Norm fxn- Anatomy

Question 1

This is the pleura that lines the lungs.

Answer 1

Visceral pleura

Question 2

This is the pleura that lines the thoracic wall.

Answer 2

Parietal pleura

Question 3

What is the superior boundaries of the thoracic inlet?

Answer 3

T1, rib 1, and sternum/manibrium

Question 4

What are the inferior boundaries of the thoracic cavity?

Answer 4

T12, rib 12, costal margin, and xiphoid process

Question 5

What are the 3 sites of articulation for typical thoracic vertebrae?

Answer 5

1. Superior costal facet (own rib)
2. Inferior costal facet (rib below)
3. Transverse facet (tubercle of own rib)

Question 6

Which ribs are true ribs?

Answer 6

1-7

what is truth? truth is subjective. to me, all ribs are a lie.

Question 7

Which ribs articulate with the costal cartilages of ribs above them?

Answer 7

8-10

Question 8

These are the ribs that demonstrate pump-handle motion only.

Answer 8

2-5

Question 9

These are the ribs that demonstrate bucket-handle motion only.

Answer 9

6-10

Question 10

Which rib has both pump and bucket handle motion?

Answer 10

1

Question 11

Which motion do ribs 11 and 12 exert?

Answer 11

caliper

Question 12

This is the deformity when you have a depression in the chest and u can have exercise intolerance, dyspnea, and chest pain.

Answer 12

Pectus excavatum

Question 13

This is the deformity when u have an anterior protrusion of the sternum (pigeon chest) and can be assocaited with dyspnea, freuqent resp tract infections, and is common with scoliosis.

Answer 13

Pectus carinatum

Question 14

Which rib comes and meets at the sternal angle?

Answer 14

Rib 2

Question 15

The sternal angle is an important landmark for what 3 things?

Answer 15

The sup border of the mediastinum
The arch of the aorta
THe bifurcation of the trachea

Question 16

Thoracic outlet syndrome from a cervical rib or elevated 1st rib (YEAH OPP WHAT THE F IS UP) can cause compression of what structure, leading to parethesias and/or weakness in the arm?

Answer 16

Brachial plexus

Question 17

Which part of respiration do the external intercostals aid?

Answer 17

Inspiration

Question 18

Which part of respiration do the internal intercostals aid?

Answer 18

Expiration

Question 19

Which inercostals is deeper to the internal intercostals and also aid in expiration?

Answer 19

Innermost intercostals

Question 20

This is the muscle on the underside of the rib cage, radiating down the sternum outward like a sun towards the ribs and the action is to depress costal cartilages.

Answer 20

Transversus thoracis muscle

Question 21

What are the 4 components to the CAGE questionnaire for alcoholism?

Answer 21

Gone in 60 seconds

Question 22

Which order is the artery, vein, and nerve situated with the rib?

Answer 22

deepest is vein –> artery –> nerve

VAN

Question 23

Do the intercostal VAN sit above or below the rib?

Answer 23

Below

Question 24

So if you’re throwin in a chest tube or doing a thoracentesis, do you put the needle on top or right below the rib to jam into the chest?

Answer 24

on top. if you put it below you can F up the nerve.

Question 25

The subclavians give rise to the internal thoracic arteries, which have which branches to supply the chest wall?

Answer 25

Anterior intercostal arteries

Question 26

The internal thoracic arteries eventually become which arteries that go to your abdominals?

Answer 26

Superior epigastric and musculophrenic arteries

Question 27

All posterior intercostal aa. (Except the 1st 2) come from which big artery?

Answer 27

Aorta

Question 28

So where do the 1st 2 posterior intercostal arteries come from?

Answer 28

Supreme intercostal a.

Question 29

Which vein drains the anterior intercostals?

Answer 29

Internal thoracic v.

Question 30

Which v. drains the majority of posterior intercostals on the R side?

Answer 30

Azygous v.

Question 31

Which v. drains the posterior intercostals 3-6 on the L side?

Answer 31

Acessory hemiazygous v.

