Exam 4 Flashcards
intercostal muscles
external (inspiration)
internal (expiration)
innermost (weak expiration)
scalene contribution to respiration
inspiration
abdominal muscles contribution to respiration
expire
relation of phrenic nerve to root of the lung:
phrenic nerve goes anterior to the root of the lung
Are there more white or gray communicans?
gray
how many white communicans?
28
posterior intercostal veins drain into the__
azygos system
azygos vein drains into:
superior vena cava
location of trachea
- slightly right of midline
- anterior to esophagus
- posterior to great vessels
carina
- marks the bifurcation of trachea into R/L bronchus
- happens at T4-5
area of lung that can hurt while running
- costodiaphragmatic recess
- irritating intercostal nerves
number of lobes of R lung
3
number of lobes of L lung
2 (heart takes up space)
Pulmonary circulation
: portion of the cardiovascular system that carries de-oxygenated blood from the heart to the lungs, then delivers oxygenated blood back to the heart
pulmonary arteries deliver:
de-oxygenated blood from right ventricle to root of lung
pulmonary veins deliver
oxygenated blood from the lungs to left atrium
lower motor neurons
cause movement
roots give rise to:
2 rami (dorsal and ventral)
the synapse of somatic afferent is found:
dorsal horn
synapse of somatic efferent is found:
in the periphery
cell body of the somatic efferent neuron is found:
ventral horn
cell body of the somatic afferent neuron is found:
DRG: dorsal root ganglia
demarcation of the PNS and CNS:
intervertebral foramen
-when typical spinal nerve enters intervertebral foramen it becomes CNS
options for a visceromotor sympathetic neuron synapse:
- synapse at paravertebral ganglia and go to periphery
- synapse above T1 or below L2 on paravertebral ganglia and go to periphery
- pass through paravertebral to synapse at prevertebral ganglia to activate/inhibit internal organ
for sympathetic visceromotor white ramus communicans is:
- input
- preganglionic
for sympathetic viseromotor gray ramus communicans is:
- output
- postganglionic
sympathetic innervation distribution:
thoracolumbar distribution T1-L2
parasympathetic innervation distribution:
craniosacral distribution
cell bodies for parasympathetic division of ANS are found:
in the nuceli of the brain stem (cranial nerves) and spinal cord segments S2-S4
cranial nerves that contain parasympathetic fibers
- CN III oculomotor
- CN VII facial
- CN IX glossopharyngeal
- CN X vagus
parasympathetic ganglia that are associated with the cranial nerves:
- synapse in them (intramural ganglia)
1. Ciliary (CN III)
2. Submandibular (CN VII)
3. Pterygopalatine (CN VII)
4. Otic (CN IX)
parasympathetic fiber lengths
- long preganglionic fibers
- short postganglionic fibers
paravertebral ganglia
(sympathetic trunk ganglion)
- lie on either side of the vertebral column
- used only for synapses of the sympathetic ANS
prevertebral ganglia
- lie anterior to vertebral column
- used for synapses of sympathetic ANS
named prevertebral ganglia:
- celiac ganglion
- superior mesenteric ganglion
- inferior mesenteric ganglion
intramural ganglia
- located at the end of the visceral efferent pathway close to or within the effector organ
- these are sites for synapses of the parasympathetic ANS
gray rami communicans are:
putput fibers for the sympathetic ANS
white rami communicans :
input sympathetic innervation
cranial nerves do not contain:
sympathetic fibers
CN III
- oculomotor
- constricts pupils; focus on objects
CN VII
- facial
- activate lacrimal, salivary glands
CN IX
- glossopharyngeal
- salivary glands
CN X
vagus
-most visceral organs
sacral nerves
- pelvic organs
- bladder
- genitals
- large intestine
transmitter substance of parasympathetics
AcH
cell body of postganglionic parasympathetic fiber found:
in an intramural ganglion
cell bodies for sympathetic division of ANS found:
IML of T1-L2
pathway of breast milk:
- lactiferous glands
- lactiverous ducts
- lactiferous sinsuses
(held up by suspensory liagaments
is the right recurrent laryngeal nerve a thoracic structure?
no; it recurs around the subclavian artery
retromammary space
- plane of loose connective tissue
- separates breast from underlying fascia of pectoralis major
- allows movement of breast on thoracic wall
peau d’orange sign
- edema of the skin on the breast
- caused by lymphatic obstruction
blood supply to the breast:
- posterior intercostal arteries
2. internal thoracic arteries
structures in the superior mediastinum
Nerves: 1. vagus nerve 2. left recurrent laryngeal nerve 3. mediastinal autonomics (sympathetics and vagus) 4. cardiac plexus (sympathetics and vagus) 5. phrenic nerve 6. sympathetic chain Veins: 1. SVC 2. Tributaries: right and left brachiocephalic Arteries 1. arch of aorta 2. branches: right brachiocephalic, left common carotid, left subclavian Tubes: 1. esophagus 2. trachea Lymph: 1. thymus remnants 2. lymph nodes 3. thoracic duct
contents of anterior inferior mediastinum
- remnants of thymus gland
- lymph vessels
- fat
contents of middle inferior mediastinum
- heart
- vessels:
- 4 pulmonary veins
- 1 pulmonary artery
- superior vena cava
- inferior vena cava
- aorta - phrenic nerve
contents of the posterior inferior mediastinum
Nerves: 1. vagus nerve 2. sympathetic chain 3. splanchnic nerve Veins: 1. azygos vein 2. hemiasygos vein Arteries: 1. descending aorta 2. its branches (intercostal arteries Esophagus Thoracic Duct
Difference between primary bronchi:
right primary bronchus is
- wider
- shorter
- straighter
left bronchial artery branches from:
thoracic aorta
right bronchial artery branches from:
thoracic aorta or posterior intercostal arteries
left bronchial vein drains into:
accessory hemiazygos vein
right chronchial vein drains into:
azygos vein
“lub”
closure of the tricuspid and mitral valves during contraction of ventricles
-1st sound
“dub”
closure of the pulmonary and aortic valves as the ventricles relax produces the second sound
which coronary artery is larger?
tyically the left coronary artery
left coronary artery arises:
posterior to the pulmonary trunk from the aorta
“dominance” refers to:
-artery that gives rise to the posterior interventricular branch
which coronary artery usually supplies the greater volume of cardiac tissue?
left coronary artery
coronary left dominance:
posterior interventricular artery is a branch of the circumflex artery
coronary right dominance
posterior interventricular branches arises from the right coronary artery
ligamentum arteriosum connects:
left pulmonary artery and the arch/descending aorta
Cordae Tendineae
-help keep the leaflets in approximation during systole
mitral valve
- anterior leaflet is true single leaflet
- posterior is composed of two or three smaller subleaflets
what prevents aortic regurgitation?
nodules of semilunar leaflets
diastole
ventricular relaxation
systole
ventricular contraction
superior costotransverse ligament
from the neck of the rib to the transverse process superior to it
radiate ligament
fans out from the head of the rib to the vertebral bodies
lateral costotransverse ligament
transverse process to the tubercle of the rib
SA node location
- subepicardial
- junction of right atrium with SVC
- external surface
AV node location
-subendocardial
visceral layer of serous pericardium
epicardium
superficial to deep heart layers
epicardium
myocardium
endocardium