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?

A

T5-T12

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.

A

YEP!

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?

A

T9

25
Q

WHERE IS THE COSTOMEDIASTINAL RECESS?

A

ANTERIOR/MEDIAL COSTAL BORDER

26
Q

THINGS IN THE MIDDLE MEDIASTINUM

A

HEART
PERICARDIAL SAC
ROOTS OF GREAT VESSELS: ASCENDING AORTA, PULMONARY TRUNK, SVC

27
Q

TWO PARTS OF PERICARDIAL SAC SUPPLIED BY PHRENIC NERVE

A

FIBROUS AND PARIETAL LAYER OF SEROUS PERICARDIUM

28
Q

BLOOD VESSELS ON THE PERICARDIAL SAC SUPPLY WHICH LAYERS OF THE SAC?

A

PARIETAL AND VISCERAL LAYERS OF THE VISCERAL (SEROUS) PERICARDIUM

29
Q

LIGAMENTUM ARTERIOSUM, LEFT RECURRENT LARYNGEAL, AND ARCH OF THE AORTA ARE ALL AT ABOUT WHAT VERTEBRAL LEVEL?

A

T4 ISH

30
Q

HEART BASE IS PREDOMINATELY (BLANK)

A

LEFT ATRIUM

31
Q

THREE THINGS THAT DRAIN INTO THE RIGHT ATRIUM

A
  1. IVC
  2. SVC
  3. CORONARY SINUS
32
Q

WHICH ATRIUM HAS THE CRISTA TERMINALIS?

A

RIGHT SIDE!

33
Q

WHAT’S THE CONUS ARTERIOSUS? WHAT IS ITS EQUIVALENT ON THE OPPOSITE SIDE?

A

SMOOTH AREA IN THE RIGHT VENTRICLE THAT LEADS TO THE PULMONARY TRUNK; AORTIC VESTIBULE IN LEFT VENTRICLE

34
Q

WHICH VENTRICLE IS THICKER?

A

LEFT

35
Q

WHAT IS THE SINUS VENARUM?

A

SMOOTH PORTION OF THE RIGHT ATRIUM WHERE THE SVC, IVC ENTER

36
Q

IN THE AORTIC VALVE, HOLES ON EACH SIDE ARE CALLED (BLANK)

A

OSTEA OF CORONARY ARTERIES

37
Q

NERVES TO THE HEART ARE PRE OR POST GANGLIONIC?

A

POST, BECAUSE IT IS ABOVE THE DIAPHRAGM

38
Q

EFFERENT NERVES TO THE HEART COME FROM THREE SOURCES

A
  1. VAGUS
  2. OFF OF THE CHAIN AT T1-4
  3. FROM CERVICAL CHAIN GANGLION