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Thoracic Nerves Quiz
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Thoracic Nerves Quiz

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Questions and Answers

Which part of the nervous system is under the control of the hypothalamus?

  • Enteric Nervous System
  • Central Nervous System
  • Autonomic Nervous System (correct)
  • Peripheral Nervous System
  • Which two components of the peripheral nervous system functionally complement each other to keep the body functioning normally?

  • Parasympathetic and sympathetic (correct)
  • Somatic sensory and somatic motor
  • Visceral sensory and somatic sensory
  • Somatic motor and visceral motor
  • What is the main difference between the sympathetic and parasympathetic systems?

  • Their control by the hypothalamus
  • Their effects on the body
  • Their innervation of organs (correct)
  • Their anatomical location
  • Which division of the autonomic nervous system prepares the body for 'fight or flight' situations?

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

    Which cranial nerve is responsible for the parasympathetic innervation of the thoracic viscera?

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

    Which nerve supplies the intrinsic laryngeal muscles and sensory to the laryngeal cavity below the level of the vocal folds?

    <p>Recurrent laryngeal nerve</p> Signup and view all the answers

    Where are the preganglionic cell bodies of the sympathetic nervous system located?

    <p>In the intermediolateral horn of T1-L2 spinal cord</p> Signup and view all the answers

    Which of the following is NOT a function of the autonomic nervous system?

    <p>Regulating skeletal muscle movement</p> Signup and view all the answers

    Where are the cell bodies of the postganglionic neurons located in the autonomic nervous system?

    <p>In the autonomic ganglia</p> Signup and view all the answers

    Which division of the autonomic nervous system is responsible for 'rest and digest' functions?

    <p>Parasympathetic division</p> Signup and view all the answers

    Which nerve supplies the intrinsic laryngeal muscles and sensory to the laryngeal cavity below the level of the vocal folds?

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

    Which side of the vagus nerve enters the thoracic cavity posterior to the left Brachiocephalic vein?

    <p>Left side</p> Signup and view all the answers

    Which division of the autonomic nervous system increases heart rate and strength of heart beat?

    <p>Sympathetic division</p> Signup and view all the answers

    Where are the preganglionic cell bodies of the sympathetic nervous system located?

    <p>In the intermediolateral horn of T1-L2 spinal cord segments</p> Signup and view all the answers

    What is the main difference between the sympathetic and parasympathetic nervous systems?

    <p>Their neurotransmitters</p> Signup and view all the answers

    Which part of the nervous system regulates the visceral activity and maintains a stable internal environment?

    <p>Central nervous system</p> Signup and view all the answers

    How many paravertebral sympathetic ganglia are there in the sympathetic trunk?

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

    Which part of the nervous system is responsible for the 'fight or flight' response?

    <p>Sympathetic Nervous System</p> Signup and view all the answers

    Where are the postganglionic neural connections of the sympathetic trunks located?

    <p>In the thorax</p> Signup and view all the answers

    Which nerve is responsible for supplying the intrinsic laryngeal muscles and sensory to the laryngeal cavity below the level of the vocal folds?

    <p>Recurrent laryngeal nerve</p> Signup and view all the answers

    What are the signs of Horner’s syndrome?

    <p>Dilated pupils and drooping eyelid</p> Signup and view all the answers

    Which part of the nervous system is under the control of the hypothalamus?

    <p>Central Nervous System</p> Signup and view all the answers

    Where are the preganglionic cell bodies of the parasympathetic system located?

    <p>In the brain</p> Signup and view all the answers

    Which division of the autonomic nervous system exerts opposite effects to the sympathetic system?

    <p>Parasympathetic Nervous System</p> Signup and view all the answers

    What is the course and distribution of the vagus nerves?

    <p>They innervate the abdominal viscera</p> Signup and view all the answers

    What is the position and extent of the sympathetic trunks and ganglia?

    <p>They are located in the thorax</p> Signup and view all the answers

    What are the functions of the sympathetic trunks and their branches?

    <p>They control the 'fight or flight' response</p> Signup and view all the answers

    Which classification of anti-dysrhythmic drugs is not included in the Vaughan Williams classification?

    <p>Class II</p> Signup and view all the answers

    What is the term used to describe a block that is more pronounced at higher heart rates?

    <p>Use-dependent block</p> Signup and view all the answers

    Which group of anti-dysrhythmic drugs is primarily used for their negative inotropic effect?

    <p>Class II</p> Signup and view all the answers

    Which group of anti-dysrhythmic drugs is primarily used for their potassium channel blocking effect?

    <p>Class III</p> Signup and view all the answers

    Which group of anti-dysrhythmic drugs is primarily used for their calcium channel blocking effect?

    <p>Class IV</p> Signup and view all the answers

    Which group of anti-dysrhythmic drugs is classified as unclassified on the Vaughan Williams classification?

    <p>Class I</p> Signup and view all the answers

    Which ion current is responsible for the spontaneous electrical discharge of the sinoatrial node (SAN)?

