01-27-2015, 07:41 PM
Q1) An 87-year-old woman with a history of metastatic adenocarcinoma of the breast presents with difficulty in
breathing. A plain chest film reveals massive left pleural effusion. The physician chooses to drain the fluid with a thoracentesis. What is the proper location for placement of the cannula (hollow needle) to drain the pleural effusion?
(A) Midaxillary line—6th intercostal space
(B) Midaxillary line—9th intercostal space
© Parasternal line—6th intercostal space
(D) Parasternal line—2nd intercostal space
(E) Midclavicular line—5th intercostal space
_________________ATTENTION Q2 is NBME13_____________________________
Q2) An 82 year old woman is admitted to the hospital for treatment of a small right pleural effusio. physical examination shows dullness to percussion at the level of the 7th rib and below on the right. a thoracocentesis is done. the patient is sitting up, supported by leaning against a bedside table. After preparint the skin and delivering a local anesthetic, into which of the following locations on the right is it most approptriate to insert the catheter?
A. Above the 5th rib in the midscapular line.
B. above the 5th rib to the right of the sternum.
c. above the 7th rib in the paravertebral region.
d. below the 5th rib in the midclavicular line
e. below the 5th rib in the midaxillary line (wrong)
f. above the 9th rib in the midscapular line
g. below the 9th rib in the midscapular line
_____________________________end of nbme13______________
Q3) Treatment of tension pneumothorax is emergent needle decompression into the pleural cavity to relieve the pressure. Where do you insert the needle?(anatomic location)
breathing. A plain chest film reveals massive left pleural effusion. The physician chooses to drain the fluid with a thoracentesis. What is the proper location for placement of the cannula (hollow needle) to drain the pleural effusion?
(A) Midaxillary line—6th intercostal space
(B) Midaxillary line—9th intercostal space
© Parasternal line—6th intercostal space
(D) Parasternal line—2nd intercostal space
(E) Midclavicular line—5th intercostal space
_________________ATTENTION Q2 is NBME13_____________________________
Q2) An 82 year old woman is admitted to the hospital for treatment of a small right pleural effusio. physical examination shows dullness to percussion at the level of the 7th rib and below on the right. a thoracocentesis is done. the patient is sitting up, supported by leaning against a bedside table. After preparint the skin and delivering a local anesthetic, into which of the following locations on the right is it most approptriate to insert the catheter?
A. Above the 5th rib in the midscapular line.
B. above the 5th rib to the right of the sternum.
c. above the 7th rib in the paravertebral region.
d. below the 5th rib in the midclavicular line
e. below the 5th rib in the midaxillary line (wrong)
f. above the 9th rib in the midscapular line
g. below the 9th rib in the midscapular line
_____________________________end of nbme13______________
Q3) Treatment of tension pneumothorax is emergent needle decompression into the pleural cavity to relieve the pressure. Where do you insert the needle?(anatomic location)
