Lungs Flashcards

1
Q

Parietal pleura lines what

A

lines the pulmonary cavity

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2
Q

Visceral pleura innervation

A

visceral sensation, accompanies sympathetics

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3
Q

Parietal pluera nerve innervation (2)

A

somatic sensation
• Intercostal nerves
• Phrenic nerve

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4
Q

If the parietal pleura is irritated in the indicated location, where will referred pain be centralized?

A

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5
Q

Segments are relevant for: (2)

A

• Understanding blood supply,
ventilation, lymphatic drainage
• Managing infection, cancer

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6
Q
  1. Pulmonary trunk splits into
A

right and left pulmonary
arteries
-> lobar arteries -> segmental arteries

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7
Q

Left atrium, where the
pulmonary veins drain

Segmental veins ______
into ______, converge
into _______

A

converge into lobar veins

into pulmonary veins

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8
Q

Vagus nerve (CN X) passes where to the lungs

A

post to root of the lung

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9
Q

Parasympathetic innervation of vagus nerve (3)

A
Vagus	nerve	(CN	X) Passes	posterior	to	root	of	the	lung
• Bronchoconstrictor • Vasodilator • Secretomotor
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10
Q

Sympathetic innervation of lungs from what levels

A

T2-T4

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11
Q

Sympathetic innervation of lungs from what levels

A

T2-T4

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12
Q

C2 Dermatome area

A

lateral neck and ear

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13
Q

C3 Dermatome covers

A

half of neck-just below the chin

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14
Q

C4 dermatome covers

A

Lower neck to the clavicle and from the thyroid tot the deltoid ish

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15
Q

C5 Dermatome area

A

From manubrium to wrist

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16
Q

C6 dermatome

A

The upper most part of the shoulder, arm, forearm, and thumb!

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17
Q

Which dermatome covers the thumb?

A

C6-which does all the way to the deltoid area

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18
Q

T1 Dermatome covers what

A

Pec region to wrist

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19
Q

Dermatome which covers pointer and middle fingers

A

C7

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20
Q

Dermatome which covers ring finger and pinky as well as___

A

C8-also tricep region

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21
Q

Pnuemothorax- caused by?

A

Collapsed lung-often subsequent to injury of the thoracic wall, can be spontaneous too

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22
Q

Hemothorax

A

Usually subsequent to injury of a thoracic blood vessel

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23
Q

Usually subsequent to injury of a thoracic blood vessel

A

Hemothorax

24
Q

Collapsed lung-often subsequent to injury of the thoracic wall, can be spontaneous too

A

Pneumothorax

25
Procedure to obtain fluid sample, or to drain blood/pus
Thoracentesis
26
During a thoracenteses, what does the clinician need to do?
.
27
Where is the needle inserted for a thoracentesis?
.
28
lung which has a groove for the esophagus
right lung, although a small area on the left does exist
29
Seperates the sup and inf lobes of the lungs
Oblique fissure
30
Lung which has a horizontal fissure
the left lung, since it has three lobes
31
lung which has a large groove for the aorta
the left lung,
32
which lung has a present groove for the subclavian a. and the brachiocephalic vein?
Left lung
33
Which lung has a large, inferior cardiac notch and impression?
Left lung
34
Which lung has a lingula?
Left lung
35
Which lung has a large groove for the esophagus, and the azygos vein?
The right lung
36
Which lung has a large impression for the thymus?
The left lung
37
Describe the branching of the tracheobranchial tree
From superior to inferior.. the trachea bifurcates at the sternal angle into the Right and Left main bronchi. the R main bronchus branches into the R Sup, middle, and inf bronchus (3) the L main bronchus branches into the Sup. lobar bronchus and the L inf lobar bronchus
38
Which lung has a middle lobar bronchus?
The Right Bronchus/thus R lung ONLY, the left side only has two branches which correspond to its TWO LOBES
39
The trachea bifurcates into the L and R main Bronchi at what anatomical level
At the sternal angle
40
The trachea splits at the level of the sternal angle, the bifurcation is marked by an internal structure which divides the two resulting bronchi called _______
Carina
41
The three bronchopulmonary segements from sup to inf are ?
Main bronchus --> Lobar bronchus --> segmental bronchus
42
Why are segments of the lungs relevant? (2)
For understanding blood supply,, ventilation, and lymphatic drainage Also for managing infection and cancer
43
If one is to aspirate a small material (i.e. a dental dam retainer, damn things), where is it most likely to end up and why?
The Right internal segment because the Right Main bronchus is more vertically in line with the trachea than is the L side
44
The Pulmonary trunks into (2), these then go --> ______ --> _____
The pulmonary trunk splits into the R and L pulmonary arteries which go to the lobar arteries --> segmental arteries
45
The pulmonary vein drains into where?
the left atrium
46
The lobar veins converge onto the pulmonary veins, what converged on the lobar veins before that?
Segmental veins --> lobar veins --> pulmonary veins --> Left atrium
47
Segmental veins --> --> --> --> Finish this
Segmental veins --> Lobar veins --> pulmonary veins --> LA
48
At the root of the lung, you will see how many pulmonary arteries on each side? Pulmonary veins?
.
49
Describe the hilum of the Right Lung
Sup to inf Bronchus Artery Vein
50
Describe the hilum of the left lung
From sup to inf Artery Bronchus Vein
51
Which lung has a hilum in which the pulmonary vein is the most inf structure?
BOTH
52
Which lung has a hilum in which the bronchus is the most sup structure?
The R lung
53
What accessory things to the normal hilum may be present in the lungs?
lymph nodes
54
Describe the lymphatic drainage of the lungs (collects where... drain where) Left and right
Collects in the pulmonary nodes --> bronchopulmonary nodes (hilar nodes) --> tracheobronchial nodes (sup and inf) from here... 1. drainage may pass sup or lateral (to bronchomediatinal trunk) --> deep cervical nodes ---> supraclavicular nodes may recieve multiple NOW left or right Right --> R lymphatic duct LEFT --> Thoracic duct --> all drain into the subclavian vein along the bronchomediastinal trunk
55
All the lymphatics of the lungs drain where which is situated where
the subclavian vein which is along the bronchomediastinal trunk