Lung & Lymphatic Flashcards

1
Q

1.)

A

thoracic inlet

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2
Q

2.)

A

thoracic outlet

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3
Q

3.)

A

true ribs

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4
Q

4.)

A

false ribs

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5
Q

5.)

A

floating ribs

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6
Q

6.)

A

intercostal spaces

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7
Q

7.)

A

costal cartilage

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8
Q

8.)

A

costal arch

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9
Q

what is found in ribs and what is its purpose

A

hematopoietic tissue that can make red blood cells

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10
Q

which are your true ribs

A

1-7

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11
Q

which are your false ribs

A

8-10 (do not attach directly to sternum)

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12
Q

which are your floating ribs

A

11+12 (no cartilage)

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13
Q

what is the purpose of intercostal spaces and costal cartilage

A

to allow your ribcage flexibility when your breath

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14
Q

how do you name a rib space

A

the space is named for the rib it is below
ex. rib space 2 is below rib 2

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15
Q

which are your typical ribs

A

3-9

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16
Q

what is a demifacet and where are they found

A

shallow depressions on the vertebrae that articulate with the facets of the ribs

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17
Q

what is the purpose of the tubercle of a rib

A

has a facet that articulates with the transverse facet of the vertebrae

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18
Q

1.)

A

neck

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19
Q

2.)

A

head

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20
Q

3.)

A

superior articular facet

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21
Q

4.)

A

inferior articular facet

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22
Q

5.)

A

tubercle

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23
Q

6.)

A

articular facet of transverse process

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24
Q

7.)

A

angle of rib

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25
Q

8.)

A

costal groove

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26
Q

9.)

A

shaft

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27
Q

which are your atypical ribs

A

1st, 2nd, and 10th-12th

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28
Q

what are the atypical features of your 1st rib

A

broad, short, sharply curved, and single facet

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29
Q

what are the atypical features of your 2nd rib

A

thinner, less curved, longer than first rib, two facets, and a rough area

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30
Q

what is the atypical feature of ribs 10-12

A

one facet (only articulates with one vertebra)

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31
Q

what are the atypical features of ribs 11 and 12

A

short with no neck or tubercle

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32
Q

1.)

A

1st rib

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33
Q

2.)

A

2nd rib

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34
Q

3.)

A

11th rib

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35
Q

4.)

A

12th rib

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36
Q

what is gorilla rib

A

extra pair of floating ribs

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37
Q

what is thoracic outlet syndrome

A

when blood vessels and nerves are compressed between the clavicle and first rib
can be caused by trauma, pregnancy, or extra ribs
presents with pain, weakness, and coldness in fingers

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38
Q

explain separation of rib

A

separation costochondral junction (area where rib meets cartilage)
typically occurs between ribs 3-10
ribs move upward

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39
Q

explain dislocation of rib

A

dislocation of a costal cartilage from interchondral joints (where cartilage meets sternum)
typically occurs between ribs 8-10
occurs in body contact sports

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40
Q

which rib cartilages attach to the manubrium

A

1st rib and half of 2nd ribs cartilage

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41
Q

what rib cartilage attaches to the sternal angle

A

cartilage of 2nd rib

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42
Q

what rib cartilage attaches to the body of the sternum

A

cartilage of ribs 3-7

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43
Q

what attaches to the xiphoid process

A

abdominal muscles

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44
Q

1.)

A

suprasternal notch

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45
Q

2.)

A

manubrium

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46
Q

3.)

A

sternal angle (angle of Louis)

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47
Q

4.)

A

body of sternum

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48
Q

5.)

A

xiphoid process

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49
Q

6.)

A

clavicular notch

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50
Q

what is pectus excavatum

A

breastbone is sunken into chest due to halves of sternum not fusing properly
can be corrected if done early enough

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51
Q

what is pectus carinatum

A

breastbone projects because halves of sternum don’t fuse properly
can be correct if done early enough

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52
Q

what nerve innervates the diaphragm

A

phrenic nerve

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53
Q

what do you use for inspiration

A

diaphragm (phrenic nerve), external intercostals, and right and left crura

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54
Q

what muscles do we used for forceful expiration

A

internal intercostals
rectus abdominis
external obliques
internal obliques

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55
Q

1.)

A

right and left crura

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56
Q

3.)

A

external intercostals (more lateral; fibers run towards sternum)

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57
Q

2.)

A

internal intercostals (more medial; fibers run from sternum)

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58
Q

1.)

A

internal obliques

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59
Q

2.)

A

external obliques

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60
Q

3.)

