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EXAM 3
Lecture 1: Ribs/Lungs
57
Anatomy
Graduate
10/06/2013

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Term
_____ lodges the neurovascular bundle which is separated from the bone by the internal intercostal m.
Definition
Costal Groove
Term
Neurovascular bundle in the thorax is between the ____ and ____
Definition
bone and internal intercostal m.
Term
How are the nerves in the neurovascular bundle related? From below to upwards
Definition
NAV (n., a., v.,)
Term
A needle prick along the lower border of the upper rib in an intercostal space would most likely puncture?
Definition
a nerve
Term
What rib has a scalene tubercle and two pairs of grooves (anterior and posterior).
Definition
first
Scalene tubercle for the anterior scalene m.
Anterior groove: subclavian v.
Posterior groove: subclavian a.
Term
This vertebrae has a full costal facet in the upper part and demi-facet in the lower part of the lower side of the body
Definition
T1
b/c it connects two different things
Term
single demi-facet in the upper part of side of body
Definition
T9
Term
single full costal facet in the side of the body
Definition
T10
Term
single full costal facet in the side of the body, no costal facets in transverse process
Definition
T11
Term
single full costal facet in the side of the body and no costal facets in transverse process-inferior articular facets face anterolatterally as opposed to forward facing facets on all other T vertebrae
Definition
T12
Term
Transverse thoracic plane passes through___________
Definition
Lower border of T4 vertebrae
Term
1) Presencse of sternal angle( second costal cartilage attach.) Start counting intervertebral spaces
2) Divides upper and lower mediastinum
3) Discontinuous dermatome C4-T2
4) Bifurcation of trachea
5) SVC pierces fibrous pericardium
6) Arch of azygos v. dives into SVC
7) Arch of aorta begins and ends
8) Thoracic duct passes from R to L
Definition
Transverse Thoracic Plane
Lower level of T4
Term
caused by presence of cervical rib, m. growth on scalene anterior, or narrowing of clavicle on the 1st rib
Definition
Thoracic Outlet Syndrome
Causes compression of brachial plexus or subclavian vessels
Term
Passive inspiration caused by ____
Definition
contraction of diaphragm
Term
quiet, passive expiration caused by ______
Definition
elastic recoil of lungs tissue
Term
COntraction of diaphragm via quiet passive inspiration and expiration results in diaphragm extending ______ diameter of thoracic cavity
Definition
vertical
Term
Pump handle movment occurs due to movment of _____ at ______ and _____ joints. It increases ______ diameter of thoracic cavity.
Definition
Ribs 2-6
Costovertebral and Costotransverse
A-P
Term
Breathing movement assoc. with anterior movement of the lower part of the sternum, most at the manubrosternal joint
Definition
Pump-Handle movement
Term
A bucket handle movement occurs largely due to movement of ________ at the _____ and _____ joints. It increases _____ diameter of the thoracic cavity
Definition
Ribs 7-10
Costovertebral and Costotransverse
Transverse
Term
_____ m. elevate the ribs and help in active inspiration

5 other accessory m. that play important roles during forceful inspiration
Definition
External intercostal m.

Scalene and erector spinae m.
SCM
SA
Pec Major
Term
_____ and ______ m. help in active expiration

2 other m. that play an active roll in forceful expiration
Definition
Internal Intercostal and Innermost Intercostals

Flat m. of anterior abdominal wall and latissimus dorsi
Term
These nerves are ventral rami of thoracic spinal n. which provide motor supply to intercostal m. and sensory supply to narrow strip of skin
Definition
Intercostal n.
Term
To prevent n. injury a needle should be placed along the ______
Definition
Upper border of the lower rib
Term
In order to anesthetize an intercostal space the n. should be injected by placing the needle ______
Definition
Lower border of upper rib
Term

