Thorax Flashcards

1
Q

What are the 2 heads of Pectoralis Major and their origins?

A

Clavicular head:

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2
Q

Where is the bifurcation of the trachea located

A

at the level of the sternal angle (of Louis)

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3
Q

The trachea splits into?

A

right main bronchus and left main bronchus

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4
Q

What separates the openings to the right main bronchus and left main bronchus

A

carina

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5
Q

Why are aspirated objects more likely to lodge in the right bronchopulmonary tree?

A

The right main bronchus is wider and in a more vertical line with the trachea than the left

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6
Q

What are the parts of the bronchial tree

A

PIC

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7
Q

Intrasegmental vs Inter

A
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8
Q

At mid inspiration, the inferior borders of the lungs and pleura cross what ribs at the midclavicular line, midaxillary line, and scapular line

A

PIC

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9
Q

What is cupula in thorax?

A

pleural cupula is the portion of the parietal pleura which rises into the neck, over the summit of the lung above medial border of clavicle

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10
Q

What are the 2 heads of Pectoralis Major and their origins?

A

Clavicular head: medial half of clavicle

Sternocostal head: anterior surface of sternum, superior 6 costal cartilages, and aponeurosis of external oblique

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11
Q

Function and innervation of Latissimus Dorsi

A

Extend, medially rotate and adduct arm
Thoracodorsal Nerve

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12
Q

Trapezius

A

Elevate, depress, and retract shoulder
Spinal Accessory (Cranial Nerve XI)

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13
Q

When dissecting the axilla for breast cancer, which nerve look out for

A

Thoracodorsal nerve

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14
Q

If you lose the thoracodorsal nerve, what can’t you do?

A

Wipe your ass

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15
Q

Function and innervation of rhomboids

A

Elevate shoulder
Branches of brachial plexus

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16
Q

Levator Scapulae

A

Elevate shoulder
Branches of brachial plexus

17
Q

Name the deep muscles of the back
Their function
Innervation

A

Splenius.capitis and cervicis
Erector spinae (Sacrospinalis) made of:
Spinalis
Longissimus
Ileocostalis
Semispinalis

Extend, bend to either side, and rotate the spinal column but DO NOT FLEX

Dorsal branches of spinal nerves

18
Q

Dermatome of middle finger

19
Q

Dermatome of thumb

20
Q

Dermatome of little finger

21
Q

Dermatome of nipple

22
Q

Dermatome of umbilicus

23
Q

Dermatome of pubic symphisis

24
Q

What are the superficial veins of the arm?

A

Cephalic, median cubital, and basilic

25
Supraspinatous function/innervation
initiate abduction of arm/suprascapular nerve
26
Infraspinatous
laterally rotate arm/suprascapular nerve
27
Teres minor
laterally rotate arm/axillary nerve
28
Subscapularis
medially rotate arm/brachial plexus
29
Deltoid
abduct arm to 90 degrees, medially and laterally rotate arm, extend and flex arm/axillary nerve
30
Teres major
medially rotate, adduct, and extend arm/brachial plexus
31
what muscles make up the rotator cuff
supraspinatous, infraspinatous, teres minor, and subscapularis
32
What muscles insert on greater tubercle of humerus?
Supraspinatous, Infraspinatous, Teres minor
33
What muscle inserts on lesser tubercle of humerus?
Subscapularis
34
What are the functions of the rotator cuff muscles?
abduct, medially and laterally rotate arm and prevent dislocation
35
A patient presents with a winged scapula and can not abduct arm over 90 degrees
patient has damage to the long thoracic nerve and therefore the serratus anterior is paralyzed
36
Serratus anterior function
protract scapula and abduct (raise) arm from horizontal for vertical
37
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