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Diaphragm
The right crus of the diaphragm:
1
arises from the upper three lumbar vertebral bodies
2
is larger than the left crus
3
is composed mainly of smooth muscle
4
surrounds the oesophagus
5
is overlapped by the inferior vena cava
The right crus of the diaphragm:
1
arises from the upper three lumbar vertebral bodies T
2
is larger than the left crus T
3
is composed mainly of smooth muscle F
4
surrounds the oesophagus T
5
is overlapped by the inferior vena cava T
The Diaphragm:
1
derives its motor innervation from the lower six intercostal
nerves
2
derives its sensory nerve supply from the phrenic nerve
3
derives its blood supply, in part, from a terminal branch of the
internal mammary artery
4
has a left dome whose summit is at a higher level than that of
the right dome
5
has muscle fibres which arise from the xiphisternum
The Diaphragm:
1
derives its motor innervation from the lower six intercostal
nerves
F
2
derives its sensory nerve supply from the phrenic nerve T
3
derives its blood supply, in part, from a terminal branch of the
internal mammary artery
T
4
has a left dome whose summit is at a higher level than that of
the right dome
F
5
has muscle fibres which arise from the xiphisternum T
Concerning the phrenic nerve
1
it innervates the diaphragmatic pleura
2
it is normally derived from the 1st, 2nd and 3rd cervical spinal
cord segments
3
it traverses the aortic hiatus in the diaphragm
4
it innervates the diaphragmatic peritoneum
5
transection of the phrenic nerve will manifest itself as a fixed
depression of the ipsilateral
Concerning the phrenic nerve
1
it innervates the diaphragmatic pleura T
2
it is normally derived from the 1st, 2nd and 3rd cervical spinal
cord segments
F
3
it traverses the aortic hiatus in the diaphragm F
4
it innervates the diaphragmatic peritoneum T
5
transection of the phrenic nerve will manifest itself as a fixed
depression of the ipsilateral
F
The central tendon of the diaphragm is traversed by
the following:
1
right phrenic nerve
2
oesophagus
3
splanchnic nerves
4
inferior vena cava
5
thoracic duct
The central tendon of the diaphragm is traversed by
the following:
1
right phrenic nerve
T
2
oesophagus
F
3
splanchnic nerves
F
4
inferior vena cava
T
5
thoracic duct
F
The Diaphragm
1
is innervated solely by the phrenic nerves
2
has a central tendinous portion which is circular in outline
3
forms the lower limit of the posterior mediastinum
4
forms the lower limit of the superior mediastinum
5
is traversed by the ganglionated sympathetic chain
The Diaphragm
1
is innervated solely by the phrenic nerves
F
2
has a central tendinous portion which is circular in outline
F
3
forms the lower limit of the posterior mediastinum
T
4
forms the lower limit of the superior mediastinum
F
5
is traversed by the ganglionated sympathetic chain
T
The diaphragm is traversed by:
1
the oesophagus at the level of the 12th thoracic vertebra
2
the inferior vena cava at the level of the 10th thoracic vertebra
3
the aorta at the level of the 12th thoracic vertebra
4
the thoracic duct at the level of the 8th thoracic vertebra
5
the inferior vena cava at the level of the 8th thoracic vertebra
The diaphragm is traversed by:
1
the oesophagus at the level of the 12th thoracic vertebra
F
2
the inferior vena cava at the level of the 10th thoracic vertebra
F
3
the aorta at the level of the 12th thoracic vertebra
T
4
the thoracic duct at the level of the 8th thoracic vertebra
F
5
the inferior vena cava at the level of the 8th thoracic vertebra
T
Concerning the Diaphragm:
1
It is attached to the lower six costal cartilages
2
It gets its motor innervation from the 3rd, 4th and 5th cervical
segments of the spinal cord
3
It has the abdominal aorta going through the central tendinous
portion
4
it is innervated peripherally by the intercostal nerves
5 it is normally fused with the inferior aspect of the fibrous
pericardium
Concerning the Diaphragm:
1
It is attached to the lower six costal cartilages T
2
It gets its motor innervation from the 3rd, 4th and 5th cervical
segments of the spinal cord
T
3
It has the abdominal aorta going through the central tendinous
portion
F
4
it is innervated peripherally by the intercostal nerves T
5 it is normally fused with the inferior aspect of the fibrous
