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Anatomy Module 4 ( Respi ) > Pleura ( Handout ) > Flashcards

Pleura ( Handout ) Flashcards

0
Q

Inner membrane of the lung
A. Parietal
B. Visceral

A

B. Visceral

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1
Q

Outer membrane of the lung
A. Visceral
B. Parietal

A

B. Parietal

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2
Q

Insensitive to pain because it receives no nerves of general sensation

A

Visceral pleura

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3
Q

Visceral pleura receives an autonomic nerve supply from

A

Pulmonary plexus

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4
Q

3 compartments of the thoracic cavity

A

R pulmo cavity
L pulmo cavity
Mediastinum

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5
Q

Closely covers the lungs including the fissures

A

Visceral pleura

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6
Q

Adheres firmly to the lungs and provides the lungs with smooth slippery surface

A

Visceral pleura

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7
Q

Lines the pulmonary cavities

A

Parietal pleura

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8
Q

Pleura that is thicker than the other

A

Parietal thicker than visceral

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9
Q

Continuous with the parietal pleura at the hilum of the lung

A

Visceral pleura

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10
Q

Sensitive to pain, touch, and pressure

A

Parietal pleura

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11
Q

Nerves of the parietal pleura

A

Intercostal nerves

Phrenic nerve

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12
Q

Innervates the costal pleura and the peripheral part of the diaphragmatic pleura

A

Intercostal nerves

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13
Q

Innervates the mediastinal pleura and the central part of the diaphragmatic pleura

A

Phrenic nerve

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14
Q

Parts of the parietal pleura

A

Costal
Mediastinal
Diaphragmatic
Cervical

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15
Q 
Parietal pleura: covers the internal surfaces of the thoracic wall
A. Costal
B. Mediastinal
C. Diaphragmatic
D. Cervical
A

A. Costal

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16
Q

The costal pleura is separated from the internal surfaces of the thoracic wall by?

A

Endothoracic fascia

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17
Q 
Parietal Pleura: covers and forms the lateral boundary of the mediastinum
A. Costal
B. Mediastinal
C. Diaphragmatic
D. Cervical
A

B. Mediastinal

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18
Q 
Parietal Pleura: continuous with the visceral pleura at the hilum of the lung
A. Costal
B. Mediastinal
C. Diaphragmatic
D. Cervical
A

B. Mediastinal

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19
Q 
Parietal Pleura: covers the thoracic surface of the diaphragm
A. Costal
B. Mediastinal
C. Diaphragmatic
D. Cervical
A

C. Diaphragmatic

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20
Q

Connects the diaphragmatic pleura with the muscle fibers of the diaphragm

A

Phrenicopleural fascia

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21
Q 
Parietal Pleura: dome-shaped cap that covers the apex of the lungs
A. Costal
B. Mediastinal
C. Diaphragmatic
D. Cervical
A

D. Cervical

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22
Q

The summit of the cervical pleura is ________ inches superior to the level of medial third of clavicle

A

1-1.5 inches

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23
Q

The cervical pleura is reinforced by

A

Sibson’s fascia or suprapleural membrane

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24
Q

Where the parietal pleura abruptly changes direction

A

Lines of pleural reflection

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25
Q

What are the lines of pleural reflection?

A

Anterior / sternal
Inferior / costal
Posterior / vertebral

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26
Q

Where costal pleura becomes continuous with the mediastinal pleura anteriorly
A. Sternal line
B. Costal line
C. Vertebral line

A

A. Sternal line

27
Q

Where the costal pleura becomes continuous with the diaphragmatic pleura inferiorly
A. Sternal line
B. Costal line
C. Vertebral line

A

B. Costal line

28
Q

Passes obliquely at the 8th rib (MCL), 10th rib (MAL), and 12th rib at its neck
A. Sternal line
B. Costal line
C. Vertebral line

A

B. Costal line

29
Q

Where the costal pleura becomes continuous with the mediastinal pleura posteriorly
A. Sternal line
B. Costal line
C. Vertebral line

A

C. Vertebral line

30
Q

Parallel the vertebral column running in the paravertebral plane from T1 to T12
A. Sternal line
B. Costal line
C. Vertebral line

A

C. Vertebral line

31
Q

Potential spaces of the lungs

A

Costodiaphragmatic recess

Costomediastinal recess

32
Q

Slit-like space between the costal and diaphragmatic pleura
A. Costodiaphragmatic recess
B. Costomediastinal recess

