Pericardium Anatomy Quiz
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Questions and Answers

Which nerve supplies sensory fibers to the mediastinal parietal pleura, peritoneum, and pleura related to the central tendon of the diaphragm?

  • Vagus nerve
  • Haller's cul-de-sac
  • Splanchnic nerves
  • Phrenic nerve (correct)
  • Which nerve passes through the Caval hiatus on the right side?

  • Vagus nerve
  • Splanchnic nerves
  • Haller's cul-de-sac
  • Phrenic nerve (correct)
  • Which structure is located in the superior mediastinum and is active in childhood until puberty?

  • Parietal layer of serous pericardium
  • Thymus gland (correct)
  • Pericardial cavity
  • Pericardial fluid
  • Which cavity is lined by the peritoneum?

    <p>Abdominal cavity</p> Signup and view all the answers

    What are the two layers of the pericardium?

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

    Which structures are related to the right atrium and veins in the mediastinum?

    <p>Superior Vena Cava, Arch of the azygos, Inferior Vena Cava</p> Signup and view all the answers

    Which one of the following is an outcome of this lecture and further study?

    <p>Listing the contents of the anterior, middle, superior, and posterior mediastina</p> Signup and view all the answers

    Which one of the following describes the position and relations of the transverse and oblique sinuses of the serous pericardium?

    <p>They separate the fibrous and serous pericardium</p> Signup and view all the answers

    Which one of the following correctly describes the clinical anatomy of the thoracic aorta?

    <p>It is located in the superior mediastinum</p> Signup and view all the answers

    Which artery lies to the left of the ascending aorta?

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

    Where does the trachea start and end?

    <p>Starts at the level of T4/5 disc, ends at tracheal bifurcation (carina)</p> Signup and view all the answers

    Which veins form the brachiocephalic veins?

    <p>Internal jugular (IJV) and subclavian (ScV) veins</p> Signup and view all the answers

    Which lymph trunk drains the lymph from the left thorax?

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

    Which lymph trunk carries the 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?

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

    Which cavity is lined by the peritoneum?

    <p>Abdominal cavity</p> Signup and view all the answers

    Which one of the following correctly describes the clinical anatomy of the thoracic aorta?

    <p>It lies to the left of the ascending aorta</p> Signup and view all the answers

    Which artery lies to the left of the ascending aorta?

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

    Which structure is located in the superior mediastinum and is active in childhood until puberty?

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

    Which lymph trunk drains the lymph from the left thorax?

    <p>Left bronchomediastinal trunk</p> Signup and view all the answers

    Which one of the following accurately describes the position of the thymus?

    <p>The thymus is located in the anterior mediastinum.</p> Signup and view all the answers

    Which one of the following correctly describes the clinical anatomy of the oesophagus?

    <p>The oesophagus is located in the posterior mediastinum.</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 cervical nodes.</p> Signup and view all the answers

    Which one of the following correctly describes the clinical anatomy of the thoracic duct?

    <p>The thoracic duct drains lymph from the left thorax.</p> Signup and view all the answers

    Which one of the following accurately describes the relationships of the structures within the mediastina?

    <p>The heart is located in the middle mediastinum.</p> Signup and view all the answers

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

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

    Where does the trachea start and end?

    <p>Starts at the level of C6 vertebra, ends at tracheal bifurcation (carina)</p> Signup and view all the answers

    Which structure is formed by the right and left brachiocephalic veins?

    <p>Superior vena cava</p> Signup and view all the answers

    Which artery supplies the esophagus with blood?

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

    Which lymph nodes are important in the spread of lung tumors?

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

    Which layer of the pericardium reflects onto itself around the roots of the great vessels and continues as the visceral layer?

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

    Where is the pericardial cavity located?

    <p>Between the fibrous and serous pericardium</p> Signup and view all the answers

    What is the function of pericardial fluid?

    <p>To maintain the shape of the heart</p> Signup and view all the answers

    Which sinus is posterior to the ascending aorta and pulmonary trunk, and anterior to the superior vena cava?

    <p>Superior mediastinal sinus</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 the lymph from the right thorax?

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

    Which vein does the thoracic duct open into?

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

    Which lymph trunk drains the lymph from the right upper limb?

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

    Which lymph trunk carries the lymph from the left upper limb?

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

    Which lymph trunk carries the lymph from the left head and neck?

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

    Which structure in the breast provides support and connects the deep fascia to the dermis of the skin?

    <p>Suspensory ligaments</p> Signup and view all the answers

    Which artery supplies blood to the breast?

