The Diaphragm Questions

Question 1
Question 2
Question 3
Question 1: Which of the following statements is true regarding congenital diaphragmatic hernias?

Bochdalek's hernia is more common in the posterior costal portion on the right side.

Obstruction and strangulation are the typical presentation of an acute Bochdalek's hernia.

Most mortality for infants with Bochdalek's hernia can be attributed to increased pulmonary vascular resistance.

The stomach is the most common organ to be found in a Morgagni's hernia.

Morgagni's hernia is best repaired through a right thoracotomy.


Question 2: Which of the following statements is true regarding tumors and perforation of the diaphragm?

Fibrosarcomas are the most common primary diaphragmatic tumors.

Most patients with a diaphragmatic tumor are asymptomatic and are diagnosed on routine chest film.

The colon is the most common organ to be found in a traumatic herniation.

CT scanning with barium contrast is the definitive test for diaphragmatic rupture with obstruction.

Patients with blunt diaphragmatic hernia have a higher mortality than patients with penetrating hernia.


Question 3: Which of the following statements is true regarding diaphragmatic pacing?

Pacing is indicated in patients with muscular dystrophy involving the diaphragm.

Lower motor neuron lesions of the phrenic nerve are a contraindication to pacing.

The duration of the pulse train corresponds to the respiratory rate.

Pacing is successful in patients with cervical spinal cord injuries above C6.

Pacing should be instituted within one month of spinal cord injury to prevent disuse atrophy of the diaphragm.




Last revised 03/10/98
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Comments to John Doty