Anatomy Thorax Flashcards

1
Q

anterior and posterior articulations of ribs

A

posterior: all articulate with vertebrae
anterior:
ribs 1-7 attach to sternum
ribs 8-10 attach to costal cartilage above them
ribs 11-12 “floating ribs” no attachment

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2
Q

flail chest

A

fracture of 2 or more adjacent ribs - paradoxial movement of chest when breathing

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3
Q

what embryonic structure gives rise to thymus

A

3rd pharyngeal pouch

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4
Q

thymus is found in what compartment and what is its function

A

superior mediastinum, posterior to manubrium of sternum

helps in development immune system in adolescence then becomes fat

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5
Q

syndrome where thymus does not develop

A
DiGeorge syndrome "CATCH"
Congenital heart defects
Abnormal facies
Thymus aplasia --> prone to recurrent infections
Cleft palate
Hypoparathyroidism
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6
Q

what structures in breast are involved in lactation

A

mammary glands (modified sweat glands)

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7
Q

blood supply to medial side of breast

A

internal thoracic/mammary artery (from subclavian)

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8
Q

blood supply to lateral side of breast

A
  • lateral thoracic and lateral thoracoacromial
  • lateral mammary
  • mammary branch
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9
Q

levels of lymph nodes in axillary dissection for breast cancer

A

level 1: below pectoralis minor (lateral)
level 2: under it
level 3: above it (medial)

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10
Q

What structures are found in lung hilum

A

bronchus, pulmonary artery, 2 pulmonary veins, nerves+vessels

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11
Q

which bronchus has higher risk of foreign body inhalation

A

right bronchus due to wider shape and more vertical course

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12
Q

Types of emboli

A

Thrombus
Fat, from bone fracture or ortho surgery
Air, from neck cannulation

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13
Q

Where do the bronchial veins drain

A

right bronchial into azygos vein

Left bronchial into accessory hemiazygos vein

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14
Q

SVC is the direct convergence of which 2 veins

Location of this union

A

right and left brachiocephalic veins

Posterior to first right costal cartilage

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15
Q

What vein is important for right atrium pressure

A

SVC is valveless so pressure of right atrium is the same as SVC and its branches –> right internal jugular vein

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16
Q

How to measure jugular venous pressure

A

visualize it with patient at 45 degrees amd head turned left, pulsation between 2 heads of SCM

17
Q

Causes of raised JVP

A

right sided heart failure, SVC obstruction, pulmonary hypertension

18
Q

Test for SVC obstruction

A

Pemberton’s test

Raise both arms above head, positive test if facial edema or cyanosis after 1 minute

19
Q

What are the 3 openings in the diaphragm

A

T8 ‘caval’ for IVC
T10 for esophagus
T12 for aorta

20
Q

Phrenic nerve roots

A

C3-5

21
Q

Phrenic nerve paralysis features

A

PFTs: Restrictive deficit
If unilateral, asymptomatic
If bilateral, poor exercise tolerance, orthopnea, fatigue

22
Q

Anterior mediastinum mass differential

A

thymoma, teratoma, thyroid goiter, lymphoma

23
Q

Blood supply of heart

A

RCA: Right marginal, posterior interventricular
LCA: LAD, left marginal, left circumflex

24
Q

MI changes on leads II, III, aVF

A

Inferior

RCA

25
Q

MI changes on leads V3, V4

A

Anteroapical

Distal LAD

26
Q

MI changes on leads V1, V2

A

anteroseptal

LAD

27
Q

MI changes on leads I, aVL, V5, V6

A

Anterolateral

Circumflex artery

28
Q

MI changes on leads I, aVL, V2-V6

A

Anterior

Proximal LCA

29
Q

How is a signal conducted in heart

A

an action potential is created by the sinoatrial (SA) node.
The wave of excitation spreads across the atria, causing them to contract.
Upon reaching the atrioventricular (AV) node, the signal is delayed.
It is then conducted into the bundle of His, down the interventricular septum.
The bundle of His and the Purkinje fibres spread the wave impulses along the ventricles, causing them to contract.