Thoracic Cage Anatomy

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Questions and Answers

Which of the following structures defines the boundaries of the thoracic cage?

  • Manubrium, 12 pairs of ribs, and 12 thoracic vertebrae
  • Sternum, 12 pairs of ribs, and 12 thoracic vertebrae (correct)
  • Sternum, 10 pairs of ribs, and 10 thoracic vertebrae
  • Xiphoid process, 10 pairs of ribs, and 10 thoracic vertebrae

What anatomical structure separates the thoracic cavity from the abdomen?

  • The costal cartilage
  • The xiphoid process
  • The sternal angle
  • The diaphragm (correct)

To which structures do the first seven ribs attach directly?

  • The sternum via their costal cartilages (correct)
  • The diaphragm
  • The thoracic vertebrae
  • The costal cartilage above

Which ribs are considered "floating" due to their free palpable tips?

<p>Ribs 11 and 12 (A)</p> Signup and view all the answers

Which anatomical landmark is also known as the angle of Louis?

<p>The sternal angle (D)</p> Signup and view all the answers

What is the clinical significance of the sternal angle?

<p>It is a useful place to start counting ribs. (D)</p> Signup and view all the answers

Up to which rib can you typically palpate easily on the anterior chest?

<p>The 10th rib (C)</p> Signup and view all the answers

Which anatomical event occurs at the level of the sternal angle?

<p>The trachea bifurcates into the right and left main bronchi. (A)</p> Signup and view all the answers

What is the vertebra prominens, and how is it located?

<p>The spinous process of C7; located by palpating the most prominent spur at the base of the neck (D)</p> Signup and view all the answers

After T4, how do the spinous processes align with their corresponding ribs?

<p>They angle downward and overlie the vertebral body and rib below. (C)</p> Signup and view all the answers

Where is the inferior border of the scapula typically located?

<p>At the 7th or 8th rib (D)</p> Signup and view all the answers

How is the twelfth rib palpated?

<p>Midway between the spine and the person's side (B)</p> Signup and view all the answers

What is the clinical significance of the reference lines on the chest?

<p>They are used to pinpoint findings vertically on the chest. (B)</p> Signup and view all the answers

Where does the midclavicular line bisect the clavicle?

<p>At a point halfway between the sternoclavicular and acromioclavicular joints (A)</p> Signup and view all the answers

What anatomical landmarks define the scapular line?

<p>It extends through the inferior angle of the scapula when the arms are at the sides. (A)</p> Signup and view all the answers

Which line divides the lateral chest and originates from the axilla?

<p>The anterior axillary line (B)</p> Signup and view all the answers

Which structures are contained within the mediastinum?

<p>The esophagus, trachea, heart, and great vessels (A)</p> Signup and view all the answers

What anatomical structures primarily occupy the pleural cavities?

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

How does the location of lung tissue differ anteriorly and posteriorly?

<p>All of these options are correct. (D)</p> Signup and view all the answers

Why is the right lung shorter than the left lung?

<p>Because of the underlying liver (A)</p> Signup and view all the answers

Why is the left lung narrower than the right lung?

<p>Because the heart bulges to the left (A)</p> Signup and view all the answers

How many lobes does the right lung have compared to the left lung?

<p>The right lung has 3 lobes, and the left lung has 2 lobes. (A)</p> Signup and view all the answers

On the anterior chest, where does the oblique fissure cross?

<p>The 5th rib in the midaxillary line and terminates at the 6th rib in the midclavicular line (A)</p> Signup and view all the answers

Where does the horizontal fissure of the right lung extend?

<p>From the 5th rib in the right midaxillary line to the 3rd intercostal space or 4th rib at the right sternal border. (C)</p> Signup and view all the answers

What portion of the lungs primarily occupies the posterior chest?

<p>Almost all lower lobe (A)</p> Signup and view all the answers

When a person abducts their arms with hands on the back of the head, the division between the upper and lower lobes corresponds to what anatomical landmark?

<p>The medial border of the scapulae (A)</p> Signup and view all the answers

What is the primary characteristic of the pleurae?

<p>They are serous membranes that form an envelope between the lungs and the chest wall. (B)</p> Signup and view all the answers

What is the function of the pleural cavity?

<p>It normally has a vacuum that holds the lungs tightly against the chest wall. (A)</p> Signup and view all the answers

Where does the trachea begin and at what level does it bifurcate?

<p>Begins at the level of the cricoid cartilage and bifurcates just below the sternal angle (C)</p> Signup and view all the answers

What is the carina, and where is it located?

<p>A ridge of cartilage at the base of the trachea (A)</p> Signup and view all the answers

At what level does the tracheal bifurcation typically occur?

