Chest and Pleura Flashcards

1
Q

Which ribs are true

A

1-7

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2
Q

Which ribs are false

A

8-12

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3
Q

Which ribs are floating

A

11-12

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4
Q

Where does Rib 1 articulate

A

The manubrium

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5
Q

Where does rib 2 articulate

A

The sternal angle

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6
Q

Where does 3-7 articulate

A

the body of the sternum

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7
Q

What is the costal margin

A

The arch formed by ribs 7-10

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8
Q

What s the costal cartiladge

A

The cartilage that connects the ribs and the sternum

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9
Q

Manubrium

A

handle of sternum

curved upper edge is jugular or suprasternal notch

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10
Q

Sternal Body

A

Crosses vertebral levels T5-9

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11
Q

Xiphoid Process

A

Located at vertebral level T10

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12
Q

Sternal Angle

A

Junction of manubrium and body

Articulates the 2nd Rib

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13
Q

Suprasternal notch

A

Curved upper edge of manubrium

Jugular notch

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14
Q

Sternoclavicular joint

A

Clavicle and sternum meet

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15
Q

What Landmarks are at the sternal angle?

A

Division of superior and inferior mediastinum
Superior limit of pericardium
Beginning and ending of the arch of aorta
Origin of pulmunary arteries from pulmunary trunk
formation of superior vena cava
Bifurcation of the trachea

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16
Q

Superior thoracic aperture

A

thoracic inlet

cavity that allows communication of neck and upper extremity

17
Q

Superior thoracic aperture boundaries

A

posterior: T1
Laterally: 1st Ribs
Anterior: by superior border of manubrium

18
Q

Superior thoracic aperture Contents

A

Trachea, esophagus, blood vessels, and nerves

19
Q

Inferior Thoracic Aperture

A

Covered by diaphragm

openings for aorta, esophagus, and inferior vena cava

20
Q

Internal thoracic artery and vein

A

Course near sternum
Supplies anterior intercostal arteries
Drain into the brachiocephalic veins

21
Q

External Intercostal muscle

A

“hands in pockets”

outer intercostal muscle

22
Q

Internal Intercostal Muscles

A

Runs perpendicular to external intercostal

23
Q

Innermost Intercostal Muscle

A

Similar to internal intercostal muscles

24
Q

Intercostal nerve

A
11 pairs (12th is subcostal)
Contain motor, sensory, and autonomic fibers
25
Q

What happens during trauma to an intercostal nerve

A

Sensory loss of dermatome

Motor loss of intercostal and possibly abdominal muscles

26
Q

Intercostal VAN

A

located inferior to rib in intercostal groove

27
Q

Visceral Pleura

A

(organ) Touches outer surface of lung

28
Q

Parietal Pleura

A

(Body) Touches body wall or inner surface of cavity

29
Q

oblique fissure

A

Separates the superior and inferior lobes of lungs

30
Q

horizontal fissure

A

Only present in right lung
separates middle and superior lobes
Runs horizontally

31
Q

lingula

A

tongue like structure in lower part of upper lobe

just below cardiac notch

32
Q

cardiac notch

A

indentation in the upper lobe by the heart

33
Q

thymus

A

located in front of heart and behind sternum
lymphoid organ where t cells mature
atrophies during early teens and replaced by fat

34
Q

Pericardium

A

membrane enclosing the heart

35
Q

Aortic Arch

A

Begins and ends at the sternal angle and arches to the left

36
Q

T-4 Dermatome

A

Nipple Level

37
Q

T-10 Dermatome

A

Navel Level