THORAX SCQs 1.

Write down origin ,course, branches & areas of distribution of left coronary arteries (DRAW DIAGRAM WHERE NECESSARY)........ ? 2. An old man underwent a surgery on his tumor in the posterior mediastinum. During surgery the surgeon accidentally cuts off the thoracic duct.......... (a).... What is the condition known as ?? (b)....Give the formation ,extent , tributaries and termination 3. A 70 year old chain smoker complains of cough and hoarseness of voice. On X-ray examination there is irregular hilar mass located in left lung..... (a)....What causes the hoarseness of voice ? (b)....Give the lymphatic drainage of lungs.... (c)....Draw n label the medianstinal surface of left lung... .4. Draw venous drainage of heart....?? 5.Write the course , branches and distribution of a typical intercostal nerve....??of thoracic duct....??

 6. Coronary angiographs of a 44 year old male patient reveal an occlusion of the circumflex branch of the left coronary artery. This patient has been suffering from M.I in which areas of the heart .......?? Briefly describe the course n distribution of both coronary arteries....? 7.Which areas of heart will undergo ischaemic changes in sudden occlusion of the artery lying in posterior inter-venticular 8. Explain the lymphatic drainage of lungs n pleura....? 9. Explain the origin, course n distribution of arteries supplying the thoracic wall , explain the importance of intercostal arteries in coarctation of aorata.....? 10. Describe briefly the coronary circulation.... 11. Define mediastinum....?? (a)....How is mediastinum divided....? (b)....Enlist the various esophagus constrictions n give their clinical significance.....? 12. Define : (a)....AZYGOUS VEIN. (b)....Left coronary artery. (c)....Coronary sinus. 13. What do you meant by BRONCHOPULMONARY SEGMENTS ROOT OF LUNG SYMPHYSIS.....?? r groove....??

 14. (a)....Define PERICARDIUM and name its layers with their nerve supply....What is PERICARDIAL CAVITY....?? (b)...Which nerves are involved in transmission of pain from heart and PAIN OF PERICARDITIS....? 15. (a).....Name the parts of LATERAL VENTRICLE.... (b)....Write the features of the part lying in OCCIPITAL LOBE..... 16. (a).....Draw n Label "CIRCULUS ARTERIOSUS " (b).....Write its location n clinical significance..... ? 17. A female patient came to the medical OPD with complaint of generalized and chest pain. X-ray revealed Left Ventsicular Hypertrophy. (a)....Mention the most liable valuvular structure involved in this lesion....?? (b)....WHAT IS LEFT CORONARY DOMINANCE....? 18. What is root of lungs ? Describe its Anatomy on left and right side....? 19. Describe the serous pericardium with its blood supply and nerve supply. Give its applied Anatomy.... 20.Give the course ,branches and area of distribution of the vessel supplying the SA node in 80% of the population....?

 21. (a).... A 45 years old smoker underwent resection of a cyst in the apical segment of the left lung , give an anatomical basis for the surgical resection....? (b).....Give anatomical justification for the statement that the neck infections behind the prevertebral layer of deep cervical fascia are confined to superior mediastinum while infections in front of the prerachesl layer reach the anterior mediastinum......? 22. Write a note on the vein of lower extremity commonly used in by-pass operations......?? 23. Name the blood vessels and nerves of superior mediastinum....?? 24. Mention the anatomy of BRACHIOCEPHALIC VEIN.....?? 27. Describe the course of phrenic nerve and its areas of distribution....? 28. What is M.I ??......What are the three common sites of coronary artery occlusion....?? 29. Why is visceral pleura insensitive to pain.....?? 30. What are the sites of referred pain in case of irritation to the parietal pleura.... 31. (a)....Give the nerve supply of parietal pleura ?? (b)...Mention formation and extent of costodiaphragmatic recess , give its clinical importance....?

 32. A patient of 50 years presented to surgical emergency with acute M.I of anterior wall of heart........?? (a)....Mention artery involved ,give origin,branches and distribution of its main trunk.....? (b)....What is ectopia cardia.....?? 33. (a)....Draw and label venous drainage of posterior wall of thorax....? (b)....Mention the two communications between superior and inferior vena cava.....?? 34. A patient undergoes surgery for resection of pulmonary tumor, few days after surgery patient was having difficulty in breathing during inspiration. On X-ray right dome of diaphragm is lower as compared to left dome...... (a).....Name the clinical condition and structure involved..... (b)....Mention origin and insertion of diaphragm..... (c)....Enumerate opening through diaphragm with contents....

 35. An old man undergoes surgery for wide local exision of tumor of posterior mediastinum. During surgery surgeon accidentally cut the thoracic duct..... (a)....Name the clinical condition resulting from damage of this structure....???? (b).....Mention course, extent and tributaries of thoracic duct....? (c).. 36. A boy received a stab wound in 2nd intercostal space. He is bleeding profusely. Name the contents damaged in this area......?..What is cardiac tamponade....?