Gross II Exam 2 Flashcards

1
Q

75% of the lymph from the breast drains into the

A

axillary nodes

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2
Q

Which artery is NOT a branch of the right coronary artery?

A

anterior interventricular artery

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3
Q

Which muscle does NOT receive its innervation from the recurrent laryngeal nerve?

A

cricothyroid

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4
Q

What can be found in the posterior interventricular groove?

A

middle cardiac vein

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5
Q

Which muscle functions as an abductor of the vocal folds?

A

posterior cricoarytenoid

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6
Q

What is NOT a distinguishing feature of the left lung?

A

groove for azygos vein

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7
Q

During forced expiration, which muscle is not active?

A

external intercostal

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8
Q

Which structure does NOT pass through the aortic hiatus?

A

vagus nerve

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9
Q

Which layer lies immediately deep to the innermost intercostal muscle?

A

endothoracic fascia

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10
Q

The trachea bifurcates into the left and right primary bronchi at the level of

A

T4

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11
Q

What statement about asthma is NOT true?

A

caused by spasms of smooth muscle lining main bronchi

true answer = “segmental bronchi”

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12
Q

What is NOT one of the groups of superficial cervical lymph nodes of the head and neck?

A

Jugulodigastric (it is a deep cervical node)

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13
Q

What is part of the contents of the posterior mediastinum?

A

esophagus

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14
Q

TRUE OR FALSE: a pleural cavity tap is done at intercostal space 9 in the costomediastinal recess

A

False - costodiaphragmatic recess

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15
Q

TRUE OR FALSE: the pump-handle movement increases the anteroposterior diameter of the thorax

A

True

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16
Q

TRUE OR FALSE: the conducting system is composed of nerve tissue and controls the rhythmic beating of the heart

A

False - composed of cardiac muscle

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17
Q

TRUE OR FALSE: the aortic valve has a left and right posterior cusp

A

True

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18
Q

TRUE OR FALSE: the thoracic duct most frequently drains into the junction between the left internal jugular vein and left subclavian vein

A

True

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19
Q

TRUE OR FALSE: the pulmonary surface of the heart is formed mostly by the left ventricle

A

True

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20
Q

TRUE OR FALSE: the rima glottidis is wide during phonation, due to abduction of the vocal folds

A

False - narrow and wedge-shaped during phonation (wide during inspiration)

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21
Q

Which valve is most audible over the right lower part of the body of the sternum?

A

Tricuspid valve

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22
Q

Which valve is most audible over the left fifth intercostal space at the midclavicular line?

A

Mitral valve

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23
Q

Which valve is most audible over the right second intercostal space?

A

Aortic valve

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24
Q

Which valve is most audible over the left second intercostal space?

A

Pulmonary valve

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25
Q

The natural pacemaker of the heart is the

A

Sinoatrial node

26
Q

The cartilage of the larynx which has the laryngeal prominence is called the

A

Thyroid cartilage

27
Q

A type of pneumothorax in which air enters the pleural cavity on inspiration, but cannot exit during expiration is called

A

Tension pneumothorax

28
Q

Inflammation descending to the level of the bronchioles within the tracheobronchial tree is known as

A

Bronchiolitis

29
Q

The smooth endothelium which lies inside the heart is called the

A

Endocardium

30
Q

In aspiration of foreign objects, the _________ is the last place in the tracheobronchial tree where the cough reflex will be mechanically initiated.

A

Carina

31
Q

In pleurisy, pain is often referred to the shoulder via the ___________ nerve.

A

Phrenic

32
Q

Dimpling of the breast and inversion of the nipple in breast cancer are both due to tumor invasion of the

A

Dimpling = suspensory ligament

Inverted nipple = lactiferous ducts

33
Q

Name a nerve ganglion which is in close proximity to and which may be involved in the development of Otitis Media.

A

Inferior vagal ganglion

34
Q

Asthma is caused by spasm of the smooth muscle forming the walls of the

A

segmental bronchi and bronchioles

35
Q

What is the correct order from anterior to posterior?

A

aortic arch, trachea, esophagus

36
Q

What is NOT part of the fibrous skeleton of the heart?

A

muscular interventricular septum

37
Q

A large atrial septal defect is likely to cause enlargement of the:

A

pulmonary trunk, right atrium, right ventricle

38
Q

TRUE OR FALSE: The thyroarytenoid muscle is one muscle involved in raising the pitch of the voice

A

False (cricothyroid raises pitch)

39
Q

TRUE OR FALSE: The posterior intercostal vein passes between the internal and innermost intercostal muscles.

A

True

40
Q

TRUE OR FALSE: the suprapleural membrane is a thickening of the endothoracic fascia which overlies the apex of the lung.

A

True

41
Q

The deep cervical lymph node found near the posterior belly of the digastric is known as the __________________ node.

A

Jugulodigastric

42
Q

A conducting impulse travels through each of the following structures in sequence. Arrange the numbers in correct order, from the start to the finish of the conducting impulse.

1 - atrioventricular node
2 - atrioventricular bundle
3 - atrial wall
4 - left and right crura 
5 - sinuatrial node
A
5 - sinoatrial node
3 - atrial wall
1 - atrioventricular node
2 - atrioventricular bundle
4 - left and right crura
43
Q

A dilation at the beginning of the thoracic duct is called the ____________________.

A

Cisterna chyli

44
Q

List in order, the vessels and/or heart chambers which a pulmonary embolus would travel through on its way to the lung, beginning with the inferior vena cava.

A
Right atrium
Tricuspid valve
Right ventricle
Pulmonary arteries
Lung
45
Q

A variation in which the posterior interventricular artery is given off by the left coronary artery is called

A

Left coronary dominance

46
Q

The elevation of the ribs in the bucket handle movement is due to contraction of the ________________________ muscles.

A

external intercostal

47
Q

Which muscle adducts the vocal folds by rotation of the cricoid cartilage and arytenoid cartilage?

A

Lateral cricoarytenoid

48
Q

Severe damage to the conducting system of the heart would be caused by a myocardial infarction of the _____________ artery.

A

Anterior interventricular

49
Q

The apex of the heart is formed by which of the following chambers?

A

Left ventricle (all or mostly)

50
Q

The left subcostal vein drains into the ______ vein.

A

Hemiazygos

51
Q

Which is most vulnerable to compression during cardiac tamponade?

A

Superior vena cava

52
Q

Which artery supplies the visceral pleura?

A

Bronchial artery

53
Q

Name the space between the vestibular folds.

A

Rima vestibuli

54
Q

What level is the esophageal hiatus found?

What level is the aortic hiatus found?

A

Esophageal hiatus T10

Aortic hiatus T12

55
Q

The diaphragm contracts, pulling the domes inferiorly into the abdomen. This results in an increase in the vertical diameter of the thorax called the ______

A

piston movement

56
Q

Elevation of the lower ribs about an anteroposterior axis. This results in an increase in the transverse diameter of the thorax called the ________

A

bucket handle movement

57
Q

Elevation of the upper ribs about a transverse axis. This results in an increase in the anteroposterior diameter of the thorax called the ______

A

pump handle movement

58
Q

The elevation of the ribs in both the bucket handle movement and the pump handle movement is due to contraction of the ______________

A

external intercostal muscle

59
Q

In normal _________ the diaphragm and external intercostal muscles relax and air is expelled passively.

A

expiration

60
Q

In forced expiration, the internalcostalis, innermost intercostalis, and the muscles of the anterior abdominal wall ____________

A

contract

61
Q

During cardiac tamponade, the ______________ is particularly vulnerable and the _________________ becomes prominent.

A

superior vena cava

external jugular vein