Chapter 3 - Thoracic and Ribs

Question 1

Location of spinous processes in thoracics…

Answer 1

T1-3 = at the level
T4-6 = 1/2 segment below
T7-9 = 1 segment below
T10 = 1 segment below
T11 = 1/2 segment below
T12 = at the level

Question 2

Spine of scapula - level

Answer 2

T3

Question 3

Inferior angle of scapula - level

Answer 3

T7 SP (so T8 body)

Question 4

Sternal notch - level

Answer 4

T2

Question 5

Sternal angle - level

Attaches to what?

Answer 5

T4

Rib 2

Question 6

Nipple - dermatome

Answer 6

T4

Question 7

Umbilicus - dermatome

Answer 7

T10

Question 8

Main movement of upper/mid thoracics

Main movement of lower thoracics

Answer 8

Rotation

F/E (like lumbars)

Question 9

Attachments of the diaphragm

Answer 9

Xyphoid process
Ribs 6-12
Bodies and intervertebral discs of L1-L3

Question 10

Intercostals - actions (2)

Answer 10

Elevate ribs in inhalation

Prevent retractions during inhalation

Question 11

2 primary muscles of respiration

Answer 11

Diaphragm

Intercostals

Question 12

Secondary muscles of respiration (5)

Answer 12

Scalenes
Pectoralis minor
Serratus anterior and posterior
Quadratus lumborum
Latissimus dorsi

Question 13

Typical ribs

What makes them typical?

Answer 13

3-10

Head, neck, tubercle, angle, shaft
Articulate w/ corresponding vertebrae and one above

Question 14

Atypical ribs

Why?

Answer 14

1, 2, 11, 12

1 = articulates w/ T1 only, no angle
2 = large tuberosity on shaft for serratus anterior
11/12 = no tubercles, only articulate w/ their vertebrae

Question 15

True ribs

Why?

Answer 15

1-7

Attach to sternum directly via costal cartilage

Question 16

False ribs

How are ribs 8-10 attached?

Answer 16

8-12 (do not attach directly to sternum)

Their costal cartilage to the cartilage of the one above

Question 17

Floating ribs

Answer 17

11, 12

Question 18

Primarily pump handle

In what plane?
Around what axis?

Answer 18

1-5

Sagittal plane
Transverse axis

Question 19

Primarily bucket handle

In what plane?
Around what axis?

Answer 19

6-10

Coronal plane
A-P axis

Question 20

Primarily caliper motion

In what plane?
Around what axis?

Answer 20

11, 12

Transverse plane
Superior-inferior axis

Question 21

Bucket handle - superior or inferior during inhalation?

Answer 21

SUPERIOR

Question 22

Inhalation dysfunction - pump handle…

Movement that occurs?
Intercostal narrowing?
Prominent edge?
Tenderness and TTCs?

Answer 22

Cephalad on inspiration is OK

Anterior narrowing above the rib

Superior edge of posterior rib angle is prominent

TTCs @ CC junction, CS junction, posterior rib angles

Question 23

Inhalation dysfunction - bucket handle…

Movement that occurs?
Intercostal narrowing?
Prominent edge?
Tenderness and TTCs

Answer 23

Lateral part moves cephalad on inspiration

Lateral narrowing above the rib

Lower edge of rib shaft is prominent

TTCs @ intercostal mm at mid-axillary line, posterior rib angles

Question 24

Exhalation dysfunction - pump handle…

Intercostal narrowing?
Prominent edge?
Tenderness and TTCs

Answer 24

Anterior narrowing below the rib

Lower edge of posterior rib angle is prominent

TTCs @ CC jxn, CS jxn, posterior rib angles

Question 25

Exhalation dysfunction - bucket handle…

Intercostal narrowing?
Tenderness and TTCs

Answer 25

Lateral narrowing below the rib

TTCs @ intercostal mm at mid-axillary line, posterior rib angles

Question 26

Inhalation dysfunction…treat which rib?

Exhalation dysfunction…treat which rib?

Answer 26

Lowest rib

Highest rib