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MCQs on Abnormal Shapes of the Chest

Updated on January 29, 2017

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

-----------------------------------

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

------------------------

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

-------------------------

Answer: Rachitic rosary

Barrel shaped chest is usually seen in:

Liver abscess

Pneumothorax

Pleural adhesions

Emphysema

-----------------------

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

-------------------------

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

------------------------------------------------------

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

----------------------------------

Answer: All except liver abscess

Bates Guide To Physical Examination And History Taking - Thorax Inspection

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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

--------------------

Answer: Rickets

Pott’s spine results in:

Kyphosis

Lordosis

Scoliosis

----------------------

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

-----------------------

Answer: Funnel chest

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

--------------------------------------------------

Answer: Both Funnel chest and Cobbler’s chest

Abnormal antero-posterior curvature of the spine with forward convexity is:

Kyphosis

Lordosis

Scoliosis

---------------------

Answer: Lordosis

Abnormal antero-posterior curvature of the spine with forward concavity and dorsal prominence is:

Kyphosis

Lordosis

Scoliosis

-------------------

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.

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    • teaches12345 profile image

      Dianna Mendez 

      17 months ago

      Interesting post on this topic. I learned something new!

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