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Exam 2 > Thorax 3: Pleura and Lungs > Flashcards

Thorax 3: Pleura and Lungs Flashcards

1
Q

What pulmonary covering will sense pain

A

parietal pleura

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2
Q

Will visceral pleura experience pain

A

no

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3
Q

What are the two pleural coverings on the lungs

A

visceral pleura

parietal pleura

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4
Q

What is between the pleura of the lungs

A

potential space= pleural cavity

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5
Q

What are the different parts of parietal pleura around the lungs

A

costal
diaphragmatic
mediastinal
Cervical

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6
Q

What is the costal pleura of the lungs innervated by

A

intercostal nerves

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7
Q

What is the diaphragmatic pleura of the lungs innervated by

A

central portion: phrenic

peripheral portion: intercostal

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8
Q

What is the mediastinal pleura innervated by

A

phrenic

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9
Q

What is the pulmonary ligament

A

thin fold of reflected pleura that extends inferiorly from the root of the lung

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10
Q

What does the pulmonary ligament allow for

A

accommodates expansion

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11
Q

What is Sibson’s fascia

A

supra pleural membrane

thickening of the endothoracic fascia that protects the cupola of the lung

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12
Q

What are the different pleural reflections

A

sternal
costal
vertebral

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13
Q

What are the two pleural recesses

A

costomediastinal

costodiaphragmatic

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14
Q

What is the costodiaphragmatic recess

A

diaphragmatic pleura turning back to costal pleura

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15
Q

Where is the costomediastinal recess found

A

over the heart

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16
Q

what do the pleural recesses contain

A

fluid accumulation

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17
Q

What space will most likely collect fluid from the lungs

A

costodiaphramatic recess

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18
Q

What levels will the visceral and parietal pleura be seen in the mid axillary line

A

visceral 8

parietal 10

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19
Q

What levels will the visceral and parietal pleura be seen in the mid clavicular line

A

visceral 6

parietal 8

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20
Q

What levels will the visceral and parietal pleura be seen in the scapular line

A

visceral 10

parietal 12

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21
Q

How many lobes are in the left lung

A

3

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22
Q

How many loves are in the right lung

A

2

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23
Q

What level will the oblique fissures of the lungs be found

A

midclavicular: 6th rib
Midaxillary: 5th rib
Scapular: 4th

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24
Q

What lung has a horizontal fissure and where is it found

A

right lung

4th rib

25
Q

Where do you auscultate the right superior love

A

above 3rd rib midclavicular line

26
Q

Where do you auscultate the middle lobe

A

below 4th rib, midclavicular line

27
Q

Where do you auscultate the inferior lobe of the right lung

A

below 5th rib on scapular line of posterior chest wall

28
Q

Where do you auscultate the left superior lobe

A

above 5th rib midclavicular line

29
Q

Where do you auscultate the left inferior lob

A

below 5th rib on posterior chest wall

30
Q

What structures leave an impression on the left lungs

A

cardiac impression

aorta

31
Q

What structures leave an impression on the right lungs

A

cardiac impression
SVC
IVC
esophagus

32
Q

What lung will have a cardiac notch

A

left lung

33
Q

What does the trachea branch into

A

right and left primary bronchi

34
Q

What will the right primary bronchus branch into

A

3 secondary bronchi

35
Q

What will the 3 right secondary bronchi branch into

A

10 tertiary bronchi

36
Q

What will the left primary bronchus branch into

A

2 secondary bronchi

37
Q

What will the 2 left secondary bronchi branch into

A

10 tertiary bronchi

38
Q

What portion of the lung does TB typically target

A

apical segments

39
Q

What main bronchus is most commonly aspirated into

A

right

40
Q

How can you orient yourself when looking at a trachea

A

flat aspect where cartilage is absent is posterior

41
Q

What is the cough reflex efferent

A

vagus, phrenic, and intercostals

42
Q

What is the cough reflex afferent

A

vagus

43
Q

What is the function of pulmonary arteries and veins

A

gas exchange (carry blood to and from the heart to the lungs and back)

44
Q

What is the function of bronchial arteries and veins

A

supply the lung tissue with nutrients and drain the lungs

45
Q

What are the lymph nodes of the lungs

A

pulmonary
bonchiopulmonary
inferior and superior trachiobronchial
paratrachial

46
Q

Where are pulmonary lymph nodes found

A

in the lung

47
Q

Where are bronchipulmonavry lymph nodes found

A

in the hilum

48
Q

Where are inferior trachiobronchial lymph nodes found

A

under carina

49
Q

Where are superior tracheobronchial lymph nodes found

A

above carina

50
Q

Where are paratracheal lymph nodes found

A

along the sides of trachea

51
Q

Where does the right lung drain lymph wise

A

to right jugulovenous angle

52
Q

Where does the left inferior lung drain lymph wise

A

carinal nodes to right jugulovenous angle

53
Q

Where does the left superior lung drain lymph wise

A

left jugulovenous angle

54
Q

What is suggested by enlarged paratracheal lymph nodes on the left

A

infection or cancer in left upper lobe

55
Q

What layers are traversed in thoracocentesis

A 
skin
superficial fascia
external intercostals
internal intercostals
innermost intercostals
endothoracic fascia
parietal pleura
56
Q

What structures are at risk during thoracocentesis

A

VAN complex intercostals
lung
liver
diaphragm

57
Q

What space is thoracocentesis done at

A

8-9th intercostal space in mid-axillary line

58
Q

What is pneumothorax

A

disruption of parietal pleura leading to disruption of vacuum

59
Q

What is spontaneous penumothorax

A

pneumothorax with no associated trauma

Exam 2 (14 decks)

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