A

rectus abdominis

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61
Q

what is the arterial flow for the posterior intercostal arteries

A

ascending aorta, aortic arch, descending aorta, posterior intercostal arteries

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62
Q

what is the posterior intercostal venous flow for rib 1

A

posterior intercostal vein, brachiocephalic vein, superior vena cava

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63
Q

what is the posterior intercostal venous flow for the right ribs 2,3, and sometimes 4

A

posterior intercostal vein, superior intercostal vein, azygos vein, and superior vena cava

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64
Q

what is the posterior intercostal venous flow for the left ribs 2,3, and sometimes 4

A

posterior intercostal vein, superior intercostal vein, brachiocephalic vein, and superior vena cava

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65
Q

what is the posterior intercostal venous flow for the right ribs 5-11 and sometimes 4

A

posterior intercostal vein, azygos vein, and superior vena cava

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66
Q

what is the posterior intercostal venous flow for the left ribs 5-8 and sometimes 4

A

posterior intercostal vein, accessory hemi-azygos vein, azygos vein, and superior vena cava

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67
Q

what is the posterior intercostal venous flow for the left ribs 9-11

A

posterior intercostal vein, hemi-azygos vein, azygos vein, and superior vena cava

68
Q

what is the arterial flow for the anterior intercostal arteries

A

ascending aorta, right brachiocephalic artery, subclavian artery, internal thoracic artery, and anterior intercostal artery

69
Q

what is the venous flow for the anterior intercostal veins

A

anterior intercostal vein, internal thoracic vein, brachiocephlic vein, and superior vena cava

70
Q

how do neuromuscular bundles run across ribs

A

they run underneath veins along the costal groove
vein is closest to rib, then artery, and finally nerve (up and down)

71
Q

what is the artery and vein that supplies the lung tissue

A

bronchial arteries: stem from descending thoracic aorta and posterior intercostal arteries
bronchial veins: left stems from SVC and drains into azygos; right stems and drains into accessory hemi-zygos

72
Q

what are some features of the bronchial artery

A

comes from the thoracic aorta
carries oxygenated blood
high pressure to help keep bronchi alive

73
Q

what are some features of the bronchial vein

A

right vein drains into azygos vein
left vein drains into accessory hemi-azygos vein

74
Q

what is the pulmonary circuit for

A

vessels for gas exchange which happens in the lungs

75
Q

what do pulmonary arteries do

A

low pressure and resistance arteries that carry deoxygenated blood

76
Q

what do pulmonary veins do

A

carry oxygenated blood to the left atrium

77
Q

1.)

A

superior posterior intercostal artery

78
Q

2.)

A

posterior intercostal vein

79
Q

3.)

A

brachiocephalic vien

80
Q

4.)

A

azygos vein

81
Q

5.)

A

superior vena cava

82
Q

6.)

A

accessory hemi-azygos vein

83
Q

7.)

A

hemi-azygos vein

84
Q

8.)

A

internal thoracic artery

85
Q

9.)

A

anterior intercostal artery

86
Q

10.)

A

posterior intercostal artery

87
Q

11.)

A

anterior intercostal artery

88
Q

12.)

A

internal thoracic artery

89
Q

13.)

A

bronchial veins

90
Q

14.)

A

bronchial arteries

91
Q

1.)

A

superior intercostal vein

92
Q

2.)

A

azygos vein

93
Q

3.)

A

accessory hemi-azygos vein

94
Q

4.)

A

hemi-azygos vein

95
Q

what is a pulmonary embolus

A

obstruction of pulmonary artery by blood clot
causes respiratory distress and can cause death

96
Q

in what layer of skin are the mammary glands

A

hypodermis

97
Q

what do suspensory ligaments do

A

attach mammary glands to dermis of skin and deep fascia

98
Q

what is the space behind the mammary glands

A

retromammary space

99
Q

what do lactiferous ducts do

A

open into the nipple
give rise to buds that develop into lobes

100
Q

what is the lactiferous sinus

A

dilation portion deep to areola where milk accumulates during nursing

101
Q

what are the cells of the mammary alveoli and what do they do

A

myoepithelial cells
propel milk towards nipple

102
Q

what is the pathway of milk - deep to superficial

A

alveoli, mammary ducts, lactiferous ducts, lactiferous sinus, and nipple

103
Q

1.)

A

suspensory ligaments

104
Q

2.)

A

lactiferous ducts

105
Q

3.)

A

lactiferous sinus

106
Q

4.)

A

lobe

107
Q

what is not present in the breast of a non-lactating woman

A

alveoli or lobes

108
Q

where does lymph drain within the breast

A

subareolar lymphatic plexus

109
Q

what drains the lymph of the superior lateral quadrant and center of breast

A

axillary nodes

110
Q

what drains the lymph of the medial breast quadrant

A

parasternal node (internal mammary node)

111
Q

what drains the lymph of the inferior breast quadrant

A

abdominal nodes (umbilical nodes)

112
Q

what is the medial artery flow of the breast

A

medial mammary artery, internal thoracic artery, and subclavian artery

113
Q

what is the lateral artery flow of the breast

A

lateral mammary branches, lateral cutaneous mammary branches, posterior intercostal artery, and thoracic artery

or

lateral mammary arteries, lateral thoracic artery, and axillary artery

114
Q

what is the lateral vein flow of the breast

A

laterally mammary vein, lateral thoracic vein, and axillary vein

115
Q

1.)

