Anatomy Flashcards

1
Q

What does the manubrium articulate with?

A

clavicles, 1st pair of ribs, 2nd pair of ribs at sternal angle, body of sternum at sternal angle

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2
Q

What does the body of the sternum articulate with?

A

manubrium, costal cartilage 2-7, xiphoid process

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3
Q

What does the xyphoid process articulate with?

A

body of sternum, vertebral level of T8

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4
Q

Superior thoracic aperture boundaries

A

body of T1, 1st ribs, manubrium

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5
Q

Inferior Thoracic Aperture Boundaries

A

body of T12, ribs 11 and 12, xyphoid process and costal cartilage of ribs 7-10, diaphragm

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6
Q

Where do intercostal nerves come from?

A

ventral primary rami of T1-T11

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7
Q

Where does the phrenic N. come from and what does it supply?

A

C3-C5; pain and irritation (sensory) for mediastinal pleura, pericardium, and middle of diaphragm; motor innervation for diaphragm

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8
Q

What arteries supply the intercostal spaces?

A
Posterior Intercostal As. - 3-11
Supreme thoracic A. - 1-2
Supreme intercostal A. - 1-2
Anterior Intercostal As. - 1-6
Musculophrenic A. - 7-9
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9
Q

Describe the divisions of the bronchi

A

Right/Left primary (main) bronchi -> secondary (lobar) bronchi (to lobes of lungs) -> tertiary (segmented) bronchi (to bronchopulmonary segements) -> terminal bronchioles -> respiratory bronchioles -> alveoli

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10
Q

How many bronchial As are there? Where do they come from? Where do bronchial Vs drain to?

A

3 total arteries (2 left and 1 right) that come from descending aorta; bronchial Vs drain into Azygos V. (which then drains into superior vena cava)

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11
Q

Describe the order of lymphatics from the lungs

A

Pulmonary lymph nodes -> bronchopulmonary lymph nodes (hilum) -> tracheobronchial (bifurcation of trachea) -> tracheal -> right/left bronchomediastinal lymph trunk

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12
Q

Describe the layers of the heart (outside to inside)

A

Fibrous pericardium -> parietal serous pericardium -> visceral serous pericardium (epicardium) -> myocardium -> endocardium -> fibrous skeleton of heart along w/ membranous part of inter ventricular septum

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13
Q

What is the ligamentum arteriosum?

A

remnant of ductus arteriosus that connected the pulmonary trunk to the aortic arch

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14
Q

What is the fossa ovalis?

A

depression on interatrial septum of RA; remnant of foramen ovale that connected the left and right atria; if left open after birth -> atrial septal defect

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15
Q

Describe the conduction system of the heart

A

SA node (right atrial wall) -> AV node (RA near opening for coronary sinus) -> atrioventricular bundle (bundle of His) -> right and left bundle branches -> subendocardial branches (Purkinje fibers)

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16
Q

5 Areas to Listen to the Heart

A

Aortic - right 2nd
Pulmonary - left 2nd
Erb’s point S1, S2) - left 3rd
Tricuspid - lower left sternal border (4th intercostal)
Mitral - left 5th medial to midclavicular line

17
Q

Superior Mediastinum Contents

A
Thymus
Great vessels
Vagus & Phrenic N.
Recurrent laryngeal N.
Cardiac pulmonary plexus of nerves
Trachea
Esophagus
Thoracic Duct
Prevertebral M.
18
Q

Posterior Mediastinum Contents

A
Thoracic aorta
Thoracic duct
Lymph nodes
Azygos and hemiazygos Vs
Esophagus
Vagus N.
Esophageal plexus
Thoracic sympathetic trunks
Thoracic splanchnic Ns.
19
Q

What makes up the esophageal plexus?

A

combination of right and left vagus Ns. -> forms anterior and posterior vagal trunks on esophagus

20
Q

4 Constriction points of esophagus

A

cricopharyngeal muscle in cervical region
aortic arch
left main bronchus
diaphragm

21
Q

What makes up greater splanchnic N. and where does it travel?

A

T5-T9; relays to celiac ganglion

22
Q

What makes up less splanchnic N. and where does it travel?

A

T10-T11; relays to superior mesenteric ganglia and aorticorenal ganglion

23
Q

What makes up least splanchnic N. and where does it travel?

A

T12; renal plexus