Midterm 2 Flashcards

Units 10-18

1
Q

In the parasympathetic division, the vagus nerve supplies what plexus’?

A

the cardiac plexus through the SM plexus

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2
Q

In the parasympathetic division, S2-S4 supply which plexus’?

A

the IM plexus and the hypogastric plexus

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3
Q

The white rami communicantes contains _____ganglionic axons that are ___________. The gray rami communicantes contains _____ganglionic axons that are ____________.

A

-pre; myleinated (every pathway uses)
-post; unmyelinated (only spinal nerve pathway uses)

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4
Q

For each pathway in the sympathetic division, what levels do they originate?

A

-spinal nerve pathway: T1-L2
-postganglionic sympathetic pathway: T1-T5
-splanchnic nerve pathway: T5-L2
-adrenal medulla pathway: T8-T12

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5
Q

The adrenal medulla is highly:

A

vascularized

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6
Q

Where is norephinephrine and epinerphrine realeased from?

A

postsynaptic neurons of the sympathetic nervous system

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7
Q

Which ligament prevents hyperextension (backwards bending) ?

A

the anterior longitudinal ligament

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8
Q

Which ligaments (4) prevent hyperflexion (forwards bending) ?

A

-the posterior longitudinal
-ligamentum flavum
-interspinous
-supraspinous

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9
Q

A disc usually herniates into?

A

the posterior body, pinching nerve roots

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10
Q

What kind of cartilage is costal cartilage composed of?

A

hyaline

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11
Q

The demifacets on ribs articulate with the?

A

head of the rib

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12
Q

Between two vertebrae, the rib articulating with the transverse processes is labeled ________. It will be situated _______ to the inferior rib

A

inferiorly (ex. between vertebrae T8 and T9, the rib would be T9); superiorly

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13
Q

What are dermatomes?

A

A map of innervation on the body important for mapping pain

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14
Q

Bilateral action of the erector spinae muscles causes what? Unilateral action on these muscles causes what?

A

extension of the vertebral column; lateral flexion of vertebral column on the same side

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15
Q

Which erector spinae muscle can only fire unilaterally?

A

the spinalis

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16
Q

Bilateral action of the external oblique causes what? Unilateral action of the external oblique causes what?

A

flexes vertebral column and compresses abdominal wall; lateral flexion and contralateral rotation of the vertebral column (ex. contraction of right side brings body towards the left)

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17
Q

Bilateral action of the internal oblique causes what? Unilateral action of the internal oblique causes what?

A

flexes vertebral column and compresses abdominal wall; lateral flexion and ipsilateral rotation of the vertebral column

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18
Q

The dens allows for:

A

the “no” head movement

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19
Q

The ventral (anterior) foramina is a passageway for:

A

ventral rami of sacral spinal nerves

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20
Q

The transverse foramen is a passageway for the:

A

vertebral artery

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21
Q

What structures are located in the superior mediastinum?

A

-thymus
-trachea
-esophagus
-great vessels
-vagus and phrenic nerves

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22
Q

What structures are located in the inferior anterior mediastinum?

A

-loose CT
-fat
-lymphatic vessels
-some vasculature

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23
Q

What structures are located in the inferior middle mediastinum?

A

-the heart
-roots of the great vessels
-pericardium

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24
Q

What structures are located in the inferior posterior mediastinum?

A

-esophagus
-veins
-nerves (phrenic, vagus, thoracic sym trunk)
-thoracic aorta
-lymphatic structures

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26
Q

The pseduostratified ciliated columnar cells are not in what structures?

A

Pharynx, small bronchi, alveoli

27
Q

Mucus producing cells are located in:

A

the nasal cavity and the lower respiratory tract (trapping dust, bacteria)

28
Q

What do alveolar macrophages do?

A

they remove the tiniest inhaled particles that makes its way into the alveoli

29
Q

pneumonia is an accumulation:

A

of debris in alveoli that prevent efficient gas exchange

30
Q

The trachea is lined with:

A

respiratory epithelium

31
Q

Which lung is slightly smaller?

