Bony landmarks

Question 1

Angle of louis

Answer 1

• this is where the 2nd rib attaches and where the manubrium meets the body of the sternum

Question 2

costal border

Answer 2

made up of ribs 8-10 and the diaphragm attaches here

Question 3

Where is the heart located roughly

Answer 3

ribs 2-5

Question 4

Location of maximal impulse?

Answer 4

mid clavicular line/5th intercostal space
- can palpate apical heart rate and listen to mitral valve/heart sounds here
- left side

Question 5

Auscultation points heart

Answer 5

• 2nd right intercostal space = aortic
• 2nd left intercostal space = pulmonic
• 5th left intercostal space = tricuspid
• 5th intercostal space mid clavicular line = bicuspid

Question 6

Where is the oblique fissure located anteriorly and posteriorly

Answer 6

On both sides it goes from rib 6 - SP of T3 (spine of scapula)

Question 7

Where is the horizontal fissure located

Answer 7

Fourth rib/3rd intercostal space
to the oblique fissure around the 5th rib

Question 8

Where is the upper lobe located

Answer 8

anteriorly:
- Right: between ribs 1-4
- Left: between ribs 1-6

posteriorly :
- Right: above SP T3
- Left: same as right

Question 9

Where is the middle lobe located

Answer 9

• anteriorly: between ribs 4-6
• Posteriorly: cannot be heard

Question 10

Lingular lobe location?

Answer 10

• Anteriorly: between 4-6
• posteriorly: cannot be heard

Question 11

Lower lobe location

Answer 11

• anteriorly: cannot be heard but between ribs 6-10 (anteriorly maybe 6-8)
• Posteriorly: T4 to T10