Thoracic Cavity, Pleura and Lungs Flashcards

1
Q

At what vertebral level is the trachea continuous with the larynx?

A

C6

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2
Q

What structures lie to the right and left of the trachea in the mediastinum?

A

Right-Azygos arch
Left -Aortic arch

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3
Q

What name is given to the ridge that separates primary bronchi?

A

Carina

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4
Q

Why is it more likely for foreign objects to enter the right primary bronchus?

A

It is wider, shorter and more vertically-oriented than the left

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5
Q

What do the main bronchi divide into?

A

Lobar bronchi

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6
Q

What name is given to the lobar bronchus of the right upper lobe?

A

The eparterial bronchus

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7
Q

What name is given to the lobar bronchus of the right upper lobe?

A

The eparterial bronchus

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8
Q

What do teh lobar bronchi become?

A

Segmentary bronchi

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9
Q

What is a bronchopulmonary segment?

A

Pyramid-shaped area of lung, with its apex directed towards the root of the lung and its base towards the outer lung surface

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10
Q

How many segments are in each lung?

A

10 in right, 8 in left

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11
Q

When may a bronchoscopy be performed?

A

Takes biopsies and to remove foreign objects

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12
Q

What is the smallest functional unit of the lung?

A

A segment

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13
Q

Why are segments clinically relevant

A

May be surgically removed without impeding on the other segments’ function

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14
Q

What are the surfaces of the lung?

A

Costal, diaphragmatic, mediastinal, apical

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15
Q

What is the hilum?

A

Area on the medial aspect of the lung where structures exit and leave

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16
Q

Which features are unique to the right lung?

A

Middle lobe
Horizontal fissure
Eparterial bronchus

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17
Q

Which features are unique to the left lung?

A

Lingula
Cardiac impression/notch

18
Q

What structures are related to the mediastinal surface of the right lung?

A

Azygos vein
Phrenic nerve
Vagus nerve
Oesophagus
Venae Cavae

19
Q

What structures are related to the mediastinal surface of the left lung?

A

Heart
Aortic arch
Phrenic nerve
Vagus nerve
Descending aorta
Left subclavian artery

20
Q

What name is given to the surgical procedure where a lobe of the lung may be removed?

A

Lobectomy

21
Q

Where are the left and right lobes of the diaphragm located during quiet respiration?

A

Left -5th intercostal space
Right - 5th rib

22
Q

Where are the oblique fissures during quiet respiration?

A

Spinous process of T4 to 5th intercostal space laterally and following the contour of the 6th rib anteriorly

23
Q

What is the approximate position of the horizontal fissure?

A

Horizontal line following 4th costal cartilage and 4th rib from sternum until it meets oblique fissure

24
Q

Where do the bronchial arteries arise from?

A

Thoracic aorta or its branches

25
Q

Where do the bronchial veins drain to?

A

Pulmonary and azygos veins

26
Q

What are the two layers of pleura?

A

Visceral and parietal

27
Q

What is the space between the layers of pleura called?

A

the pleural cavity

28
Q

What is found in the pleural cavity?

A

Pleural fluid

29
Q

What is the role of pleural fluid?

A

Allows friction-free movement of lungs

30
Q

What is the most superior part of the pleura called?

A

Copula/cervical pleura/dome of pleura

31
Q

What is the cervical parietal pleura strengthened by?

A

Suprapleural membrane

32
Q

Where does the inferior margin of the lung cross the midclavicular line, the midaxillary line, the vertebral column?

A

C - 6
A - 8
V - 10

33
Q

Where does the inferior margin of the pleura cross the midclavicular line, the midaxillary line, the vertebral column?

A

C - 8
A - 10
V - 12

34
Q

What is the costodiaphragmatic recess?

A

space between costal and diaphragmatic pleura

35
Q

What is a chylothorax?

A

Lymph filling thoracic cavity

36
Q

What is a pyothorax?

A

Pus filling thoracic cavity

37
Q

What is the visceral pleura innervated by?

A

ANS

38
Q

What can the visceral pleura sense?

A

Stretch

39
Q

What can’t the visceral pleura sense?

A

Pain

40
Q

What is the central diaphragmatic pleura innervated by?

A

Phrenic nerves

41
Q

What is the peripheral diaphragmatic pleura innervated by?

A

Lower 5 intercostal nerves