respiratory anatomy Flashcards

1
Q

bones forming the boundary of the thoracic inlet

A

T1 vertebrae, manubrium, first rib

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2
Q

what structure closes off the thoracic outlet

A

diaphragm

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3
Q

bones froming the boundaries of the thoracic outlet

A

T12 vertebrae, tip of rib 12, tip of rib 11, costal margin (ribs 7-10), xiphoid process of the sternum

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4
Q

what kind of joint is found between the sternum and the manubrum

A

symphysis

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5
Q

which costal cartilage articulates with the jolt between the manubrium and the body of the sternum

A

cartilage of rib 2

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6
Q

how do the ribs articulate with the costal cartilages

A

cartilagenous immovable joints - synchrondosis

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7
Q

how do the costal cartilages articulate with the sternum

A

synovial joints

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8
Q

costotranverse joints for true and false ribs

A

true ribs have sup shapes joints to allow rib to pivot, false ribs have flat which only allow angled movement

true ribs have bucket handle movement, false ribs have caliper movement

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9
Q

where do the lungs and pleural space reach in the midaxillary line

A

pleural recess reaches rib 10, lung reaches rib 8

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10
Q

Where do the lungs and pleural space reach posteriorly

A

pleural space reaches rib 12, lung reaches rib 10

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11
Q

where do the crura attach to the vertebral column

A

left - L1-2

right - L2-3

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12
Q

what tranverses the diaphragm behind these crura

A

descending aorta

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13
Q

which structure pierces the middle of the diaphragm

A

oesophagus

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14
Q

why its the oesophagus passing through the diaphragmatic muscle advantageous

A

contraction of diaphragm increases abdominal pressure, would force food up from the stomach
oesophagus is constricted with each diaphragmatic contraction which prevents this

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15
Q

where does the IVC pass through the diaphragm

A

through the central tendon at T8

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16
Q

what structures run mediately below each rib

A

intercostal vein
intercostal artery
intercostal nerve

17
Q

with which layer of intercostal muscles is the transverses thoracis muscle continuous

A

innermost intercostals

18
Q

what happens if the plueroperitoneal canals done close properly

A

diaphragmatic hernia is formed, which can allow the large intestine/stomach to herniate into the thorax

19
Q

pec major

A

expands rib cage anteriorly which arms are fixed in obstructive or athletic response

20
Q

pectorals minor

A

elevates ribcage when arms are fixed

only in obstructive or athletic responses

21
Q

serratus anterior

A

obstructive or athletic response only

if scapula is fixed, expands ribcage

22
Q

serratus posterior superior

A

deep inspiration, elevates ribs 2-5

23
Q

serratus posterior inferior

A

deep breathing, depresses lower ribs

24
Q

quadratus lumborum

A

deep breathing, depresses lower ribs

25
Q

scalenes

A

active in all breathing, elevates rib cage

26
Q

rectus abdominus

A

forced exhalation

27
Q

oblique abdominals

A

forced exhalation

28
Q

parasympathetic innervation of the lungs

A

vagus, pulmonary plexuses

bronchoconstriction, vasodilation and visceromotor to glands

29
Q

sympathetic innervation of the lungs

A

sympathetic gangly of T1-5 (plus cervcal ganglion)

vasoconstriction

30
Q

general visceral afferents

A

vagus/pulmonary plexuses

touch, stretch, (nocioception for trachea and bronchi)

31
Q

how does the costal parietal pleura feel pain

A

somatic pan sensed va intercostal Nevers of corresponding dermatome, local pain

32
Q

how does the diaphragmatic parietal pleura feel pain

A

dull referred pain, phrenic nerves referred to C345 dermatomes, shoulder

33
Q

how does the mediastinal parietal pleura feel pain

A

same as diaphragmatic

34
Q

which type of innervation does the costal parietal pleura lack

A

parasympathetic, because the structures derived from the somatopleure do not carry these fibres