Misc- Table conference 2 Flashcards Preview

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Flashcards in Misc- Table conference 2 Deck (124):
1

left lung impressions

aortic arch, thoracic aorta, cardiac

2

right lung impressions

SVC, right brachiocephalic vein, arch of azygos vein, esophagus, cardiac

3

lung visceral innervation

vagus
sympathetic

4

lung parietal innervation

phrenic
intercostals

5

pulmonary ligament

extends inferior to root of lung, holds lung in place

6

where is the lingula and what is it

inferior to cardiac notch of left lung

7

what kind of blood do bronchial arteries carry

oxygenated

8

where do bronchial arteries originate

descending aorta

9

what type of blood do pulmonary arteries carry

deoxygenated

10

where do the pulmonary arteries originate

pulmonary trunk, which is from the right ventricle

11

where does the pulmonary vein carry blood to

left atrium

12

what are plural cavities?

space in thorax for lungs

13

difference between visceral and parietal plurae?

visceral- covers lungs
parietal- covers thorax

14

what is between visceral and parietal plurae, what's its function?

serous fluid; creates frictionless surface for lungs to move

15

what space would you insert a needle for a plural tap? what is this space called?

intercostal space T7-9; costodiaphragmatic recess

16

what is the "root" of the lung? what is there?

hilum
bronchus, arteries, veins enter the lung here

17

what nerve provides preganglionic parasympathetic fibers to the lungs?

vagus nerve

18

what is in the white ramus comunicans?

preganglionic symapthetic nerves (myelinated)

19

parasympathetic cranial nerves

III,
VII,
IX,
X

20

what organs are innervated by pelvic sphlancnics

descending colon, sigmoid colon, rectum

21

what is the function of the azygos system of veins?

drains the thoracic vessels (intercostal veins) into the SVC and IVC; shunt from IVC to SVC or reverse

22

what does azygos mean

unpaired

23

what does vagus mean

wandering

24

what does duodenum mean

twelve finger-breadths

25

why is left recurrent laryngeal nerve in a strange path, what is it a branch of?

branch of vagus, wraps down and then up around the aorta because it was pulled down during development

26

which main bronchus has a more direct route to the lung?

right; it's more vertical

27

what veins drain into the azygos?

intercostal veins

28

sternal angle- what is it the level of?

rib 2
loop of left recurrent laryngeal nerve
start/end of aortic arch
bifurcation of the trachea
intervertebral disc T4-5

29

what are bronchopulmonary segments?

bronchi and their successive divisions

30

what does right recurrent laryngeal nerve loop around

loops around right subclavian artery

31

number of segmental bronchi - left

9

32

number of segmental bronchi - right

10

33

ligamentum arteriosum

connects left pulmonary artery - arch of aorta

34

what/where is the carina?

bifurcation of the trachea into main stem bronchi

35

fossa ovale

right-left atria septum; was formane ovale in embryo, shunted oxygenated blood from right to left atrium

36

what forms the posterior aspect of tracheal rings?

trachealis muscle-smooth muscle tissue

37

what are tracheal rings made of?

hylaine cartilage

38

where is the thoracic duct?

"duck between 2 goose"

between esophagus and azogus

39

why are arteries called "coronary" and veins "cardiac"?

coronary arteries originate at aorta, run around crown of heart - sulcus

cardiac veins originate lower at right atrium, cardiac=heart

40

small cardiac vein pairs with

marginal artery

41

middle cardiac vein pairs with

posterior interventricular artery

42

great cardiac vein pairs with

left anterior descending artery

43

where do cardiac veins drain into

coronary sinus > right atrium

44

layers of heart wall

endocaridum
myocardium
epicardium

45

sulci of the heart

anterior/posterior interventricular, coronary

46

innervation of pericardium

phrenic nerve

47

fibers of pericardium?

GSE

48

blood supply to pericardium?

pericardiacophrenic artery

49

why are coronary arteries called functional end arteries?

don't anastomose enough to perfuse heart if blocked

50

most common sites of blockage in heart?

LAD
circumflex
right coronary artery

51

heart referred pain- where is it felt?

dermatomes T1-T5, C2-C3

52

which heart valves work via pressure differences?

aortic, pulmonary, open during systole

53

which heart valves work via muscular action?

tricuspid, mitral

54

what type of nerve fibers innervate the heart?

GVA

55

tricuspid valves named

1. anterior
2. posterior
3. septal

56

what holds valves down from flapping up?

cordae tendonae

57

what muscles hold the cordae tendonae?

papillary muscles

58

where is the moderate band (septomarginal trabecula), what does it do?

right ventricle ONLY!
connects anterior papillary m. to interventricular septum

59

muscles of the right atrial wall

pectinate m. (horizontal), crista terminale (vertical)

60

muscles of right ventricular wall

trabeculae carneae

61

what is the most anterior portion of the heart

right ventricle

62

pulmonary valve cusps

1. right
2. anterior
3. left

63

where does blood go from right atrium

through tricuspid valve, to right ventricle

64

where does blood go from right ventricle

through pulmonary valve, to right and left pulmonary arteries

65

how is pulmonary trunk related to the aorta?

anterior

66

what is the ligament between the aorta and the pulmonary trunk?

ligamentum arteriosum

67

after blood goes through lungs, what does it return to heart through?

pulmonary veins, to left atrium

68

where is the conus ateriosus?

right ventricle

69

blood from pulmonary veins de/oxygenated?

oxygenated

70

only veins that carry oxygenated blood in body?

pulmonary veins

71

only arteries that carry deoxygenated blood in body?

pulmonary arteries

72

where does blood go from left atrium?

through mitral valve, to left ventricle

73

cusps of mitral valve?

