Wet room Thorax 1 Flashcards

1
Q

What is the pharynx?

A

Membrane-lined cavity behind the nose and mouth, connecting them to the oesophagus.

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2
Q

What is the larynx?

A

It is a set of cartilages, membranes and ligaments which produce sound from expired air and protects the inlet to the respiratory system.#

(it is the voice box)

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3
Q

What is the larynx attached to?

A

It is attached to the hyoid bone superiorly and is continuous inferiorly with the trachea at C6.

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4
Q

What supplies the larynx?

A

By branches of the vagus nerve for both motor and sensory innervation.

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5
Q

Which cartilage forms the laryngeal prominence (Adam’s apple)?

A

Thyroid cartilage

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6
Q

Which structure prevents solid and liquids entering the laryngeal inlet?

A

Epiglottis

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7
Q

Which cartilages are attached to the vocal cords?

A

Thyroid cartilage + Arytenoid cartilage

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8
Q

What type of cartilage are the cartilages of the larynx?

A

They are all Hyaline except from the epiglottis which is Elastic cartilage.

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9
Q

What is the Trachea?

A

It is the inferior continuation of the larynx at C6, through the thoracic inlet, to vertebra T4 (sternal angle), where it bifurcates into the left and right main bronchi.

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10
Q

How many rings comprise the trachea?

A

20

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11
Q

What is the muscle completing the tracheal rings posteriorly?

A

Trachealis

- This is smooth muscle

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12
Q

What is the name of the final, keel-shaped, cartilage ring at the bifurcation of the trachea?

A

Carina

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13
Q

What are the arteries lying immediately lateral to the trachea in the neck called?

A

Common carotid arteries

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14
Q

What is the nerve lying lateral to the trachea on both sides?

A

Vagus nerve

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15
Q

What are the grooves called lying between the trachea and oesophagus on both sides?

A

The tracheo-oesophageal grooves

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16
Q

At what vertebral level does the trachea divide into the two main bronchi?

A

T4

17
Q

Which of the two main bronchi is the shorter, wider and more vertical?

A

Right bronchus

18
Q

What are the two major arteries arching above the left main bronchus?

A

Left pulmonary artery and Aorta

19
Q

What is the name of the superior and inferior branches that the right main bronchus gives off before entering the right lung?

A

Eparterial bronchus and Hyparterial bronchus

20
Q

Name the lymph nodes that lie along and in the cleft between the two main bronchi

A

Tracheobronchial lymph nodes

21
Q

Name the lymph nodes that lie at the hilum of the lung

A

The bronchomediastinal lymph nodes

22
Q

What is the apex of the lung?

A

Blunt superior end of the lung ascending above the level of the 1st rib into the root of the neck, covered by cervical pleura.

23
Q

On which lung surface is the hilum found?

A

Medial surface

24
Q

What is the hilum of the lung?

A

The area on the mediastinal surface of the lung through which structures enter or leave the lung.

25
Q

What is the root of the lung?

A

The structures which enter and leave the lung at the hilum are known collectively as the root of the lung.

26
Q

Which structures constitute the root of the lung?

A
  • Pulmonary vein
  • Pulmonary artery
  • Bronchus
  • Lymph vessels
  • Bronchial artery
27
Q

What fascial membrane covers the apex of the lung?

A

Supapleural membrane

28
Q

Where do the lymphatics of the lungs and visceral pleura drain into?

A

They drain into the bronchopulmonary lymph nodes at the bifurcations of the larger bronchi at the lung hila.

  • From here, lymphatics pass to the tracheobronchial nodes (at bifurcation of trachea), which drain eventually into the thoracic duct (left) and right lymphatic duct (right).
29
Q

What are the bronchopulmonary segments?

A

This is a segment of lung supplied by a tertiary (segmental) bronchus and an accompanying branch of the pulmonary artery and bronchial artery and vein.

30
Q

What is the advantage of bronchopulmonary segments?

A

The advantage is that each of these lung segments has its own blood and air supply, which allows a surgeon to remove that particular segment without adversely affecting any neighbouring segments.

31
Q

What structures present within the bronchial wall enable its definitive identification as a bronchus? (Check)

A

Cartilage plates

32
Q

What are the structures passing through the hilum?

A
  • Pulmonary artery
  • Main bronchus
  • Superior pulmonary vein
  • Inferior pulmonary vein
  • Eparterial bronchus - right lung only
33
Q

What is pulmonary circulation?

A

The pulmonary circulation is the portion of the circulatory system which carries deoxygenated blood away from the right ventricle of the heart, to the lungs, and returns oxygenated blood to the left atrium and ventricle of the heart.

34
Q

What are the vessels of pulmonary circulation?

A

Pulmonary arteries and pulmonary veins