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

    Which lymph nodes are primarily responsible for draining the lymph from the lateral quadrants of the breast?

    <p>Axillary lymph nodes</p> Signup and view all the answers

    Which pairs of ribs are most commonly fractured?

    <p>Ribs 4 and 10</p> Signup and view all the answers

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

    <p>Anterior rami of the thoracic spinal nerves</p> Signup and view all the answers

    Which artery lies along the margins of the sternum and terminates as the superior epigastric and musculophrenic arteries?

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

    Which joint is formed between the tubercle of the rib and the transverse process of its corresponding vertebra, and has its neck slightly obliquely?

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

    Which joint allows movement of the ribs and is supported by a capsule with ligaments?

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

    Which joints have curved facets for rotatory movement and are important in respiratory movement?

    <p>Costovertebral joints 8, 9, and 10</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 mobility and elasticity of the ribs?

    <p>True ribs are mobile and elastic, while false ribs are less mobile and elastic</p> Signup and view all the answers

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

    <p>It has a scalene tubercle for attachment of the anterior scalene muscle</p> Signup and view all the answers

    Which of the following complications can occur as a result of rib fractures?

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

    Which of the following sources provides images of rib fractures?

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

    Which of the following anatomical atlases includes images of rib fractures?

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

    Which of the following sources provides images of rib fractures and is published by Elsevier?

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

    Which of the following sources provides images of rib fractures and is published by Lippincott Williams & Wilkins?

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

    Which one of the following correctly describes the clinical anatomy of the thoracic cage?

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

    Which one of the following accurately describes the relationships of the structures within the mediastina?

    <p>The superior mediastinum contains the thymus, trachea, esophagus, and major blood vessels.</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 trunks, which eventually drain into the thoracic duct or right lymphatic duct.</p> Signup and view all the answers

    Study Notes

    Sensory Nerve Supply and Structure Relations

    • The phrenic nerve supplies sensory fibers to the mediastinal parietal pleura, peritoneum, and pleura associated with the central tendon of the diaphragm.
    • The right phrenic nerve passes through the caval hiatus.

    Mediastinal Structures and Functions

    • The thymus is located in the superior mediastinum and is active during childhood until puberty.
    • The peritoneum lines the abdominal cavity.
    • The pericardium has two layers: the fibrous pericardium and the serous pericardium, which includes parietal and visceral layers.
    • Structures related to the right atrium include superior/inferior vena cava and the right pulmonary veins.

    Anatomical Relationships and Clinical Considerations

    • The transverse and oblique sinuses of the serous pericardium have specific positions, with the transverse sinus lying posterior to the ascending aorta.
    • Key arteries in clinical anatomy of the thoracic aorta include those that branch from it and supply various thoracic structures.

    Trachea and Veins

    • The trachea starts at the cricoid cartilage (C6) and ends at the carina (T5).
    • The brachiocephalic veins are formed by the junction of the internal jugular and subclavian veins.

    Lymphatic Drainage

    • The left thoracic lymph trunk drains lymph from the left thorax; the thoracic duct carries lymph from most of the body except specified regions.
    • The thoracic duct opens into the venous system at the junction of the left internal jugular and left subclavian veins.

    Thymus, Oesophagus, and Mediastinal Nodes

    • The thymus is positioned in the superior mediastinum, offering important roles in immune function.
    • Clinical anatomy of the oesophagus involves its position behind the trachea and anterior to the vertebral column.
    • Mediastinal lymph nodes are pivotal in the spread of lung tumors.

    Pericardial Cavity and Fluid

    • The pericardial cavity is located between the parietal and visceral layers of the pericardium, containing pericardial fluid that reduces friction during heartbeats.

    Diaphragm and Associated Structures

    • The phrenic nerve also serves as the sole motor supply to the diaphragm.
    • The right thoracic lymph trunk drains lymph from the right thorax.

    Ribs and Associated Joints

    • Commonly fractured ribs are typically ribs 5 to 9.
    • The costovertebral joint forms between the rib tubercle and the transverse process of the corresponding vertebra, allowing for rib movement.
    • The first rib has a unique anatomy with a shorter length and different orientation compared to other ribs.

    Imaging and Complications

    • Rib fractures can lead to complications such as pneumothorax, hemothorax, or lung contusions.
    • Various anatomical atlases published by Elsevier and Lippincott Williams & Wilkins provide detailed images of rib fractures for clinical reference.

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    Description

    Test your knowledge of the anatomy of the pericardium with this quiz. Learn about the layers of the serous pericardium, the pericardial cavity, and the production of pericardial fluid.

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