UNKNOWN (could be anything)
During a cyst removal on the posterior portion of his neck, a dermatologist cuts way too deeply and severs a nerve. Mike (the patient) notices he cannot laterally flex his head to the right. What nerve and muscle is likely affected?
What is the right obliques capitis superior muscle and right suboccipital nerve
What is the nerve responsible for relaying painful sensations from the visceral pleura back to the CNS?
What is none? There is no pain receptors in the visceral pleura just the parietal
This valvular abnormality is likely secondary to a right bundle branch block (RBBB)
What is Tricuspid Regurgitation?
A 79-year-old woman is noted to have osteoporosis accompanied by a hunched back. Ironically, when she flexes forward even more than she already is at baseline, she is able to alleviate pain in her back with what she describes as "stinging." What pathological condition is likely going on?
A 27-year-old fat woman is relatively healthy despite her obesity. She presents to her primary care physician for a yearly follow-up and is known to have thoracic outlet syndrome. On exam, she is noted to have right arm pain, prompting her PCP to order an upper extremity ultrasound, in which an artery is noted to be compressed due to her condition. What artery is likely affected?
What is the right subclavian artery?
A man has just gotten into a horrendous MVC. He is found to have fractured his iliac crest. What muscle is likely to have been affected?
What are all of his erector spinae muscles?
The reason for the pulmonary arteries branching with the bronchi when bringing oxygenated blood to the lungs.
What is there is no reason and this a false statement. Pulmonary arteries bring deoxygenated blood to the lungs.
An 81-year-old male presents to the cardiology clinic as he hasn't seen a cardiologist in over a decade. He undergoes a routine nuclear stress test in which he is found to have left ventricular englargement, a higher than normal ejection fraction (i.e. >70%), and systemic hypertension. He claims he was told by a doctor years ago that he had an "abnormal valve". What is this likely to be?
What is Aortic (valve) stenosis?
During a lift, 23-year-old Samuel is stupidly trying to deadlift 500 pounds. Upon attempting the lift, he feels a pop around his posterior axillary region. What future movements/actions might be difficult for him to perform in the event he did have a tendon rupture in that area?
What are extension, internal rotation (of humerus), and adduction?
A college catcher took a foul ball right off his god-for-saken chest and is now in excruciating pain due to a fracture. Upon x-ray, he is noted to have a fracture of his sternum. He notices a difference in breathing, particularly during exhalation. He says that this feels more internal and central than superficial and lateral. What muscle is likely affected?
What is the transversus thoracis muscle?
If you, YES YOU, were to have venous insufficiency, what vein would not be draining the parietal pericardium correctly?
An 8-year-old nerd accidentally aspirates a piece of his quesadilla into his secondary right bronchus. Which mediastinum is this quesadilla now located in?
What is none? It is located within the lateral cavity.
A 44-year-old male arrives at the ER with what he describes as "horrendous pain" in his chest. He is noted to have a strong family history of cardiovascular disease, and he works as a welder who travels frequently and does not have a very healthy diet. Providers suspect he is having an MI, and upon cardiac catheterization, he is noted to both have left heart dominance, with almost total occlusion of his LCA. What arteries (that we have learned about) will not be affected by this blockage?
What are the Right coronary artery, right marginal artery, and Sinu-atrial nodal artery?
During a pleural tap, an incompetent medical provider accidentally extends the needle too far into the chest region of the patient, resulting in a pneumothorax. He claims he performed it as medially (relative to the lateral cavity) as possible and in the right fifth intercostal space. The location of the damage is likely where?
What is the middle lobe of the right lung? (most anterior portion of the lung)
A 56-year-old hairy indian man presents to the ER with a known history of a Thoracic aortic aneurysm that he has not sought care for in over 3 years. He states that he feels like he is dying and has pain all over. But he specifically states that he feels his lungs are failing him. Per imaging, it is determined that his aneurysm has ruptured. He is also noted to be tachypneic. This is due to the fact that either insufficient amounts or no blood is perfusing through what vessel(s)?
What is the bronchial arteries?
Bobby is an 84-year-old male with heart issues. He is noted to have ventricles that are not within synchrony during systole, along with persistent bradycardia ranging around the mid to low 40s for heart rate. He is a good candidate for which cardiac device?
What is a CRT-pacemaker?
A patient presents to a Pulmonologist stating that he is having trouble breathing during exercise/exertion in general. He is fat, has uncontrolled diabetes, and was told by his neurologist that he has an autonomic neuropathy. What is likely the reason for this troubled breathing during exertion?
What is sympathetic dysfunction of his bronchi?
A 17-year-old girl presents to the cardiology clinic with a known CHD (congenital heart defect). She has been told that the hole located between her atria never closed when it was supposed to. During routine echocardiography, a shunt is noted. What type of shunt is present?
What is a left-to-right shunt? (secondary to a PFO/patent foramen ovale)
These muscles are primarily active during quiet expiration
What is none?
A patient is noted to have a lesion to a thoracic splanchnic nerve supplying the esophagus. How is peristalsis in the esophagus affected by this?
What is it is not affected? (Parasympathetic innervation is responsible for peristalsis/food propulsion in the esophagus)
The name of the place where the right ventricle and the pulmonary trunk meet (smooth-walled portion). ALSO, the name of the right ventricular outflow tract. (Yes, double-whammy, sorry)
What are the conus arteriosus (aka infundibulum) and the pulmonary trunk?
Dae Dae was gang-banging in his hood on a normal Thursday night when a member of the crips gang(lia) pulled up on him and stabbed him in the right lung. A couple of hours later, he notices vein engorgement in his neck. What is likely going on?
What is compression of the heart secondary to a tension pneumothorax?
The moderator band (located within the septomarginal trabecula) provides a "short-cut" for the right bundle branch to reach the papillary muscles in the right ventricle faster. The purpose of this is because of what?
What is the slightly faster (by milliseconds) contraction of the right ventricle relative to the left ventricle?
Jessica is a 47-year-old woman who grew up fatherless, so she has been troubled her entire life. As a coping mechanism, she has indulged in gluttony for years and has become morbidly obese. She recently visited a GI clinic recently due to what she thinks is reflux. The gastroenterologist recommended that she does a barium swallow test to rule out any gastric pathologies, in which she was found to have severe reflux, and from what she remembers, the doctor told her, she has a "stomach coming up in her esophagus". What is likely her diagnosis?
What is a hiatal hernia?
A surgeon is about perform a mastectomy on a 39-year-old woman with breast cancer, and she is noted to have bad breath as well. He tells the medical student he is going to cut in the area between the breast tissue and the pectoralis major muscle. What is that area anatomically known as?