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Date Completed: 03/04/2023
Page 1 of 15
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Movements of the Thoracic Wall
Which of the following muscles are primarily involved in passive inspiration:
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Blood Supply of the Heart
In most people, the sinoatrial node is supplied by which of the following coronary vessels:
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Innervation of the Lung
A 19 year old known asthmatic presents to ED with acute severe asthma. Which of the following nerves is responsible for constriction of the
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Blood Supply of the Heart
The left atrium is primarily supplied by which of the following coronary vessels:
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Surface Anatomy of the Pulmonary Trunk
The pulmonary trunk arises from the conus arteriosus of the right ventricle at which of the following locations:
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Structure of the Tracheobronchial Tree
Regarding the tracheobronchial tree, which of the following statements is CORRECT:
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Site of Pleural Aspiration
A 21 year old patient presents to ED with a primary spontaneous pneumothorax. You are asked by your consultant to perform a pleural aspirati
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Anatomical Relations of the Oesophagus
A 72 year old man complains of dysphagia. Imaging and barium swallow investigations show significant cardiac hypertrophy with compression o
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Surface Anatomy of the Pleural Cavity
Posteriorly the inferior margin of the pleural cavity is at which of the following vertebral levels:
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Blood Supply of the Heart
Which of the following best describes the territory of supply of the posterior interventricular artery:
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Borders of the Heart
The superior border of the heart is formed predominantly by which of the following:
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Surface Anatomy of the Diaphragm
At rest, the left dome of the diaphragm normally reaches as high as which of the following:
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Blood Supply of the Heart
A 54 year old man presents to ED with central crushing chest pain. Later coronary angiograms show thrombosis in the circumflex branch of the
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Surface Anatomy of the Pleural Cavity
The inferior margin of the pleural cavity is a line that runs anterolaterally between which of the following surface markings:
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Innervation of the Pericardium
A 45 year old man presents to ED complaining of severe retrosternal pain that is worse on coughing, and relieved by sitting forwards. The pa
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Borders of the Heart
The right border of the heart is formed predominantly by which of the following:
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Movements of the Thoracic Wall
Normal quiet expiration is achieved by which of the following structures:
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Anatomical Relations of the Lung Root
Regarding the lung roots, which of the following statements is CORRECT:
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Anatomical Relations of the Oesophagus
Regarding the oesophagus, which of the following statements is CORRECT:
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Surface Anatomy of the Heart
A 19 year old woman is brought to the ED having been stabbed in the chest. She has sustained a penetrating wound in the left fourth intercos
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Anatomical Relations of the Oesophagus
You are reviewing x-ray which shows cardiomegaly. Which of the following structures can be compressed by left atrium enlargement:
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Surface Anatomy of the Lung Root
The hila of the lungs are located at which of the following vertebral levels:
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Surface Anatomy of the Pulmonary Trunk
The pulmonary trunk bifurcates into the right and left pulmonary arteries posterior to the:
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Surface Anatomy of the Heart Valves
Which of the following best describes the surface marking of the pulmonary valve:
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Constrictions of the Oesophagus
A 49 year old patient presents to ED with vomiting and abdominal distension. X-ray shows small bowel obstruction. A nasogastric tube is inse
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Muscles of the Thoracic Wall
Regarding the muscles of the thoracic wall, which of the following statements is CORRECT:
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Surface Anatomy of the Heart Valves
Which of the following best describes the surface marking of the aortic valve:
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Blood Supply of the Heart
The interventricular septum is primarily supplied by which of the following coronary vessels:
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Anatomical Relations of the Oesophagus
Regarding the oesophagus, which of the following statements is CORRECT:
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Typical vs Atypical Ribs
Which of the following atypical ribs articulates with both its corresponding vertebra and the vertebra above:
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Anatomical Relations at the Thoracic Plane
Which of the following does NOT typically occur at the transverse thoracic plane:
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Surface Anatomy of the Trachea
The trachea bifurcates into the right and left main bronchi at which vertebral level:
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Dermatomal Supply of the Thoracic Wall
The T5 dermatome is best tested at which of the following landmarks:
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Anatomical Relations of the Aorta
A 50 year old man presents to ED complaining of a hoarse voice. Imaging shows an aneurysm of the aortic arch. Which of the following structu
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Movements of the Thoracic Wall
You are measuring peak flow in a patient who presented with shortness of breath. Which of the following muscles is most important for forced
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Surface Anatomy of the Lung
A patient presents with a fever, breathlessness and a productive cough. Chest x-ray has demonstrated a right middle lobe pneumonia. You are
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Surface Anatomy of the Heart
A 21 year old is brought to ED following a head-on collision with a tree in which he received severe blunt trauma to his sternum from the st
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Anatomical Relations of the Great Vessels
Which of the following best describes the relationship of the ascending aorta and the pulmonary trunk as they emerge from their orifices:
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Openings of the Diaphragm
Which of the following structures pass through the aortic opening in the diaphragm:
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Auscultation Position of the Heart Valves
The pulmonary valve is best auscultated at which of the following sites:
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Structure of the Intercostal Space
Regarding the intercostal space, which of the following statements is CORRECT:
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Muscles divided during Thoracotomy
A 29 year old is brought into ED with a penetrating stab wound to the chest. During the primary survey the patient arrests. He has no pulse.
