Anatomy of the Pericardium
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Questions and Answers

Which artery lies within the pericardium to the left of the ascending aorta?

  • Left subclavian artery
  • Superior vena cava
  • Pulmonary trunk (correct)
  • Right pulmonary artery
  • At what level does the trachea start?

  • C6 vertebra (correct)
  • T12 level
  • T4/5 disc
  • T10 level
  • Which part of the oesophagus is composed of striated muscle?

  • Entire oesophagus
  • Lower 1/3
  • Middle 1/3
  • Upper 1/3 (correct)
  • Which node cluster is important in the spread of lung tumor?

    <p>Superior tracheobronchial nodes</p> Signup and view all the answers

    Which one of the following accurately describes the location of the thoracic cavity?

    <p>It is located in the chest region.</p> Signup and view all the answers

    Which one of the following correctly defines the term mediastinum?

    <p>It refers to the cavity that contains the heart.</p> Signup and view all the answers

    Which one of the following accurately describes the pericardium?

    <p>It is a serous membrane that surrounds the heart.</p> Signup and view all the answers

    Which one of the following accurately describes the phrenic nerves?

    <p>They are responsible for innervating the diaphragm.</p> Signup and view all the answers

    Which lymph trunk drains the left side of the head and neck?

    <p>Left Jugular Lymph Trunk</p> Signup and view all the answers

    Which lymph trunk drains the right upper limb?

    <p>Right Subclavian Lymph Trunk</p> Signup and view all the answers

    Which lymph trunk carries lymph from most of the body, except the upper right thorax, right upper limb, and right head and neck?

    <p>Thoracic Duct</p> Signup and view all the answers

    Where does the thoracic duct open into the venous system?

    <p>Left Brachiocephalic Vein</p> Signup and view all the answers

    Which layer of the pericardium lines the inner aspect of the fibrous pericardium and reflects onto itself around the roots of the great vessels?

    <p>Parietal layer</p> Signup and view all the answers

    Where is the pericardial cavity located?

    <p>Between the parietal and visceral layers of the serous pericardium</p> Signup and view all the answers

    What is the function of pericardial fluid?

    <p>To reduce friction during contraction of the heart</p> Signup and view all the answers

    Which nerve is the sole motor supply to the diaphragm?

    <p>Phrenic nerve</p> Signup and view all the answers

    Which structure divides the thoracic cavity into left and right pleural cavities?

    <p>Mediastinum</p> Signup and view all the answers

    Which of the following is NOT a part of the parietal pleura?

    <p>Visceral pleura</p> Signup and view all the answers

    The fibrous pericardium is attached to which of the following structures anteriorly?

    <p>Sternum</p> Signup and view all the answers

    The inferior mediastinum is located

    <p>Below the transverse plane through the sternal angle</p> Signup and view all the answers

    Which lymph trunk drains the left side of the head and neck?

    <p>Left Jugular Lymph Trunk</p> Signup and view all the answers

    What is the function of pericardial fluid?

    <p>To lubricate the heart and reduce friction</p> Signup and view all the answers

    Where does the thoracic duct open into the venous system?

    <p>Left brachiocephalic vein</p> Signup and view all the answers

    Which one of the following accurately describes the location of the thoracic cavity?

    <p>Between the vertebral column and the sternum</p> Signup and view all the answers

    Which one of the following accurately describes the location of the thymus gland?

    <p>Between the manubrium, sternum, and pericardium</p> Signup and view all the answers

    Which one of the following accurately describes the pericardial sinuses?

    <p>Surrounded by the reflection of the serous pericardium around the right and left pulmonary veins and the inferior vena cava</p> Signup and view all the answers

    Which one of the following accurately describes the nerve supply to the pericardium?

    <p>Phrenic nerve provides sensory and vasomotor fibers</p> Signup and view all the answers

    Which one of the following accurately describes the arterial plane in the superior mediastinum?

    <p>Continuation of the aortic arch</p> Signup and view all the answers

    Which one of the following accurately describes the location of the aortic arch?

    <p>Posterior to the trachea</p> Signup and view all the answers

    Which one of the following accurately describes the location of the left pulmonary artery?

