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GAR > Anterior Chest Wall > Flashcards

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
Q

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

A

The sternocostal head of the pectoralis major attaches to the __STERNUM AND RIBS____ and laterally to the ___HUMERUS____

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26
Q

The clavicular head of the pectoralis major is innervated by _________

A

The clavicular head of the pectoralis major is innervated by __LATERAL PECTORAL N_______

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27
Q

The sternocostal head of the pectoralis major is innervated by _________

A

The sternocostal head of the pectoralis major is innervated by __MEDIAL PECTORAL N_______

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28
Q

The function(s) of the Pectoralis Major is (are)

A

The function(s) of the Pectoralis Major is (are) __ADDucts ARM and SOME MEDIAL ROTATION___

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29
Q

Pectoralis Minor attaches from _________

A

Pectoralis Minor attaches from ___CORACOID PART OF SCAPULA DOWN TO RIBS______

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30
Q

Pectoralis Minor function is to __________

A

Pectoralis Minor function is to ___DEPRESS SHOULDER AND ELEVATE RIBS_______

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31
Q

Pectoralis Minor is innervated by ___________

A

Pectoralis Minor is innervated by ___MEDIAL PECTORAL N________

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32
Q

Pectoralis Minor is considered an ___________

A

Pectoralis Minor is considered an ___ACCESSORY INSPIRATORY MUSCLE________

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33
Q

Areola

34
Q

Nipple

35
Q

Areolar glands (of Montgomery)

A

Areolar glands (of Montgomery)

36
Q

Mammallary Crease

A

Mammallary Crease

37
Q

Suspensory Ligaments of Copper

A

Suspensory Ligaments of Copper

38
Q

The blood supply to the breast is from __________

A

The blood supply to the breast is from ___INTERNAL (medial) AND LATERAL (lateral) THORACIC ARTERIES_______

39
Q

The major lymphatic drainage of the breasts are ________

A

The major lymphatic drainage of the breasts are _AXILLARY AND PARASTERNAL LYMPH_______

40
Q

Cancer has a tendency to metastasize in the ____________ lymph nodes

A

Cancer has a tendency to metastasize in the ___AXILLARY_________ lymph nodes

41
Q

Both the parasternal and the axillary lymph drain into the ____________ which drain into _________

A

Both the parasternal and the axillary lymph drain into the ___CLAVICULAR NODES_________ which drain into ___LARGE VEINS OF THE NECK______

42
Q

Lump

A

Lump - TUMOR ABSCESS OR CYST

43
Q

Dimpling

A

Dimpling - INVASION OF SUSPENSORY LIGAMENTS (OR INJURY)

44
Q

Retracted Nipple

A

Retracted Nipple - INVASION OF LACTIFEROUS DUCTS

45
Q

Inverted Nipple

A

Inverted Nipple - NATURALLY OCCURING IN 10% OF WOMEN

46
Q

Peu d’ orange

A

Peu d’ orange - BLOCKAGE OF LYMPHATICS

47
Q

warmth

A

warmth - VASCULAR SIGNS

48
Q

less mobile

A

less mobile - INVASION OF DEEP FASCIA OF PECTORAL MUSCLES

49
Q

polymastia

A

polymastia - EXTRA BREASTS

50
Q

polythelia

A

polythelia- EXTRA NIPPLES

51
Q

gynecomastia

A

gynecomastia - MALE BREASTS (FEMINIZATION)

52
Q

External intercostal muscles

A

hands in pocket

53
Q

Internal intercostal muscles

A

down and out

54
Q

The right lung has ___ lobes. They are _____

A

The right lung has 3 lobes. They are __SUPERIOR MIDDLE, and INFERIOR___

55
Q

The left lung has ___ lobes. They are _____

A

The left lung has 2 lobes. They are __SUPERIOR AND INFERIOR___

56
Q

The _____ lung has the lingula and cardiac notch.

A

The __LEFT___ lung has the lingula and cardiac notch.

