Thoracic Wall

Question 1

stages of clinical exam

Answer 1

inspection, palpation, percussion, auscultation

Question 2

aortic valve heard at

Answer 2

2nd intercostal, R

Question 3

pulm valve heard at

Answer 3

2 intercostal, L

Question 4

tricuspid heard

Answer 4

5th intercostal, L

Question 5

mitral valve heard

Answer 5

5th intercostal, L mid clavicular

Question 6

thoracic cage features

Answer 6

semi ridged, muscle attachment, projection, help with breathing

Question 7

t2/t3

Answer 7

pulm A and branch divide

Question 8

t4/T5

Answer 8

sternal angle, divide superior and inferior mediastinum, 2nd ribs join, bifurcation of trachea and pulm trunk

Question 9

true ribs

Answer 9

1-7

Question 10

false ribs

Answer 10

8-10

Question 11

floating ribs

Answer 11

11-12

Question 12

which are movable joints in thoracic

Answer 12

costovertebral, costotransverse

Question 13

rib dislocation

Answer 13

costal cart detach from sternum

Question 14

rib separation

Answer 14

rib detach from costal cart

Question 15

flail chest

Answer 15

mult farctures, ribs detach from chest wall, section moves inward on inspiration

Question 16

cervical rib

Answer 16

extra, on 7th vertebrae, thoracic outlet syndrome

Question 17

pointy chest is called

Answer 17

pectus carinatum

Question 18

the three intercostal muscles

Answer 18

external, internal, innermost

Question 19

intercostal membranes

Answer 19

anterior (external), posterior (internal)

Question 20

anterior intercostal A splits into

Answer 20

muscular phrenic and superior epigastric

Question 21

aorta gives off

Answer 21

posterior intercostal artery, > dorsal posterior

Question 22

internal thoracic artery gives off

Answer 22

anterior intercostal

Question 23

coarctation of aorta

Answer 23

narrowing, increases collateral flow, leads to rib notching

Question 24

intercostal vessel main order

Answer 24

VAN

Question 25

intercostal colorerai order

Answer 25

NAV

Question 26

what part of intervertebral space do you aim thoracocentesis

Answer 26

MIDDLE/ just above upper border of ribs to miss main

Question 27

anterior intercost vs posterior veins drain into what?

Answer 27

anterior> internal thoracic, posterior>azygous

Question 28

accessory inspiration muscles

Answer 28

external intercostal, pecs, serratus

Question 29

compartments of thoracic cavity

Answer 29

2 pulm (lung and pleura), central (mediastinum)

Question 30

expiratory muscles

Answer 30

oblique, abs, scalènes

Question 31

right lung

Answer 31

3 lobes, 2 fissures

Question 32

left lung

Answer 32

2 lobes, one fissure, lingual, cardiac notch

Question 33

parietal pleura lung

Answer 33

cercival and costal (intercostal n), mediation and diaper (phrenic)

Question 34

visceral pleura of the lung (innervation )

Answer 34

autonomic n

Question 35

pleursiy

Answer 35

inflamed pleura, rub, sharp pain,

Question 36

what ribs join at sternal angle

Answer 36

2nd

Question 37

intercostal nerve functions

Answer 37

innervate intercostal muscles, supply skin sensation, innervate costal parietal pleura, from venral rami

Question 38

where is cardiac notch

Answer 38

left lung

Question 39

where will aspirated food most likely go

Answer 39

right main stem bronchi

Question 40

where does LLL drain?

Answer 40

R side trachea lymph nodes

Question 41

hilar lymph nodes are called

Answer 41

bronchomediastinal

Question 42

where do lungs extend

Answer 42

ribs 6, 8, 10

Question 43

pleural reflection extends to

Answer 43

rib 8, 10.12

Question 44

bare area

Answer 44

left 5th intercostal space left of sternum

Question 45

pulmonary bleb

Answer 45

weekend outpourings, can rupture and cause spont pneumonia

Question 46

vagus nerve functions

Answer 46

bronchoconstrict, promote secretion, relax blood vessels

Question 47

sympa fiber functions

Answer 47

bronchodilator, inhibiting mucus, constrict blood vessels

Question 48

phrenic nerve functions

Answer 48

motor diaphragm, sensory diaphragm and mediastinal pleura

Question 49

Pulm embolism

Answer 49

block of pulm ARTERY of branch.

Question 50

how are intercostal spaces numbered?

Answer 50

superior riv

Question 51

which rib facet does not articulate with same vert number

Answer 51

superior- vertebrae above!