    <p>Inferior to the arch of the aorta</p> Signup and view all the answers

    Which one of the following accurately describes the location of the trachea?

    <p>Superior to the tracheal bifurcation</p> Signup and view all the answers

    Which one of the following accurately describes the location of the oesophagus?

    <p>Anterior to the vertebral column</p> Signup and view all the answers

    Which structure divides the thoracic cavity into superior and inferior mediastinum?

    <p>The diaphragm</p> Signup and view all the answers

    Which part of the pericardium is attached to the diaphragm?

    <p>Fibrous pericardium</p> Signup and view all the answers

    Which of the following structures is NOT related to the right side of the mediastinum?

    <p>Left subclavian artery</p> Signup and view all the answers

    Which part of the mediastinum contains the heart and origins of the great vessels?

    <p>Middle mediastinum</p> Signup and view all the answers

    Which one of the following accurately describes the boundaries of the mediastinum?

    <p>The superior boundary is the thoracic inlet and the inferior boundary is the thoracic outlet</p> Signup and view all the answers

    Which one of the following accurately describes the course and distribution of the phrenic nerves?

    <p>Both the right and left phrenic nerves arise from the cervical plexus</p> Signup and view all the answers

    Which one of the following accurately describes the clinical conditions that affect the pericardium?

    <p>All of the above</p> Signup and view all the answers

    Which one of the following accurately describes the lymph drainage of the mediastinal nodes?

    <p>The mediastinal nodes drain into the bronchomediastinal lymph trunks</p> Signup and view all the answers

    Which joint allows for movement between the tubercle of a rib and the transverse process of its corresponding vertebra?

    <p>Costotransverse joint</p> Signup and view all the answers

    Which ribs articulate directly with the sternum via synovial joints?

    <p>Ribs 1-7</p> Signup and view all the answers

    Which structure is a primary cartilaginous joint that allows articulation between the ribs and the sternum?

    <p>Sternocostal joint</p> Signup and view all the answers

    Which intercostal nerves do not form a nerve plexus and maintain their segmental orientation?

    <p>T1 and T2</p> Signup and view all the answers

    Which arteries lie in the costal groove at the inferior edge of the rib, between the internal and innermost intercostal muscles?

    <p>Intercostal arteries</p> Signup and view all the answers

    Which intercostal nerve gives off the lateral cutaneous branch and becomes superficial parasternally?

    <p>T2</p> Signup and view all the answers

    Which of the following injuries can be caused by rib fractures?

    <p>All of the above</p> Signup and view all the answers

    Which of the following accurately describes the location of the thoracic cavity?

    <p>Between the lungs</p> Signup and view all the answers

    Which of the following accurately describes the location of the oesophagus?

    <p>Posterior to the trachea</p> Signup and view all the answers

    Which of the following accurately describes the course and distribution of the phrenic nerves?

    <p>Supplying the diaphragm</p> Signup and view all the answers

    Which of the following accurately describes the location of the thymus gland?

    <p>In the superior mediastinum</p> Signup and view all the answers

    Which one of the following accurately describes the composition of the thoracic cage?

    <p>Sternum, 12 pairs of ribs, costal cartilages, and 12 thoracic vertebrae</p> Signup and view all the answers

    Which one of the following accurately describes the classification of ribs?

    <p>True ribs (1-7), false ribs (8-10), and floating ribs (11-12)</p> Signup and view all the answers

    Which one of the following accurately describes the structure of the first rib?

    <p>Deep and non-palpable, with a scalene tubercle for muscle attachment</p> Signup and view all the answers

    Which one of the following accurately describes the location of the breast in adult females?

    <p>Between the levels of 2nd - 6th ribs</p> Signup and view all the answers

    Which one of the following accurately describes the structure of the breast?

    <p>Consists of 15-25 lobes comprising lobules and ducts, surrounded by fat and connective tissue stroma</p> Signup and view all the answers

    Which one of the following accurately describes the lymphatic drainage of the breast?

    <p>Areola + Lateral quadrants drain to axillary lymph nodes, Medial quadrants drain to parasternal lymph nodes</p> Signup and view all the answers

    Which one of the following accurately describes the boundaries of the thoracic inlet?

