Thorax card (new curriculum) : MBBS item viva questions (bangladesh)

THORAX

(Viva- item examination)

Item no-1: Thoracic Wall, thoracic cavity, Pleura & Mediastinum

1. Give the skeletal boundary of thoracic cage. Tell about content of thoracic cavity
2. Give the  boundary of thoracic inlet
3. Give the  boundary of thoracic outlet
4. What do you mean by typical intercostal space?
5. Mention the name of intercostal muscles with origin, insertion & NS
6. Define mediastinum with different subdivision. Give the boundary of superior / inferior (anterior/ middle/ posterior)  mediastinum and list their contents.
7. Joint: sternocondal jt & costochondal jt:  formation & type.
8. What do you mean by i) True ribs ii) False rib iii) Floating ribs
9. Identify sternal angle and write importance of sternal angle.
10. Bones: Typical rib, 1^st rib, 12^th rib
11. Figure- 1^st & 12^th rib

Item-2: Different joint of thorax

1.      Name different joint of thorax, mention their formation & type.

2.      Write about peculiarities of clavicle.

3.      Define joint. Classify joint

4.      Classify (fibrous/cartilaginous/ synovial joint)

5.      Write features of synovial joint.

6.      Difference between primary & secondary cartilaginous joint.

7.      Bone: Clavicle, Sternum  

8.      Figure: clavicle /Sternum/Typical synovial joint./Fibrous joint/Cartilaginous joint.

Item-3:

1.      Define pericardium. Write different layers with blood & nerve supply

2.      How many chambers present within heart.

·         Write a flow chart to describe systemic circulation.

·         Write a flow chart to describe pulmonary circulation

·         Write a flow chart to describe portal circulation

3.      List the name of structure enter into the right atrium of heart.

4.      How sternocostal surface of heart is formed?

5.      Draw & label arterial supply,venous supply of heart and nerve supply of heart

6.      Discuss the  role of sympathetic& para sympathetic nervous system on heart

7.       Mention difference layers of heart.

8.      Identify/formation 

Four chamber of heart 

 Surfaces- sternocostal, diaphragmatic,  left surfce , base

Borders-Right border Left border, interior border

Grooves – Coronary sulcus, ant. & pos. interventricular grooves

Vessels: Rt & Lf coronary artery, coronary sinus

Root of great vessels- SVC, IVC, ascending thoracic aorta, arch of  aorta, descending thoracic aorta, four pulmonary vein, pulmonary trunk

         Interior of heart- Interventricular septum/Papillary muscle/Corda tendenae/Cups/

                                        musculae pectinae/fossa Ovalis /Limbus fossa ovalis.

             Figure:    1. Arterial supply of heart

                               2. Venous system of heart

                               3. Conducting system of heart

Item-4:

1.      Define pleura mention its different layers. Mention blood & nerve supply of pleura.

2.      Extension of trachea. Difference between Rt & left principal bronchus. Blood supply of trachea

3.      Extension of conducting & respiratory part.

4.      Lining epithelium of conducting & respiratory part. 

5.      Identify-

    Surfaces- medial i) Vertebral   ii) Mediastinal, 

    Costal, Base, Apex, Hilum

      

              Bordar- Anterior border & inferior  border.

              Ligament- Pulmonary ligament.

              Groove- Groove for azygous vein, Groove for SVC, IVC, Descending thoracic aorta.

        6.  Function of conducting & respiratory part.

        7.  Define Branchopulmonary segment. Draw & label B.S of both Lung.

 Figure- pleura   

                       - Supra-plueral membrane - formation, attachment function.

  Item-5:The Diaphragm & Oesphagus:

Esophagus: Extension, Lining epithelium, Blood supply,  peritoneal relation, Porto-systemic anastomosis

The Diaphragm- Anatomical points

                          -Formation

                         - Parts

                         - Openings – vertebral label & structure passing through it.

                         - Functions.

                         - Nerve supply- sensory and motor.

                         - Type of muscle present in the diaphragm.

Bones: Typical thoracic vertebrae, Atypical thoracic vertebrae

Item-6:

Phrenic nerve- root value.

                      - Important relation.

                       - what type of nerve it is?

                       -arises from which plexus 

                      - supplied area.

Spinal nerve: Formation & location.  

                      Branches.

                      what type of nerve it is?

                      Draw & label

                      Number.

Intercostal nerve: Formation

                             Location

                             Difference between spinal nerve & intercostal nerve.

Lymphatic drainage:

What are right lymphatic duct, thoracic duct & cisternal chyli?

Branches of ascending aorta & desconding aorta tributaries of SVC, azygous & hemiazygous vein