Superior of Posterior Mediastinum Flashcards

1
Q

Sup/Infer Mediastinum is divided by

A

sternal angle (angle of louis)

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2
Q

sternal angle is at the level of:

A

t4/t5

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3
Q

Inferior is divided into

A

ant/med/post

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4
Q

directly behind sternum would be:

A

thymus fat

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5
Q

ant to post behind sternum

A

left brachiocephalic

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6
Q

left brachiocephalic passes over:

A

3 branches off aorta trunk

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7
Q

3 main branches of aorta move:

A

ant to post

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8
Q

Ant to Post the main structures are :

A

TBSATE (tenor bass, sop alto, teach everyone)

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9
Q

Left Vagus nerve is grouped in next to:

A

Left Common Corotid (post of phrenic, ant of left recurrent laryngeal)

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10
Q

Left phrenic is grouped in next to:

A

left brachiocephalic (most ant nerve) ph in phrenic and phalic same goes for right side, btw

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11
Q

upper part of the esophagus is:

A

skeletal muscle

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12
Q

lower esophagus is:

A

both skeletal and smooth

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13
Q

post ganglion in esophagus is:

A

in the wall of the organ

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14
Q

mucosa is made of :

A

stratified squamous (non keratonized)

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15
Q

lymph drains from bronchi to

A

nodes located in the hilum

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16
Q

there are also lymph nodes in the

A

biforcation of the bronchi

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17
Q

phrenic nerve innervates the:

A

diaphram

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18
Q

the diaphram is

A

skeletal muscle under somatic motor control

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19
Q

there is an area in the brain that unconsciously fires the diaphram, but it is;

A

under somatic control

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20
Q

the vegus nerve on the left descends _____to the aorta, and _______ to the subcalavian on the right;

A

arch of the aorta, anterior to the subcalavian

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21
Q

descending vegus: a component loops under and back up to the neck, called:

A

recurrent laryngeal: major motor nerve to the muscles of the larynx (

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22
Q

after the recurrent laryngeal splits, the rest of the vegus continues down carrying:

A

preganglionic, parasympathetic fibers, some visceral afferent information (not pain, just sensory info about pressure, etc)

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23
Q

the vegus descends:

A

posterior to the root of the lung

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24
Q

there are several cardiac nerves in the mediastinum that act to regulate the heart: branches from the vegus are:

A

sympathetic (postganglionic) increase output: preganglianic parasympathetic form a plexus called cardiac plexus (over arch of aorta

25
superficial on right side, deep cardiac plexus is on:
the bifurcation of the trachea
26
posterior mediastinum includes:
azygos veins, thoracic aorta (descending), thoracic duct, esophagus, sympathetic chain
27
thoracic sympathetic chain is:
paravertebral ganglia, communicating branches with spinal nerves,
28
there is a ganglion associated with each;
cranial nerve
29
the communication between ganglion and cranial nerve is known as
rami communicantes
30
azygos system; main system is on the:
right side
31
azygos veins loop around and drain into the:
svc
32
on the left side, there is a similar system:
5-8 join and form the accessory hemiazygos,
33
the accessory hemiazygos drains:
4,6,7,8,9,10,11
34
first four intercostals drain into:
into left brachiocephalic or an alternate location
35
there is a system of veins around the ____ that communicate and run all the way up to the ____
vertebral column, skull
36
the plexus around the vertebrate can allow:
blood, pathogens, etc can move up plexus to the skull (breast cancer) via azygos
37
azygos vein plexus allow for ____ to move to brain, etc
cancer
38
post mediastinum has lymphatic system called:
thoracic duct
39
thoracic duct collects all lymph from legs, lower abdominal column called:
cersternic chilai sac behind beginning of diaphram
40
thoracic duct ascends ______ the esophogus, ____ of azygos vein, and ____ of descending aorta
behind, left of azygos, right of descending aorta
41
the thoracic duct then _____ l brachiocephalic, ____ jugular vein, and into venus angle
behind, behind
42
collect lymph from ____ of thoracic wall, part of left lung, gi tract
left side, most all of lymph on left side and below neck
43
for thorax on right there are _____
bronchomediastinal ducts that drain to right lymphatic duct at right venous angle (otherwise thoracic collects everything below neck)
44
esophogus is ____ to trachea, and
posterior
45
runs to the ____ of the descending aorta, to the ____ of the azygos, and through the _____ of the diaphram at ____
right, left, hiatus of diaphram 10th thoracic vertabrae
46
runs to the ____ of the descending aorta, to the ____ of the azygos, and through the _____ of the diaphram at ____
right, left, hiatus of diaphram 10th thoracic vertabrae
47
______ atrium is ____ to the esophagus
left anterior
48
blood supply of esophogus is:
1st couple intercostal vessels, then plexus,
49
venus drainage of esophogus is:
back into azygus system
50
vegus runs ____ to the lung and then, at the base of the esophogus, the left goes _____, the right goes______
posterior to the root of the lung, anterior, posterior and form vegal trunks
51
greater splanchinic nerve:
preganglionic, lateral horn cell, motor, white communicating ramus, doesn't communicate
52
doesnt carry post ganglionic, synapse in abdomen at preganglionic synapses (celiac) on thorax
prevertebral on
53
lesser from lateral horn cells :
T10. T11
54
least splanchnc:
T12
55
splanchnic nerves
visceral sensory fibers coming back, following dorsal root, synapse in dorsal horn (pain fibers)
56
cardiac nerves:
some axons come onto chain, ascend to cervical ganglion, synapse, then cardiac nerves descend return back to the neck,
57
visceral branches in the thorax are all:
postganglionic, no sympathetic ganglia in walls of those organs
58
these are not communications to spinal nerves:
they go out to the wall, limbs, etc, from their roots, and they are branches of chain that distribute within the body cavities