Thorax Flashcards

1
Q

Where is the sternum located

A

Anteriorly to the midline of the thoracic wall

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1
Q

what structures does the thorax contain

A

TAVLON + HL

Trachea
Arteries
Veins
Lymphatic vessels
Oesophagus
Nerves
Heart
Lungs

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2
Q

List 3 parts from superior to inferior of the sternum

A

manubrium
body
xiphoid processes

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3
Q

List and describe the function of the thoracic cage

A

Protection
-thoracic viscera

Attachment of muscles that attaches
and move the upper limbs

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4
Q

Name constituents of the thoracic cage

A

Sternum
Ribs
Thoracic vertebrae

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5
Q

Is the notch on the superior border to the manubrium the jugular or the Sterno clavicular notch

A

Jugular notch

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6
Q

What articulates the manubrium and body of the sternum

A

Sternal angle

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7
Q

Lateral to the manubrium, which joint articulates to the clavicle

A

Sterno clavicular joint

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8
Q

T/F

Rib pairs 10,11,12 are NOT attached to the sternum

A

F

11,12 are not attached, 10 is

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9
Q

How many pairs of ribs are there in the thorax

A

12

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10
Q

What 2 structures do ribs articulate to

A

Sternum + Thoracic vertebrae

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11
Q

Define the term ‘TYPICAL’ rib

A

consisting of a head,neck,body

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12
Q

Define the term ‘ATYPICAL’ ribs

A

having structures not common to typical ribs

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13
Q

List the ATYPICAL ribs

A

1,2,10,11,12

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14
Q

Describe why RIB 1 is atypical

A

-shorter + wider
-only 1 facet on its head

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15
Q

Describe why RIB 2 is atypical

A

-longer and thinner than 1

-have a rough upper surface where serratus anterior muscle origionates

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16
Q

Describe why RIB 10 is atypical

A

-only 1 facet to join T10

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17
Q

Describe why RIB 11 and 12 are atypical

A

-no neck
- face to join to specific vertebrae
-posteriorly join only

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18
Q

Describe the Head of a rib

A

-wedge shaped
-2 articular facets
-tubercle

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19
Q

Describe the neck of the rib

A

-no bony prominences
-connects head to shaft with a tubercle
-tubercle attached tot eh transverse processes

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20
Q

Describe the shaft of the rib

A

-curved
-costal groove for the neurovascular supply of the thorax

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21
Q

Which are the true ribs

A

1-7

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22
Q

which are the false ribs

A

8-10

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23
Q

What type of cartilage anteriorly lines the ribs

A

Costal

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24
Q

Define True ribs

A

-ribs 1-7 that connect to the sternum independently

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25
Q

Define false ribs

A

-ribs 8-10 don’t articulate to the sternum directly
-their costal cartliages join on the 7th

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26
Q

What is the neurovascular bundle comprised of

A

Intercostal nerve
intercostal artery
Intercostal vein

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27
Q

How many layers of muscles in the intercostal spaces

A

3

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28
Q

Is the external intercostal muscle deep or superficial

A

Superficial

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29
Q

Which muscle pulls ribs superior in inspiration

A

External intercostal

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30
Q

Does the internal intercostal lie superficial or deep to the external intercostal

A

Deep

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31
Q

Does the internal intercostal run perpendicular or parallel to external intercostal

A

Perpendicular

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32
Q

Which direction or perpendicular does the internal intercostal muscle run

A

Postero inferior directions

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33
Q

During expiration does the internal intercostal muscle pull the ribs inferior or superior

A

Inferior

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34
Q

In the anterior part of intercostal space which muscle become membranous forming _______ ________ membrane

A

External intercostal muscle

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35
Q

In posterior part of the intercostal space which muscle become membranous forming ______ ______ membrane

A

Internal intercostal

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36
Q

Does the innermost intercostal lie deep or superficial to the internal intercostal

A

Deep

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37
Q

Do the fibres of the innermost intercostal run perpendicular or parallel to the inner intercostal muscle

