MCQs on Abnormal Shapes of the Chest
Inspection of Chest Wall
Chest wall examination is part of respiratory and cardiovascular system assessment. There are four ways of examining the chest wall: inspection, palpation, percussion and auscultation. Some of the abnormalities of chest wall are obvious to be detected by inspection. However, they will have associated effects on other organ systems which makes the sequence of examination mandatory.
This article has few multiple choice questions (mcqs) on abnormalities of the shape of the chest. The shape of the chest is assessed by inspection. As the patient walks into your unit, or as you approach the patient by the bedside, few of these chest wall abnormalities can be visible if you have a critical eye.
Normal Shape of the Chest Wall:
The chest wall is bilaterally symmetrical with smooth contours. The transverse diameter of the chest wall is greater than the antero-posterior diameter.
Depression on either side of the chest with bead like enlargement at the costo-chondral junction is known as:
Funnel chest
Pectus carinatum
Pectus excavatum
Cobbler’s chest
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Answer: Pectus carinatum
Sternum and Ribs Protrude in Pectus Carinatum
Bulging of one side of the chest may be seen in:
Pleural effusion
Pneumothorax
Tumors
Empyema
All of the above
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Answer: All of the above
Nodularity at the costo chondral junctions in rickets is known as:
Pomfret’s heart
Harrison’s sulcus
Osler’s nodules
Rachitic rosary
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Answer: Rachitic rosary
Barrel shaped chest is usually seen in:
Liver abscess
Pneumothorax
Pleural adhesions
Emphysema
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Answer: Emphysema
Barrel Chest
Transverse groove passing outwards from the xiphi sternum to the mid axillary line is:
Pomfret’s heart
Harrison’s sulcus
Osler’s nodules
Rachitic rosary
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Answer: Harrison’s sulcus
Pectus carinatum is otherwise known as:
Funnel chest
Cobbler’s chest
Pigeon breast
Keeled chest
Both Funnel chest and Cobbler’s chest
Both Pigeon breast and Keeled chest
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Answer: Both Pigeon breast and Keeled chest
Depression or flattening of the chest (one side or a part of it) may be seen in:
Collapse
Pleural adhesions
Fibrosis
Liver abscess
All except liver abscess
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Answer: All except liver abscess
Bates Guide To Physical Examination And History Taking - Thorax Inspection
Do you hate studying Anatomy?
What is your strategy to study Anatomy?
Pectus Excavatum
Have you seen babies born with Sunken Chest?
Pectus Excavatum (sunken chest) can be of different severity. It is a congenital malformation.
My heart sinks when I look at innocent faces of babies with sunken chest abnomality.
Harrison’s sulcus is seen in:
Collapse
Pleural adhesions
Fibrosis
Liver abscess
Rickets
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Answer: Rickets
Pott’s spine results in:
Kyphosis
Lordosis
Scoliosis
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Answer: Kyphosis
What is Pott's Spine?
Pott's spine is tuberculosis affecting the spine or vertebrae.
Tuberculosis is a very common infectious disease in India.
Pomfret’s heart is seen in:
Pigeon breast
Funnel chest
Keeled chest
Barrel chest
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Answer: Funnel chest
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Pectus Excavatum is otherwise known as:
Funnel chest
Cobbler’s chest
Pigeon breast
Keeled chest
Both Funnel chest and Cobbler’s chest
Both Pigeon breast and Keeled chest
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Answer: Both Funnel chest and Cobbler’s chest
Abnormal antero-posterior curvature of the spine with forward convexity is:
Kyphosis
Lordosis
Scoliosis
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Answer: Lordosis
Abnormal antero-posterior curvature of the spine with forward concavity and dorsal prominence is:
Kyphosis
Lordosis
Scoliosis
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Answer: Kyphosis
All the above mentioned chest wall abnormalities can be detected by inspection and palpation. Other areas of examining the chest by inspection and palpation are respiratory rate, respiratory rhythm, types of breathing, movements of the chest, mediastinum, tactile fremitus, and other vibrations and tenderness.
Answering multiple choice examinations is a good way to prepare for examination. To answer mcqs, the students are encouraged to read standard textbooks thoroughly.