    <p>Ca2+ influx</p> Signup and view all the answers

    Dysrhythmias can be caused by changes in which of the following?

    <p>Heart cells</p> Signup and view all the answers

    Which type of dysrhythmia originates from the atria?

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

    Which class of antidysrhythmic drugs prolongs the cardiac action potential by prolonging the refractory period?

    <p>Class 3</p> Signup and view all the answers

    Which class of drugs block the b-1 receptors and slow the heart rate?

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

    Which class of drugs is effective in treating tachycardia associated with the Wolff-Parkinson-White syndrome?

    <p>Class 3</p> Signup and view all the answers

    Which class of anti-dysrhythmic drugs is used to prevent recurrence of supraventricular tachycardias?

    <p>Class IV</p> Signup and view all the answers

    Which class of anti-dysrhythmic drugs has more effect on smooth muscle calcium channels and less bradycardia?

    <p>Class IV</p> Signup and view all the answers

    Which class of anti-dysrhythmic drugs is used to terminate supraventricular tachycardias?

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

    Which class of anti-dysrhythmic drugs is derived from the foxglove plant?

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

    Which class of anti-dysrhythmic drugs is known for its parasympathomimetic action and reduces sinoatrial firing rate?

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

    Which class of anti-dysrhythmic drugs is known for its use-dependent block?

    <p>Class I</p> Signup and view all the answers

    Which class of anti-dysrhythmic drugs is used to reduce the ventricular rate in patients with atrial fibrillation?

    <p>Class IV</p> Signup and view all the answers

    Which class of anti-dysrhythmic drugs blocks cardiac voltage-gated L-type calcium channels?

    <p>Class IV</p> Signup and view all the answers

    Which of the following is a possible cause of sudden ischaemia resulting in cardiac infarction?

    <p>Coronary spasms</p> Signup and view all the answers

    What is the typical distribution of pain in angina pectoris?

    <p>Left side of chest and left arm</p> Signup and view all the answers

    What is the main cause of angina pectoris?

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

    Which of the following is NOT a characteristic of angina pectoris pain?

    <p>Sharp and stabbing</p> Signup and view all the answers

    What can cause reduction in diastolic arterial pressure leading to angina?

    <p>Mitral or aortic valve incompetence</p> Signup and view all the answers

    What is the effect of cellular calcium overload resulting from ischaemia?

    <p>Cell death and dysrhythmias</p> Signup and view all the answers

    Which type of angina is associated with a thrombus around a ruptured atheromatous plaque but without complete occlusion of the vessel?

    <p>Unstable Angina</p> Signup and view all the answers

    Which of the following is NOT a treatment to reduce chest pain symptoms in angina?

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

    Which of the following is a vasodilator that works by being metabolized to nitric oxide (NO) and relaxes smooth muscle, particularly vascular smooth muscle?

    <p>Organic nitrates</p> Signup and view all the answers

    Which of the following is a common unwanted effect of organic nitrates?

    <p>Both A and B</p> Signup and view all the answers

    Which class of drugs is important in the prophylaxis and treatment of stable and unstable angina, and reduces cardiac oxygen consumption by slowing the heart?

    <p>Beta-blockers</p> Signup and view all the answers

    Which class of drugs prevents opening of voltage-gated L-type Ca2+ channels, mainly affecting the heart and smooth muscle to inhibit calcium entry upon muscle cell depolarization?

    <p>Calcium channel blockers</p> Signup and view all the answers

    Which class of drugs is mainly used to treat variant angina?

    <p>Calcium channel blockers</p> Signup and view all the answers

    Which calcium channel blocker is contraindicated in heart failure?

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

    Which potassium channel activator causes hyperpolarization of vascular smooth muscle?

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

    Which calcium channel blocker is mainly used for its negative inotropic effect?

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

    Which drug inhibits heart rate by inhibiting funny 'f'-type channels in the heart?

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

    Which potassium channel activator is used as a last resort for angina treatment?

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

    Which calcium channel blocker is safe to use in patients with heart failure?

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

    Which calcium channel blocker is mainly used for its vasodilator effect on resistance vessels?

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

    Which class of drugs is commonly used to treat hypertension?

    <p>ACE inhibitors and angiotensin II receptor blockers (ARBs)</p> Signup and view all the answers

    Which diagnostic method is used to monitor blood pressure over a 24-hour period?

    <p>Ambulatory blood pressure monitoring (ABPM)</p> Signup and view all the answers

    What is a common side effect of ACE inhibitors?

    <p>Persistent dry cough</p> Signup and view all the answers

    Which class of drugs is known for causing ankle edema as a side effect?

    <p>Calcium channel blockers</p> Signup and view all the answers

    Which class of drugs should be avoided in patients with bilateral artery stenosis?

    <p>Thiazide diuretics</p> Signup and view all the answers

    Which class of drugs is contraindicated in patients with moderate to severe renal impairment?

    <p>K+ sparing diuretics</p> Signup and view all the answers

    Which class of drugs is associated with a risk of hyperkalemia?

    <p>K+ sparing diuretics</p> Signup and view all the answers

    Which class of drugs is primarily used for their negative inotropic effect?