A

Parallel

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38
Q

Does the endothoracic fascia lie deep of superficial to the innermost intercostal

A

Deep

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39
Q

Does the endothoracic fascia lie deep or superficial to the parietal pleura

A

Superficial

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40
Q

What structures pass through the Hillum of the lung

A

BBBPPL
-Main Bronchus

-Pulmonary artery

-2 pulmonary veins

-Bronchial artery

-Lymphatic vessels

-Branches from vagus nerve and sympathetics

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41
Q

the neurovascular bundle lie in each intercostal space T/F

A

T

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42
Q

In each intercostal space where does the neurovascular bundle lie in the muscles

A

Between internal and innermost intercostal

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43
Q

What does the neurovascular bundle suply

A

Overlying skin
Underlying parietal pleura

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44
Q

T/F the neurovascular bundle lies along the SUPERIOR border of the rib and INFERIOR to the intercostal space

A

F
The neurovascular bundle lies INFERIOR to the ribs and SUPERIOR to the intercostal space

45
Q

What is the name of the groove that one neurovascular bundle lies in

A

Costal groove

46
Q

Which parts of the intercostal space do the anterior and posterior intercostal arteries supply

A

Same as names

47
Q

What artery branches into the anterior intercostal artery

A

Internal thoracic artery

48
Q

What artery branches from the descending aorta for the posterior intercostal space

A

Posterior intercostal arteries

49
Q

What type of system of veins do the anterior and posterior intercostal veins drain into

A

Azygous

50
Q

Which group of nerves inner are the intercostal muscles, skin on chest wall and parietal pleura

A

Intercostal

51
Q

What are the 2 membranes that are the pleura

A

Parietal and viscera

52
Q

Describe where the parietal pleura lines

A

Inside of thorax

53
Q

Describe where visceral pleura lines

A

Surface of lungs and into fissures

54
Q

What is between the 2 pleural membranes

A

Pleural cavity

55
Q

Which of VISCERAL and PARIETAL pleura are visible to the eye

A

Parietal

56
Q

What fluid to pleura cells produce

A

Pleural fluid

57
Q

Outline the uses of pleural fluid

A

-preventing friction
-maintain moistures

58
Q

List the 4 parts of the pleural cavity

A

CCDM

Cervical
Costal
Diaphragmatic
Mediastinal

59
Q

Where is the parietal cervicle pleura located

A

Covering the apex of the lung

60
Q

Where is the parietal costal pleura located

A

Adjacent to ribs

61
Q

Where does the parietal mediastinal pleura lie

A

Adjacent to heart

62
Q

Where does the parietal diaphragmatic pleura lie

A

Adjacent to diaphragm

63
Q

What lines the periphery of the diaphragm like a gutter

A

Costodiaphramgatic recess

64
Q

Where does the costomediastinal recess lie

A

At the junction of the costal and mediastinal pleura

65
Q

What are the recesses in the lungs for

A

Potential expansion

66
Q

Which nerves are the viscera pleura innervated by

A

Autonomic sensory nerves

67
Q

Which pleura do the intercostal nerves innervate

A

Parietal

68
Q

How many lines in left and right lung

A

L2
R3

69
Q

Which lungs/s have oblique fissures

A- Left
B- right
C- both

A

C

70
Q

Which lung/s have horizontal fissures

A-left
B- Right
C-both

A

B

71
Q

What are the 3 surfaces of the lung and where they’re located

A

Costal - adjacent to ribs
Mediastinal - adjacent to heart
Diaphragmatic - inferior surface of lung

72
Q

What are the borders of the lung and their descriptor

A

Anterior- sharp and tapered
Posterior - thick and rounded
Inferior - sharp and tapered

73
Q

Which lung/lungs can indentations of ribs be seen on

A-left
B- Right
C-both

A

C

74
Q

Indentations from left ventricle, defending sorts are seen on what surface of what lung

