Lower respiratory tract anatomy

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Questions and Answers

Which nerve innervates the diaphragm?

  • Vagus nerve CN X
  • Femoral nerve
  • Phrenic nerve (correct)
  • Static nerve

Which ribs are considered typical ribs?

  • Ribs 1st, 2nd, 10th, 11th, 12th
  • Ribs 3rd, 4th, 5th, 6th, 7th (correct)
  • Ribs 8th, 9th, 10th
  • Ribs 11th, 12th

True ribs are referred to as:

  • Ribs 1st - 7th (correct)
  • Ribs 3rd - 9th
  • Ribs 8th - 10th
  • Ribs 11th - 12th

How do true ribs articulate with the sternum?

<p>Via a single costal cartilage directly to the sternum (A)</p> Signup and view all the answers

What type of ribs articulate indirectly to the sternum?

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

Which ribs do not articulate with the sternum at all?

<p>Ribs 11th - 12th (D)</p> Signup and view all the answers

The diaphragm separates which two cavities in the body?

<p>Thoracic and abdominal cavities (C)</p> Signup and view all the answers

Which structures are allowed to travel to/from the abdomen through the openings in the diaphragm?

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

Which vertebral level is associated with the passage of the inferior vena cava through the diaphragm?

<p>T8 (A)</p> Signup and view all the answers

Which of the following does NOT pass through the diaphragm?

<p>Superior vena cava (D)</p> Signup and view all the answers

Which muscles are responsible for aiding in inspiration?

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

What is the function of the internal and innermost intercostal muscles?

<p>Aid in forced expiration (B)</p> Signup and view all the answers

Where does the neurovascular bundle lie?

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

What is the significance of knowing the location of the neurovascular bundle?

<p>It assists in the insertion of a chest drain (C)</p> Signup and view all the answers

What is the main function of the external intercostal muscles?

<p>Aid in quiet and forced inhalation (B)</p> Signup and view all the answers

How do the external intercostal muscles contribute to inhalation?

<p>By expanding the size of the chest cavity (B)</p> Signup and view all the answers

What happens when the external intercostal muscles elevate the upper ribs?

<p>The anteroposterior diameter of the thoracic cavity increases (D)</p> Signup and view all the answers

What movement is associated with the elevation of the lower ribs by the external intercostal muscles?

<p>Bucket handle movement (A)</p> Signup and view all the answers

What is the result of the external intercostal muscles creating a negative intra-thoracic pressure?

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

Which bronchus is more vertical, wider, and shorter?

<p>Right main bronchus (A)</p> Signup and view all the answers

The left main bronchus passes under which anatomical structure?

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

Which bronchus is longer and narrower?

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

The main bronchi enter the lung hilum at which vertebral level?

<p>T5/6 vertebral level (D)</p> Signup and view all the answers

At which level does the trachea bifurcate into the main bronchi?

<p>T4/T5 level (B)</p> Signup and view all the answers

The posterior completion of the tracheal rings is formed by:

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

The trachea is formed of:

<p>Incomplete rings of hyaline cartilage (B)</p> Signup and view all the answers

At which level does the trachea begin?

<p>C6 level (D)</p> Signup and view all the answers

Which of the following describes the pleura?

<p>Two layers of opposing membranes (C)</p> Signup and view all the answers

Which layer of the pleura covers the lung?

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

Where is the parietal pleura located?

<p>Covers the internal surface of the chest wall, mediastinum, and diaphragm (B)</p> Signup and view all the answers

What is found in the pleural cavity?

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

What is the function of the pleura?

<p>Protect the lungs from friction against the chest wall (A)</p> Signup and view all the answers

What holds the two layers of pleurae together?

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

What is the nerve supply of the parietal pleura?

<p>Phrenic nerves (C3,4,5) (A)</p> Signup and view all the answers

From which pleura is pain sensed?

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

Which structure is represented as the pulmonary ligament?

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

What does pleural fluid help maintain between the parietal and visceral pleurae?

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

What is the accumulation of excessive fluid in the pleural space called?

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

Which type of fluid can accumulate in the pleural cavity?

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

Where is a chest drain inserted in the pleural cavity in a pleural effusion?

<p>Mid-axillary line (A)</p> Signup and view all the answers

What is pneumothorax?

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

What can lead to a tension pneumothorax?

<p>All of the above (D)</p> Signup and view all the answers

What happens in tension pneumothorax?

<p>All of the above (D)</p> Signup and view all the answers

What is the immediate treatment for tension pneumothorax?

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

Where is the needle inserted during needle decompression for tension pneumothorax?

<p>2nd intercostal space in the mid-clavicular line (B)</p> Signup and view all the answers

What happens when air is removed from the pleural cavity during needle decompression?

<p>The lung re-inflates automatically (C)</p> Signup and view all the answers

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