Supplemental anatomy of the lung Flashcards

1
Q

WHAT KIND OF NERVE IS THE PHRENIC?

WHY DOES IT HAVE SYMPATHETICS?

A

THE PHRENIC NERVE IS A SPINAL NERVE.

IT INNERVATES THE DIAPHRAGM.

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2
Q

AT WHAT RIB WOULD YOU FIND THE OBLIQUE FISSURE ANTERIORLY?

A

ABOUT THE 5TH INTERCOSTAL SPACE

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3
Q

AT WHAT RIB WOULD YOU FIND THE OBLIQUE FISSURE POSTERIORLY?

A

4TH RIB ON THE LEFT; 6TH RIB ON THE RIGHT

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4
Q

AT WHAT RIB WOULD YOU FIND THE HORIZONTAL FISSURE?

A

5TH RIB

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5
Q

ON THE RIGHT SIDE, WHERE DO THE BRONCHIAL VEINS EMPTY?

ON THE LEFT SIDE?

A

DIRECTLY TO AZYGOS ON RIGHT; TO INTERCOSTAL VEIN ON LEFT

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6
Q

ARE ARTERIES TO EACH TERTIARY BRONCHUS CONSIDERED INTER OR INTRASEGMENTAL?

A

INTRASEGMENTAL

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7
Q

THE MIDDLE LOBAR BRONCHUS COMES OFF OF THE ____________

A

RIGHT INFERIOR LOBAR BRONCHUS

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8
Q

LEFT VAGUS NERVE GIVES OFF TWO IMPORTANT THINGS ON ITS WAY TO THE ESOPHAGUS.

A
  1. CERVICAL CARDIAC VAGAL BRANCHES

2. THORACIC CARDIAC VAGAL BRANCHES

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9
Q

SOME NERVES CONTRIBUTING TO THE ESOPHAGEAL PLEXUS COME STRAIGHT OFF OF THE CERVICAL CHAIN GANGLION.

A

CERVICAL SYMPATHETIC CARDIAC BRANCHES

THORACIC SYMPATHETIC CARDIAC BRANCHES

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10
Q

HOW MANY BRONCHIAL ARTERIES ARE THERE ON THE RIGHT? ON THE LEFT?

A

1 ON THE RIGHT; 2 ON THE LEFT

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11
Q

WHAT DO BRONCHIAL ARTERIES SUPPLY? WHY ARE THEY NECESSARY?

A

BRONCHIAL ARTERIES SUPPLY STRUCTURES COMPRISING THE ROOT OF THE LUNG AND SUPPORTING TISSUES. THEY ARE NECESSARY, BECAUSE THE PULMONARY ARTERIES PROVIDE POORLY OXYGENATED BLOOD.

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12
Q

TWO VISCERAL BRANCHES COMING OFF OF THE AORTA

A

BRONCHIAL ARTERIES

ESOPHAGEAL ARTERIES

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13
Q

ONE PARIETAL BRANCH COMING OFF OF THE AORTA

A

INTERCOSTAL ARTERIES

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14
Q

WHAT INITIALLY DRAINS INTO THE HILAR (BRONCHOPULMONARY NODES)?

A

SUBPLEURAL LYMPH PLEXUS

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15
Q

WHICH DUCT DRAINS THE ENTIRE BODY EXCEPT FOR THE UPPER RIGHT QUADRANT?

A

THORACIC DUCT

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16
Q

WHAT VERTEBRAL LEVELS COMPRISE THE POSTERIOR MEDIASTINUM?

17
Q

(BLANK) VAGUS CONTRIBUTES TO THE (BLANK) ESOPHAGEAL PLEXUS.

A

LEFT, ANTERIOR; RIGHT, POSTERIOR

18
Q

WHAT ELSE CONTRIBUTES TO THE ESOPHAGEAL PLEXUS?

A

SYMPATHETICS FROM THORACIC SPLANCHNICS

19
Q

FUN FACT: THE RIGHT BRONCHIAL ARTERY BRANCHES OFF OF A PARIETAL BRANCH OF THE AORTA! BUT, IT’S CONSIDERED VISCERAL.

20
Q

THREE THINGS THAT THE AZYGOS DRAINS?

A

BRONCHIAL VEINS
ESOPHAGUS
INTERCOSTAL VEINS

21
Q

HOW DOES THE AZYGOS COMMUNICATE WITH THE ABDOMINAL CAVITY?

A

THROUGH A DIRECT CONNECTION TO THE ASCENDING LUMBAR VEINS

22
Q

HOW DOES THE AZYGOS COMMUNICATE WITH THE PORTAL SYSTEM? WHAT DISEASE SHOULD BE KEPT IN MIND CONCERNING THIS?

A

THROUGH AN INDIRECT CONNECTION TO THE ESOPHAGEAL VENOUS PLEXUS; PORTAL HYPERTENSION

23
Q

WHERE DOES THE THORACIC DUCT BEGIN? WHERE DOES IT DRAIN INTO?

A

BEGINS INFERIOR TO THE DIAPHRAGM

EMPTIES AT JUNCTION OF LEFT SUBCLAVIAN VEIN AND LEFT JUGULAR VEIN

24
Q

WHAT LEVEL IS THE DIAPHRAGMATIC SURFACE OF THE HEART?

25
WHERE IS THE COSTOMEDIASTINAL RECESS?
ANTERIOR/MEDIAL COSTAL BORDER
26
THINGS IN THE MIDDLE MEDIASTINUM
HEART PERICARDIAL SAC ROOTS OF GREAT VESSELS: ASCENDING AORTA, PULMONARY TRUNK, SVC
27
TWO PARTS OF PERICARDIAL SAC SUPPLIED BY PHRENIC NERVE
FIBROUS AND PARIETAL LAYER OF SEROUS PERICARDIUM
28
BLOOD VESSELS ON THE PERICARDIAL SAC SUPPLY WHICH LAYERS OF THE SAC?
PARIETAL AND VISCERAL LAYERS OF THE VISCERAL (SEROUS) PERICARDIUM
29
LIGAMENTUM ARTERIOSUM, LEFT RECURRENT LARYNGEAL, AND ARCH OF THE AORTA ARE ALL AT ABOUT WHAT VERTEBRAL LEVEL?
T4 ISH
30
HEART BASE IS PREDOMINATELY (BLANK)
LEFT ATRIUM
31
THREE THINGS THAT DRAIN INTO THE RIGHT ATRIUM
1. IVC 2. SVC 3. CORONARY SINUS
32
WHICH ATRIUM HAS THE CRISTA TERMINALIS?
RIGHT SIDE!
33
WHAT'S THE CONUS ARTERIOSUS? WHAT IS ITS EQUIVALENT ON THE OPPOSITE SIDE?
SMOOTH AREA IN THE RIGHT VENTRICLE THAT LEADS TO THE PULMONARY TRUNK; AORTIC VESTIBULE IN LEFT VENTRICLE
34
WHICH VENTRICLE IS THICKER?
LEFT
35
WHAT IS THE SINUS VENARUM?
SMOOTH PORTION OF THE RIGHT ATRIUM WHERE THE SVC, IVC ENTER
36
IN THE AORTIC VALVE, HOLES ON EACH SIDE ARE CALLED (BLANK)
OSTEA OF CORONARY ARTERIES
37
NERVES TO THE HEART ARE PRE OR POST GANGLIONIC?
POST, BECAUSE IT IS ABOVE THE DIAPHRAGM
38
EFFERENT NERVES TO THE HEART COME FROM THREE SOURCES
1. VAGUS 2. OFF OF THE CHAIN AT T1-4 3. FROM CERVICAL CHAIN GANGLION