1. Upper respiratory tract and chest wall Flashcards

(73 cards)

1
Q

Where is the opening of the nasolacrimal duct?

A

inferior meatus

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2
Q

what does the nasolacrimal duct link?

A

nasal cavity to eye

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3
Q

lower border of nasal cavity

A

hard palate

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4
Q

what separates the nasopharynx from the oropharynx?

A

Soft palate

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5
Q

Which 2 tonsils are in the oral cavity?

A

lingual & palatine

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6
Q

What separates the oropharynx from the laryngopharynx?

A

Epiglottis

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7
Q

when swallowing, what does the epiglottis do and why?

A

Blocks trachea - stops food from entering it

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8
Q

which fold runs from the epiglottis to the arytenoid cartilages?

A

Aryepiglottic fold

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9
Q

Other name for vestibular cords?

A

False vocal cords

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10
Q

Which are more superior? - true or false vocal cords?

A

False

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11
Q

What bone is the 1st ribbed tucked under?

A

Clavicle

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12
Q

Where is the facet on the rib, which articulates with the thoraric vertebra?

A

on the head of the rib

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13
Q

Other than the head of the rib, where else does the rib articulate with the vertebrae?

A

tubercle

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14
Q

Name of angle on ribs

A

costal angle

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15
Q

name of groove inferiorly on rib

A

costal groove

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16
Q

what cartilage does the rib articulate?

A

Costal cartilage

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17
Q

where is the suprasternal angle?

A

middle of manubrium (sternum)

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18
Q

Name of angle between manubrium and body of sternum?

A

Sternal angle

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19
Q

Most inferior section of sternum?

A

Xiphisternum

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20
Q

What part of the T vertebra articulates with the head of the rib?

A

Transverse process

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21
Q

Name 3 muscles in chest wall (superficial to deep)

A
  1. pectoralis major
  2. pectoralis minor
  3. serratus anterior
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22
Q

Name 3 layers of muscle in intercostal spaces (superficial to deep)

A
  1. External intercostal
  2. Interal intercostal
  3. Innermost intercostal
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23
Q

Describe direction of fibres in external intercostal

A

negative correlation

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24
Q

Where does the external intercostal muscle get more thinner?

A

More anterior

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25
where does the internal intercostal muscle get more thinner?
more posterior
26
between which intercostal muscles does the neurovascular bundle flow?
Internal and innermost intercostal muscles
27
Name order of neurovasuclar vessels (superior to inferior)
VAN
28
3 places the intercostal nerve supplies
1. surrounding skin 2. parietal pleura 3. muscles of intercostal space
29
where does the internal thoracic arteries originate from?
subclavian artery (aorta)
30
where does the internal thoracic artery bifurcate?
6th intercostal space
31
what 2 places does the brances of thoracic artery supply?
1. diaphragm | 2. anterior abdominal wall
32
what is conditioning?
warming, moistening and removal of particles from inspired air
33
benefits of conditioning?
Removes pathogens
34
bone which is superior to nasal cavity
nasal bone
35
adaptations to membrane in nasal cavity
mucous ciliated membrane that has goblet cells
36
What are nasal polyps ?
swellings of nasal lining - can block sinuses
37
What are paranasal sinuses?
air filled extensions of nasal cavity in the skull
38
4 paranasal sinuses
ethmoid, sphenoidal, frontal and maxillae
39
Which sinuses drain into the middle meatus?
frontal and maxillar
40
which sinuses drain into the superior meatus?
sphenoidal and ethmoid
41
why is maxillary sinus more prone to infection?
located closest to drainage orifice - adequate drainage cannot take place
42
Name of infected maxillary sinuses
Maxillary sinusitis
43
why can maxillary sinusitis cause toothache?
sinus can swell due to inflammation and puts pressure on the molar teeth roots
44
2 places auditory tube links
middle ear and nasopharynx
45
which tonsil lies in the nasopharynx?
Pharyngeal
46
function of tonsils
remove pathogens
47
where is the tubul tonsil?
surrounding auditory tube
48
What is tonsillitus?
inflammation of tonsils
49
what compartment links the laryngopharynx to the trachea?
larynx
50
What do the laryngeal muscles do?
contract to narrow the laryngeal inlet
51
What procedure is carried out when a patient cannot breathe for themselves?
Endotracheal intubation
52
what equipment is used to hold the tongue out of the way so the vocal cords can be see?
laryngoscope
53
What is the rima glottidis?
the space between the vocal cords
54
What cancer can form in the larynx?
vocal cord cancer
55
symptoms of vocal cord cancer
- coughing - sore throat - lump in throat - weight loss - ear pain
56
Number of thoracic vertebrae?
12
57
Which thoracic vertebrae are Typical?
T2-T8
58
features of a typical vertebra
- heart shaped body | - 2 costal facets
59
how may acute fracture to the thoracic vertebrae occur?
RTA, fall from a height
60
what disease can lead to pathological vertebral fractures?
Osteoporosis
61
consequences of sternal fractures (2)
- difficulty breathing | - injury to heart and lungs
62
what is a median sternomy and why is it performed?
vertical incision along the sternum - gain access to heart/lungs
63
which ribs are atypical in terms of their articulations?
1,2,10,11,12
64
what are true ribs?
ribs that attach directly to sternum (1-7)
65
what are false ribs?
ribs that attach to one another and to 7th costal cartilage
66
what are floating ribs?
ribs that dont attach to sternum (11+12)
67
what is a cervical rib?
extra rib
68
problems of a cervical rib
presses on nerves and blood vessels - pain in neck and arm
69
muscles which move chest wall
intercostal muscles
70
what is a flial chest?
detachment of a segment of the rib cage
71
what structure of a rib protects the neurovascular bundle?
subcostal groove
72
where does the intercostal vein drain?
internal thoracic vein
73
which nerve runs inferior to the 12th rib?
subcostal nerve