Question 32

So which v. drains the inferior posterior intercostals on the L side?

Answer 32

Hemiazygous v.

Question 33

Which v. drians the top few posterior intercostals?

Answer 33

Superior intercostal v.

Question 34

Which lymph nodes drain the anterior chest wall?

Answer 34

Parasternal nodes

Question 35

Which lymph nodes drain the posterior chest wall?

Answer 35

Intercostal nodes

Question 36

What are the 2 branches from the intercostal nn. to supply the intercostals?

Answer 36

Lateral and anterior cutaneous branches

Question 37

Which ligament of the diaphragm allows the aorta to pass through it?

Answer 37

Median arcuate lig

Question 38

Which 2 arteries supply the diaphragm?

Answer 38

superior and inferior phrenic aa.

Question 39

Which nerve provides the motor innervation to the diaphragm?

Answer 39

phrenic (C3-5)

Question 40

Which nerve provides the sensory innervation to the diaphragm?

Answer 40

Phrenic and intercostals

Question 41

Give me the spinal levels for the passing of the Aorta/thoracic duct, IVC and Esophagus/X.

Answer 41

T8- IVC T10- Esophagus T12- Aorta "I 8 10 Eggs At 12"

Question 42

Which artery supplies the lungs with blood?

Answer 42

Bronchial a.

Question 43

Which nerve innervates the parietal pleura?

Answer 43

Intercostal nn.

Question 44

Which nerve innervates the visceral pleura?

Answer 44

Nothing. ah HA!

Question 45

This is an accumulation of fluid in the pleural sac.

Answer 45

Pleural effusion

Question 46

This is an accumulation of air in the pleural sac.

Answer 46

Pneumothorax

Question 47

What are the Sy/Sx of a pneumohtorax?

Answer 47

acute chest pain, SOB, ↓ breath sounds, CXR shows shift of lung.

Question 48

This is an accumulation of blood in the pleural sac.

Answer 48

Hemothorax

Question 49

This is an accumulation of lymph in the pleural sac.

Answer 49

Chylothorax

Question 50

This is an accumulation of pus in the pleural sac.

Answer 50

Pyopneumothorax (with air) | Empyema (w/o air)

Question 51

This is an inflammation of the pleura.

Answer 51

Pleurisy

Question 52

What are the rib levels of the oblique fissures?

Answer 52

ribs 4-6

Question 53

What are the rib levels of the horizontal fissure?

Answer 53

4th rib

Question 54

What is the inferior limit of the VISCERAL pleura at the scapular, midaxillary, and midclavicular lines?

Answer 54

scap- 10 MA- 8 MC- 6

Question 55

What is the inferior limit of the PARIETAL pleura at the scapular, midaxillary, and midclavicular lines?

Answer 55

scap- 12 MA- 10 MC- 8

Question 56

So where is the most common location for a thoracocentesis?

Answer 56

in the 8th or 9th intercostal space midaxillary

Question 57

Where is the most common place for a chest tube?

Answer 57

5th or 6th intercostal space

Question 58

Which lymph nodes drain the R lung?

Answer 58

tracheobronchial nodes --> R paratracial

Question 59

Which lymph nodes drain the superior lobe of the L lung?

Answer 59

superior tracheobroncial nodes --> L paratracheal

Question 60

Which lymph nodes drain the inferior lobe of the L lung?

Answer 60

inferior tracheobronchial nodes --> R paratracheal

Question 61

Swallowing a marble is most likely to enter which main stem bronchus?

Answer 61

R

Question 62

This is the condition where there is a collapse of the lung or lobe from blockage of the airway.

Answer 62

Atelectasis

Question 63

A Pancost tumor in the lung apex can affect the lower brachial plexus and cervical sympathetic chain, leading to what 2 conditions?

Answer 63

1. Being in an inferior DSP group | 2. Horner syndrome

Question 64

This is the blockage of a branch of the pulmonary a with a blood clot, fat droplet, or air bubble.

Answer 64

Pulmonary embolism