EXAM #5 (Ch. 10) Flashcards

1
Q

what separates thoracic cavity from abdominal cavity?

A

diaphragm

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2
Q

what are the three separate chambers of the thoracic cavity?

what separates them?

A

both pleural cavities
+
pericardial cavities

mediastinum separates them

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3
Q

organs in the respiratory system

A

pharynx

trachea

bronchi

lungs

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4
Q

what is the trachea

A

16-20 C-shaped cartilaginous rings in its walls

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5
Q

what is the carina

A

hooklike process in tachea

where trachea vibrates here

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6
Q

right primary bronchus is ____ ____ ____

A

shorter wider and more vertical than left

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7
Q

subdivisions of bronchial tree

A
Primary bronchi
Secondary bronchi
Tertiary bronchi
Bronchioles
Terminal bronchioles
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8
Q

subdivisions of bronchial tree and direction to alveolar sacs

A
primary bronchi
secondary bronchi
tertiary bronchi
bronchioles
terminal bronchioles
alveolar ducts
alveolar sacs
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9
Q

what is the inferior portion of the lungs called

A

base

rests on diaphragm
lower on back and sides than front

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10
Q

what is the medial border of lungs

A

hilum

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11
Q

right lung is ____ and ____ than left because of the ____

A

right lung is shorter and broader than left because of the liver

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12
Q

right lung is ____ and ____ than left because of the ____

A

right lung is shorter and broader than left because of the liver

(moves inferior during inspiration)
(moves superiorly during expiration)

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13
Q

each lung enclosed in a double-walled serous membrane sac called the ____

A

pleura

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14
Q

which lung has three lobes?

A

right

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15
Q

aspirated foreign objects most likely to lodge

A. right primary bronchus
B. left primary bronchus
C. carina
D. esophagus

A

right primary bronchus (shorter and more vertical)

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16
Q

how may lobes does the left lung have?

how many lobes does the right lung have?

A

left = [2] lobes

right = [3] lobes

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17
Q

what’s the inner layer of pleura called?

what’s the outer layer of pleura called?

A

inner = visceral pleura

outer = parietal pleura

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18
Q

what is the recommended SID

A

at least 72 inches

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19
Q

what is atelectasis

A

fluid in the lung

20
Q

what does body habitus determine?

A

shape, position and movement of internal organs

21
Q

what does the thoracic cavity extend between?

A

superior thoracic aperture to inferior thoracic aperture

22
Q

what does the thoracic cavity contain?

[6 items]

A

heart

respiratory organs

cardiovascular system

lymphatic system

inferior esophagus

thymus glad

23
Q

according to the book: how long should a patient lie on their side for a left lateral decubitus before the image is taken?

why?

A

5 minutes

to allow air to rise and liquid to sit

24
Q

What’s the position of the trachea in relation to the esophagus

A

anterior

25
Q

Where is the mediastinum located

A

between the lungs and is bounded by the sternum anteriorly

26
Q

What is in the mediastinum

[9 items]

A

heart

great vessels

trachea

esophagus

thymus

lymphatics

nerves

fibrous tissue

fat

27
Q

Know where and what Costophrenic angle is

A

side margins of the lungs

where the lungs can expand to during inspiration

28
Q

How many divisions are there of the primary bronchus on each side

A

trachea

primary bronchi

secondary bronchi
tertiary bronchi
bronchioles
terminal bronchioles

29
Q

What is the apex of the lung (definition and diagram)

A

top of the lung

30
Q

What is the optimum position of a patient for a chest x-ray

A

upright position

31
Q

Why is a left lateral done

• Why is it not a right lateral?

A

places heart closer to IR, resulting in a less magnified heart

32
Q

What is a pneumothorax

A

gas or air in the pleural cavity

33
Q

What exposure technique is required to penetrate the thoracic anatomy

A

high kilovolt kVp

34
Q

Why is a 72 inch SID used

A

minimizes magnification of heart + better recorded detail of lungs

35
Q

How far above the shoulders should the IR be placed (for PA and lateral)

A

about 2 inches above relaxed shoulders

36
Q

According to the book: where are the hands placed for a PA chest x-ray

A

back of hands low on the hips below costophrenic angle with elbows flexed

37
Q

What is the optimal respiration phase (for PA and lateral)

A

take exposure after second inspiration

38
Q

How many ribs should you see above the diaphragm in a PA chest

A

10

39
Q

How many ribs should you see above the diaphragm in a PA chest

A

10?

40
Q

If the decubitus is done for free air, which side should patient lie on

A

lie on unaffected side

41
Q

What should be demonstrated in the decubitus position

A

elevate 2-3 inches on affected side

true lateral, no rotation

arms over head

anterior or posterior side of chest on grid

42
Q

What is bronchitis

A

inflammation of the bronchi

43
Q

What is pleural effusion

A

collection of fluid in the pleural cavity

44
Q

What is pulmonary edema

A

replacement of air with fluid in the lung interstitium and alveoli

45
Q

What is C.O.P.D. (what does it stand for and what is it)

A

chronic obstructive pulmonary disease

blocks airflow making it hard to breathe

46
Q

Know where the aortic arch is

A

top of the aorta, the arch

47
Q

Know where the heart is on PA x-ray

A

patient left, your right