Respiratory System Flashcards

1
Q

what are the two fissures in the lungs

A

oblique and transverse fissures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the path of the oblique fissure

A

goes from the 3rd thoracic spine to the 6th costal cartilage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the path of the transverse fissure

A

follows the 4th rib to meet the oblique fissure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

where do the lungs extend to in the midclavicular line

A

6th rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

where do the lungs extend to in the midaxillary line

A

8th rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

where do the lungs extend to in the mid scapula line

A

10th rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

where does the parietal pleura extend to in the midclavicular line

A

8th rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

where does the parietal pleura extend to in the midaxillary line

A

10th rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where does the parietal pleura extend to in the mid scapular line

A

12th rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

where is the cardiac notch

A

ribs 4-6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

posterior border of each lung extends from where to where

A

C7 to T10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the thoracic

outlet bounded by

A

12th thoracic vertebra
11 and 12 ribs
costal cartilages or ribs 7-10
xiphisternal joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the thoracic inlet bounded by

A

first thoracic vertebrae
first pair of ribs
costal cartilage of the first rib
superior border of the manubrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the shape of the body of the thoracic vertebrae

A

heart shaped and intermediate size

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the spinous process of the thoracic vertebrae like

A

long, slender, sloped downwards and non bifid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what passes through the intervertebral foramen

A

the root of spinal nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are the various parts of the sternum

A

manubrium, body and xiphoid process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what type of joint is at the sternoclavicular joint

A

secondary cartilaginous joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the notch formed at the top of the manubrium

A

jugular notch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

at what vertebral level is the sternomanubrium joint

A

T2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

at what vertebral level is the xiphoid process

A

T10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

where do the ribs articulate with the vertebrae

A

the body of the vertebrae at costovertebral joints and the tubercle of the rib with the transverse process at the costotransverse joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what type of joints are costotransverse and costovertebral joints

A

synovial plane joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what are true ribs

A

costal cartilages attach directly to sternum- ribs 1-7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what are false ribs

A

ribs that attach to the sternum via other cartilages- ribs 8-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

what are floating ribs

A

dont attach to the sternum- ribs 11-12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what structures are found in the costal sulcus/groove

A

vascular bundle- intercostal subclavian vein and artery an intercostal nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what grooves can be found on the first rib

A

anterior groove- subclavian vein

posterior groove- subclavian artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

why is the right dome of the diaphragm higher

A

because of the liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

which costal cartliages is the diaphragm attached to

A

7-12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what are the 4 attachments of the diaphragm

A

lumbar vertebrae and arcuate ligaments, right crus, Left crus, central tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

what spinal level does the right crus arise from

A

L1-3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

what spinal level does the left crus arise from

A

L1-2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

what level is the caval opening at

A

T8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

what level is the oesophageal hiatus at

A

T10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

what level is the aortic hiatus found

A

T12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

what goes through the caval openings

A

inferior vena cava and right phrenic nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

what does the aortic hiatus transmit

A

aorta, azygous, hemizygous vein, thoracic duct

39
Q

what spinal roots does the phrenic nerve originate from

A

C3,4,5

40
Q

what are the 3 intercostal muscles

A

external intercostal muscle, internal and innermost intercostal muscle

41
Q

how are the external intercostal muscles orientated

A

strands of muscle are sloped downwards and into the pockets

42
Q

how are the internal intercostal muscles orientated

A

sloped back upwards and outwards

43
Q

how are the innermost intercostal muscles orientated

A

slope down and are orientated to go around the back (posterior inferior)

44
Q

what is the intercostal membrane

A

the aponeurotic membranes of the external and internal intercostal muscles

45
Q

between which intercostal muscles do we find the neurovascular bundle

A

in the costal groove between the internal and innermost

46
Q

what structures are present in the neurovascular bundle

A

vein, artery , nerve

47
Q

best place to enter a chest drain

A

5th intercostal space in the mid axillary line

48
Q

what level of vertebrae is the diaphragm attached to

A

L1

49
Q

what drains to the thoracic duct

A

Left side of chest wall and body

50
Q

what drains to the right lymphatic duct

A

right upper quadrant- right side of chest wall

51
Q

where do lymphs of the lung drain to

A

bronchopulmonary lymph nodes- then tracheobrachial lymph nodes - thoracic duct

52
Q

where do we find the bronchopulmonary lymph nodes

A

bifurcation of the larger bronchi

53
Q

what are the locations of the major lymph nodes

A

axillary, superficial and deep inguinal, pectoral,tracheobronchial lumbar/pelvic, superficial and deep cervical

