1.1 Respiratory System
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Questions and Answers

What is the function of the diaphragm in the respiratory system?

  • To facilitate breathing by creating pressure changes (correct)
  • To exchange oxygen and carbon dioxide
  • To protect the lungs from infections
  • To maintain the shape of the thorax
  • Which alteration is most likely to have implications of a pneumothorax?

  • Inflammation of the trachea
  • Damage to the alveoli
  • Puncture of the pleurae (correct)
  • Rupture of the bronchial tubes
  • Which type of ribs are known for their attachment directly to the sternum through cartilage?

  • True ribs (correct)
  • False ribs
  • Floating ribs
  • Irregular ribs
  • What is the function of the accessory muscles of respiration?

    <p>To aid in forced breathing during exercise or respiratory distress</p> Signup and view all the answers

    What is contained within the superior mediastinum?

    <p>The esophagus, trachea, and part of the thymus gland</p> Signup and view all the answers

    Which muscles does a runner use during active expiration?

    <p>Internal intercostals</p> Signup and view all the answers

    Which ribs are most responsible for the pump-handle effect?

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

    Why would you not place bilateral interscalene brachial plexus blocks?

    <p>Risk of phrenic nerve damage</p> Signup and view all the answers

    What disrupts the coupling of the parietal and visceral pleura and causes pulmonary collapse?

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

    Which nerves supply the costal parietal pleura and the peripheral portion of diaphragmatic parietal pleura?

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

    Which muscle layer of the thoracic wall is active during eupnea or forced inspiration?

    <p>External intercostal muscles</p> Signup and view all the answers

    Which muscle layer of the thoracic wall facilitates active expiration by depressing the ribs?

    <p>Internal and deep intercostal muscles</p> Signup and view all the answers

    Which lung surface corresponds to its respective region of the chest and extends approximately 1 inch above the medial 1/3 of the clavicle?

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

    What is the thin layer of lung tissue located at the boundary where posterior costal and mediastinal surfaces meet?

    <p>Posterior border</p> Signup and view all the answers

    How many lobes does the left lung have?

    <p>2</p> Signup and view all the answers

    What is the mnemonic 'RALS' used for in relation to the hilum of the lung?

    <p>Location of pulmonary artery in relation to primary bronchus</p> Signup and view all the answers

    Which vessels branch from the descending aorta and provide vascular supply to lung stroma?

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

    Where do lymphatics arise in the vicinity of the lungs?

    <p>At the level of the terminal bronchioles</p> Signup and view all the answers

    Which muscle is primarily responsible for inspiration in the respiratory system?

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

    What causes a communication between the thoracic and abdominal cavity in congenital diaphragmatic hernia?

    <p>Improper fusion of connective tissues of hemi-diaphragms</p> Signup and view all the answers

    Which nerve provides motor innervation to the entire diaphragm?

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

    What is the structure that the diaphragm's muscle fibers primarily pull upon when they concentrically contract?

    <p>Central tendon</p> Signup and view all the answers

    Which muscle assists in inspiration by elevating the rib cage?

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

    In which vertebrae level is the esophageal hiatus located?

    <p>T10</p> Signup and view all the answers

    What causes the dome (cupola) of the diaphragm to rise as high as the level of the 4th intercostal space at rest?

    <p>Recoil of lungs after expiration</p> Signup and view all the answers

    What is a common side effect of an interscalene block?

    <p>Ipsilateral diaphragm paralysis</p> Signup and view all the answers

    What is the primary muscle of inspiration in the respiratory system?

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

    Which part of the respiratory system has alveoli and participates in gas exchange?

    <p>Respiratory airways</p> Signup and view all the answers

    What is the function of the thoracic skeleton?

    <p>To provide strength to protect organs of the thorax and allow movement for ventilation</p> Signup and view all the answers

    Which ribs have no sternal connection and end in the posterior abdominal musculature?

    <p>Floating ribs</p> Signup and view all the answers

    What is the orientation of the ribs in adults?

    <p>Oblique, inferior direction from their thoracic vertebral articulation to their anterior sternal articulation</p> Signup and view all the answers

    What landmark correlates with the projected posteriorly T4-T5 vertebrae and the start and end of the aortic arch?

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

    What is the functional characteristic of the sternum?

    <p>It provides strength to protect organs of the thorax and flexibility for ventilation</p> Signup and view all the answers

    What lies between the head and tubercle of a typical rib?

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

    What is the function of the thoracic inlet?

    <p>It is a narrow superior opening that allows the passage of air into the lungs</p> Signup and view all the answers

    What are the characteristics of true ribs?

    <p>They attach directly to the sternum via their own costal cartilage</p> Signup and view all the answers

    What joints do ribs articulate with posteriorly?

    <p>Thoracic vertebrae bodies</p> Signup and view all the answers

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