Lungs And Pleura Flashcards

0
Q

Lines membranes of the lungs

A

Pleura

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1
Q

Pleural cavity is invaginated by growing lung bud during which week of embryonic development

A

3rd week

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2
Q

The pleura deviates laterally at the level of which ribs

A

4th and 5th

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3
Q

Inferior part of parietal pleura at the midclavicular line is at the level of which rib

A

8th

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4
Q

Pleural surface adherent to all surfaces of the lungs

A

Visceral pleura

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5
Q

The parietal pleura adheres to these structures

A

Thoracic wall, mediastinum, diaphragm

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6
Q

The parietal amd visceral pleura are continuous at what structure

A

Hilus of lung

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7
Q

Empty double layer of pleura which is the apposition of visceral and parietal pleura inferior to root of the lung

A

Pulmonary ligament

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8
Q

Potential space between pleural layers

A

Intrathoracic cavity

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9
Q

Lubrication between parietal and visceral pleurae

A

Thin film of extracellular fluid

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10
Q

Function of extracellular fluid in pleura

A

Provides surface tension which keeps lungs inflated

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11
Q

Regions of parietal pleura applied at sites of pleural reflection where lung fails to fill pleural cavity

A

Pleural recess

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12
Q

Pleural recess between costal and diaphragmatic pleura

A

Costodiaphragmatic recess

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13
Q

Recess where needle is inserted to avoid pneumothorax

A

Costomediastinal recess

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14
Q

Innervation of parietal pleura

A

1st to 12th intercostal nerves

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15
Q

Innervation of visceral pleura

A

Pulmonary plexus

16
Q

Innervation of peripheral diaphragmatic pleura

A

Lower intercostal nerves

17
Q

Innervation of central diaphragmatic pleura/mediastinal pleura

A

Phrenic nerve

18
Q

Potential space between visceral and parietal pleura

A

Pleural cavity

19
Q

Capillary layer of serous fluids in pleural cavity is produced by?

A

Mesothelium

20
Q

What is the effect of excess air entering the pleural cavity

A

Surface tension adhering visceral and parietal pleura is broken, and lung collapses due to elastic recoil

21
Q

Air in the pleural cavity

A

Pneumothorax

22
Q

Blood in the pleural cavity

A

Hemothorax

23
Q

Fluid in the pleural cavity

A

Hydrothorax

24
What is the effect of a tumor in the pleural cavity
It secretes more fluid than it can absorb, and the fluid is retained in the cavity.
25
Hyper-resonant tone upon percussion of the pleura is a sign of?
Pneumothorax
26
Where should chest tube be inserted in patient with pneumothorax if there are no fluid complications?
2nd intercostal space immediately superior to 3rd rib
27
Where should chest tube be inserted in patient with pneumothorax if there are fluid complications?
5th or 6th intercostal space
28
Dull tone upon percussion is a sign of?
Pyothorax, hydrothorax, or hemothorax
29
Pleural tap procedure
Thoracentesis
30
Where should you insert needle in thoracentesis
Have patient in sitting position. Detect fluid level first through percussion, then insert at 1 or more intercostal space below fluid level, (except 9th ICS) at superior margin of rib
31
Main neurological center of respiration
Medulla
32
Difference between cadaveric and healthy lungs
Cad - shrunken, firm, discolored | Healthy - light, soft, spongy
33
Contents of root of lung
Bronchi, pulmonary artery and vein, pulmonary plexus, lymphatics
34
Superiormost structure on the left of hilum of lung
Pulmonary artery
35
Superiormost structure on the right of the hilum of lung
Superior lobar bronchus
36
Anteriormost structure in hilum of lung
Superior pulmonary vein
37
Inferiormost structure in hilum of lung
Inferior pulmonary vein