Lymph Vessels Flashcards

1
Q

List three main functions of lymph vessels

A

1) transport immune cells and lmphocytes which are produced in lymph nodes
2) collect and return of tissue fluid that is mainly highly MW proteins . 20% is via systemic circulation and 80% is via venous circulation
3) uptake and transport of long chain (>12C) FAs absorbed by the small intestines then goes to the liver via portal vein. Lymph then goes to the thoracic duct.

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2
Q

which of these is NOT a general feature of lymph vessels (multiple answers)

a) many valves, small, very permeable, and thinned wall
b) always attached to a lymph node
c) not found in cartilage, cornea, and epidermis
d) blindly ending arising tubes in connective tissue
e) found in CNS and bone marrow
f) found as plexus on adventitia on large vessels

A

b, e

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3
Q

true or false: lymph vessels are ALWAYS associated with lymph nodes

A

False

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4
Q

true or false: lymph nodes are not considered organs

A

False

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5
Q

which of these statements about lymph nodules is true?

a) lymph nodules are proliferative structures in lymph nodes that produce lymphocytes and immune cells.
b) a lymph nodule is the closest nodule into which lymph from an organ drains into
c) lymph nodules are always associated with lymph vessels
d) lymph nodules are proliferative structures in lymph vessels that produce lymphocytes and immune cells

A

a

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6
Q

true or false: the spleen, thymus, and tonsils are all lymphatic organs

A

True

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7
Q

true or false: all lymph nodes are associated with lymph vessels

A

True

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8
Q

which of these statements about the sentinel node is true?

a) the sentinel nodule is a proliferative structure in lymph nodes that produce lymphocytes and immune cells.
b) a sentinel nodule is the closest nodule into which lymph from an organ drains into
c) sentinel nodes are found in lymph nodes
d) sentinel nodes are proliferative structures in lymph vessels that produce lymphocytes and immune cells

A

b

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9
Q

true or false: afferent lymph vessels are arriving at lymph nodes

A

true

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10
Q

true or false: afferent lymph vessels are leaving lymph nodes

A

false (efferent)

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11
Q

the subclavian vein and internal jugular vein form the _____ junction

A

jugulosubclavian

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12
Q

True or false: the thoracic duct terminates in the left jugulosubclavian junction

A

true

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13
Q

the cisterna chyli occurs in __% of people and is located at __

A

20%, L2

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14
Q

the thoracic ducts begins in the ____ _____ and ends in the left ________ ________

A

cisterna chlyi, jugulosubclavian junction

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15
Q

which of the following does NOT drain into the right lymphatic duct (if present):

a) right jugular
b) right subclavian
c) thoracic duct
d) right bronchomediastinal trunk

A

c

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16
Q

True or false: the thoracic duct drains both lower limbs

17
Q

true or false: the thoracic duct drains the left arm

A

False (only UPPER arm)

18
Q

true or false: the thoracic duct drains through the aortic hiatus at T10

A

False (T12)

19
Q

List the 5 tributaries of the thoracic duct that drain the left side of the body

A

2x lumbar trunks, 1x intestinal trunk, 2x descending thoracic trunks

20
Q

True or false: the thoracic duct enters the diaphragm at T12 (aortic hiatus) between the azygous vein and the descending aorta, posteromedially to the left.

21
Q

True or false: after entering the thorax, the thoracic duct then goes through the posterior mediastinum and then enters the left jugulosubclavian vein junction and into the SVC

22
Q

In the thorax, the thoracic duct receives lymph from the medistinal trunks, as well as _ to _ intercostal trunks on either side

23
Q

true or false: the thoracic duct receives lymph from the right jugular trunk, right subclavian trunk, and right bronchomediastinal trunk

A

false (these enter the right lymphatic duct or their adjacent vessels if it is not present, left side enters thoracic duct)

24
Q

the three lymph drainages of the skin are:

A

deep cervical lymph nodes, axillary lymph nodes, inguinal lymph nodes

25
which of these is NOT true regarding the axillary lymph group? a) remaining 25% drain to the parasternal group (sternum) and the infraclavicular group (shoulder) b) 75% lymph is from the breast c) contains 5 tributary groups d) remaining 25% drain to the parasternal group (abdomen) and the infraclavicular group (shoulder)
a
26
true or false: superficial proximal inguinal nodes drain the testes
false
27
true or false: superficial proximal inguinal nodes drain the skin
true
28
true or false: superficial proximal inguinal nodes are located along the greater saphenous vein
false (distal)
29
true or false: superficial distal inguinal nodes drain the lower limbs
true
30
the superficial proximal & ____ inguinal nodes drain into the deep nodes that run medially to the ____ vein. they then run into the external and common ____ node, then into the ____ trunk and thoracic duct.
distal, femoral, iliac, lumbar
31
true or false: the inguinal trunk drains the posterior abdominal wall
false (anterior)
32
true or false: the lumbar trunk drains the posterior abdominal wall
true
33
true or false: intestinal nodes are known as 'preaortic nodes'
true
34
true or false: lumbar lymph nodes are known as 'preaortic nodes'
false (lateral aortic or lumbar nodes)
35
the lower thorax is drained by the:
descending thoracic trunk to cisterna chyli
36
the upper thorax is drained by the:
bronchomediastinal trunk to the jugulosubclavian junction
37
true or false: the thoracic duct enters the jugulosubclavian junction at C6
false (C7)