thorax Flashcards

1
Q

what does the thorax include?

A

sternum, costal cartilages, ribs, thoracic vertebrae, structures they enclose

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2
Q

what structures are at the top and bottom of the thorax?

A

superior thoracic aperture and inferior thoracic aperture

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3
Q

the thorax is split into 3 compartments, what are they?

A

left pleural cavity, right pleural cavity and mediastinum

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4
Q

what is the bone running down the centre of the chest called?

A

the sternum

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5
Q

what does the sternum contain?

A

manibrium, sternum, xiphoid process

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6
Q

what holds the chest together?

A

costal cartilage

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7
Q

what is the large dip between the neck and collar bone known as?

A

jugular notch

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8
Q

what are ribs 1-7 classified as?

A

true ribs

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9
Q

what are ribs 8-10 classified as?

A

false ribs

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10
Q

what are ribs 11-12 classified as?

A

floating ribs

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11
Q

what is the main function of ribs?

A

respiration

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12
Q

what is the name for the central compartment t of the thoracic cavity (excluding lungs)?

A

mediastinum

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13
Q

the mediastinum is sub categorised into 2 sections, what are these?

A

superior and inferior mediastinum

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14
Q

the inferior mediastinum is sub categorised into 3 sections, what are these?

A

anterior, middle and posterior

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15
Q

what structures are contained within the superior mediastinum?

A

great vessels, phrenic and vagus nerves, sympathetic trunk, part of thymus

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16
Q

what structures are contained within the anterior mediastinum?

A

fat and some thymus

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17
Q

what structures are contained within the middle mediastinum?

A

heart

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18
Q

what structures are contained within the posterior mediastinum?

A

descending thoracic aorta, hemiazygous veins, thoracic duct, oesophagus, vagus and splanchnic nerves

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19
Q

what is the 1st branch of the aorta?

A

coronary arteries

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20
Q

what do the left and right brachiocephalic veins do?

A

return blood to superior vena cava

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21
Q

what does the brachiocephalic artery divide into?

A

carotid and subclavian arteries

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22
Q

which vein drains head and neck?

A

internal jugular vein

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23
Q

which arteries supply the arms?

A

subclavian

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24
Q

which vein drains pulmonary trunk and breast tissue?

A

internal thoracic vein

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25
which structure surround the heart and holds everything in place?
pericardium
26
the vagus nerve branches in the thorax, where does the left branch supply?
gut
27
what does the trachea divide into?
2 principle bronchi
28
where do the diaphragm muscle fibres arise from and converge towards?
arise radially from the costal margin and converge to insert into central tendon
29
the muscle of the diaphragm us higher on what side and why?
right - position of liver beneath
30
which type of muscle does the diaphragm consist of?
skeletal
31
which nerve supplies the diaphragm?
phrenic (cervival nerve 3, 4 and 5)
32
what happens to the diaphragm muscle during inspiration?
muscle flattens to increase capacity of thoracic cavity
33
what happens to the diaphragm muscle during expiration?
diaphragm returns to dome shape
34
fold in the diaphragm enclose what?
oesophagus and inferior vena cava
35
what happens to intra-abdominal pressure during contraction?
increased
36
what happens to thoracic pressure during contraction?
decreased
37
what does the thoracic cage consist of ?
12 ribs, manibrium, sternum and xiphoid process
38
what structure is used for palpitations of trachea to assess position?
jugular notch
39
where is the manubriosternal joint?
2nd rib
40
internal thoracic arteries are used for what clinical procedure?
coronary artery bypass
41
what is the function of connective tissue in the mediastinum?
allow cushioning and small degree of movement
42
why are there no valves in the vena cava?
blood falls in the direction of gravity
43
how many valves are in the aortic valve
3
44
where is the aortic sinus?
above aortic valve
45
what do coronary arteries arise from?
aortic sinus
46
when do aortic valves close?
ventricular diastole
47
what may the right av valve and left av valve be known as?
right - tricuspid valves | left - bicuspid
48
when do tricuspid valves close?
ventricular systole
49
what are valves kept in place by?
chordae tendinae holding valves vie papillary muscles
50
what is the name for an abnormal heart sound?
murmur
51
how many coronary arteries are there?
2
52
what is unique about coronary arteries?
they are end arteries
53
what would occur if coronary arteries were completely occluded?
myocardial infarction
54
what is the function of coronary arteries?
supply heart with oxygenated blood
55
how much bigger is the left ventricle compared to the the right?
3x
56
what kind of artery is the aorta?
elastic
57
what is the name for the prominence of the aorta as it changes direction in the chest?
aortic knuckle
58
why does the aorta not collapse during ventricular systole?
elastic recoil
59
what branches of the aorta pass into the neck?
brachiocephalic trunk, left common artery and left subclavian artery
60
what kind of innervation does the phrenic nerve provide to the diaphragm?
muscular - diaphragm | sensory - fibrous pericardium and peritoneum
61
what is the function of the arterial system?
deliver oxygenated blood round body
62
what are the 3 main types of vessel in arterial system?
elastic, muscular and arterioles
63
give examples of elastic arteries?
aorta, common carotid, subclavian, pulmonary
64
give examples of muscular arteries?
radial femoral, coronary, cerebral
65
what is the function of the venous system?
collecting system
66
what is the structural difference of veins compared to arteries?
veins have less elastic and muscle in their walls