<p>T4 or T5 (C)</p> Signup and view all the answers

Why is the right main bronchus more susceptible to aspiration than the left?

<p>It is shorter, wider, and more vertical. (A)</p> Signup and view all the answers

What is the purpose of goblet cells and cilia within the bronchi?

<p>To secrete mucus that traps particles and sweep them upward (A)</p> Signup and view all the answers

What structures constitute the acinus, the functional respiratory unit?

<p>Bronchioles, alveolar ducts, alveolar sacs, and alveoli (D)</p> Signup and view all the answers

What is the primary function of interalveolar septa?

<p>To increase the working space available for gas exchange (D)</p> Signup and view all the answers

What are the four major functions of the respiratory system?

<p>Supplying oxygen, removing CO2, maintaining acid-base balance, and maintaining heat exchange (D)</p> Signup and view all the answers

What is the normal stimulus to breathe?

<p>An increase of carbon dioxide in the blood (A)</p> Signup and view all the answers

What is the effect of hypoventilation on carbon dioxide levels in the blood?

<p>It causes carbon dioxide to build up. (A)</p> Signup and view all the answers

How is the vertical diameter of the thoracic container lengthened during inspiration?

<p>By downward movement of the diaphragm (C)</p> Signup and view all the answers

What muscles are used to elevate the sternum and rib cage during forced inspiration?

<p>Scaleni, and the trapezii (D)</p> Signup and view all the answers

What is unique about the respiratory system compared to other body systems at birth?

<p>It does not function until birth. (B)</p> Signup and view all the answers

What lipid substance is required to breath that is not developed until 32 weeks?

<p>Surfactant. (D)</p> Signup and view all the answers

What structures define the thoracic cage?

<p>Sternum, 12 pairs of ribs, and 12 thoracic vertebrae (A)</p> Signup and view all the answers

The diaphragm separates the thoracic cavity from the pelvic cavity.

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

The first seven ribs attach directly to the sternum via their ________.

<p>costal cartilages</p> Signup and view all the answers

What is the significance of the sternal angle (angle of Louis)?

<p>It is a useful place to start counting ribs to localize respiratory findings (D)</p> Signup and view all the answers

The costal angle usually measures greater than 90 degrees.

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

What anatomical structure is located at the level of the tracheal bifurcation?

<p>Sternal angle/angle of Louis</p> Signup and view all the answers

Which of the following reference lines is located on the anterior chest?

<p>Midsternal line (D)</p> Signup and view all the answers

The midclavicular line bisects the center of the clavicle at a point closer to the sternoclavicular joint than the acromioclavicular joint.

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

The apex of lung tissue in the anterior chest extends 3 to 4 cm above the inner third of the ________.

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

Match the following reference lines with their descriptions:

<p>Midspinal line = Lies in the middle of the back Scapular line = Extends through the inferior angle of the scapula Anterior axillary line = Originates from the anterior axillary fold</p> Signup and view all the answers

What causes the right lung to be shorter than the left lung?

<p>The underlying liver (A)</p> Signup and view all the answers

The lungs are arranged symmetrically in horizontal bands like dessert layers in a parfait glass.

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

The oblique fissure on the anterior chest crosses the 5th rib in the ________ line and terminates at the 6th rib in the midclavicular line.

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

Which part of the chest contains almost all lower lobe?

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

What type of membranes form an envelope between the lungs and the chest wall?

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

The visceral pleura lines the inside of the chest wall and diaphragm.

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

The pleural cavity is a potential space filled with a few milliliters of ________.

<p>lubricating fluid</p> Signup and view all the answers

Where does the trachea bifurcate into the right and left main bronchi?

<p>Just below the sternal angle (C)</p> Signup and view all the answers

The right main bronchus is longer, narrower, and less vertical than the left main bronchus.

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

The trachea and bronchi transport gases between the environment and the lung ________.

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

What is the normal stimulus to breathe for most individuals?

<p>Increase of carbon dioxide in the blood (C)</p> Signup and view all the answers

During inspiration, the anteroposterior (AP) diameter decreases due to the depression of the ribs.

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

What action by the diaphragm primarily contributes to an increase in the vertical diameter during inspiration?

<p>Contraction of the diaphragm</p> Signup and view all the answers

What complex lipid substance is needed for sustained inflation of the air sacs and is present in adequate amounts by 32 weeks gestation?

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

During pregnancy, the enlarging uterus increases the vertical diameter of the thoracic cage.

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

At the cellular level, actual respiration involves the movement of oxygen and carbon dioxide across the ________.

