ch 10 Flashcards

1
Q

Main function of bony thorax

A

expand & deflate during respiration, protect organs of respiratory system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Thin, narrow, flat compact bone

A

sternum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the bone in the middle of sternum like

A

spongy and is a site for red bone marrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 parts of sternum

A

manubrium, body, xiphoid process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Upper portion closest to chin

A

manubrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how big is manubrium

A

2” in length

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

longest part of sternum

A

body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How big is body

A

4”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What age does the 4 segments of body fuse

A

25

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

most inferior portion of the sternum

A

xiphoid process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What age does the cartilage in xiphoid process ossify

A

40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Jugular notch is also known as

A

suprasternal notch, manubrial notch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What level is jugular notch

A

T2-T3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where manubrium and the superior portion of body meet

A

sternal angle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What level is sternal angle

A

T4-T5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What level is xiphoid tip

A

T9-T10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Only bony connection between each shoulder girdle and bony thorax are (where clavicles meet manubrium)

A

sternoclavicular joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Sternal rib articulations that connect to the sternum

A

clavicles, 7 pairs of ribs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A short piece of cartilage that articulates with the facets of the sternum

A

costocartilage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What ribs connect to #7 costocartilage

A

8,9,10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Floating ribs with no costocartilage

A

11,12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

True ribs

A

1-7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

False ribs

A

8-12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Vertebral end attaches to ___

A

thoracic vertebrae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Sternal end attaches to ___

A

sternum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

body of rib, angles downward and forward which is termed the “angle of the rib”

A

shaft

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Consists of a head which attaches to 1 or 2 tspine

A

vertebral end

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

on vertebral end, the neck is ___

A

flattened

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Lateral to the neck is a tubercle which articulates with

A

transverse process of tspine vertebrae

30
Q

The vertebral end of a rib is how much higher than the sternal end

A

3-5”

31
Q

Lower inside margin is called

A

costal groove

32
Q

What does the costal groove of rib protect

A

an artery, a vein, and a nerve

33
Q

What can rib injuries be associated with

A

heavy hemorrhaging

34
Q

What does the 1st ribs look like

A

short, broad, and most vertical

35
Q

Ribs get longer with what ribs

A

down to the 7th rib

36
Q

What does the ribs 8-12 look like

A

significantly shorter

37
Q

Bony thorax is widest at lateral margins of what ribs

A

8-9th

38
Q

Degree of obliquity required to get a good pic of sternum depends on size of the thoracic cavity:

A

small chest- 20 degrees

large chest- 15 degrees

39
Q

What KVP is best to get good contrast of sternum

A

75 KVP

40
Q

A breathing technique is used to get a good sternum because

A

it blurs out lungs/ribs

41
Q

Sternum SID

A

40”

42
Q

Why is it not recommended to do a sternum at a lower SID

A

gives a lot more dose

43
Q

Why would a tech “want” to have a smaller SID

A

it magnifies the sternum

44
Q

Rib pictures above the diaphragm- breathing instructions

A

inspiration

45
Q

why do you take the above diaphragm on inspiration

A

brings diaphragm down so you can see the difference between lung & bone

46
Q

Why do you want a low KVP on ribs

A

they are small and a large KVP would grey them out

47
Q

When should you go to a higher KVP range if the injury is over the heart

A

To penetrate the ribs over the heart

48
Q

Why would you do lower ribs below diaphragm at the upright bucky

A

because it hurts to lie on the table and you can take a bigger breath upright, gravity brings abdomen down

49
Q

why would a tech want to take lower ribs on the table

A

it spreads out the abdomen

50
Q

What is the breathing instructions on lower ribs

A

expiration

51
Q

What is always taken for rib xrays and why

A

chest, check for perforation of lungs

52
Q

3 steps for ribs

A

1- side that hurts against bucky
2- move spine away from pain
3- CR on side xray is being done on

53
Q

kvp for lower oblique ribs

A

75-85 KVP

54
Q

kvp for upper oblique ribs

A

65-75 KVP

55
Q

PA oblique patient position

A

affected side away from IR

56
Q

AP oblique patient position

A

affected side close to IR

57
Q

AP ribs lower sees what ribs

A

8-12

58
Q

AP/PA ribs upper sees what ribs

A

1-10

59
Q

RAO/LAO sternoclavicular joints show

A

joint space closest to IR

60
Q

What position are patients in for sternoclavicular AP or PA

A

PA

61
Q

What breathing instructions for sternclavicular joints

A

expiration

62
Q

Lateral sternum is at what SID

A

72”

63
Q

Fracture of adjacent ribs in two or more places is caused by blunt trauma and is associated with underlying pulmonary injury

A

flail chest

64
Q

congenital defect is characterized by anterior protrusion of the lower sternum and xiphoid process.

A

pectus carinatrum (pigeon breast)

65
Q

localized or generalized infection of bone and marrow can be associated with postoperative complications of open heart surgery, which requires the sternum to be split.

A

osteomyelitis

66
Q

also known as funnel chest, this deformity is characterized by a depressed sternum.

A

pectus excavatum

67
Q

Joint between the costocartilage and the sternal end

A

Costochondral union or junction

68
Q

Cartilage of rib attached to the manubrium

A

Sternocostal joint

69
Q

Clavicle and sternum meet at

A

Sternoclavicular joint

70
Q

Costal cartilage and anterior 6th-9th ribs

A

Interchondral joints

71
Q

What ribs are found with constotransverse joints

A

1-10 (ribs 11&12 lack this joint)