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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    Thoracic Wall 1 & 2 Slides PDF

    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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