1. anterior
2. posterior

74

most muscular part of heart?

left ventricle

75

blood from left ventricle goes where?

through aortic valve, through aorta

76

cusps of aortic valve?

1. right
2. posterior
3. left

77

where are the aortic sinus?

behind the valve cusps of the aortic valve

78

what comes out of aortic sinus?

blood to coronary arteries

79

which valves are open during sistole?

aortic, pulmonary

80

which valves are open during diastole?

tricuspid, mitral

81

first branch off abdominal aorta

inferior phrenic
before celiac trunk!

82

purpose of greater omentum?

support, protect abdominal structures in event of ulcer; facilitates healing; protects from infection

83

what is in the portal triad?

bile duct, portal vein, proper hepatic artery

84

what does portal triad run in?

hepatoduodenal ligament

85

intraperitoneal organs

liver, gallbladder, spleen, stomach, 1st part of duodenum, jejunum, ileum, transverse colon, sigmoid colon, appendix

86

which of the GI tract organs aren't intraperitoneal

ascending colon, descending, colon, 2nd part of duodenum

87

primary retroperitoneal organs

kidneys, adrenal glands, aorta, IVC, testes

88

extraperitoneal structures

bladder, prostate, seminal vesicles, uterus, ovaries

89

secondarily retroperitoneal structures

2-4th part of duodenum, cecum, ascending and descending colon, rectum, pancreas

90

border of foregut

2nd part of duodenum

91

what are the paracolic gutters

either side of ascending/descending colon, drain fluids

92

pelvic sphlancnic root values

S2-S4

93

sympathetic innervation of abdomen

greater, lesser, lumbar (thoracic) sphlancnics

94

parasympathetic innervation of abdomen

vagus until left colic flexure; then, pelvic sphlancnics (S2-S4)

95

greater splanchninc nerves root value?

greater: T5-9
lesser: T10-11
least: T12
lumbar: L1-2

96

primary fiber type of greater splanchnic nerve?

GVE primarily, but also GVA

97

alimentary tract, from proximal to distal

mouth, esophagus, cardiac sphincter, stomach, pyloric sphincter, duodenum (4 parts), jejunum, ileum, cecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, anus

98

what are the subdivisions of small intestine?

duodenum (intraperitoneal, 2-4th parts secondarily retroperitoneal), jejunum (intraperitoneal), ileum (intraperitoneal)

99

subdivisions of large intestine?

cecum (secondarily retroperitoneal), ascending (secondarily retroperitoneal), transverse (intraperitoneal), descending colon (secondarily retroperitoneal), sigmoid colon (intraperitoneal)

100

what is "a" mesentery?

double layer of peritoneum

101

what is "THE" mesentery?

mesentery supporting small intestine
blood supply runs through from SMA and IMA to the small intestine

102

early pain from appendicitis?

referred to T10, belly button

103

3 unpaired vessels of abdominal aorta?

celiac, SMA, IMA, median sacral

104

vertebral level of celiac trunk?

T12

105

vertebral level of SMA?

LI

106

vertebral level of IMA?

LIII

107

what do ventral branches of aorta tend to do?

supply gut, unpaired organs like liver

108

what do lateral branches of aorta tend to do?

supply specific paired organs, like kidneys

109

direct branches of abdominal aorta?

renals, medial suprarenals, inferior phrenics, testicular/ovarian, lumbars (1-4)

110

arteries that supply diaphragm?

superior and inferior phrenics, musculophrenic, pericardiacophrenic

111

inferior phrenics arise from?

abdominal aorta

112

superior phrenics arise from?

thoracic aorta

113

musculophrenic and pericardiacophrenic arise from?

internal thoracic artery

114

suprarenal glands supplied by?

superior, medial, inferior suprarenal arteries

115

hepatic v. portal vein?

portal: carries blood from all digestive organs into liver for filtering
hepatic: carry blood away from liver into IVC for systemic circulation

116

what is "marginal" artery? where? clinical significance?

inside the Mesentery; connects vessels carrying blood to vasa recta; suppled by both SMA and IMA, so major collateral route

117

left renal vein function?

drains much of left part of abdomen, direct extension of IVC

118

why called "bare area" of liver?

no peritoneum, liver directly contacts diaphragm

119

what are coronary ligaments?

on "crown" of liver, connect to diaphragm

120

bile passage route?

bile made in liver > hepatic duct > common bile duct when joins cystic duct > duodenum or back through cystic duct to gall bladder for storage

121

IVC location re: portal vein?

dorsal

122

main tributaries of portal vein?

SMV, splenic vein

123

wehre woudl you feel biliary colic?

T7-9

124

hepato-portal system function

drains blood from digestive organs into liver for filtration before entering systemic circulation