Thorax, Mediastinum, Heart Flashcards

1
Q

Articulation of the head of the rib

A

Sup art facet: above thoracic vert

Inf art facet: same thoracic vert

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2
Q

what are typical ribs

A

ribs 3 to 9

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3
Q

Surface landmark of the lung and parietal pleura

A

Midclavicular/ midaxillary/ midscapular
Lung: 6-8-10
Parietal pleura: 8-10-12

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4
Q

motion of the transverse diameter of the thorax during inspiration

A

Bucket handle inspiratory movement

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5
Q

motion of the AP diameter of the thorax during inspiration

A

pump handle inspiratory movement
sternum UP: insp: inc AP diameter
sternum DOWN: exp: dec AP diameter

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6
Q

3 thoracic muscles that DEPRESS the ribs

A

serratis post inf
int intercostal
transversus thoracis

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7
Q

Origin of the posterior intercostal arteries

A

first 2: sup intercostal of the costocervical trunk

remaining branches: descending aorta

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8
Q

Origin of the anterior intercostal arteries

A

upper 6: int thoracic artery

remaining: musculophrenic

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9
Q

Mnemonics

superior mediastinum contents

A

BATS and TENTS

Brachiocephalic art
Arch of aorta
Thymus
SVC

Trachea
Esophagus
Nerves (vagus and phrenic)
Thoracic duct

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10
Q

Mnemonics

posterior mediastinum contents

A

DATES HAV

Descending aorta 
Azygos vein 
Thoracic duct 
Esophagus 
Sympathetic trunk/ ganglia 
Hemiazygos Vein 
Accessory hemiazygos vein 
Vagus nerve
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11
Q

improper dev of 3rd and 4th PP; absent thyroid and parathyroid glands

A

DiGeorge Syndrome

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12
Q

Embryonic origin of EAM

A

1st pharyngeal groove (ectoderm)

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13
Q

Embryonic origin of middle ear cavity

A

1st pharyngeal pouch

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14
Q

Embryonic origin of palatine tonsil

A

2nd pharyngeal pouch

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15
Q

Embryonic origin of thymus and inferior parathyroid gland

A

3rd pharyngeal pouch

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16
Q

Embryonic origin of C cells of thyroid gland, and sup parathyroid gland

A

4th pharyngeal pouch

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17
Q

sternocostal surface of the heart is formed by what chamber

A

right ventricle

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18
Q

Mnemonics: Tributaries of coronary sinus

A

GSM
great cardiac veins
small cardiac veins
middle cardiac veins

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19
Q

vein accompanied by post interventricular artery

A

middle cardiac vein

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20
Q

Arterial supply of L atrium and ventricle

A

circumflex branch of the LCA

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21
Q

Arterial supply of interventricular septum and apex

A

ant interventricular branch of left coronary

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22
Q

Arterial supply of RV

A

ant interventricular art

marginal branch of RCA

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23
Q

Arterial supply of R atrium

A

Right CA

24
Q

I, avL, V1-V6

infarct location and lesion?

A

large ant wall

proximal LAD

25
Q

V2-V4

infarct location and lesion?

A

anteroapical

distal LAD

26
Q

II, III, avF

infarct location and lesion?

A

inferior wall

distal LAD

27
Q

V1-V3

infarct location and lesion?

A

anteroseptal

distal LAD

28
Q

V4-V6

infarct location and lesion?

A

posterolateral

circumplex

29
Q

fossa ovalis (remnant of foramen ovale) seen in what chamber of the heart

A

Right atrium

30
Q

moderator band present in

A

right ventricle

31
Q

primitive atrium becomes

A

L atrium

32
Q

sinus venosus becomes

A

R atrium

33
Q

primitive ventricle becomes

A

all L ventricle

34
Q

bulbus cordis becomes

A

all of R ventricle

35
Q

Truncus arteriosus becomes

A

partitioned to form the root of aorta and pulmonary trunk

36
Q

hypertrophy of the RA, RV and pulmonary trunk

A

ASD

37
Q

L to R shunting of blood; inc BF to the lungs causing pulmo HTN

A

VSD

38
Q

failure of truncal ridges and aortopulmonary septum to divide normally

A

Truncus arteriosus

39
Q

MCC of cyanotic heart dse

A

TGA

40
Q

MC type CHD

A

VSD

41
Q

Pathway for oxygenated blood in fetal circ

A

umb vein ➝ ductus venosus ➝ IVC ➝ RA ➝ FO ➝ LA ➝ LV ➝ aorta

42
Q

Pathway for unoxygenated blood in fetal circ

A

SVC ➝ RA ➝ RV ➝ pulmo trunk ➝ ductus arteriosus ➝ aorta

43
Q

Ductus arteriosus becomes

A

Ligamentum arteriosum

44
Q

Foramen ovale becomes

A

fossa ovalis

45
Q

Ductus venous becomes

A

ligamentum venosum

46
Q

Umbilical vein becomes

A

Ligamentum teres

47
Q

Umbilical arteries become

A

Medial umbilical ligaments

48
Q

remnant of urachus

A

median umbilical ligament

49
Q

MC congenital anomaly assoc with maternal rubella infection during early pregnancy

A

maternal rubella

50
Q

first pair of AA becomes

A

maxillary arteries

51
Q

second pair of AA becomes

A

stapedial arteries

52
Q

third pair of AA becomes

A

proximal: CCA
distal: ICA

53
Q

4th pair of AA becomes

A

left: arch of aorta
right: R subclavian artery

54
Q

5th pair of AA becomes

A

none

55
Q

6th pair of AA becomes

A

left:
- proximal-left pulmonary art
- distal- ductus arteriosus

right:
- proximal: right pulmonary art
- distal: degenerates