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Surface Anatomy of the Aorta
The arch of the aorta continues from the ascending aorta posterior to which of the following:
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Openings of the Diaphragm
Which of the following structures pass through the caval opening in the diaphragm:
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Movements of the Thoracic Wall
The 'bucket handle' movement of the thoracic wall describes which of the following movements:
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Movements of the Thoracic Wall
Which of the following actions does NOT typically occur as part of normal inspiration:
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Surface Anatomy of the Lung
In quiet respiration, the position of the right oblique fissure can be marked by a line on the thoracic wall that:
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Auscultation Position of the Heart Valves
You are doing practice OSCEs with a group of medical students and you are focusing on the cardiovascular exam. The aortic valve is best ausc
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Dermatomal Supply of the Thoracic Wall
You are performing a full neurological examination. What is the sensory level of the xiphisternum:
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Openings of the Diaphragm
You are teaching a group of medical students about the diaphragm. The aortic opening in the diaphragm is found at which thoracic level:
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Surfaces of the Heart
The anterior surface of the heart is formed predominantly by which of the following:
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Openings of the Diaphragm
Which of the following structures pass through the oesophageal opening in the diaphragm:
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Surface Anatomy of the Trachea
The trachea arises at the lower border of the cricoid cartilage in the neck at which vertebral level:
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Dermatomal Supply of the Thoracic Wall
Which of the following dermatomes is located at the level of the nipples:
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Complications of Thoracotomy
A 21 year old patient presents to ED complaining of a progressive weakness in his right arm on abduction, particularly while lifting and pus
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Dermatomal Supply of the Thoracic Wall
The T6 dermatome is best tested at which of the following landmarks:
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Surface Anatomy of the Heart Valves
Which of the following best describes the surface marking of the tricuspid valve:
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Auscultation Position of the Heart Valves
The tricuspid valve is best auscultated at which of the following sites:
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Anatomical Relations at the Thoracic Inlet
A 47 year old presents to ED complaining of left hand pain. She has recently fractured her left clavicle which was treated conservatively. O
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Anatomical Relations of the Lung Root
A 45 year old lifelong smoker presents to ED complaining of shortness of breath and chest pain. Imaging shows a tumour invading the lung sur
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Structure of the Pleural Cavity
A 45 year old patient presents to ED complaining of left sided chest pain and breathlessness. Imaging shows a large left sided pleural effus
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Anatomical Relations of the Heart
Which of the following structures lies immediately posterior to the base of the heart:
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Anatomical Relations of the Lung
The medial surface of the left lung lies adjacent to all of the following structures except for the:
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Blood Supply of the Heart
A 61 year old patient presents to ED with sudden onset central crushing chest pain. ECG demonstrates a STEMI and bradycardia with a heart ra
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Surface Anatomy of the Diaphragm
At rest the right dome of the diaphragm normally reaches as high as which of the following:
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Surfaces of the Heart
The right pulmonary surface of the heart is formed predominantly by which of the following:
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Openings of the Diaphragm
You are preparing an anatomy teaching session on the diaphragm. The thoracic duct passes through the diaphragm together with which of the fo
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Anatomical Relations of the Lung Root
Which of the following structures is the most uppermost in the lung root:
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Articulations of the Ribs
A 35 year old woman is brought to ED having been involved in a road traffic accident. She has sustained a chest injury on impact with the st
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Innervation of the Pericardium
A patient presents with suspected pericarditis. Somatic sensation from the parietal pericardium is carried in which of the following nerves:
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Surfaces of the Heart
The inferior surface of the heart is formed predominantly by which of the following:
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Blood Supply of the Heart
In most people, the atrioventricular node is supplied by which of the following coronary vessels:
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Attachments of the Diaphragm
The peripheral diaphragm is attached anterolaterally to which of the following structures:
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Structure of the Tracheobronchial Tree
A 5 year old girl is brought in to ED having inhaled a small plastic object. Where in the tracheobronchial tree is the object most likely to
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Surfaces of the Heart
The left pulmonary surface of the heart is formed predominantly by which of the following:
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Surface Anatomy of the Heart
The lower limit of the heart on the right side of the sternum is the:
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Surface Anatomy of the Lung
In quiet respiration anteriorly the horizontal fissure lies at the level of which of the following:
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Borders of the Heart
The inferior border of the heart is formed predominantly by which of the following:
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Dermatomal Supply of the Thoracic Wall
The T4 dermatome is best tested at which of the following landmarks:
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Surface Anatomy of the Lung