There are ____ anterior intercostal a. for each upper ___ intercostal spaces

Definition
2 9 (no anterior intercostal a. in the lower 2 spaces)
Term
The internal thoracic a. gives off anterior intercostal a. for the ____ intercostal spaces
The muscolophrenic a. gives off anerior intercostal a. for the ____ intercostal spaces
Definition
upper 6 spaces
lower 3 spaces
Term
What 2 a. anastomose with the posterior intercostal a.
Definition
Upper and Lower and anterior intercostal arteries
Term
Posteior intercostal a. come off
______ in lower 9 spaces
and
______ in upper 2 spaces
Definition
descending thoracis aorta
superior intercostal a. (off costocervical trunk)
Term
this bronchus is more vertical, shorter, and wider
Definition
Right main bronchus
Term
supplies a lobe
Definition
secondary bronchi
aka
lobar bronchi
Term
supplies a bronchopulmonary segment
Definition
tertiary bronchi
AKA
segmental
Term
The right lung has )))) segments
Definition
10
Term
the left lung has ____ segments
Definition
variable 8-10
Term
Right lung has ____ lobes and a ____ and ____ fissure
Definition
3
horizontal and oblique
Term
Left has ____ lobes and a ____ and ____ fissure
Definition
2
oblique
Term
Which fissure extends from the level of the spinous process of T2 veterbra posteriorly to the 6th costal cartilage anteriorly
Definition
Oblique
Term
This fissure extends from the oblique fissure along the 4th rib to and 4th costal cartilage anteriorly
Definition
Horizontal Right Lung Fissure
Term
What is formed by the reflection of the costal and diaphragmatic pleura?
Definition
Costdiaphragmatic Pleura
Fluid often gravitates down here and must be accessed for drainage
Term
Pleurocentesis
Where should this be done at
Definition
Drainage of pleura fluid
8th or 9th intercostal spaces at the midaxillary line
Term
Bring deoxygenated blood to the lungs out of the RV
Definition
pulmonary a.
Term
carry oxygenated blood out of the lungs and to the LA
Definition
pulmonary v.
Term
This pleura has somatic supply by the intercostal n. Pain would be referred to intercostal spaces.
Definition
Parietal
Term
This pleura is supplied by the phrenic n. Pain would be referred to tip of the shoulder.
Definition
Medisatinal and central part of diaphragmatic pleura
Term
Contain sympathetic (postganglionic), parasympathetic (preganglionic), and visceral afferent (preganglionic) fibers--Provide innervation to lungs
Definition
Pulmonary plexuses
Term
PS innervation to the lungs is provided by what n.? what does it cause?
Definition
Vagus
bronchoconstriction
Term
Located in the lateral horn cells of T1-5 segments of spinal cord. Cause sympathetic inn. that causes???
Definition
Sympathetic preganglionic motors
bronchodilation
Term
Nororeceptive (pain) afferents are carried to lungs via
Definition
Sympathetic fibers
Term
PS fibers carry what in the lungs?
Definition
Reflex afferents
via Vagus PS fibers
Term
What would be disrupted in a fracture of the manubrium?
Definition
Clavicle
Body of Sternum
1st and 2nd rib
Term
5th rib is fractured- what will be affected?
Definition
Sternum
T4 and T5
Term
T2 is fractured-what will be affected?
Definition
Rib 2 and 3
Term
What happens if superior vertebral notch is fractured?
-Superior notch of T6
Definition
Preceding spinal n. is damaged
5th intercostal n.
Term
What happens if inferior vertebral notch is fractured?
-Inferior notch of T6
Definition
It would be that spinal n.
6th intercostal n.
Term
How many joints does T1-T9 form?
Definition
12 joints
4 zyagopheseal
4 costovertebral
2 costotransverse
2 intervertebral
Term
How many joints does T10 form?
Definition
10 joints
Term
How many joints does T11 and T12 form?
Definition
8 joints
Term
What 3 things can cause thoracic outlet syndrome?
Definition
1) Cervical rib
2) m. of scalene anterior
3) narrowing between clavicle and 1st rib
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