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Respiratory > Norm fxn- Anatomy > Flashcards

Norm fxn- Anatomy Flashcards

1
Q

This is the pleura that lines the lungs.

A

Visceral pleura

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2
Q

This is the pleura that lines the thoracic wall.

A

Parietal pleura

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3
Q

What is the superior boundaries of the thoracic inlet?

A

T1, rib 1, and sternum/manibrium

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4
Q

What are the inferior boundaries of the thoracic cavity?

A

T12, rib 12, costal margin, and xiphoid process

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5
Q

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

A
  1. Superior costal facet (own rib)
  2. Inferior costal facet (rib below)
  3. Transverse facet (tubercle of own rib)
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6
Q

Which ribs are true ribs?

A

1-7

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

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7
Q

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

A

8-10

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8
Q

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

A

2-5

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9
Q

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

A

6-10

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10
Q

Which rib has both pump and bucket handle motion?

A

1

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11
Q

Which motion do ribs 11 and 12 exert?

A

caliper

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12
Q

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

A

Pectus excavatum

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13
Q

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.

A

Pectus carinatum

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14
Q

Which rib comes and meets at the sternal angle?

A

Rib 2

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15
Q

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

A

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

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16
Q

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?

A

Brachial plexus

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17
Q

Which part of respiration do the external intercostals aid?

A

Inspiration

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18
Q

Which part of respiration do the internal intercostals aid?

A

Expiration

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19
Q

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

A

Innermost intercostals

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20
Q

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.

A

Transversus thoracis muscle

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21
Q

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

A

Gone in 60 seconds

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22
Q

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

A

deepest is vein –> artery –> nerve

VAN

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23
Q

Do the intercostal VAN sit above or below the rib?

A

Below

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24
Q

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?

A

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

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25
Q

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

A

Anterior intercostal arteries

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26
Q

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

A

Superior epigastric and musculophrenic arteries

27
Q

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

A

Aorta

28
Q

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

A

Supreme intercostal a.

29
Q

Which vein drains the anterior intercostals?

A

Internal thoracic v.

30
Q

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

A

Azygous v.

31
Q

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

A

Acessory hemiazygous v.

32
Q

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

A

Hemiazygous v.

33
Q

Which v. drians the top few posterior intercostals?

A

Superior intercostal v.

34
Q

Which lymph nodes drain the anterior chest wall?

A

Parasternal nodes

35
Q

Which lymph nodes drain the posterior chest wall?

A

Intercostal nodes

36
Q

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

A

Lateral and anterior cutaneous branches

37
Q

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

A

Median arcuate lig

38
Q

Which 2 arteries supply the diaphragm?

A

superior and inferior phrenic aa.

39
Q

Which nerve provides the motor innervation to the diaphragm?

A

phrenic (C3-5)

40
Q

Which nerve provides the sensory innervation to the diaphragm?

A

Phrenic and intercostals

41
Q

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

A

T8- IVC
T10- Esophagus
T12- Aorta

“I 8 10 Eggs At 12”

42
Q

Which artery supplies the lungs with blood?

A

Bronchial a.

43
Q

Which nerve innervates the parietal pleura?

A

Intercostal nn.

44
Q

Which nerve innervates the visceral pleura?

A

Nothing. ah HA!

45
Q

This is an accumulation of fluid in the pleural sac.

A

Pleural effusion

46
Q

This is an accumulation of air in the pleural sac.

A

Pneumothorax

47
Q

What are the Sy/Sx of a pneumohtorax?

A

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

48
Q

This is an accumulation of blood in the pleural sac.

A

Hemothorax

49
Q

This is an accumulation of lymph in the pleural sac.

A

Chylothorax

50
Q

This is an accumulation of pus in the pleural sac.

A

Pyopneumothorax (with air)

Empyema (w/o air)

51
Q

This is an inflammation of the pleura.

A

Pleurisy

52
Q

What are the rib levels of the oblique fissures?

A

ribs 4-6

53
Q

What are the rib levels of the horizontal fissure?

A

4th rib

54
Q

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

A

scap- 10
MA- 8
MC- 6

55
Q

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

A

scap- 12
MA- 10
MC- 8

56
Q

So where is the most common location for a thoracocentesis?

A

in the 8th or 9th intercostal space midaxillary

57
Q

Where is the most common place for a chest tube?

A

5th or 6th intercostal space

58
Q

Which lymph nodes drain the R lung?

A

tracheobronchial nodes –> R paratracial

59
Q

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

A

superior tracheobroncial nodes –> L paratracheal

60
Q

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

A

inferior tracheobronchial nodes –> R paratracheal

61
Q

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

A

R

62
Q

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

A

Atelectasis

63
Q

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

A
  1. Being in an inferior DSP group

2. Horner syndrome

64
Q

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

A

Pulmonary embolism

Respiratory (9 decks)

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