Anatomy Flashcards

1
Q

what bones are there within the resp system?

A

sternum
12 pairs of ribs
12 thoracic vertebrae

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2
Q

what is the thorax inlet?

A

located at cross roads of sternum and clavicle and ribs.
important anatomical landmark
the space at the top of the rib cage to allow access

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3
Q

what is the costal facet?

A

site connection between rib and vertebrae

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4
Q

how are ribs 1 to 10 attached to sternum?

A

via costal cartilage

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5
Q

describe the 12 ribs

A

7 true pairs
3 false pairs
2 floating pairs

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6
Q

where is rib 1?

A

flat and under clavicle

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7
Q

describe thoracic vertebrae shape

A
  • Heart shaped body
  • Small circular, vertebral foraman
  • Laminae are broad and overlap with those of the vertebrae
  • Long downward pointing spinous process
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8
Q

what is the sternal angle?

A

important landmark
point at which costal cartilage of second rib articulates with sternum

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9
Q

where is the 2nd ICS?

A

below the 2nd Rib

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10
Q

what is the superficial IC?

A

external

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11
Q

how do the external IC muscles run?

A

fibres run downwards and forwards

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12
Q

what is the middle layer of IC?

A

internal IC

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13
Q

describe internal IC

A

fibres run downwards and backwards

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14
Q

why do the IC muscles run in different directions?

A

provide stability and strength

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15
Q

what is the deep IC layer?

A

innermost IC muscles

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16
Q

where do the posterior IC arteries arise from?

A

thoracic aorta

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17
Q

where do the anterior IC arteries arise from?

A

internal thoracic and musclephrenic

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18
Q

where do the posterior intercostal veins drain into ?

A

azygos system

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19
Q

what is the azygous system?

A

locates either side of vertebrae column and drains viscera within mediastinium as well as back of thoracic/ abdo walls.

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20
Q

where do the anterior IC veins drain into?

A

internal thoracic or musclophrenic

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21
Q

where do the intercostal nerves arise from?

A

ventral rami at T1-T11 to supply muscle, adjacent skin and pleura

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22
Q

describe the diaphragm

A
  • Dome shaped skeletal muscle with a central tendon (anchors heart in place)
  • Attached to xiphisternum, costal margin, 11th and 12th ribs and lumbar vertebrae
  • Openings for IVC, oesophagus and aorta
  • Fibrous pericardium fused to central tendon –
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23
Q

what innervates the diaphragm?

A

phrenic nerve

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24
Q

where do muscle fibres of the diaphragm arise from?

A

radially from margins of inferior thoracic aperture and converge at central tendon

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25
Q

what happens to the dome height, when the diaphragm contracts?

A

decreases so that thorax volume increases

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26
Q

what percentage of breathing is caused by diaphragm?

A

70-75%

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27
Q

what does the pectoralis major allow movement for?

A

adduction and medial rotation, flexion of humerus at shoulder joint

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28
Q

what is the role of the pectoralis minor?

A

depresses tip of shoulder and protracts scapula

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29
Q

where are the sternocleidomastoid and scalenes muscles?

A

deep - running from chest up to neck

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30
Q

describe the lungs shape

A
  • Conical shaped with soft, spongy texture
  • Apex of lung lies above the clavicle – rises 3-4cm above level of the first costal cartilage. The highest point of the apex is up to 2cm above medial third of clavicle/ just above neck of first rib.
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31
Q

where is the costal surface of the lungs?

A

adjacent to the ribs - smooth and convex as it is adapted to thoracic wall shape

32
Q

what is the mediastinum surface of the lungs?

A

faces mediastinum deeply concave - as it is moulded to cardiac impression

33
Q

which lung is wider and shorter?

A

right lung

34
Q

how many lobes does the right lung have?

A

three - superior middle and inferior

35
Q

how many fissures does the right lung have?

A

2 - oblique (downwards) and horizontal (across)

36
Q

how many lobes does the left lung have?

A

2 - superior and inferior

37
Q

how many fissures does the left lung have?

A

one - oblique

38
Q

where is the hilum of the lung?

A

located on mediastiatinal surface, where pulomanary vessels, bronchi, lymphatic vessels enter/ leave the lung

39
Q

what are the characteristics of the lungs?