pericardium
T
Unilateral paralysis of the diaphragmatic
musculature
1
manifests itself on a plain AP chest radiograph as a depressed,
flattened hemidiaphragm
2
manifests itself as a permanently elevated immobile
hemidiaphragm
3
manifests itself as a depressed, immobile hemidiaphragm
4
causes the mediastinum to shift to the ipsilateral side
5 causes the diaphragm to move upwards on inspiration
Unilateral paralysis of the diaphragmatic
musculature
1
manifests itself on a plain AP chest radiograph as a depressed,
flattened hemidiaphragm
F
2
manifests itself as a permanently elevated immobile
hemidiaphragm
F
3
manifests itself as a depressed, immobile hemidiaphragm F
4
causes the mediastinum to shift to the ipsilateral side F
5 causes the diaphragm to move upwards on inspiration T
The following structures lie directly anterior to the
right crus of the diaphragm:
1
right suprarenal gland
2
ascending colon
3
right 1st lumbar artery
4
right renal artery
5
inferior vena cava
The following structures lie directly anterior to the
right crus of the diaphragm:
1
right suprarenal gland
T
2
ascending colon
F
3
right 1st lumbar artery
F
4
right renal artery
T
5
inferior vena cava
T
Concerning the diaphragm:
1
the summit of the right dome of the diaphragm is at a higher
level than that of the left
2
the left crus of the diaphragm is longer than the left
3
the median arcuate ligament spans the gap between the two
crura
4
congenital diaphragmatic hernial defects occur most commonly
in the anterior part of the diaphragm.
5 the right dome of the diaphragm is in contact with the bare area
of the liver
Concerning the diaphragm:
1
the summit of the right dome of the diaphragm is at a higher
level than that of the left
T
2
the left crus of the diaphragm is longer than the left F
3
the median arcuate ligament spans the gap between the two
crura
T
4
congenital diaphragmatic hernial defects occur most commonly
in the anterior part of the diaphragm.
F
5 the right dome of the diaphragm is in contact with the bare area
of the liver
T

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Questions Diaphragm

  • 2. The right crus of the diaphragm: 1 arises from the upper three lumbar vertebral bodies 2 is larger than the left crus 3 is composed mainly of smooth muscle 4 surrounds the oesophagus 5 is overlapped by the inferior vena cava
  • 3. The right crus of the diaphragm: 1 arises from the upper three lumbar vertebral bodies T 2 is larger than the left crus T 3 is composed mainly of smooth muscle F 4 surrounds the oesophagus T 5 is overlapped by the inferior vena cava T
  • 4. The Diaphragm: 1 derives its motor innervation from the lower six intercostal nerves 2 derives its sensory nerve supply from the phrenic nerve 3 derives its blood supply, in part, from a terminal branch of the internal mammary artery 4 has a left dome whose summit is at a higher level than that of the right dome 5 has muscle fibres which arise from the xiphisternum
  • 5. The Diaphragm: 1 derives its motor innervation from the lower six intercostal nerves F 2 derives its sensory nerve supply from the phrenic nerve T 3 derives its blood supply, in part, from a terminal branch of the internal mammary artery T 4 has a left dome whose summit is at a higher level than that of the right dome F 5 has muscle fibres which arise from the xiphisternum T
  • 6. Concerning the phrenic nerve 1 it innervates the diaphragmatic pleura 2 it is normally derived from the 1st, 2nd and 3rd cervical spinal cord segments 3 it traverses the aortic hiatus in the diaphragm 4 it innervates the diaphragmatic peritoneum 5 transection of the phrenic nerve will manifest itself as a fixed depression of the ipsilateral
  • 7. Concerning the phrenic nerve 1 it innervates the diaphragmatic pleura T 2 it is normally derived from the 1st, 2nd and 3rd cervical spinal cord segments F 3 it traverses the aortic hiatus in the diaphragm F 4 it innervates the diaphragmatic peritoneum T 5 transection of the phrenic nerve will manifest itself as a fixed depression of the ipsilateral F
  • 8. The central tendon of the diaphragm is traversed by the following: 1 right phrenic nerve 2 oesophagus 3 splanchnic nerves 4 inferior vena cava 5 thoracic duct
