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
Q

superficial on right side, deep cardiac plexus is on:

A

the bifurcation of the trachea

26
Q

posterior mediastinum includes:

A

azygos veins, thoracic aorta (descending), thoracic duct, esophagus, sympathetic chain

27
Q

thoracic sympathetic chain is:

A

paravertebral ganglia, communicating branches with spinal nerves,

28
Q

there is a ganglion associated with each;

A

cranial nerve

29
Q

the communication between ganglion and cranial nerve is known as

A

rami communicantes

30
Q

azygos system; main system is on the:

A

right side

31
Q

azygos veins loop around and drain into the:

A

svc

32
Q

on the left side, there is a similar system:

A

5-8 join and form the accessory hemiazygos,

33
Q

the accessory hemiazygos drains:

A

4,6,7,8,9,10,11

34
Q

first four intercostals drain into:

A

into left brachiocephalic or an alternate location

35
Q

there is a system of veins around the ____ that communicate and run all the way up to the ____

A

vertebral column, skull

36
Q

the plexus around the vertebrate can allow:

A

blood, pathogens, etc can move up plexus to the skull (breast cancer) via azygos

37
Q

azygos vein plexus allow for ____ to move to brain, etc

A

cancer

38
Q

post mediastinum has lymphatic system called:

A

thoracic duct

39
Q

thoracic duct collects all lymph from legs, lower abdominal column called:

A

cersternic chilai sac behind beginning of diaphram

40
Q

thoracic duct ascends ______ the esophogus, ____ of azygos vein, and ____ of descending aorta

A

behind, left of azygos, right of descending aorta

41
Q

the thoracic duct then _____ l brachiocephalic, ____ jugular vein, and into venus angle

A

behind, behind

42
Q

collect lymph from ____ of thoracic wall, part of left lung, gi tract

A

left side, most all of lymph on left side and below neck

43
Q

for thorax on right there are _____

A

bronchomediastinal ducts that drain to right lymphatic duct at right venous angle (otherwise thoracic collects everything below neck)

44
Q

esophogus is ____ to trachea, and

A

posterior

45
Q

runs to the ____ of the descending aorta, to the ____ of the azygos, and through the _____ of the diaphram at ____

A

right, left, hiatus of diaphram 10th thoracic vertabrae

46
Q

runs to the ____ of the descending aorta, to the ____ of the azygos, and through the _____ of the diaphram at ____

A

right, left, hiatus of diaphram 10th thoracic vertabrae

47
Q

______ atrium is ____ to the esophagus

A

left anterior

48
Q

blood supply of esophogus is:

A

1st couple intercostal vessels, then plexus,

49
Q

venus drainage of esophogus is:

A

back into azygus system

50
Q

vegus runs ____ to the lung and then, at the base of the esophogus, the left goes _____, the right goes______

A

posterior to the root of the lung, anterior, posterior and form vegal trunks

51
Q

greater splanchinic nerve:

A

preganglionic, lateral horn cell, motor, white communicating ramus, doesn’t communicate

52
Q

doesnt carry post ganglionic, synapse in abdomen at preganglionic synapses (celiac) on thorax

A

prevertebral on

53
Q

lesser from lateral horn cells :

A

T10. T11

54
Q

least splanchnc:

A

T12

55
Q

splanchnic nerves

A

visceral sensory fibers coming back, following dorsal root, synapse in dorsal horn (pain fibers)

56
Q

cardiac nerves:

A

some axons come onto chain, ascend to cervical ganglion, synapse, then cardiac nerves descend return back to the neck,

57
Q

visceral branches in the thorax are all:

A

postganglionic, no sympathetic ganglia in walls of those organs

58
Q

these are not communications to spinal nerves:

A

they go out to the wall, limbs, etc, from their roots, and they are branches of chain that distribute within the body cavities