A

Mediastinal of left lung

75
Q

Indentation from the superior veins cava and azygous being can be seen on what surface of what lung

A

Mediastinal
rIght lung

76
Q

Describe the hilum of the right lung with where the main bronchus and pulmonary artery lie

A

Main bronchus is anterior to the pulmonary artery

77
Q

Describe the hilum of the left lung with where the main bronchus and pulmonary artery lie

A

Main bronchus lies inferior to pulmonary artery

78
Q

At what level does the trachea branch into left and right bronchi

A

Sternal angle

79
Q

When the main bronchus divides into secondary bronchi how many secondary bronchi divert to each lung and why

A

2 left for 2 lobes
3 right for 3 lobes

80
Q

When the lobar bronchus divides to segmental bronchi how many supply each lung

A

10 each

81
Q

What is the collective term for the 1 segments of each lung

A

Bronchiopulmanory segments

82
Q

T/F
Bronchioles divide to segmental bronchi

A

F
OPPOSITE

83
Q

T/F the walls of trachea and bronchi contain skeletal muscle and cartilage

A

False

Smooth muscles and cartilage

84
Q

What do the smallest bronchioles connect to

A

Alveoli

85
Q

What type of muscle is the diaphragm made of

A

Skeletal

86
Q

How does lymph drain from the lungs into the venous system

A

Thoracic duct or right lymphatic ducts

87
Q

Which type of nerves innervate the lunge
Somatic or autonomic

A

Autonomic

88
Q

what do the Parasympathetic fibres stimulate in the lungs

A

Briochoconstiction
Bronchial tree secretion glands

89
Q

what do the Sympathetic fibres do in the lungs

A

Bronchodilation
Inhibits bronchial tree gland secretion

90
Q

What relays sensory information from lungs and visceral pleura to CNS

A

Visceral afferents
Parasympathetic nerves
Sympathetic nerves

91
Q

On the inferior border of the lungs, anteriorly (MIDCLAVICULAR) what rib level does it reach

A

6

92
Q

On the inferior border of the lungs, posteriorly what rib level does it reach

A

10

93
Q

On the inferior border of the lungs laterally (mid axillary), what rib level does it reach

A

8

94
Q

The parietal pleura extends anteriorly to which rib

A

8

95
Q

The parietal pleura extend laterally to which rib

A

10

96
Q

The parietal pleura extends posteriorly to which rib

A

12

97
Q

Which ribs for the obliques fissures on L and R lung extend from

A

extends from the 4th posteriorly to the 6th costal cartilage anteriorly; the fissure runs deep to the 5th rib.

98
Q

Which ribs for the horizontal fissures on he R lung extend from

A

from the 4th costal cartilage and intersects the oblique fissure.

99
Q

List characteristics of diaphragm

A

Broad
Thin
Domed sheet
Skeletal muscle

100
Q

What cavities does the diaphragm separate

A

Thoracic and abdominal

101
Q

What part of the sternum does the diaphragm attach to

A

Xiphoid process

102
Q

which structures is the diaphragm attached to

A

Xiphoid process
Costal margin
Tip 11-12 rib
Lumbar vertebrae

103
Q

Is the central part of the diaphragm muscular or fibrous

A

Fibrous

104
Q

What is the central part of the diaphramng called

A

Central tendon

105
Q

During expiration, what happens to the diaphragm

A

Relaxes and domes superiorly

106
Q

Which nerves innervate the diraphramng

A

Phrenic

107
Q

Which vertebrae do phrenic nerves originate from

A

C3,C4,C5

108
Q

During ventilation, the dimensions of the thoracic cavity change in which three planes

A

Vertically
Laterally
Anterorposterialy

109
Q

Describe the purpose of pleural fluid

A

Generates surface tension between the parietal pleura lining the thoracic cavity and the surface of the lung

110
Q

In quest respiration what is the main structure managing this

A

Diaphramng

111
Q

During vigourous breather (ecercise) which muscles are most active

A