Final Review-Thoracic Cavity Flashcards

1
Q

What is it called when two or more ribs are broken consecutively causing opposite breathing motion?

A

Flail Chest

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2
Q

What are the 7 accessory respiratory muscles?

A

1.Anterior Scalene 2.Middle Scalene 3.Posterior Scalene 4.External Intercostal 5.Internal Intercostal 6. Innermost Innercostal 7.Transversis Thoracisis

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3
Q

What is it called when AIR invades the Pleural Space?

A

Pneumothorax

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4
Q

What is it called when BLOOD invades the Pleural Space?

A

Hemothroax

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5
Q

How many CURA are around the Aortic and Esophageal Hiatus?

A

2 Cura, R Cura and L Cura

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6
Q

What supplies the intercosal muscles with blood? What is their source?

A

The intercostal arteries and they come from the aorta

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7
Q

Where does the neurovascular bundle run along the rib?

A

THE LOWER portion (underside) of the rib

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8
Q

What is the procedure to sew the cura over the esophagus to stop acid reflux?

A

Nissen

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9
Q

What structure does the RECURRENT Vagus nerve wrap around on the Right side of the body? What about the Left side of the body?

A

R: The subclavian artery, Left: Aorta

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10
Q

Which cervical nerve branches keep the diaphragm alive?

A

C3 C4 C5 keep the diaphragm alive!

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11
Q

What nerve runs ANTERIOR to the hyaline of the lung? What nerve runs POSTERIOR to the hyaline of the lung?

A

Anterior:Phrenic Posterior:Vagus PARTY IN THE BACK ROOM IN VEGAS!!

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12
Q

The recurrent Laryngeal nerve is a branch of which CN?

A

X Vagus

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13
Q

What are the two nerves of concern during a Mastectomy?

A

Long Thoracic and Thoracodorsal

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14
Q

DUE to the set up of Lymph in the lungs, if you see a tumor in the Right neck, where did the tumor probably originate?

A

Lung cancer on the LEFT side

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15
Q

Which anatomical location can a lung tumor spread to?

A

The atropulmonary window

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16
Q

What is the procedure where a surgeon will poop his pants to take a biopsy of a lymph node?

A

Mediastinoscopy

17
Q

What is dark fluid in the pleura?

A

Exudate

18
Q

What is clear fluid in the pleura?

A

Tansudate (TRANSLUCID)

19
Q

What is fluid in the pleura called?

A

Plural Effusion

20
Q

How do you diagnose a pleural effusion in an x ray?

A

A meniscus like rounded edge in the bottom of the thorax

21
Q

What is the patient doing in a lateral delubitus?

A

The Pt is lying down

22
Q

What does the the pleura look like in mesothelioma(ASBESTOSIS)?

A

The pleura is thick in the Xray

23
Q

What is a “giant heart”?

A

CardioMyoPathy

24
Q

What is puss in the PLEURAL space called?

A

EM-PY-EE-MA

25
Q

What is puss in the lungs?

A

A lung abscess

26
Q

What is a thoracentesis? What consistency/color do you want to see in the fluid?

A

Sticking a needle in the thorax to pull fluid out. Clear fluid is good, not clear is bad!

27
Q

What are the bubble like structures in an emphysema pt?

A

“BLEBS”

28
Q

How do you treat a tension pneumothorax?

A

Puncture the lung with a needle (the lung will be PUSHING the trachea one way)

29
Q

What substance do you use to stop a chronic pleural effusion/Pleuradesis?

A

Sterile Baby Talc

30
Q

What is one way of fixing Empyema?

A

An ELO-ESSER Flap

31
Q

How can a guy in a bar hold his head under water for 10 minutes?

A

With a BRONCHIO-PLEURAL FISTULA!!

32
Q

What are the two DUCTS of the lymph systems in the thorax? (L & R)

A

Left is Thoracic Duct, Right is Lymphatic Duct

33
Q

What is a normal amount of fluid in the pleura?

A

10cc’s

34
Q

What is a chylothorax? What is the best initial treatment?

A

Lymph fluid in pleural space. Do nothing.

35
Q

What is cut when the surgeon puts a “central line” in and there is a pleural effusion?

A

The Thoracic Duct

36
Q

Intercostal Arteries are branches of what main artery?

A

The Thoracic Aorta