Surface Anatomy

Question 1

Suprasternal notch … where is it and what is another name for it?

Answer 1

Jugular notch

Superior margin of the manubrium stni

Question 2

Sternal angle : What is another name for it?

Where is it located?

What does it lie inbetween?

Answer 2

ANGLE OF LOUIS

Angle between manubrium and sternal body

Lies opposite of the IV disc of C4-C5

2nd costal cartilage of 2nd rib
TENSION PNEUMO

Question 3

Xiphisternal joint

Answer 3

Joint between xiphoid and body of sternum

Question 4

Subcostal angle

Answer 4

Inferior end of sternum, between sternal attachments of 7th costal cartilage

Question 5

Costal margin

Answer 5

Lower boundary of thorax

Question 6

Clavicle

Answer 6

Part of the anterior chest wall, can be easily palpated

Question 7

Ribs… specifically about the first rib… where is it? can it be palpated?

Answer 7

First rib is deep to the clavicle, CANNOT BE PALPATED

Question 8

Diaphragm

Answer 8

Central tendon lies directly behind xiphisternal joint

Question 9

Nipples

Where are they located?
What can you do here?

Answer 9

4th intercostal space

*AREA FOR CHEST COMPRESSIONS**

Question 10

Apex beat of the heart (PMI)

What does PMI mean?
Where is it?

Answer 10

Point of Maximum Impulse

Lower portion of the left ventricle
5th intercostal space
Midclavicular line

Question 11

Anterior axillary fold

Answer 11

Lower border of the pectoralis major muscle

Question 12

Posterior axillary fold

Answer 12

Tendon of the latissimus dorsi muscle as it passes around the lower border of the teres major muscle

Question 13

Spinous processes

Answer 13

Can be palpated in the midline posteriorly

Question 14

Vertebra prominens

Answer 14

C7

Question 15

Ligamentum nuchae

Answer 15

C1-C6

Question 16

Scapula… what are the three parts of the scapula?

Answer 16

1. Superior angle
2. Spine of the scapula
3. Inferior angle

Question 17

Where is the Superior Angle of the Scapula?

Answer 17

Opposite of spine of 2nd thoracic vertebrae

Question 18

Where is the Spine of the scapula?

Answer 18

Subcutaneous, root of the spine lies on a level with the spine of T3

Question 19

Location of Interior Angle of scapula

Answer 19

Level with spine of T7

Question 20

What is the purpose of the lines of orientation?

Answer 20

Used to describe surface locations on the anterior/Posterior chest wall

Question 21

Midsternal line

Answer 21

Medial plane over sternum

Question 22

Midclavicular line

Answer 22

Vertically downward from the midpoint of the clavicle

Question 23

Anterior axillary line

Answer 23

Runs vertically downward from the anterior axillary fold

Question 24

Posterior axillary line

Answer 24

Vertically downward from posterior axillary fold

Question 25

Midaxillary line

Answer 25

Vertically downward from a point situated midway between the anterior and posterior axillary folds

Question 26

Trachea location

Answer 26

From lower border of the cricoid cartilage

Question 27

Lung apex

Answer 27

Projects INTO neck

Question 28

Anterior border of R Lung

Answer 28

• Behind sternoclavicular joint
• Runs downward… almost reaching the midline behind the sternal angle
• Continues downward until reaches xiphisternal joint

Question 29

Anterior border of L lung

Answer 29

Similar course as R lung….
At the level of the 4th costal cartilage, it deviates LATERALLY and extends for a variable distance beyond the LATERAL MARGIN of the STERNUM to form the CARDIAC NOTCH

Question 30

Cardiac notch

Answer 30

Produced by the heart displacing the left lung to the left

Question 31

Location of Lower border of Left Lung

Answer 31

at 6th, 8th, and 10th ribs

Question 32

How many lobes does the right lung have

Answer 32

3

Question 33

OBLIQUE FISSURE ***

Answer 33

Right AND left lungs!!

Question 34

HORIZONTAL FISSURE **

Answer 34

RIGHT LUNG ONLY!! (6th rib)