A

internal thoracic vein

116
Q

2.)

A

lateral thoracic vein

117
Q

3.)

A

lateral thoracic artery

118
Q

4.)

A

anterior intercostal artery

119
Q

5.)

A

internal thoracic artery

120
Q

6.)

A

perforating branch

121
Q

7.)

A

internal thoracic artery

122
Q

what is considered your upper respiratory tract

A

nasal cavity to larynx

123
Q

what is considered your lower respiratory tract

A

trachea to alveoli

124
Q

what is the conducting zone and what does it do

A

everything that doesn’t include gas exchange - nose to terminal bronchioles
breathing in air where it will be filtered, warmed, and moistened

125
Q

what is the respiratory zone and what does it do

A

where gas exchange occurs in the respiratory bronchioles and alveoli

126
Q

trachea

A

found below larynx to mediastinum
has C-shaped cartilage
carina at the end where it splits into bronchioles

127
Q

what is the path of air once it reaches the carina of the trachea

A

primary bronchus, secondary bronchus, tertiary bronchus, conducting bronchioles, terminal bronchioles, respiratory bronchiole, alveolar ducts, and alveolar sacks of alveoli

128
Q

what is the difference between the left and right primary bronchus

A

right: wider, shorter, and straighter
left: narrow, longer, more horizontal, and passes under aortic arch

129
Q

how many secondary branches do you have on each side of the bronchial trees

A

right: 3
left: 2

130
Q

features of the bronchioles

A

very small
no cartilage but lots of smooth muscles

131
Q

what is aspiration pneumonitis (mendelson’s syndrome)

A

chemical injury from inhaling sterile gastric contents
can happen during pregnancy and surgery

132
Q

what is aspiration pneumonia

A

infection from inhaling something from your nose or mouth
ex. food or liquids

133
Q

1.)

A

bronchial artery

134
Q

2.)

A

pulmonary artery

135
Q

3.)

A

pulmonary vein

136
Q

5.)

A

primary bronchus

137
Q

6.)

A

pulmonary ligament

138
Q

what is a lobar bronchus

A

another word for secondary bronchus
supplies lobe of lung

139
Q

what is the average weight of a lung

A

400 grams

140
Q

what is a segmental bronchi

A

another word for tertiary bronchi

141
Q

1.)

A

apical

142
Q

2.)

A

posterior

143
Q

3.)

A

anterior

144
Q

4.)

A

lateral

145
Q

5.)

A

medial

146
Q

6.)

A

superior lingular (left lung)

147
Q

7.)

A

inferior lingular (left lung)

148
Q

8.)

A

superior

149
Q

9.)

A

anterior basal

150
Q

10.)

A

medial basal

151
Q

11.)

A

lateral basal

152
Q

12.)

A

posterior basal

153
Q

what makes up a functional unit of a bronchopulmonary segment

A

pulmonary artery and vein, bronchial artery, and bronchiole

154
Q

what is a tension pneumothorax

A

when air accumulates between the two pleural layers of the lung
causes the lung to collapse
needle inserted into 2nd intercostal space in the midlclavicular line

155
Q

what are parts of a lymph node

A

capsule
outer cortex
inner medulla
lots of reticular fibers
immune cells like macrophages, lymphocytes, and dendritic cells

156
Q

where does lymph flow into lymph node

A

afferent lymphatic vessels

157
Q

where does lymph flow from lymph node

A

efferent lymphatic vessels

158
Q

what is the flow of lymphatic drainage of respiratory system

A

intrapulmonary, hilar, carinal, superior tracheobroncial, paratracheal

159
Q

what is lymphedema

A

accumulation of excess interstitial fluid in interstitial space
can be causes by parasites or tumors

160
Q

how much does the thymus weigh

A

14-25 grams

161
Q

primary functions of thymus

A

generates population of functional T cells that protects body from pathogens
secretes hormones

162
Q

what is a sliding hiatal hernia

A

cardia and fundus of stomach slide through diaphragm

163
Q

what is a paraesophageal hiatal hernia

A

pouch of fundus comes through diaphragm

164
Q

what is GERD

A

acid from stomach goes into esophagus chronically
can cause esophageal cancer if left untreated for a long time
can be caused by things like obesity and hiatal hernias

165
Q

what is Barret’s esophagus

A

can lead to cancer
area can change from white to red/pink

166
Q

what are esophageal varices

A

swollen veins of the esophagus that can rupture and cause an upper GI bleed
can be caused by portal hypertension