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Anterior Chest Wall Flashcards

1
Q

Which nerve pierces through the pectoralis minor to the pectoralis major?

A

Medial pectoral nerve

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2
Q

Rib is numbered the same as the ____ of the two vertebra

A

Rib is numbered the same as the __lower__ of the two vertebra

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3
Q

ribs connect to the sternum by way of _____ ______

A

ribs connect to the sternum by way of __COSTAL___ _CARTILAGE_____

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4
Q

sternal angle (of Louis) is located ________

A

sternal angle (of Louis) is located ___BETWEEN THE MANUBRIUM AND BODY______

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5
Q

2nd rib attaches at the __________

A

2nd rib attaches at the ___STERNAL ANGLE (of LOUIS)_______

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6
Q

coastal refers to ____

A

coastal refers to __RIBS___

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7
Q

how many ribs are there?

A

12

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8
Q

how many intercostal spaces are there?

A

11

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9
Q

ICS are named for the ______

A

ICS are named for the __RIB ABOVE IT____

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10
Q

No ICS for the ____ rib. Instead called _______

A

No ICS for the __12TH__ rib. Instead called __SUBCOSTAL SPACE___

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11
Q

True ribs attach via ______ except for ____ rib which attaches to manubrium

A

True ribs attach via __COSTAL CARTILAGE DIRECTLY TO STERNUM____ except for 1ST rib which attaches to manubrium

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12
Q

ribs 1-7 are _____

A

ribs 1-7 are __TRUE RIBS___

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13
Q

ribs 8-10 are _____

A

ribs 8-10 are __FALSE RIBS___

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14
Q

false ribs attach to the ________

A

false ribs attach to the ___COSTAL CARTILAGE OF 7th RIB_____

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15
Q

ribs 11-12 are ______

A

ribs 11-12 are __FLOATING RIBS____

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16
Q

Floating ribs have ________ but do not attach _______

A

Floating ribs have __CARTILAGE ON ENDS______ but do not attach __ANTERIORLY_____

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17
Q

_______ is where the intercostal neurovascular bundle is located

A

___COSTAL GROOVE____ is where the intercostal neurovascular bundle is located

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18
Q

ribs 3-9 are ______

A

ribs 3-9 are __TRUE RIBS___

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19
Q

Typical ribs attach ___________

A

Typical ribs attach ___DIRECTLY TO VERTEBRAL BODIES AND TRANSVERSE PROCESSES________

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20
Q

Skin layers in order from superficial to deep

A

epidermis, dermis, hypodermis, superficial fascia, fat, deep fascia

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21
Q

Langer lines ________

A

Langer lines __ORIENTATION OF COLLAGEN FIBERS IN THE DERMIS AND EPIDERMIS______

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22
Q

Surgeons cut ______ to langer lines

A

Surgeons cut __PARALLEL____ to langer lines

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23
Q

The Pectoralis Major has 2 Heads: ______ and ______

A

The Pectoralis Major has 2 Heads: __CLAVICULAR____ and __STERNOCOSTAL____

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24
Q

The clavicular head of the pectoralis major attaches to the ______ and laterally to the _______

A

The clavicular head of the pectoralis major attaches to the __CLAVICLE____ and laterally to the __HUMERUS_____