A

A. Costodiaphragmatic recess

33
Q

Located at the most inferior limits of the parietal pleura
A. Costodiaphragmatic recess
B. Costomediastinal recess

A

A. Costodiaphragmatic recess

34
Q

Slit-like spaces between the mediastinal and costal pleura
A. Costodiaphragmatic recess
B. Costomediastinal recess

A

B. Costomediastinal recess

35
Q

Located posterior to the sternum
A. Costodiaphragmatic recess
B. Costomediastinal recess

A

B. Costomediastinal recess

36
Q

What is larger, the left or the right costomediastinal recess?

A

Left recess is larger

37
Q

Potential space between the layers of the pleura

A

Pleural cavity / pleural space

38
Q

Condition that increases the production of fluid or impairs the drainage of fluid

A

Pleural effusion

39
Q

Pleural effusion can be detected clinically when ________ ml of fluid is contained in the costodiaphragmaticnrecess

A

300ml

40
Q

What are the conditions that can increase the production of pleural fluid

A

Inflammation
Malignancy
CHD

41
Q

Condition that impairs drainage of fluid in the pleural cavity

A

Collapsed lung

42
Q

Decreased lung expansion
Decreased breath sounds
Dullness on percussion
- all are clinical signs of what condition?

A

Pleural effusion

43
Q

Condition wherein blood is present in the pleural cavity

A

Hemothorax

44
Q

An injury to intercostal or internal thoracic vessel will result to what condition

A

Hemothorax

45
Q

Entry of air in pleural cavity will result to what condition

A

Pneumothorax

46
Q

A penetrating wound or fractures ribs will result to what condition
A. Hemothorax
B. Pneumothorax

A

B. Pneumothorax

47
Q

Sudden entry of air in pleural cavity due to a ruptured bulla (bleb) will result to what condition

A

Spontaneous pneumothorax

48
Q

What is the clinical condition?
Air + serous fluid

A. Hydropneumothorax
B. Pyopneumothorax
C. Hemopneumothorax
D. Empyema

A

A. Hydropneumothorax

49
Q

What is the clinical condition?
Air + pus

A. Hydropneumothorax
B. Pyopneumothorax
C. Hemopneumothorax
D. Empyema

A

B. Pyopneumothorax

50
Q

What is the clinical condition?
Air + blood

A. Hydropneumothorax
B. Pyopneumothorax
C. Hemopneumothorax
D. Empyema

A

C. Hemopneumothorax

51
Q

What is the clinical condition?
Pus - air (without air)

A. Hydropneumothorax
B. Pyopneumothorax
C. Hemopneumothorax
D. Empyema

A

D. Empyema

52
Q

When a lung collapses, the pleural cavity becomes a real space. This condition is called

A

Atelectasis

53
Q

Amount of ______ and ______ determines the extent of pulmonary collapse

A

Blood and air

54
Q

Atelectasis: failure of a lung to inflate birth

A. Primary
B. Secondary

A

A. Primary

55
Q

Atelectasis: collapse of a previously inflated lung

A. Primary
B. Secondary

A

B. Secondary

56
Q

Vulnerable to injury during infancy and childhood

A

Cervical pleura

57
Q

Inflammation of pleura secondary to inflammation of lung

A

Pleuritis

58
Q

S/s: (+) pleural rub

sharp stabbing pain

A

Pleuritis

59
Q

Common causes of pleuritis

A

TB
Pneumonia
Lung abscess

60
Q

Presence of white tumor nodules due to exposure to asbestos that may arise from either the visceral or parietal pleura

A

Mesothelioma

61
Q

S/s: (+) pleural rub
Chest pain
Dyspnea
Pleural effusion

Gross: (+) pleural adhesion

A

Mesothelioma

62
Q

In performing thoracentesis in an upright position, the needle is inserted where?

A

9th ICS MAL

63
Q

Diagnostic an therapeutic procedure wherein small incision is made into the pleural cavity

A

Thoracoscopy

64
Q

Where do you insert a chest tube?

A

5th - 6th ICS in MAL

65
Q

Insertion of chest tube is directed towards what pleura? Or to what recess?

A

Cervical pleura

Costodiaphragmatic recess

Anatomy Module 4 ( Respi ) (7 decks)

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