respiratory Flashcards

(59 cards)

1
Q

at what vertebral level is the xiphoid process located

A

T10

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2
Q

At what vertebral level is the sternomaubrial joint found

A

T4/T5

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3
Q

What are the numbers of typical ribs

A

3-9

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4
Q

which ribs are true ribs

A

1 to 7

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5
Q

which ribs are false ribs

A

8 to 10

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6
Q

which ribs are floating ribs

A

11 and 12

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7
Q

what is special about the 1st rib

A

it articulates with only a single vertebra

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8
Q

what do a typical rib articulate with

A

the vertebral body of the same number as the rib and the vertebral body immediately above

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9
Q

what are the boundaries of the thoracic cage

A

bounded superiorly by the thoracic inlet, inferiorly by the thoracic outlet, anteriorly by the sternum and costal cartilages, posteriorly by vertebrae T1-T12, laterally by ribs 1-12, and inferiorly by the diaphragm

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10
Q

which muscle is primarily used for breathing in a newborn

A

diaphragm

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11
Q

what is the muscle fibre orientation of the external intercostal muscle

A

inferomedial

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12
Q

what is the muscle fibre orientation of the internal intercostal muscle

A

inferolateral

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13
Q

what is the muscle fibre orientation of the innermost intercostal muscle

A

inferomedial

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14
Q

where would you insert a chest drain

A

5th intercostal space, slightly anterior to mid axillary line, superior to the inferior rib (bottom of space)

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15
Q

state the layers of extrapulmonary tubes

A

mucosa, submucosa, cartilage, adventitia

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16
Q

state the layers of the mucosa

A

the epithelium and a thin loose connective tissue layer called the lamina propria

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17
Q

which type of cartilage is found in the respiratory tract

A

hyaline

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18
Q

which connective tissue fibre predominates in lung alveoli

A

reticulin

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19
Q

which type of muscle fibre is found in the reparatory tract

A

smooth

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20
Q

name the two cell types found in the epithelial layer

A

goblet cells, basal cell

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21
Q

in which tissue layer are the secreting glands located

A

submucosa

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22
Q

what cartilage forms the laryngeal prominence

A

thyroid

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23
Q

which cartilages are attached to the vocal cords

A

arytenoid, thyroid

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24
Q

where does the trachea bifurcate

25
what is the name of the keel-shaped cartilage ring at the bifurcation of the trachea called
carina
26
how many lobes does the right lung have
3
27
how many lobes does the left lung have
2
28
define hilum
the area on the medial surface of the lung through which structures enter or leave the lung
29
describe the pulmonary circulation
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
30
describe bronchial circulation
supplies oxygenated blood to the lung tissue and the larger airways
31
what dermatome overlies the sternal angle
T2
32
what dermatome overlies the nipple area
T4
33
what dermatome overlies the umbilicus
T10
34
what dermatome overlies the inguinal region
L1
35
Name the major groups of lymph nodes
``` axillary superficial and deep inguinal pectoral tracheobronchial lumbar/pelvic superficial cervical and deep cervical ```
36
state key features of bronchiole histology
no cartilage, glands or goblet cells
37
what type of epithelium is found in the bronchioles
pseudo stratified ciliated columnar
38
name the three cell types in the wall of an alveoli and give the function of each
type 1 pneumocytes - facilitate type 2 pneumocytes - secrete surfactant macrophages - clear air of infection
39
state the two types of pleura
parietal pleura | visceral pleura
40
what is the name of the space between the two pleura
pleural space or cavity
41
what layer of the pleura enters and lines the fissures of the lungs
viceral
42
what layer of pleura is sensitive to pain
parietal
43
which nerve supplies pain sensation to the pleura
phrenic and intercostal nerves
44
what is a pneumothorax
the presence of air within the plural space
45
what is a haemothorax
presence of blood within the pleural space
46
describe a pleural reflection
occurs where the parietal pleura lining one surface of the chest wall changes its direction to line another surface
47
describe the relationship between rib and parietal pleura
pleura is always 2 spaces more than rib
48
what course does the oblique fissure follow
6th rib
49
what level does the horizontal fissure lie at
level of the 4th rib
50
where would you perform a pleural aspiration
9th intercostal space in midaxillary line
51
what kind of muscle is found in the diaphragm
skeletal
52
what cardiac structure is firmly attached to the central tendon of the diaphragm
fibrous pericardium
53
to which vertebra are the left and right crura attached
Left - L1-L2 | right - L1-L3
54
at what level is the opening for the inferior vena cava
T8
55
at what level is the opening for the oesophagus
T10
56
at what level is the opening for the aorta
T12
57
What is a hiatus hernia
the abnormal protrusion of a structure into the thorax through a tear or weakness in the diaphragm
58
what vertebral levels of the spinal cord contribute to the phrenic nerves
C3-C5
59
on which lung can you find a lingula
left