A
  • Compliance (distensibility) : ability of lungs to expand – connective tissue structure, level of surfactant, mobility of thoracic cage
  • Elasticity – elastic tissue allows lung expansion during inspiration and recoil during expiration
40
Q

what is the pleural cavity lined with?

A

mesothelial membrane called pleura

41
Q

how many layers of serous membrane does pleura contain?

A

2

42
Q

what are the two layers of serous membrane in pleura?

A

visceral - adheres to heart
parietal - adheres to thoracic wall

43
Q

what innervates the pleura?

A

visceral - innervated by CNS - autonomic
parietal - innerved by somatic - helps expansion

44
Q

what is the pleural cavity?

A

potential space between parietal and visceral layers containing thin serous fluid

45
Q

accessory muscles are used during heavy breathy/ resp pathology, which muscles are these?

A

scalene, sternocleidomastoid, pectoralis major, trapezius, external intercostal

46
Q

describe the pathway of external intercostal muscles?

A

from back and come toward the middle (down slope)

47
Q

describe the structure of the internal intercostal muscles?

A

from front and slope downwards towards the back

48
Q

describe the diaphragm movement during inhalation and exhalation

A

at rest - relaxed
inhalation - contracting
exhalation - relaxed

49
Q

what is resp rate influenced by?

A

stress, blood gases, infection

50
Q

what is the function of the conduction zone?

A

filters, warms and moistens

51
Q

what is included within the conduction zone?

A

trachea, primary bronchi, secondary bronchi, tertiary bronchi

52
Q

what is the trachea made up of?

A

hyaline cartilage in a horse shoe shape - prevents closure , back of the trachea is trachelis muscle - can constrict

53
Q

what cells make up the trachea and following structures of the conduction zone and why?

A

modified pseudostratified columnar epithelial cells with goblet cells
- goblet produce mucus
- epithelial produce cilia

54
Q

what are the non cilia cell types within the end of the conduction zone (tertiary bronchi)

A

non-ciliated columnar cells

55
Q

what occurs within the respiratory zone?

A

gas exchange

56
Q

what does the respiratory zone consist of?

A

bronchioles, terminal bronchioles, alveoli

57
Q

what are the cell types within respiratory zones?

A

simple cupboidal ciliated epithelium
no cartilage
elastic fibres and smooth muscle

58
Q

can bronchioles constrict?

A

yes

59
Q

how many alveoli cells do we have?

A

enough to cover a tennis court
500 million

60
Q

what is tidal volume?

A

breathing volume at rest - 500ml

61
Q

what is total lung capacity?

A

total amount of air lungs can hold

62
Q

can all air leave the lungs?

A

no - alveoli would collapse if all the air was removed

63
Q

what is vital capacity?

A

purposeful large breath out and then breath in

64
Q

what is normal O2 partial pressure?

A

10.3-13.5KPa

65
Q

what is normal CO2 partial pressure?

A

4.5-6.0 kPa

66
Q

what does VQ> 1 mean

A

well ventilated but poorly perfused

67
Q

what does VQ< 1 mean?

A

poorly ventilated, well perfused

68
Q

how can alveolar ventilation (V) and perfusion (Q) match?

A

altering bronchiole and pulmonary ateriole radius
- bronchiole dilate and due to hypercapnia (HIGH CO2)
- pulmonary arterioles constrict due to hypoxia - diverting blood to alveoli with more oxygen

69
Q

how does CO2 travel in the body?

A

9% in plasma
10-13% in carbamino haemoglobin
78% in bicarbonate

70
Q

what is a pneumothorax?

A

air/ fluid entering pleural cavity and will compress and collapse lung

71
Q

what is a haemothorax?

A

blood in pleural cavity causing lungs to collapse

72
Q

what is a tension pneumothorax?

A

air continues to enter pleural cavity and can not escape
pushes trachea towards contralateral side

73
Q

what is the aortic knuckle on a chest X ray?

A

distal ascending aorta

74
Q

what is the costophrenic angle - seen in CXR?

A

edge of diaphragm where meets other organs

75
Q

what is costocardiac angle - seen on CXR?

A

angel between edge of heart and diaphragm

76
Q

where does trachea sit in relation to other organs?

A

sits anterior to oesophagus
can be palpated above suprasternal notch
left main bronchus passes under arch of aorta and is longer and narrower than right