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25
The sternocostal head of the pectoralis major attaches to the ______ and laterally to the _______
The sternocostal head of the pectoralis major attaches to the __STERNUM AND RIBS____ and laterally to the ___HUMERUS____
26
The clavicular head of the pectoralis major is innervated by _________
The clavicular head of the pectoralis major is innervated by __LATERAL PECTORAL N_______
27
The sternocostal head of the pectoralis major is innervated by _________
The sternocostal head of the pectoralis major is innervated by __MEDIAL PECTORAL N_______
28
The function(s) of the Pectoralis Major is (are)
The function(s) of the Pectoralis Major is (are) __ADDucts ARM and SOME MEDIAL ROTATION___
29
Pectoralis Minor attaches from _________
Pectoralis Minor attaches from ___CORACOID PART OF SCAPULA DOWN TO RIBS______
30
Pectoralis Minor function is to __________
Pectoralis Minor function is to ___DEPRESS SHOULDER AND ELEVATE RIBS_______
31
Pectoralis Minor is innervated by ___________
Pectoralis Minor is innervated by ___MEDIAL PECTORAL N________
32
Pectoralis Minor is considered an ___________
Pectoralis Minor is considered an ___ACCESSORY INSPIRATORY MUSCLE________
33
Areola
Areola -
34
Nipple
Nipple
35
Areolar glands (of Montgomery)
Areolar glands (of Montgomery)
36
Mammallary Crease
Mammallary Crease
37
Suspensory Ligaments of Copper
Suspensory Ligaments of Copper
38
The blood supply to the breast is from __________
The blood supply to the breast is from ___INTERNAL (medial) AND LATERAL (lateral) THORACIC ARTERIES_______
39
The major lymphatic drainage of the breasts are ________
The major lymphatic drainage of the breasts are _AXILLARY AND PARASTERNAL LYMPH_______
40
Cancer has a tendency to metastasize in the ____________ lymph nodes
Cancer has a tendency to metastasize in the ___AXILLARY_________ lymph nodes
41
Both the parasternal and the axillary lymph drain into the ____________ which drain into _________
Both the parasternal and the axillary lymph drain into the ___CLAVICULAR NODES_________ which drain into ___LARGE VEINS OF THE NECK______
42
Lump
Lump - TUMOR ABSCESS OR CYST
43
Dimpling
Dimpling - INVASION OF SUSPENSORY LIGAMENTS (OR INJURY)
44
Retracted Nipple
Retracted Nipple - INVASION OF LACTIFEROUS DUCTS
45
Inverted Nipple
Inverted Nipple - NATURALLY OCCURING IN 10% OF WOMEN
46
Peu d' orange
Peu d' orange - BLOCKAGE OF LYMPHATICS
47
warmth
warmth - VASCULAR SIGNS
48
less mobile
less mobile - INVASION OF DEEP FASCIA OF PECTORAL MUSCLES
49
polymastia
polymastia - EXTRA BREASTS
50
polythelia
polythelia- EXTRA NIPPLES
51
gynecomastia
gynecomastia - MALE BREASTS (FEMINIZATION)
52
External intercostal muscles
hands in pocket
53
Internal intercostal muscles
down and out
54
The right lung has ___ lobes. They are _____
The right lung has _3_ lobes. They are __SUPERIOR MIDDLE, and INFERIOR___
55
The left lung has ___ lobes. They are _____
The left lung has _2_ lobes. They are __SUPERIOR AND INFERIOR___
56
The _____ lung has the lingula and cardiac notch.
The __LEFT___ lung has the lingula and cardiac notch.
57
Right Lung Fissure(s): ________
Right Lung Fissure(s): __HORIZONTAL and OBLIQUE______
58
Left Lung Fissure(s): ________
Left Lung Fissure(s): ____OBLIQUE____
59
_______ Pleura - Outer Layer
__PARIETAL_____ Pleura - Outer Layer
60
_______ Pleura - Inner Layer
__VISCERAL_____ Pleura - Inner Layer
61
_______ Pleura has acute perception to pain and pressure
__PARIETAL_____ Pleura has acute perception to pain and pressure
62
_______ Pleura has poor / no perception of pain
___VISCERAL____ Pleura has poor / no perception of pain
63
Lack of pain perception in ______ pleura is the reason why lung tumors can become large before they are felt
Lack of pain perception in ___VISCERAL____ pleura is the reason why lung tumors can become large before they are felt
64
Pleural effusion is a _________
Pleural effusion is a __BUILDUP OF FLUID IN THE PLEURAL CAVITY_______
65
Mid-inspiration the inferior borders of the lungs cross the ribs at _______ for Midclavicular. ________ for midaxillary. _______ for Scapular.
Mid-inspiration the inferior borders of the lungs cross the ribs at ___6____ for Midclavicular. ___8_____ for midaxillary. ___10____ for Scapular.
66
Mid-inspiration the inferior borders of the pleura cross the ribs at _______ for Midclavicular. ________ for midaxillary. _______ for Scapular.
Mid-inspiration the inferior borders of the pleura cross the ribs at ___8____ for Midclavicular. ___10_____ for midaxillary. __12_____ for Scapular.
67
Aspirated objects are more likely to lodge in ________
Aspirated objects are more likely to lodge in ___THE RIGHT MAIN BROCHUS_____
68
Pulmonary ARTERIES run ____segmental with Brochi/Bronchioles
Pulmonary ARTERIES run __INTRA__segmental with Brochi/Bronchioles
69
Pulmonary VEINS run ____segmental with Brochi/Bronchioles
Pulmonary VEINS run __INTER__segmental with Brochi/Bronchioles
70
_______ Nerve is the Parasympathetic innervation of the lung
__VAGUS (C.N. X)_____ Nerve is the Parasympathetic innervation of the lung
71
_______ Nerve is the Sympathetic innervation of the lung
___SYMPATHETIC____ Nerve is the Sympathetic innervation of the lung
72
SOMATIC innervation for the Diaphragm is done by _______ nerve
SOMATIC innervation for the Diaphragm is done by __PHRENIC_____ nerve
73
The phrenic nerve is the _____ n. to diaphragm and _____ n. ________ _______
The phrenic nerve is the __MOTOR and SENSORY__ n. to DIAPHRAGM and __SENSORY___ n. ___MEDIASTINAL PLEURA_____
74
The primary inspiratory muscles are __________
The primary inspiratory muscles are ___DIAPHRAGM, INTERCOSTAL MUSCLES, NECK, PECTORAL MINOR_______
75
The primary expiratory muscles are _________. FORCED expiration is done by ________
The primary expiratory muscles are __RELAXATION________. FORCED expiration is done by ___ABDOMINAL_____
76
Closed pneumothorax is ________
Closed pneumothorax is ___VALVE-LIKE_____
77
Pyothorax
Pus
78
Chylothorax
Lymph
79
Clinical solution for pneumothorax is ___________
Clinical solution for pneumothorax is __THORACOCENTESIS (PARACENTESIS)_________
80
For Thoracocentesis (paracentesis) place the needle at ______ to remove fluid, blood or pus
For Thoracocentesis (paracentesis) place the needle at __2ND/3RD ICS____ to remove fluid, blood or pus

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