A

the left lung

32
Q

What is an oblique fissure?

A

it divides the lungs into superior and inferior lobes (both lung have)

33
Q

Which lung has horizontal fissures?

A

the right lung

34
Q

Which primary bronchi is shorter and wider?

35
Q

How many secondary bronchi are on each side?

A

3 on the right and two on the let

36
Q

Each bronchopulmonary segment is surrounded by:

A

connective tissue

37
Q

In the bronchial tree, C-shaped rings are replaced by:

A

cartilage plates

38
Q

How does epithelium change as we move down the bronchial tree?

A

pseudostratified columnar → simple columnar → simple cuboidal → simple squamous

39
Q

T/F: there is no cartilage in the bronchioles

40
Q

During an asthma attack, there is contraction of the _______ ______, which decreases lumen size (ability to get air)

A

smooth muscle

41
Q

The hilum is:

A

the common entry and exit to the lungs

42
Q

What is the order of blood supply in the pulmonary circuit?

A

pulmonary arteries → arterioles → capillaries → venules → pulmonary veins → left atrium

43
Q

What four structures of the respiratory system are under autonomic control?

A

the larynx, trachea, bronchial tree, and lungs

44
Q

Sympathetic stimulation of the respiratory system results in ________________ while parasympathetic stimulation results in ________________

A

bronchodilation; bronchoconstriction

45
Q

T/F: both the parietal and visceral layer of the serous membrane can produce a small amount of serous fluid

46
Q

In the respiratory system, the ______ pleura tightly adheres to the outside of the lung while the _______ pleura lines the thoracic wall

A

visceral; parietal

47
Q

The visceral pleura is innervated by? The parietal pleura is innervated by?

A

the pulmonary plexus (autonomic only); the somatic body wall (intercostal nerves, phrenic nerve)

48
Q

The diaphragm is supplied by the:

A

phrenic nerve

49
Q

What muscles elevate the ribs during forced inhalation?

A

the serratus posterior superior and the external intercostals

50
Q

What muscles depress the ribs during forced exhalation?

A

serratus posterior inferior, transversus thoracis, and the internal intercostals

51
Q

Rotating the torso to the right would involve the _____ external oblique and the _____ internal oblique

A

left; right

52
Q

What are the two main musscles firing when we have normal breathing?

A

the diaphragm and external intercostals

53
Q

What are the only branches off the ascending aorta?

A

The right and left coronary arteries

54
Q

The right coronary artery branches into? What does each supply?

A

-right marginal artery: supplies the right border of the heart
-posterior interventricular artery (PDA): posterior descending artery that supplies the posterior surface of the left and right ventricles

55
Q

The left coronary artery branches into? What does each supply?

A

-anterior interventricular artery (LAD): left anterior descending artery that supples the anterior surface of both ventricles and most of the interventricular septum (most pumping chambers are supplied by this except for the posterior side)
-cirucmflex artery: supplies the left atrium and ventricle

56
Q

What hormone can change force of contraction and which doesn’t?

A

norepinephrine can change force while acetocholine (parasym) doesn’t.

57
Q

Where do each of the cardiac veins travel? Where do they drain?

A

-great cardiac vein: runs alongside the anterior interventricular artery
-middle cardiac vein: runs alongside the posterior interventricular artery
-small cardaic vein: travels close to the right marginal artery

All drain into the coronary sinus and then is received by the right atrium

58
Q

What do renal arteries supply?

A

the kidneys

59
Q

When the atria are contracting the AV valves are ____ and the semilunar valves are _____. When the ventricles are contracting, the AV valves are _____ and the semilunar valves are ______.

A

-open; closed
-closed; open

60
Q

In the heart, what does the “lub” and “dup” sounds stand for?

A

-“lub” = AV valves closing
-“dup” = semilunar valves closing

61
Q

What is cardiomegaly?

A

Abnormal enlargement of the heart

62
Q

What causes aortic regurgitation?

A

The semilunar valve leaking