Lungs Flashcards

1
Q

Name the structures that serve as the walls of the pleural cavities.

A

clavicle - mediastinum - diaphragm - ribs

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2
Q

Name the different parts of the parietal pleura.

A

clavicular region - “pleural cupula”, lined by cervical pleura

mediastinum - lined by mediastinal pleura

diaphragm region - lined by diaphragmatic pleura

ribs - lined by costal pleura

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3
Q

Name the structures found within the hila of the lungs.

A
  1. bronchi
  2. arteries and veins
  3. lymphatics
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4
Q

Name and locate the two major nerves which lie just under the mediastinal pleura.

A

Vagus nerve and phrenic nerve, both running superior-inferior under the mediastinal parietal pleura.

Vagus: posterior to hilum
Phrenic: anterior to hilum

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5
Q

Describe the roles of the vagus and phrenic nerves with regard to the functions of the lung.

A

Vagus: visceral sensory and visceral motor to lungs

Phrenic: somatic sensory and somatic motor to diaphragm muscle

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6
Q

Name the structures that cause the indentations evident on the surface of the right and left lungs.

A

Costal surfaces of both lungs have indentations of ribs separated by costal spaces.

Mediastinal surface of right lung:

  1. groove for esophagus
  2. groove for superior vena cava
  3. groove for the arch of the azygos vein

Mediastinal surface of left lung:

  1. groove for the aorta
  2. large cardiac impression
  3. sometimes impressions of arteries, especially left subclavian
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7
Q

How many lobes does each lung have?

A

Right: 3
Left: 2

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8
Q

Name the fissures that separate the lobes of the lungs (right and left sides).

A

Both lungs have oblique fissures.

Right lung also has a horizontal fissure, between upper and middle lobes.

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9
Q

Name the muscles involved in inspiration.

A
  1. diaphragm: contraction causes it to descend
  2. external intercostals: contraction causes elevation of ribs
  3. scalenes of neck: contraction raises first and second ribs
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10
Q

Name the muscles involved in expiration.

A

Quiet expiration is a non-muscular activity (passive recoil of lungs)

Active expiration

  1. internal intercostals: contraction causes depression of ribs
  2. abdominal muscles: contractions cause ribs to descend
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11
Q

Name the primary bronchi of the right lung. Name the primary bronchi of the left lung.

A

right and left main bronchi

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12
Q

Name the secondary bronchi of the right lung. Name the secondary bronchi of the left lung.

A

Right: superior lobar bronchus, intermediate bronchus, inferior lobar bronchus

Left: Superior lobar bronchus, inferior lobar bronchus

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13
Q

Name the tertiary bronchi of the right lung.

A

Apical tertiary bronchus of the superior lobe of the right lung

Posterior

Anterior

Lateral tertiary bronchus of the middle lobe of the right lung

Medial

Superior tertiary bronchus of the inferior lobe of the right lung

Anterior basal

Medial basal

Lateral basal

Posterior basal

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14
Q

Name the tertiary bronchi of the left lung.

A

Apicoposterior tertiary bronchus of the superior lobe of the left lung

Anterior

Superior lingular tertiary bronchus of the superior lobe of the left lung

Inferior lingular

Superior tertiary bronchus of the inferior lobe of the left lung

Anteromedial basal bronchus of the inferior lobe of the left lung

Lateral basal

Posterior basal

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15
Q

What are the two sources of arterial blood for the bronchi and lungs? Describe their anatomy.

A
  1. bronchial arterial supply
  2. pulmonary arterial supply

Bronchial arterial supply: minor! One right and two left branch off descending aorta and bring fully oxygenated blood to trachea, primary, and secondary bronchi.

Pulmonary artery supply: major! carry non-oxygenated blood and serve the tertiary bronchi, bronchioles, and most of the lung tissue.

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16
Q

What are the names and locations of the major lymph nodes that provide lymphatic drainage of the lungs?

A

Near hila of lungs: pulmonary nodes, hilar nodes, aka bronchopulmonary nodes

At carina: carinal nodes or tracheobronchial nodes

Alongside trachea: tracheal or paratracheal nodes

17
Q

Describe the sensory innervation of the lungs.

A

Visceral sensory: carry afferent info about the airways back to the CNS via the vagus nerve

18
Q

Describe the motor innervation of the lungs.

A

Visceral motor fibers: includes both sympathetic and parasympathetic fibers, which have opposing actions.

Sympathetic: norepi causes vasoconstriction of blood vessels (to reduce phlegm) as well as relaxation of bronchiolar smooth muscle

Parasympathetic: acetylcholine activates mucous-producing cells of bronchioles, constricts bronchioles