What marks the beginning of the tracheobronchial tree?
The trachea
The carina
The bronchi
The larynx
Where does the trachea arise?
At the lower border of the cricoid cartilage
At the carina
At the level of the 1st rib
At the level of C1
At what level does the trachea bifurcate into the right and left main bronchi?
Sternal angle (T4/T5)
T1
At the entry of the superior vena cava into the right atrium
At the gastrooesophageal junction
In what relation is the trachea compared to the oesophagus?
Anterior
Posterior
The trachea is held open by cartilage. What shape does this cartilage take?
C-shaped rings
Circular rings
Biconcave rings
U-shaped rings
What supports the free ends of the rings of cartilage that support the trachea?
Trachealis muscle
Collagen
The vertebrae
Adipose tissue
What type of epithelium will you find in the trachea and bronchi?
Ciliated pseudostratified columnar epithelium
Ciliated stratified squamous epithelium
Ciliated simple columnar epithelium
Stratified squamous epithelium
The trachea and bronchi's epithelia are interspersed with goblet cells. What is the function of these goblet cells?
Produce mucous
Produce surfactant
Ciliated
Secrete antimicrobial enzymes
What name is given to the combined system which traps inhaled particles and pathogens and moves them up out of the airways to be swallowed and destroyed?
Mucociliary escalator
Ciliary system
Mucous system
Tracheobronchial escalator
What name is given to the ridge of cartilage at the bifurcation of the trachea which runs anteroposteriorly between the openings of the two bronchi?
Carina
Larynx
Pharynx
Cricothyroid cartilage
The carina is the most sensitive area of the trachea for triggering the cough reflex.
What provides the trachea with sensory innervation?
Recurrent laryngeal nerve
Left vagus nerve
Right vagus nerve
Cervical plexus
The trachea is vascularised by the tracheal branches of the...
Inferior thyroid artery
Brachiocephalic trunk
Coronary arteries
Pulmonary arteries
Which of the following provide the venous drainage of the trachea?
Brachiocephalic veins
Azygos vein
Accessory hemiazygos vein
Coeliac trunk
Which main bronchus is wider, shorter, and descends more vertically than its counterpart?
Right main bronchus
Left main bronchus
In which main bronchus is there a higher incidence of foreign body inhalation?
The right superior lobar bronchus arises before the right main bronchus enters the hilum of the right lung.
Where does the left main bronchus pass in relation to the arch of the aorta?
Inferiorly
Superiorly
Anteriorly
Posteriorly
Where does the left main bronchus pass in relation to the thoracic aorta and oesophagus?
In the lungs, both main/primary bronchi divide into lobar/secondary bronchi, each supplying a lobe. How many lobar bronchi does the right lung have?
3
2
1
4
In the lungs, both main/primary bronchi divide into lobar/secondary bronchi, each supplying a lobe. How many lobar bronchi does the left lung have?
The lobar/secondary bronchi then bifurcate into several segmental/tertiary bronchi. What do these supply?
Bronchopulmonary segments
Lobes of the lung
Alveoli
Interstitial tissue
Which is true of the cartilage of the MAIN bronchi?
Completely circular rings
Crescent shaped rings
No cartilage
Which is true of the cartilage of the lobar and segmental bronchi?
Crescent-shaped
C-shaped
Complete rings
Which of the following innervate the bronchi?
Pulmonary branches of the vagus nerve (CNX)
Accessory nerve (CNXI)
Greater thoracic splanchnic nerves (T5-T9)
The bronchi are supplied by the bronchial arteries and drained by the bronchial veins.
Where do the bronchial arteries arise from?
Thoracic aorta
Renal arteries
Common hepatic artery
The bronchial veins drain into the accessory hemiazygos vein, the azygos vein and the superior vena cava.
Drag and drop the correct answers to describe how the bronchi divide to serve the lungs.
Drag and drop the correct answers to describe the tracheobronchial tree.
What is the lingula?
A homologue of the middle lobe in the left lung
The notch in the left lung caused by the apex of the heart
The ring of cartilage transversing the bronchi at the bifurcation of the trachea
The point at which the larynx becomes the trachea
The bronchioles are the smallest airways of the tracheobronchial tree. Which of the following do they NOT contain?
Club cells
Cartilage
Goblet cells
Cilia
Smooth muscle
What do the club cells of the bronchioles secrete?
Surfactant
Mucous
Histamine
Nitric oxide
Which bronchioles are the initial bronchioles which transport air but lack glands and are not involved in gas exchange?
Conducting bronchioles
Terminal bronchioles
Respiratory bronchioles
Conducting bronchioles branch into...
Which bronchioles end in alveoli?
What type of epithelium will you find in the alveoli?
Simple squamous epithelium
Simple columnar epithelium
Pseudostratified columnar epithelium
Drag and drop the correct answers to describe the passage of air in the tracheobronchial tree.
What are the pleurae?
Serous membranes lining the lungs and thoracic cavity
Serous membranes covering the heart
The borders of the lungs
The terminal bronchioles of the lungs
The serous membranes consist of what?
Simple squamous cells (mesothelium) supported by connective tissue
Simple squamous cells (mesothelium)
Fibrous connective tissue
Adipose connective tissue
Which pleural membrane covers the lungs?
Visceral pleura
Parietal pleura
Which pleural membrane lines the internal surface of the thoracic cavity?
What is the pleural cavity?
The potential space between the visceral and parietal pleura
The space between the parietal pleura and thoracic wall
The space between the visceral pleura and lungs
The space between the visceral pleura and heart
Which layer of the pleurae is thicker?
The visceral pleura does not extend into the interlobar fissures.
Where is the visceral pleura continuous with the parietal pleura?
At the hilum of the lung
At the bifurcation of the trachea
At the apex of the lung
At the base of the lung
The pleural cavity contains a small volume of serous fluid. This helps lubricate the surfaces of the pleurae as well as...
Provide surface tension to ensure the lungs expand when the thorax expands
Antimicrobial function
Provides a root for neurovasculature
Provides a root for the bronchioles
Drag and drop the correct answers to describe the regions of the parietal pleura.
Drag and drop the correct labels to describe this cross section through the thoracic cavity, paying attention to the pleurae.
What are the pleural recesses?
Where opposing surfaces of the parietal pleura touch
Where there is no fluid in the pleural membranes
Where there is no visceral pleura covering the lungs
Where the visceral pleura becomes continuous with parietal pleura
Why are the pleural recesses of clinical importance?
Provide a location where fluid can collect
Provide a location where irritation of the lungs occurs
Provide a location where the thoracic wall is vulnerable
Provide a location where pulmonary embolisms are likely
Drag and drop the correct labels to describe the pleural recesses.
Which pleural membrane is sensitive to pressure, pain and temperature?
Which pleural membrane is not sensitive to pain temperature or touch - it is only sensitive to stretch?
Which parts of the parietal pleura are innervated by the segmental intercostal nerves, meaning pain here is highly localised?
Costal
Cervical
Diaphragmatic
Mediastinal
Which parts of the parietal pleura are innervated by the phrenic nerve (C3-C5), meaning pain there is referred to the shoulders?
Which pleural membrane is supplied by the pulmonary plexus - a network of fibres from the sympathetic trunk and vagus nerve?
Which pleural membrane is supplied by the intercostal arteries?
Which pleural membrane is supplied by the bronchial arteries?