54
Q

what type of tissue is breast tissue composed of

A

glandular and adipose

55
Q

where does majority of the lymph from the breast drain to

A

anterior pectoral group of axillary nodes with some draining to the parasternal nodes

56
Q

what is the axillary tail

A

extension of the breast tissue that extends to penetrate the floor of the axilla close to the nodes

57
Q

what is the upper respiratory tract

A

all the organs above the sternal angle/cricoid cartilage

58
Q

what is the lower resp tract

A

all organs including the trachea and below

59
Q

what innervates the lower resp tract

A

sympathetic- from the upper thoracic regions. parasympathetic from vagus nerve

60
Q

what is the conducting zone

A

trachea to terminal bronchi

61
Q

what is the respiratory zone

A

respiratory bronchioles to alveoli

62
Q

between what levels is the larynx found

A

C3-6

63
Q

what forms the laryngeal prominence (Adams apple)

A

thyroid cartilage

64
Q

level of the start of the trachea

A

C6

65
Q

at what spinal level does the trachea bifuricate

A

T4

66
Q

what muscle is found in the trachea

A

trachealus muscle

67
Q

what does the trachealus muscle do

A

connects all the cartilage rings at the back

68
Q

what is the carina

A

a keel shaped cartilage ring found at the bifurcation

69
Q

what are the tracheooesophageal grooves

A

grooves that lie between the trachea and oesophagus here the recurrent laryngeal nerve is found

70
Q

which bronchi is more likely to get blocked, why

A

left because the right is shorter wider and more vertical

71
Q

what epithelial cells make up the bronchi

A

pseudostratified columnar epithelial

72
Q

what is the name of the branches of the right main bronchus

A

superior lobar bronchus and the main bronchus continues as the hyper arterial bronchus

73
Q

how does the histology change throughout the length of the bronchi

A

They gradually loose their cartilage and glands and increase in smooth muscle and elastic fibre content

74
Q

how many bronchopulmonary segments are there in the right and left

A

right-10 left 8/9

75
Q

why is it good that there are bronchopulmonary segments in the lungs

A

each segment has its own blood and air supply so you can remove a segment without affecting any neighbours

76
Q

what substance helps make surfactant

A

Clara or club cells

77
Q

how many lobes does the right lung have

A

3- superior middle inferior

78
Q

how many lobes does the left lung have

A

2- superior and inferior

79
Q

what do the fissures do

A

separate the lobes of the lungs

80
Q

what is the lingula

A

a little lobe just below the cardiac notch

81
Q

what are the 3 surfaces of the lung

A

costal, mediastinal and diaphragmatic

82
Q

what is the apex

A

the point of the lung

83
Q

where does the apex extend to

A

above the first rib but it is protected by the clavicle

84
Q

what membrane covers the apex of the lung

A

supra pleural membrane

85
Q

what is the hilum of the lung

A

place where all the vessels and structures ie bronchi pass through
(vein, bronchus, artery, lymphs and nerves )

86
Q

what are the specific positions of the bronchi, veins and arteries in the hilum

A

bronchi- posterior
pulmonary vein- anterior and inferior
pulmonary artery- superior

87
Q

what is the role of the pleura

A

to maintain the air pressure and cause frictionless movement

88
Q

what nerves supply the parietal pleura

A

somatic nerves- intercostal and phrenic (supplies the mediastinal and diaphragmatic parietal pleura

89
Q

what nerves supply the visceral pleura

A

T2-5

90
Q

what is a pleural reflection

A

place at which the parietal pleura changes its direction of travel

91
Q

what is a pleural recess

A

increased space between the layers of pleura occurring at the pleural reflections

92
Q

what are the two pleural recesses

A

costomediastinal recess- found between the lungs and the middle
costodiaphragmatic recess- costophrenic angle between the diaphragm and the lungs

93
Q

what is the clinical relevance of recesses

A

can sometimes be the best areas to draw fluid from when you need to penetrate the lungs