Thoracic Wall Flashcards

1
Q

How many vertebrae in the cervical, thoracic, and lumbar spine?

A

C1-7, T1-12, L1-5

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2
Q

which two facets/processes of the thoracic vertebral body articulate with the ribs?

A

the costal demi-facets (head of rib) and the transverse process facet (tubercle of rib)

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3
Q

in thoracic vertebrae, the articular processes face:

A

the super articular process is posterior facing and the inferior articular process is anterior facing

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4
Q

the segment that joins the body of the vertebra to the transverse process is called the:

A

pedicle. it also forms the vertebral arch

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5
Q

the segment that joins the transverse process and the spinous process is the:

A

lamina (laminae = plural)

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6
Q

the lumbar articular processes are directed:

A

superior are medial and the inferior are lateral

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7
Q

the cervical articular processes are directed:

A

superoposterior and inferoanterior

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8
Q

true or false: the cervical vertebrae have lamina foramen

A

false: they have transverse foramen

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9
Q

the tubercle of rib 7 will attach to the _____ ______ of vertebra _ as well as the inferior demi-facet of vertebra _ and the superior demi-facet of vertebra _

A

transverse process , 7, 6, 7

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10
Q

which of these does NOT define the thoracic inlet?

a) manubrium
b) T1 and rib 1
c) clavicle
d) pleura of lungs

A

c

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11
Q

which of these does not define the thoracic outlet?

a) xyhpisternal joint
b) costal margin
c) diaphragm
d) 11th/12th & rib T12

A

a: the xyphoid process

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12
Q

true or false: true ribs are flattened in the anterior/posterior plane

A

true

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13
Q

true or false: the costal groove is on the infero-lateral side of the rib

A

false: medial

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14
Q

the posterior end of the rib has ___ articulations on the head and ___ articulations on the tubercle for the vertebrae

A

two, one

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15
Q

a typical rib has a sharpened/rounded superior border and a sharpened/rounded inferior border

A

rounded, sharpened

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16
Q

from posterior to anterior name the groove and attachments of the first rib:

A

scalenus medius, groove for subclavian artery, scalenus anterior, groove for subclavian vein

17
Q

from posterior to anterior name the groove and attachments of the second rib:

A

scalenus posterior, serratus anterior

18
Q

atypical ribs are flattened in the ____/____ plane:

A

superior/inferior

19
Q

true or false: all ribs are sharp inferiorly and flattened superiorly

A

true

20
Q

costocorporeal joint is between:

A

head of rib and demifacet of vertebrae

21
Q

costotransverse joint is between:

A

tubercle of rib and transverse process of vertebra

22
Q

sternocostal joint is between:

A

sternum and costal cartilage of rib

23
Q

interchondral joint is between:

A

anterior rib and costal cartilage

24
Q

true ribs are:

A

1-7 (costal cartilage attaches directly to sternum)

25
Q

false ribs are:

A

8-10 (costal cartilage attaches to above cartilage)

26
Q

floating ribs are:

A

11-12 (anterior ends directly in abdominal muscles)

27
Q

the three muscles of the anterolateral thoracic wall are:

A

external intercostal muscles: waist coat, outside neurovascular bundle

internal intercostal muscles: hip pocket, outside neurovascular bundle

innermost intercostal muscles: hip pocket, underneath neurovascular bundle

28
Q

what are the two muscles that cross multiple ribs?

A

transversus thoracis (sternum to lower true ribs)

subcostal muscles (parallel to innermost and posterior lower thorax)

29
Q

true or false: in the thoracic cage, nerves are from a posterior origin only

A

true

30
Q

veins the intercostal spaces drain posteriorly to the _____ vein and anteriorly to the _______ _______ vein

A

azygous (tributary of SVC), internal thoracic (tributary of brachiocephalic veins)

31
Q

arteries in the intercostal space are posteriorly from the ____ and anteriorly from the ______ ______ artery

A

aorta, internal thoracic artery (comes off subclavian)

32
Q

true or false: there is anastomoses between the posterior and anterior intercostal arteries and veins respectively

A

true

33
Q

two terminal branches off the internal thoracic artery are:

A

musculophrenic and superior epigastric

34
Q

the sternal angle is defined by all but:

a) level of T4
b) bifurcation of trachea into left primary bronchi
c) level of 3rd costal cartilage
d) arch of aorta
e) manubriosternal joint

A

c: 2nd costal cartilage