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MED2100 & MED2200 - Foundations of medical practice & principles of medicine 2 - Clayton - FY 2025

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All of the following structures are located in the posterior mediastinum, except:

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In the following image identify A-C:

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SOURCE:  Rohen, J. W., Yokochi, Chihiro, & Lütjen-Drecoll, Elke. (2011). Color atlas of anatomy : a photographic study of the human body (7th ed.). Wolters Kluwer Health/Lippincott Williams & Wilkins ; Schattauer.

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The patient is later taken to theatre to repair the fractured clavicle. In the immediate postoperative period, whilst sitting elevated at 45 degrees, the patient vomits and there is concern for aspiration of the vomitus into the lungs. Where would any aspirated material most likely lodge and therefore which section of lung may be affected?

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A 25-year old is brought to the ED following a motorbike accident. In addition to an obviously deformed clavicle, there are clear contusions to the chest wall, and therefore a CT scan is performed to rule out lung injury and rib fractures. The following image is obtained:

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Label A-D

 

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In the above radiograph, the right heart border is partially obscured. Which structure corresponds to the majority of the right heart border?

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An 83-year-old patient is admitted to hospital for surgery following a right neck of femur fracture. On day 7 post-op she becomes hypoxic, dyspnoeic and tachycardic, necessitating urgent medical review.  On examination, she has dullness to percussion in the right mid-anterior and right mid-lateral lung fields and reduced bilateral breath sounds.  An urgent chest X-ray is performed (shown below).

Based on the clinical information and the chest X-ray provided, what lobe(s) of the lung is(are) affected?

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Source: Sorrentino S, Pneumonia - right middle lobe. Case study, Radiopaedia.org (Accessed on 27 Mar 2023) https://doi.org/10.53347/rID-14979

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During further dissection of the lung hilum, there is an injury to structure corresponding to label “B”, necessitating its ligation. Following injury to structure B, venous drainage of the majority of the bony thorax will then occur via the:

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SOURCE:  Rohen, J. W., Yokochi, Chihiro, & Lütjen-Drecoll, Elke. (2011). Color atlas of anatomy : a photographic study of the human body (7th ed.). Wolters Kluwer Health/Lippincott Williams & Wilkins ; Schattauer.

During a thoracoscopy for a lung tumour, a surgical registrar encounters a structure that corresponds to label A on the prosection image shown. Potential consequences of injury to this structure may include:

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Pain from the myocardium may be transmitted by:

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Which of the following arteries branch from the ascending aorta?

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