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 (B)</p> Signup and view all the answers

What is contained within the superior mediastinum?

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

Which muscles does a runner use during active expiration?

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

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

<p>Vertebrosternal (A)</p> Signup and view all the answers

Why would you not place bilateral interscalene brachial plexus blocks?

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

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

<p>Pneumothorax (B)</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 (B)</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 (A)</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 (D)</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 (B)</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 (D)</p> Signup and view all the answers

How many lobes does the left lung have?

<p>2 (B)</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 (A)</p> Signup and view all the answers

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

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

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

<p>Diaphragm (C)</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 (B)</p> Signup and view all the answers

Which nerve provides motor innervation to the entire diaphragm?

<p>Phrenic nerve (A)</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 (B)</p> Signup and view all the answers

Which muscle assists in inspiration by elevating the rib cage?

<p>Sternocleidomastoid (C)</p> Signup and view all the answers

In which vertebrae level is the esophageal hiatus located?

<p>T10 (A)</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 (C)</p> Signup and view all the answers

What is a common side effect of an interscalene block?

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

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

<p>Diaphragm (B)</p> Signup and view all the answers

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

<p>Respiratory airways (B)</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 (A)</p> Signup and view all the answers

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

<p>Floating ribs (B)</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 (A)</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 (C)</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 (A)</p> Signup and view all the answers

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

<p>Neck (B)</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 (C)</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 (C)</p> Signup and view all the answers

What joints do ribs articulate with posteriorly?

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

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