major clinical: thorax Flashcards
(86 cards)
1
Q
dermatome around nipple
A
T4
2
Q
vertebral level at inferior angle of scapula
A
TV7
3
Q
structure that lies immediately posterior to manubrium
A
thymus
4
Q
rib related to oblique fissure of lung posteriorly
A
2nd
5
Q
rib paralleled by horizontal fissure of right lung
A
4th
6
Q
inferior extent of lung at midclavicular line
A
6th rib
7
Q
inferior extent of pleura at midclavicular line
A
8th rib
8
Q
inferior extent of lung at midaxillary line
A
8th rib
9
Q
inferior extent of pleura at midaxillary line
A
10th rib
10
Q
inferior extent of lung posteriorly
A
10th rib
11
Q
inferior extent of pleura posteriorly
A
12th rib
12
Q
innervation of costal pleura
A
intercostal nerve
13
Q
innervation of mediastinal pleura
A
phrenic nerve
14
Q
site for auscultation of pulmonary valve
A
left 2nd interspace
15
Q
site for auscultation of aortic valve
A
right 2nd interspace
16
Q
site for auscultation of tricuspid valve
A
xiphisternal joint
17
Q
site for auscultation of mitral valve
A
left 5th interspace, midclavicular line
18
Q
heart chamber with greatest sternocostal projection
A
right ventricle
19
Q
chamber that forms apex of heart
A
left ventricle
20
Q
major chamber that contains moderator band
A
left atrium
21
Q
artery that determines coronary dominance
A
posterior interventricular
22
Q
usual origin of SA and AV nodal arteries
A
right coronary artery
23
Q
location of SA node
A
cristae terminalis
24
Q
major vessel that drains the musculature of the heart
A
coronary sinus
25
innervation of fibrous pericardium
phrenic nerve
26
most common cause of systolic ejection murmur
aortic stenosis
27
rib associated with sternal angle
second rib
28
vertebral level associated with sternal angle
disc between TV4-5
29
location of ductus arteriosus
between left pulmonary artery and aorta
30
nerve potentially injured with repair of patent ductus arteriosus
left recurrent laryngeal nerve
31
veins that unite to form brachiocephalic
subclavian and internal jugular
32
veins that unite to form SVC
right and left brachiocephalic
33
termination of azygos vein
SVC
34
structures that lie to right and left of thoracic duct
azygos veins, aorta
35
spinal levels of greater splanchnic nerve
T5-9
36
spinal levels of lesser splanchnic nerve
T10-11
37
spinal levels of least splanchnic nerve
T12
38
thoracic structures that can compress the esophagus
left bronchus, aorta and diaphragm
39
disease often associated with thymoma
myasthenia gravis
40
what is the depression of the sternum; funnel chest
precuts excavatum
41
what is an anterior protrusion of the sternum; pigeon chest
precuts carinatum
42
what is the dermatome of the xiphoid
T6
43
what root ganglion does herpes zoster effect
posterior root ganglion
44
where is an intercostal nerve block performed
between internal and innermost intercostal nerves
45
where does the vast majority of lymph from the breast direct towards
axillary nodes
46
where is lymph from the skin of the breast direct to
axillary, inferior deep cervical, infraclavicular and parasternal nodes
47
accumulation of fluid in the pleural sac
pleural effusion
48
signs/symptoms of spontaneous pneumothorax
acute onset of chest pain, shortness of breath, decreased breath sounds
49
what is blood in the pleural space
hemophenuothorax
50
what is lymph in the pleural space
chylothorax
51
what is pus with air in the thorax
pyopneumothorax
52
what is in the thorax without air
empyema
53
what is inflammation of the pleura
pleurisy
54
what rib is the oblique fissure of the scapular line at
4th rib
55
what rib is the oblique fissure of the midaxillary line at
5th rib
56
what rib is the oblique fissure of the midclavicular line at
6th rib
57
what rib is the oblique horizontal fissure of the midaxillary line at
4th rib
58
what rib is the oblique horizontal fissure of the midclavicular line at
4th rib
59
what rib should the stethoscope be placed along the anterior chest wall in the left side
5th rib
60
what rib should the stethoscope be placed along the anterior chest wall in the right side
3rd rib
61
where is thoracocentesis most commonly done at
8th or 9th intercostal space near the midaxillary line
62
what is removal of fluid from the pleural space
thoracocentesis
63
where does the right lung lymph drain
tracheobronchial nodes to the right paratracheal
64
where does the left superior lobe of the lung lymph drain
superior tracheobronchial nodes to the left paratracheal
65
where does the left inferior lobe of the lung lymph drain
inferior tracheobronchial nodes to the Right paratracheal
66
what is collapse of lung or lobe resulting from blockage of the airway
atelectasis
67
what is it called when the tumor of the lung apex affects the cervical sympathetic chain
horner syndrome
68
what is a term that means difficulty breathing
dyspnea
69
what is the left border of the cardiac silhouette
aortic arch, pulmonary trunk, left auricle, left ventricle
70
what is the right border of the cardiac silhouette
right brachiocephalic vein, SVC, right atrium and IVC
71
what is accumulation of fluid in the pericardial space
pericardial effusion
72
what is compression of the heart from accumulated fluid in the pericardiac sac
cardiac tamponade
73
what is the anterior-superior 2/3 of the IV septum's arterial supply
left coronary artery
74
what is the posterior-inferior 1/3 of the IV septum's arterial supply
right coronary artery
75
what are the most common sites of occlusion in the coronary artery
anterior inter ventricular (LAD=widow maker), right coronary artery, left circumflex
76
what is chest pain from the heart resulting from insufficient supply of oxygen to cardiac muscle
angina pectoris
77
where is the tricuspid valve best heard
5th intercostal space just lateral to the sternum on the left side of the body
78
where is the aortic valve best heard
2nd intercostal space just lateral to the sternum on the right side of the body
79
where is the mitral valve best heard
5th intercostal space at midclavicular line, on the left side of the body
80
where is the pulmonary valve best heard
2nd intercostal space just lateral to the sternum on the left side of the body
81
what three points is the aorta fixed at
aortic valve, ligamentum arteriosum, aortic hiatus
82
what can occur when there is fractures between the head and tubercle or posterior discoloration of ribs 6-9 that can lead to impingement or lacerate the descending aorta
exsanguination
83
what type of muscle is in the upper, middle and lower 1/3 of the esophagus
upper is skeletal, middle is mixed, and lower is smooth
84
where does the cervical esophagus lymph drain
deep cervical and/or paratracheal
85
where does the thoracic esophagus lymph drain
posterior mediastinal
86
where does the abdominal esophagus lymph drain
left gastric, celiac
