Lungs Flashcards

1
Q

The trachea bifurcates at the level of?

A

T4 to T5

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2
Q

Trace the costal line of Pleural reflection

A

or the limit of the parietal pleura

  1. 8th rib in MCL
  2. 10th rib in MAL
  3. 12th rib sides of vertebral column
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3
Q

Trace the lower margin of the lungs

A

or the limit of the visceral pleura

  1. 6th rib in MCL
  2. 8th rib in MAL
  3. 10th rib sides of vertebral column
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4
Q

In thoracentesis, you should not puncture at the site lower than this intercostal space

A

9th ICS

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5
Q

what are the ideal sites for thoracentesis?

A

7th ICS
8th ICS
9th ICS

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6
Q

{Visceral/Parietal Pleura]

sensitive to pain, touch, temp pressure

A

Parietal pleura

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7
Q

{Visceral/Parietal Pleura]

sensitive to stretch only

A

visceral pleura

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8
Q

What are the fissures of the right lung

A
  1. Oblique fissure

2. Horizontal fissure

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9
Q

What are the fissures of the left lung

A
  1. Oblique fissure
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10
Q

The apex of both lung is located ___ cm above the clavicle

A

2.5cm

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11
Q

[Right/Left lung]

larger, heavier, but shorter and wider

A

right lung

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12
Q

[Right/Left lung]

has 3 lobar bronchi
10 segmental bronchi

A

right lung

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13
Q

What are the grooves located in the right lung

A
  1. SVC
  2. Arch of azygous vein
  3. Esophagus
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14
Q

[Right/Left lung]

2 lobar bronchi
8 to 10 segmental bronchi

A

left lung

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15
Q

[Right/Left lung]

contains the lingula

A

lef lung

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16
Q

What are the grooves located in the left lung

A
  1. Aortic arch

2. Descending aorta

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17
Q

___ is where the parietal and visceral pleura meet

A

root of the lung

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18
Q

[Right/Left lung]

contains epiarterial bronchi

A

right lung

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19
Q

the right hyparterial bronchi is part of what lobe

A

middle and inferior

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20
Q

[Right/Left lung]

The apicoposterior segment is found in what lung?

A

left lung

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21
Q

[Breath sounds]

what lobe is auscultated at the posterior and inferior aspects of the back

A

inferior lobe

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22
Q

[Breath sounds]

what lobe is auscultated in the anterior chest wall near the sternum

A

middle lobe

23
Q

[PE of classic respiratory disease]

vocal fremitus increased
tactile fremitus increased

A

consolidation

24
Q

[PE of classic respiratory disease]

vocal fremitus decreased
tactile fremitus decreased

A

pleural effusion or COPD

25
Q

How many secondary bronchi are there in the left lung

A

2

26
Q

On the right pulmonary hilum, the superior structure is the ____

A

eparterial bronchus

27
Q

On the left pulmonary hilum, the superior structure is the ___

A

pulmonary artery

28
Q

[Right/Left Bronchus]

shorter, wider, more vertical

A

right main bronchus

29
Q

[Foreign body aspiration]

If patient is standing or sitting

A

posterobasal segment of the inferior lobe of the right lung

30
Q

[Foreign body aspiration]

if the patient is supine

A

superior BPS of the right lower lob

31
Q

[Foreign body aspiration]

if the patient is lying on the right

A

posterior BPS of the right upper lobe

32
Q

[Foreign body aspiration]

if the patient is lying on the left side

A

inferior lingular BPS on the left upper lobe

33
Q

The bronchial arteries suppling the trachea is a branch of?

A

descending thoracic aorta

34
Q

[Right vs left pulmonary artery]

shorter, narrower

A

right pulmonary artery

35
Q

the right pulmonary artery runs __ (above or below) the arch of the aorta

A

below

36
Q

the left pulmonary artery runs over the ____

A

left primary bronchus

37
Q

the bronchial veins drain to what structire

A

azygous and hemiazygous veins

38
Q

____ tumor is a malignant neoplasm involving the apex of the lung

A

superior pulmonary sulcus tumor

39
Q

___ syndrome

pain radiating to the shoulder and medial aspect of the arm; notable atrophy of the muscles of the forearm and hand

A

pancoast syndrome

40
Q

___ syndrome

ptosis, enophtalmos, miosis, anhidrosis, vasodilation

A

horner syndrome

41
Q

What LN drains the lymph from the surface to the hilum of the lung

A

subpleural plexus

42
Q

What LN drain into bronchopulmonary or hilar LN

A

tracheobronchial LN

43
Q

Trace the lymphatic drainage of the lungs

A
  1. Bronchopulmonary nodes
  2. Tracheobronchial nodes
  3. Paratracheal nodes
  4. bronchomediastinal trunks
44
Q

The thymus and pericardium drain to what LN

A

Anterior mediastinal

then to the tracheomediastinal trunk

45
Q

The esophagus and sternal LN drain to what LN

A

posterior mediastinal

then to the thoracic duct

46
Q

The trachea, bronchi, lungs, heart drain to the

A

tracheobronchial LN

then to the tracheomediastinal tunk

47
Q

the LN in the right lung drains to the

A

right lymphatic duct

48
Q

The sympathetic efferent fiber of the pulmonary plexus produce what to the bronchioles and blood vessels

A
  1. Bronchodilation

2. Vasoconstriction

49
Q

The parasympathetic efferent fiber of the pulmonary plexus produce what to the bronchioles and blood vessels

A
  1. Bronchoconstriction
  2. Vasodilation
  3. Increased glandular secretion
50
Q

In chest tube insertion, the incision is made on the ____

A

5th or 6th ICS, MAL

51
Q

The posterior intercostal artery for rib 1 and 2 are branches of

A

Superior intercostal of the costovertebral trunk

52
Q

Anterior intercostal artery of the first six ribs is a branch of

A

internal thoracic artery

53
Q

In thoracentesis, the needle is pierced through

A

8th ICS, MAL