    <p>b1-adrenoceptor antagonists</p> Signup and view all the answers

    Which class of drugs is commonly used to treat resistant hypertension?

    <p>ACE inhibitors and ARBs</p> Signup and view all the answers

    Which class of drugs is commonly used to treat hypertension in patients with heart failure?

    <p>ACE inhibitors and ARBs</p> Signup and view all the answers

    Which of the following is NOT a potential space in the neck?

    <p>Alar fascia</p> Signup and view all the answers

    Which of the following is a boundary of the posterior triangle of the neck?

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

    Which of the following is a bony landmark of the neck?

    <p>Transverse process of C1</p> Signup and view all the answers

    Which artery is covered by the right sternohyoid and sternothyroid muscles?

    <p>Brachiocephalic trunk</p> Signup and view all the answers

    Which artery passes rib 1 on its way to the upper limb?

    <p>Subclavian artery</p> Signup and view all the answers

    Where does the common carotid artery bifurcate?

    <p>At the level of the superior border of the thyroid cartilage</p> Signup and view all the answers

    Which of the following is NOT a learning outcome of the lecture on surface anatomy of the neck?

    <p>Describe the form and position of the common and internal carotid arteries and the internal jugular vein</p> Signup and view all the answers

    Which textbook provides information on the surface anatomy of the neck?

    <p>Moore et al. Clinically Oriented Anatomy 7th Ed, 2014 © Wolters Kluver</p> Signup and view all the answers

    Which of the following is NOT a topic covered in the lecture on surface anatomy of the neck?

    <p>Development of heart and great arteries</p> Signup and view all the answers

    Which of the following is NOT a boundary of the anterior triangle of the neck?

    <p>Posterior midline of the neck</p> Signup and view all the answers

    Which of the following is NOT a structure discussed in relation to the external carotid artery?

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

    Which of the following is NOT a structure discussed in relation to the internal jugular vein?

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

    Which nerve innervates the Carotid Sinus?

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

    Which structure reacts to changes in arterial blood pressure?

    <p>Carotid Sinus</p> Signup and view all the answers

    What does the Carotid Body monitor?

    <p>Partial pressure of CO2</p> Signup and view all the answers

    What artery is covered by the carotid sheath?

    <p>Common Carotid Artery</p> Signup and view all the answers

    What is the main function of the Internal Jugular Vein?

    <p>Drains intracranial structures</p> Signup and view all the answers

    What is the initial position of the Internal Jugular Vein relative to the internal carotid artery?

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

    What structures are in close relationship with the Internal Jugular Vein?

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

    What is the most common site for central venous access/catheterization?

    <p>Internal Jugular Vein</p> Signup and view all the answers

    Which of the following diseases is associated with a higher risk for cardiovascular disease compared to the general population?

    <p>Familial hyperlipidaemias</p> Signup and view all the answers

    Which of the following diseases causes systemic blood pressure to the normally low pressure pulmonary system?

    <p>Chronic obstructive pulmonary disease</p> Signup and view all the answers

    Which of the following diseases is associated with a higher risk for cardiovascular disease in people with the disease?

    <p>Rheumatoid arthritis</p> Signup and view all the answers

    Which of the following diseases is associated with a higher risk for cardiovascular disease in people with Osteoarthrosis?

    <p>Rheumatoid arthritis</p> Signup and view all the answers

    Which of the following diseases is NOT mentioned as a cause of chronic pulmonary hypertension?

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

    Which of the following diseases is NOT mentioned as a cause of vascular damage and acceleration of known mechanisms?

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

    Which of the following diseases is associated with endocrine disease and cardiovascular problems?

    <p>Thyroid disease</p> Signup and view all the answers

    Which of the following diseases is mentioned as a cause of systemic conditions affecting the cardiovascular system?

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

    Which of the following diseases is associated with exposure to under-nutrition during postnatal periods of development?

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

    Which of the following diseases is NOT mentioned as a cause of cardiovascular consequences of famine in the young?

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

    Which of the following systemic conditions is NOT known to affect the cardiovascular system?

    <p>Rheumatoid arthritis</p> Signup and view all the answers

    What is the dominant cause of mortality in diabetic patients?

    <p>Cardiovascular complications</p> Signup and view all the answers

    Which of the following is NOT associated with diabetes-associated metabolic disorders?

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

    What is the main cause of angina pectoris?

    <p>Vascular damage</p> Signup and view all the answers

    Is hypertension a cause, effect, or a combination of cardiovascular damage?

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

    Which of the following is NOT a systemic condition mentioned in relation to cardiovascular effects?

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

    Which of the following is NOT associated with oxidative stress in diabetic patients?

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

    Which of the following is NOT mentioned as a systemic condition affecting the cardiovascular system?

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

    Which of the following is a potential cause of thrombosis mentioned in the text?

    <p>Diabetes mellitus</p> Signup and view all the answers

    Which of the following is NOT associated with mitochondrial dysfunction in diabetic cardiovascular disorders?

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

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