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

Which of the following is NOT a typical consequence of the aging lung?

<p>Increased vital capacity (A)</p> Signup and view all the answers

During forced expiration, the abdominal muscles relax to allow the diaphragm to passively dome upward.

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

What is the term for the space that is filled with air but is not available for gas exchange?

<p>Dead space</p> Signup and view all the answers

If a person has atelectasis and an infection after an operation, what would you assume had caused it at the histological level?

<p>Gradual loss of intra-alveolar septa and a decreased number of alveoli also occur (A)</p> Signup and view all the answers

Flashcards

Thoracic cage

Bony structure with a conical shape, defined by the sternum, 12 pairs of ribs, and 12 thoracic vertebrae.

Diaphragm

Musculotendinous septum separating the thoracic cavity from the abdomen.

Costochondral junctions

Points where the ribs join their cartilages; not palpable.

Suprasternal notch

Hollow U-shaped depression just above the sternum, between the clavicles.

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Sternum

Three parts are the manubrium, body, and xiphoid process.

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Sternal Angle (Angle of Louis)

Articulation of the manubrium and body of the sternum, continuous with the 2nd rib.

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Midclavicular line

Reference line that bisects the center of the clavicle.

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Anterior axillary line

Line extends down from the anterior axillary fold where the pectoralis major muscle inserts.

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Posterior axillary line

Line continues down from the posterior axillary fold where the latissimus dorsi muscle inserts.

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Lung tissue (apex)

The apex is 3 to 4 cm above the inner third of the clavicles on the anterior chest.

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Lung tissue (base)

Base rests on the diaphragm at about the 6th rib in the midclavicular line.

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Lobes of the lungs

Right lung has 3 lobes; left lung has 2 lobes.

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Oblique fissure

Diagonally crosses the 5th rib in the midaxillary line and terminates at the 6th rib in the midclavicular line.

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Horizontal fissure

Divides the right upper and middle lobes; extends from the 5th rib in the right midaxillary line to the 3rd intercostal space.

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Pleurae

Serous membranes forming an envelope between the lungs and chest wall.

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Visceral pleura

Lines the outside of the lungs, dipping down into the fissures.

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Parietal pleura

Lining the inside of the chest wall and diaphragm.

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Pleural cavity

Potential space filled with a few milliliters of lubricating fluid; normally has a vacuum.

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Costodiaphragmatic recess

Space extends approximately 3 cm below the level of the lungs.

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Trachea

Lies anterior to the esophagus, 10-11 cm long; begins at the cricoid cartilage and bifurcates below the sternal angle.

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Acinus

Functional respiratory unit consisting of bronchioles, alveolar ducts, alveolar sacs, and alveoli.

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Humoral regulation

The change in carbon dioxide and oxygen levels in the blood.

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Hypercapnia

Increase of carbon dioxide in the blood.

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Hypoxemia

Decrease of oxygen in the blood.

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Ventilation

Physical act of breathing. Air rushes into the lungs as the chest size increases.

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Vertical diameter

Lengthens or shortens because of diaphragm movement.

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Anteroposterior (AP) diameter

Increases or decreases; accomplished by elevation or depression of the ribs.

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Surfactant

A complex lipid substance needed for sustained inflation of the air sacs.

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Secondhand smoke (SHS)

Baby has an increased risk of preterm birth, lower birth weight, and sudden infant death syndrome (SIDS).

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Enlarging uterus

Elevates the diaphragm 4 cm during pregnancy.

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Costal cartilages

Become calcified; thus the thorax is less mobile.

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Aging Lung

Is a stiffer structure that is harder to inflate.

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Cellular respiration

The movement of oxygen and carbon dioxide across the membranes.

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Anterior Thoracic Landmarks

Surface landmarks on the thorax; signposts for underlying respiratory structures.

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Scapular Line

Posterior chest wall line extending via inferior angle of scapula when arms at sides.

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Midsternal Line

Line on the chest running vertically down the middle of the sternum.

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Mediastinum

The middle section of the thoracic cavity. Contains esophagus, trachea, heart, and great vessels.

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Tracheal Bifurcation

Airway that branches into the right and left main bronchi.

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Accessory Muscles of Respiration

Muscles used for respiratory effort.

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tidal volume

Volume of inspired/expired air with each breath.

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Posterior Thoracic Landmarks

Posterior chest wall having vertebral line and scapular line.

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Estrogen and Ribs

Increase in estrogen during pregnancy relaxes chest cage ligaments.

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Vertebra Prominens

Point feel on back; bony spur protruding at base of neck is C7, if two bumps, upper = C7, lower = T1.

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Study Notes

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