the the left
right primary bronchus because: D. it is at a 90 degree angle to the
trachea
E. there really is a good reason

A. sinoatrial node
B. atrioventricular node
C. atrioventricular bundle (of His)
57. The pacemaker for the heart is D. subendocardial plexus
ordinarily the:
E. membranous interventricular septum
 A. both diaphragms are usually
depressed in emphysema
B. the posterior attachment is inferior to
the anterior attachment
C. the lateral attachment is inferior to
58. Regarding the diaphragm, which of the
the posterior attachment
following it NOT true? D. in dextrocardia, the right diaphragm is
inferior to the left
E. the left diaphragm is usually inferior
to the right

A.
B.
C.
60. D.
E.

A.
B.
C.
61. D.
E.

A.
B.
C.
62. D.
E.
 A.
B.
C.
63. D.
E.

A.
B.
C.
64. D.
E.

A.
B.
C.
65. D.
E.

A.
B.
C.
66. D.
E.

A.
B.
C.
67. D.
E.
 A.
B.
C.
68. D.
E.

A.
B.
C.
69. D.
E.

A.
B.
C.
70. D.
E.

Practice Examinations
Upper Limb Practice Written Exam

Head and Neck Practice Written Exam

Head and Neck Practice Practical

Head and Neck Practice practical for Netscape

users

Thorax Practice Written Exam

Abdomen Practice Written Exam

Pelvis and Perineum Written Exam

Lower Limb Practice Written Exam

General Anatomy Information

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This is copyrighted©1999 by Wesley Norman, PhD