A 28 year old man is brought to ED with a penetrating chest wall injury in the area of the fourth costal cartilage. Which of the following p
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Dermatomal Supply of the Thoracic Wall
A patient is brought to ED having been involved in a road traffic accident. Imaging shows a fracture of the T3 vertebral body with compressi
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Openings of the Diaphragm
You are teaching a group of medical students about the diaphragm. The oesophageal opening in the diaphragm is found at which thoracic level:
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Anatomical Relations of the Oesophagus
The following structures all lie anteriorly to the oesophagus EXCEPT for the:
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Articulations of the Ribs
A 21 year old horse rider, falls off her horse during a show-jumping competition and fractures her right third rib and structures with which
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Innervation of the Pleura
A 64 year old man presents to ED complaining of right sided chest pain that is worse on coughing. Which of the following nerves is most like
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Auscultation Position of the Heart Valves
You are performing a full cardiovascular examination on a patient presenting to ED with palpitations. The mitral valve is best auscultated a
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Dermatomal Supply of the Thoracic Wall
You are performing a full neurological examination. What is the sensory level of the umbilicus:
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Lymphatic Drainage of the Lung
A patient presents to ED with a fever, persistent cough and haemoptysis. On x-ray you note hilar lymphadenopathy. Which of the following lym
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Anatomical Relations at the Thoracic Plane
Which of the following occurs at the transverse thoracic plane:
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Anatomy of the Thymus Gland
Regarding the thymus gland, which of the following statements is INCORRECT:
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Blood Supply of the Heart
Which of the following best describes the territory of supply of the circumflex artery:
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Blood Supply of the Heart
The right atrium is primarily supplied by which of the following coronary vessels:
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Innervation of the Diaphragm
A 29 year old male presents to ED having sustained a penetrating injury to the neck. On further exploration, it is found that he has transec
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Movements of the Thoracic Wall
Which of the following actions does NOT typically occur as part of normal passive expiration:
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Anatomical Relations at the Thoracic Inlet
Regarding the thoracic inlet, which of the following statements is CORRECT:
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Anatomical Relations of the Oesophagus
The following structures all lie posterior to the oesophagus except for the:
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Anatomical Relations of the Lung
The medial surface of the right lung lies adjacent to all of the following structures except for the:
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Borders of the Heart
The left border of the heart is formed predominantly by which of the following:
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Surface Anatomy of the Lung
Posteriorly the inferior margin of the lung in quiet respiration is at which of the following vertebral levels:
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Movements of the Thoracic Wall
The 'pump handle' movement of the thoracic wall describes which of the following movements:
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Blood Supply of the Heart
Which of the following best describes the territory of supply of the anterior interventricular artery:
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Anatomy of the Pericardium
Regarding the pericardium, which of the following statements is CORRECT:
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Dermatomal Supply of the Thoracic Wall
A 54 year old man complains of tingling and a blistering rash that has erupted over his left back and left chest at the level of the nipple.
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Surface Anatomy of the Lung Root
The hila of the lungs are located at the level of which of the following costal cartilages:
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Movements of the Thoracic Wall
Which of the following occurs primarily to produce passive expiration:
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Innervation of the Diaphragm
The motor supply of the diaphragm is from which of the following nerves:
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Surface Anatomy of the Aorta
The ascending aorta arises from the aortic orifice at the base of the left ventricle at which of the following locations:
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Movements of the Thoracic Wall
Which of the following muscles is LEAST likely to be involved in forceful expiration:
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Surface Anatomy of the Heart Valves
Which of the following best describes the surface marking of the mitral valve:
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Muscles of the Thoracic Wall
Regarding the muscles of the thoracic wall, which of the following statements is INCORRECT:
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Surface Anatomy of the Lung
The inferior margin of the lung in quiet respiration is a line that runs anterolaterally between which of the following surface landmarks:
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Blood Supply of the Heart
Which of the following best describes the territory of supply of the right marginal artery:
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Surface Anatomy of the Heart
The upper limit of the heart on the right side of the sternum is the:
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Surface Anatomy of the Lung
In quiet respiration, the position of the left oblique fissure can be marked by a line on the thoracic wall that:
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Blood Supply of the Heart
A 68 year old man presents to ED with sudden onset severe chest pain and is found to suffered a myocardial infarction in the area of the ape
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Site of Pericardial Aspiration
A 21 year old man is brought to ED having been involved in a road traffic accident. He is hypotensive with muffled heart sounds and distende
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