Chest Wall Neurology Quiz
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Chest Wall Neurology Quiz

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Questions and Answers

What type of joint is the facet joint?

  • Synovial plane joint (correct)
  • Hinge joint
  • Fibrous joint
  • Ball and socket joint
  • Which ligaments are associated with both facet joints and intervertebral discs?

  • Interspinous ligaments (correct)
  • Anterior longitudinal ligament
  • Acetabular labrum
  • Sacroiliac ligaments
  • Which movement is primarily restricted by the orientation of the thoracic region facet joints?

  • Abduction
  • Lateral flexion
  • Circumduction
  • Flexion and extension (correct)
  • What is the blood supply to the facet joints?

    <p>Supreme intercostal and posterior intercostal arteries</p> Signup and view all the answers

    Which nerves are responsible for the innervation of the facet joints?

    <p>Lateral branches of the posterior rami of C8-T11 spinal nerves</p> Signup and view all the answers

    What is the function of the descending part (superior fibers) related to the atlantooccipital joint?

    <p>Extension of head and neck</p> Signup and view all the answers

    Which artery supplies blood to the ascending part (inferior fibers)?

    <p>Dorsal scapular artery</p> Signup and view all the answers

    What action does the scapulothoracic joint perform with the descending part (superior fibers)?

    <p>Draws scapula superomedially</p> Signup and view all the answers

    Which joint is primarily involved in head rotation due to the descending part's action?

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

    What is the role of the inferior cervical vertebrae when the superior fibers contract bilaterally?

    <p>Cervical extension</p> Signup and view all the answers

    What movement is associated with the transverse part (middle fibers) at the scapulothoracic joint?

    <p>Drawing scapula medially</p> Signup and view all the answers

    Which action is NOT performed by the superior fibers at the atlantooccipital joint?

    <p>Neck flexion</p> Signup and view all the answers

    Which function does the shoulder girdle primarily support during accessory inspiratory muscle action?

    <p>Facilitates scapular stabilization</p> Signup and view all the answers

    What is the type of the manubriosternal joint?

    <p>Secondary cartilaginous joint (Symphysis)</p> Signup and view all the answers

    Which movement is primarily associated with the sternochondral joints 2-7?

    <p>Translation, mainly superinferiorly</p> Signup and view all the answers

    Which rib type does not have a tubercle?

    <p>Eleventh rib</p> Signup and view all the answers

    What ligaments are associated with the xiphisternal joint?

    <p>Anterior and posterior xiphichondral ligaments</p> Signup and view all the answers

    What is the blood supply for the intercostal nerves?

    <p>Internal thoracic artery</p> Signup and view all the answers

    What is the main function of the manubriosternal ligament?

    <p>Maintain stability of the manubriosternal joint</p> Signup and view all the answers

    Which characteristic describes the first rib?

    <p>Short, strong, flat, and very curved</p> Signup and view all the answers

    What type of joint is the xiphisternal joint and how much movement does it allow?

    <p>Secondary cartilaginous joint (Symphysis); no movement</p> Signup and view all the answers

    What is the primary blood supply for the serratus anterior muscle?

    <p>Superior and lateral thoracic arteries</p> Signup and view all the answers

    Which nerve innervates the serratus anterior muscle?

    <p>Long thoracic nerve</p> Signup and view all the answers

    Which muscle functions to fix rib 12 during inspiration?

    <p>Quadratus lumborum</p> Signup and view all the answers

    What is the main insertion point of the serratus anterior muscle?

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

    Which parts of the quadratus lumborum originate from the ribs?

    <p>Superior and middle part</p> Signup and view all the answers

    Which muscle is responsible for drawing the scapula anterolaterally?

    <p>Serratus anterior</p> Signup and view all the answers

    What is the mnemonics used to remember the innervation of the serratus anterior?

    <p>'C5, C6, C7 raise your arms to heaven!'</p> Signup and view all the answers

    Which muscle contracts unilaterally to cause lateral flexion of the trunk?

    <p>Quadratus lumborum</p> Signup and view all the answers

    What is the primary action of the iliocostalis muscles during bilateral contraction?

    <p>Extension of the spine</p> Signup and view all the answers

    Which area does the iliocostalis lumborum muscle originate from?

    <p>Lateral crest of the sacrum</p> Signup and view all the answers

    How does the latissimus dorsi primarily contribute to shoulder movement?

    <p>Shoulder adduction and internal rotation</p> Signup and view all the answers

    What is the innervation for the transversus abdominis muscle?

    <p>Intercostal nerves (T7-T11)</p> Signup and view all the answers

    Which action is associated with the unilateral contraction of the external oblique muscle?

    <p>Trunk lateral flexion (contralateral)</p> Signup and view all the answers

    What structure does the latissimus dorsi insert into?

    <p>Intertubercular sulcus of the humerus</p> Signup and view all the answers

    What is the main blood supply to the rectus abdominis muscle?

    <p>Inferior epigastric artery</p> Signup and view all the answers

    Which function is NOT associated with the transversus abdominis muscle?

    <p>Trunk extension</p> Signup and view all the answers

    Which nerve innervates the latissimus dorsi muscle?

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

    What is the role of dermatomes in the chest wall?

    <p>Supplying skin and parietal pleura</p> Signup and view all the answers

    What is the origin point for the internal abdominal oblique muscle?

    <p>Anterior two-thirds of the iliac crest</p> Signup and view all the answers

    What blood vessels primarily supply the external oblique muscle?

    <p>Lower posterior intercostal and subcostal arteries</p> Signup and view all the answers

    Which group of muscles is included in the descriptions provided?

    <p>Erector Spinae</p> Signup and view all the answers

    What kind of contraction of the rectus abdominis muscle results in trunk flexion?

    <p>Bilateral contraction</p> Signup and view all the answers

    Study Notes

    Chest Wall Neurology

    • Dermatomes are areas of skin supplied by a single nerve root
    • Intercostal nerves supply a dermatome
    • Chest wall dermatomes overlap, half by the nerve above and below
    • Anterior rami of each nerve supply the skin and parietal pleura
    • Intercostal muscles are supplied by anterior rami of thoracic spinal nerves
    • Posterior rami of each nerve supply the posterior vertebral muscles and overlying skin
    • Thoracocentesis (pleural tap) or nerve block should be done in the middle of the intercostal space for safety
    • Nerve block is performed by injecting near the rib above and below
    • Mechano-receptors in the chest wall and respiratory muscles affect the sensation of dyspnoea
    • Sensory fibres in the spinal cord are responsible for the sensation of breathlessness

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    Description

    Test your knowledge on the dermatomes and intercostal nerves that supply the chest wall. Learn about the relevance of thoracocentesis and nerve blocks in clinical practice. This quiz covers crucial concepts related to chest wall neurology and its impact on respiratory sensation.

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