  • 9. The central tendon of the diaphragm is traversed by the following: 1 right phrenic nerve T 2 oesophagus F 3 splanchnic nerves F 4 inferior vena cava T 5 thoracic duct F
  • 10. The Diaphragm 1 is innervated solely by the phrenic nerves 2 has a central tendinous portion which is circular in outline 3 forms the lower limit of the posterior mediastinum 4 forms the lower limit of the superior mediastinum 5 is traversed by the ganglionated sympathetic chain
  • 11. The Diaphragm 1 is innervated solely by the phrenic nerves F 2 has a central tendinous portion which is circular in outline F 3 forms the lower limit of the posterior mediastinum T 4 forms the lower limit of the superior mediastinum F 5 is traversed by the ganglionated sympathetic chain T
  • 12. The diaphragm is traversed by: 1 the oesophagus at the level of the 12th thoracic vertebra 2 the inferior vena cava at the level of the 10th thoracic vertebra 3 the aorta at the level of the 12th thoracic vertebra 4 the thoracic duct at the level of the 8th thoracic vertebra 5 the inferior vena cava at the level of the 8th thoracic vertebra
  • 13. The diaphragm is traversed by: 1 the oesophagus at the level of the 12th thoracic vertebra F 2 the inferior vena cava at the level of the 10th thoracic vertebra F 3 the aorta at the level of the 12th thoracic vertebra T 4 the thoracic duct at the level of the 8th thoracic vertebra F 5 the inferior vena cava at the level of the 8th thoracic vertebra T
  • 14. Concerning the Diaphragm: 1 It is attached to the lower six costal cartilages 2 It gets its motor innervation from the 3rd, 4th and 5th cervical segments of the spinal cord 3 It has the abdominal aorta going through the central tendinous portion 4 it is innervated peripherally by the intercostal nerves 5 it is normally fused with the inferior aspect of the fibrous pericardium
  • 15. Concerning the Diaphragm: 1 It is attached to the lower six costal cartilages T 2 It gets its motor innervation from the 3rd, 4th and 5th cervical segments of the spinal cord T 3 It has the abdominal aorta going through the central tendinous portion F 4 it is innervated peripherally by the intercostal nerves T 5 it is normally fused with the inferior aspect of the fibrous pericardium T
  • 16. Unilateral paralysis of the diaphragmatic musculature 1 manifests itself on a plain AP chest radiograph as a depressed, flattened hemidiaphragm 2 manifests itself as a permanently elevated immobile hemidiaphragm 3 manifests itself as a depressed, immobile hemidiaphragm 4 causes the mediastinum to shift to the ipsilateral side 5 causes the diaphragm to move upwards on inspiration
  • 17. Unilateral paralysis of the diaphragmatic musculature 1 manifests itself on a plain AP chest radiograph as a depressed, flattened hemidiaphragm F 2 manifests itself as a permanently elevated immobile hemidiaphragm F 3 manifests itself as a depressed, immobile hemidiaphragm F 4 causes the mediastinum to shift to the ipsilateral side F 5 causes the diaphragm to move upwards on inspiration T
  • 18. The following structures lie directly anterior to the right crus of the diaphragm: 1 right suprarenal gland 2 ascending colon 3 right 1st lumbar artery 4 right renal artery 5 inferior vena cava
  • 19. The following structures lie directly anterior to the right crus of the diaphragm: 1 right suprarenal gland T 2 ascending colon F 3 right 1st lumbar artery F 4 right renal artery T 5 inferior vena cava T
  • 20. Concerning the diaphragm: 1 the summit of the right dome of the diaphragm is at a higher level than that of the left 2 the left crus of the diaphragm is longer than the left 3 the median arcuate ligament spans the gap between the two crura 4 congenital diaphragmatic hernial defects occur most commonly in the anterior part of the diaphragm. 5 the right dome of the diaphragm is in contact with the bare area of the liver
  • 21. Concerning the diaphragm: 1 the summit of the right dome of the diaphragm is at a higher level than that of the left T 2 the left crus of the diaphragm is longer than the left F 3 the median arcuate ligament spans the gap between the two crura T 4 congenital diaphragmatic hernial defects occur most commonly in the anterior part of the diaphragm. F 5 the right dome of the diaphragm is in contact with the bare area of the liver T