    <p>The thoracic inlet is bounded anteriorly by the manubrium of the sternum, posteriorly by the body of the T1 vertebra, and laterally by the first pair of ribs.</p> Signup and view all the answers

    Which one of the following accurately describes the functions of the intercostal musculature?

    <p>The intercostal musculature functions to elevate the ribs during inspiration and depress the ribs during expiration.</p> Signup and view all the answers

    Which one of the following accurately describes the cutaneous distribution of the intercostal nerves?

    <p>The intercostal nerves supply the skin of the thoracic wall and abdomen, following a horizontal course.</p> Signup and view all the answers

    Which one of the following accurately describes the location of the suspensory ligaments of the breast?

    <p>They connect the deep fascia to the dermis of the skin</p> Signup and view all the answers

    Which one of the following accurately describes the blood supply of the breast?

    <p>The internal thoracic artery and axillary artery are the main suppliers</p> Signup and view all the answers

    Which one of the following accurately describes the lymphatic drainage of the breast?

    <p>The areola and lateral quadrants drain to the axillary lymph nodes</p> Signup and view all the answers

    Which one of the following accurately describes the functions of the thorax?

    <p>Protection of the heart and lungs</p> Signup and view all the answers

    Which one of the following accurately describes the boundaries of the thoracic inlet?

    <p>Superiorly: Manubrium of the sternum; Laterally: First pair of ribs; Posteriorly: T1 vertebra</p> Signup and view all the answers

    Which one of the following accurately describes the course and distribution of the intercostal nerves?

    <p>They run between the ribs and supply the muscles and skin of the thoracic wall</p> Signup and view all the answers

    Which one of the following accurately describes the location of the intercostal veins?

    <p>The intercostal veins drain to the brachiocephalic vein or to the superior vena cava via the azygos system</p> Signup and view all the answers

    Which one of the following accurately describes the location of the azygos system?

    <p>The azygos system drains the posterior wall of the thorax and part of the posterior abdominal wall</p> Signup and view all the answers

    Which one of the following accurately describes the location of the accessory hemiazygos vein?

    <p>The accessory hemiazygos vein descends from the 4th intercostal space and joins the azygos vein at approximately T8</p> Signup and view all the answers

    Which of the following accurately describes the location of the costovertebral joints?

    <p>The costovertebral joints are located between the tubercle of the rib and the transverse process of its corresponding vertebra.</p> Signup and view all the answers

    Which one of the following accurately describes the location of the thoracic inlet?

    <p>The thoracic inlet is bounded by the T1 vertebra, 1st rib and costal cartilage, and the manubrium.</p> Signup and view all the answers

    Which one of the following accurately describes the location of the costotransverse joints?

    <p>The costotransverse joints are located between the tubercle of the rib (except 11 and 12) and the transverse process of its corresponding vertebra.</p> Signup and view all the answers

    Which of the following accurately describes the structure of the thoracic cage?

    <p>The thoracic cage is formed by the sternum, 12 pairs of ribs, costal cartilages, 12 thoracic vertebrae, and intervertebral discs.</p> Signup and view all the answers

    Which one of the following accurately describes the location of the thoracic inlet?

    <p>The thoracic inlet is located at the superior aspect of the thoracic cage, between the first pair of ribs and the manubrium of the sternum.</p> Signup and view all the answers

    Which one of the following accurately describes the functions of the thorax?

    <p>The thorax provides protection to the heart and great vessels, lungs and major airways, liver, stomach, spleen, and kidneys.</p> Signup and view all the answers

    Which of the following injuries can be caused by rib fractures?

    <p>Pulmonary injury</p> Signup and view all the answers

    Which of the following accurately describes the location of the thymus gland?

    <p>In the mediastinum</p> Signup and view all the answers

    Which nerve is the sole motor supply to the diaphragm?

    <p>Phrenic nerve</p> Signup and view all the answers

    Which lymph trunk carries lymph from most of the body, except the upper right thorax, right upper limb, and right head and neck?

    <p>Thoracic duct</p> Signup and view all the answers

    Which one of the following accurately describes the cutaneous distribution of the intercostal nerves?

    <p>Innervates the skin and muscles of the thoracic wall</p> Signup and view all the answers

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