Chest wall and ribs

Question 1

What is A?

Answer 1

Jugular notch

Question 2

What is B ?

Answer 2

Clavicle

Question 3

What is C?

Answer 3

Manubrium

Question 4

What is D?

Answer 4

Body of sternum

Question 5

What is E?

Answer 5

Xiphoid process

Question 6

What is F ?

Answer 6

Costal Margin

Question 7

What is G ?

Answer 7

Costal Carlidge of rib 4

Question 8

What is H ?

Answer 8

Sternal Angle

Question 9

What is I ?

Answer 9

1st rib

Question 10

What structures lie below label ‘H’?

Answer 10

Sternal angle – RAT PLANT

R – Rib 2
A – Aortic arch
T – Tracheal bifurcation (Carina)
P – Pulmonary trunk
L – Ligamentum arteriosum
A – Azygos vein drains into SVC
N – Nerves (cardiac plexus, loop of recurrent laryngeal etc.)
T – Thoracic duct (right-to-left movement before exiting thoracic inlet) + Pre-vertebral and pre-tracheal fascia of the neck end and Oesophagus continues past sternal angle

Question 11

When a rib fractures, where is the most likely place a fracture will take place? And can you think why?

Answer 11

Angle of the rib.
Transfer of pressure along rib until change in direction where it is weakest

Question 12

What is A?

What is its function ?

Answer 12

External intercostals – Inspiration

Question 13

What is B ?

What is its funcction ?

Answer 13

Internal intercostals – Expiration

Question 14

What is C?

What is its function?

Answer 14

Internal intercostals – Expiration

Question 15

Where would you insert a chest drain ?

Answer 15

Mid-axillary line, 5th intercostal space