Lungs and Pleura Flashcards

1
Q

Where does the apex of the lung fall?

A

Above the clavicle

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2
Q

Where does the horizontal fissue lie in the right lung

A

Follows Rib 4

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3
Q

Where does the oblique fissure lie in the right lung

A

Laterally at rib 4 and descneds medially to meet at rib 6 midclavicular line

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4
Q

Where does the base of the lungs? The pleural cavity?

A

Lung: Rib 6 anteriorly

Pleural cavity: Rib 8

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5
Q

Where is the cardiac notch in the left lung?

A

Starts as costal cartilage 4 and arches over to about the midclavicular line

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6
Q

What is louder, inspiration or expiration?

A

Inspiration

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7
Q

What connects the parietal layer to the chest wall?

A

Endothoracic fascia

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8
Q

What are the two main recesses of the pleural cavity

A

Costodiaphragmatic

Costomediastinal (associated with the cardiac notch)

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9
Q

Where do the main bronchus, pulmonary artery, and pulmonary veins lie in the RIGHT hilum

A

Main bronchus = posterior

Pulmonary artery = anterior

Pulmonary veins = anterior and inferior

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10
Q

Where do the main bronchus, pulmonary artery, and pulmonary veins lie in the LEFT hilum

A

Main bronchus = posterior

Pulmonary artery = superior

Pulmonary veins = anterior and inferior

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11
Q

What is the pulmonary ligament?

A

It is an inferior extension of the hilum

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12
Q

The trachea extends from

A

C7 to T4/T5 and then splits

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13
Q

Differences between L and R main bronchus

A

Right diverges more straight, left = more curved so objects can fall into right

Left main bronchus is longer

Left main bronchus has smaller diameter

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14
Q

What is the best diagnostic tool for pneumonia?

A

X-ray

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15
Q

Bronchial arteries arise from the

A

Thoracic aorta on the left and the 3rd posterior intercostal artery on the right

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16
Q

The parietal pleura is innervated by

A

Intercostal nerve and phrenic nerve (afferent innervation)

Intercostals innervate diaphgmatic and costal portions of pleura

Phrenic nerve innervates central diapragmatic and mediastinal portions of the pleura

17
Q

Visceral pleura of lungs are innervated by

A

Visceral afferents from autonomic fibers that follow bronchial vessels

18
Q

Lymphatic drainage of the lungs

A

Pulmonary nodes –> bronchopulmonary nodes –> tracheobroncial nodes –> paratracheal nodes