57
Q

Right Lung Fissure(s): ________

A

Right Lung Fissure(s): __HORIZONTAL and OBLIQUE______

58
Q

Left Lung Fissure(s): ________

A

Left Lung Fissure(s): ____OBLIQUE____

59
Q

_______ Pleura - Outer Layer

A

__PARIETAL_____ Pleura - Outer Layer

60
Q

_______ Pleura - Inner Layer

A

__VISCERAL_____ Pleura - Inner Layer

61
Q

_______ Pleura has acute perception to pain and pressure

A

__PARIETAL_____ Pleura has acute perception to pain and pressure

62
Q

_______ Pleura has poor / no perception of pain

A

___VISCERAL____ Pleura has poor / no perception of pain

63
Q

Lack of pain perception in ______ pleura is the reason why lung tumors can become large before they are felt

A

Lack of pain perception in ___VISCERAL____ pleura is the reason why lung tumors can become large before they are felt

64
Q

Pleural effusion is a _________

A

Pleural effusion is a __BUILDUP OF FLUID IN THE PLEURAL CAVITY_______

65
Q

Mid-inspiration the inferior borders of the lungs cross the ribs at _______ for Midclavicular. ________ for midaxillary. _______ for Scapular.

A

Mid-inspiration the inferior borders of the lungs cross the ribs at ___6____ for Midclavicular. ___8_____ for midaxillary. ___10____ for Scapular.

66
Q

Mid-inspiration the inferior borders of the pleura cross the ribs at _______ for Midclavicular. ________ for midaxillary. _______ for Scapular.

A

Mid-inspiration the inferior borders of the pleura cross the ribs at ___8____ for Midclavicular. ___10_____ for midaxillary. __12_____ for Scapular.

67
Q

Aspirated objects are more likely to lodge in ________

A

Aspirated objects are more likely to lodge in ___THE RIGHT MAIN BROCHUS_____

68
Q

Pulmonary ARTERIES run ____segmental with Brochi/Bronchioles

A

Pulmonary ARTERIES run __INTRA__segmental with Brochi/Bronchioles

69
Q

Pulmonary VEINS run ____segmental with Brochi/Bronchioles

A

Pulmonary VEINS run __INTER__segmental with Brochi/Bronchioles

70
Q

_______ Nerve is the Parasympathetic innervation of the lung

A

__VAGUS (C.N. X)_____ Nerve is the Parasympathetic innervation of the lung

71
Q

_______ Nerve is the Sympathetic innervation of the lung

A

___SYMPATHETIC____ Nerve is the Sympathetic innervation of the lung

72
Q

SOMATIC innervation for the Diaphragm is done by _______ nerve

A

SOMATIC innervation for the Diaphragm is done by __PHRENIC_____ nerve

73
Q

The phrenic nerve is the _____ n. to diaphragm and _____ n. ________ _______

A

The phrenic nerve is the __MOTOR and SENSORY__ n. to DIAPHRAGM and __SENSORY___ n. ___MEDIASTINAL PLEURA_____

74
Q

The primary inspiratory muscles are __________

A

The primary inspiratory muscles are ___DIAPHRAGM, INTERCOSTAL MUSCLES, NECK, PECTORAL MINOR_______

75
Q

The primary expiratory muscles are _________. FORCED expiration is done by ________

A

The primary expiratory muscles are __RELAXATION________. FORCED expiration is done by ___ABDOMINAL_____

76
Q

Closed pneumothorax is ________

A

Closed pneumothorax is ___VALVE-LIKE_____

77
Q

Pyothorax

78
Q

Chylothorax

79
Q

Clinical solution for pneumothorax is ___________

A

Clinical solution for pneumothorax is __THORACOCENTESIS (PARACENTESIS)_________

80
Q

For Thoracocentesis (paracentesis) place the needle at ______ to remove fluid, blood or pus

A

For Thoracocentesis (paracentesis) place the needle at __2ND/3RD ICS____ to remove fluid, blood or pus

GAR (10 decks)

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