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CHEST WALL AND TMJ
  • Kyla Rafols

  • 問題数 128 • 10/16/2024

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    問題一覧

  • 1

    Protects the mandible from excessive anterior translation

    sphenomandibular ligament

  • 2

    Most anterior portion of the internal intercostal muscles; considered primary inspiratory muscle during quiet breathing

    parasternal

  • 3

    Costal facet is found where?

    transverse processes

  • 4

    Fibers travel cephalad from their origin to insert into a central tendon

    diaphragm

  • 5

    PUMP

    posterior-anterior, upper ribs, moves upward and downward during inhalation, protrudes sternum forward

  • 6

    Limits downward and posterior motion of the mandible, limit rotation of the condyle during mandibular depression

    outer oblique

  • 7

    Have no ligamentous support

    costochondral

  • 8

    Elevation of the lower ribs is the increase in the transverse diameter of the lower thorax

    bucket handle

  • 9

    Typical ribs

    2-9

  • 10

    Synchondrosis

    manubriosternal, xiphisternal, costochondral, ribs 1,6,7 chondrosternal

  • 11

    Action lifts the first two ribs, and therefore the sternum, in the pump-handle motion of the upper rib cage

    scalene

  • 12

    T1-T6 costotransverse: Slightly convex costal facets on the transverse process of the vertebrae & slightly concave costal tubercles on the corresponding ribs

    false

  • 13

    Voluntary control

    other skeletal muscles

  • 14

    Superior border

    jugular notch, first ribs, superior border of first costocartilages

  • 15

    Tend to become fibrous and fuse with age

    interchondral, chondrosternal

  • 16

    Strong ligament is the swinging hinge from which the mandible is suspended

    sphenomandibular ligament

  • 17

    Vertebral ribs

    floating ribs

  • 18

    Primary muscles of ventilation are those recruited for quiet ventilation

    true

  • 19

    Supported by a capsule and ligaments

    interchondral

  • 20

    True ribs

    1-7

  • 21

    Zone of apposition

    crural fibers

  • 22

    Manubriosternal joint is also known as

    angle of louis

  • 23

    Motion that creates c curve with the mandible moving away from the midline during mandibular depression or protrusion

    deflection

  • 24

    Two knuckles placed between the upper and lower incisors is considered _____, while three knuckles is considered ______

    functional, normal

  • 25

    Motion that produces an s curve as the mandible moves away from the midline during mandibular depression or protrusion

    deviation

  • 26

    Arises from the vertebral bodies

    crural fibers

  • 27

    Chronic hyperinflation of the lungs results in a resting position of the diaphragm that is lower in the thorax than is found in healthy people

    COPD

  • 28

    Articular disc of TMJ is

    biconcave

  • 29

    Work primarily against the elastic properties of the lungs and airway resistance

    ventilatory muscles

  • 30

    Thorax

    thoracic vertebrae, ribs, sternum

  • 31

    Lateral excursion considered normal for an adult

    8-11 mm

  • 32

    Returns midline by the end of the movement

    deviation

  • 33

    Formed by the head of the rib, two adjacent vertebral bodies and the intervertebral disc

    costovertebral

  • 34

    Larger

    superior TMJ

  • 35

    has fibrocartilaginous disc between the hyaline cartilage covered articulating ends

    manubriosternal

  • 36

    Function of articular disc of TMJ

    increase stability, minimize loss of mobility, reduce friction, decrease biomechanical stress on TMJ

  • 37

    Synchondrosis

    first chondrosternal

  • 38

    BUCKET

    bilateral, upper and lower lateral ribs, curves outward like a bucket handle, increasing side to side diameter, kicks out, expands chest laterally, tilts ribs outward during breathing

  • 39

    Largest facial bone and is highly mobile

    mandible

  • 40

    Formed by the articulation of the costal tubercle of the rib with a costal facet on the transverse corresponding vertebra

    costotransverse

  • 41

    Articulation of the 1st through 10th ribs anterolaterally with the costal cartilages

    costochondral

  • 42

    Important component necessary for maximal mandibular depression

    protrusion

  • 43

    Serves as a restrain on the disc

    inferior lamina

  • 44

    Important component of mandibular elevation from a maximally depressed mandible

    retrusion

  • 45

    Joint noise at two intervals: during mandibular depression and mandibular elevation

    disc displacement with reduction

  • 46

    Attached posteriorly to the tympanic plate (posterior mandibular fossa)

    superior lamina

  • 47

    Upper ribs

    sagittal plane

  • 48

    Involves moving the mandible to the left and to the right

    mandibular lateral excursion

  • 49

    Neurological control is both voluntary and involuntary

    ventilatory muscles

  • 50

    Resist posterior motion of the condyle

    inner horizontal

  • 51

    Primary muscles of ventilation

    diaphragm, intercostals, scalene

  • 52

    Stabilizes the rib cage

    intercostals, scalene

  • 53

    Infrahyoid

    omohyoid, sternohyoid, sternothyroid, thyrohyoid

  • 54

    Demonstrate limited mandibular motion as a result of the disc creating a mechanical obstruction to condylar motion rather than facilitating condylar translation

    disc displacement without reduction

  • 55

    Pump handle motion

    sagittal plane

  • 56

    Coronoid process is located ______ to the mandibular condyle and serve as an attachment for the temporalis muscle

    anterior

  • 57

    Strong ligament composed of 2 parts, an outer oblique element and an inner horizontal element

    temporomandibular ligament

  • 58

    Scoliosis: Amount of ventilator dysfunction found in patients depends on

    angle of deformity, length of deformity, region of deformity, amount of rotation, age at onset

  • 59

    Xiphisternal joint articulation

    xiphoid process, inferior sternal body

  • 60

    Primary muscle of ventilation, 70-80% of inspiration force during quiet breathing

    diaphragm

  • 61

    Rolling during initial phase of mandibular depression

    11 or 25 mm

  • 62

    Joint noise referred as reciprocal click

    disc displacement with reduction

  • 63

    Lateral border

    ribs

  • 64

    _______ and ________ joints are mechanically linked, with a single axis of motion for ________ and ________

    costovertebral, costotransverse, elevation, depression

  • 65

    Inability to fully depress the mandible, difficulty performing functional movements involving jaw such as chewing, talking or yawning

    disc displacement without reduction

  • 66

    Pass through the costovertebral joint only

    ribs 11 and 12

  • 67

    Vertebrochondral ribs

    false ribs

  • 68

    Suprahyoid

    digastric, geniohyoid, mylohyoid, stylohyoid

  • 69

    Limits protrusion of the mandible

    stylomandibular ligament

  • 70

    Unique; anterior articulation larger and thicker

    first rib

  • 71

    Articulation of manubriosternal joint

    manubrium, body of sternum

  • 72

    Inferior border

    xiphoid process, inferior portions of 11th and 12th rib, 12th thoracic vertebra

  • 73

    Vertebrosternal ribs

    true ribs

  • 74

    Anterior border

    sternum

  • 75

    Work against gravitational forces

    other skeletal muscles

  • 76

    Occur in the upper TMJ

    mandibular protrusion and retrusion

  • 77

    More mobile

    atypical ribs

  • 78

    Unresolved or chronic inflammation of the TMJ capsule stimilates overproduction of fibrous connective tissue

    capsular fibrosis

  • 79

    Episodically

    other skeletal muscles

  • 80

    Lateral pterygoid muscle attaches to the anterior portion of the disc

    active control

  • 81

    Elastic properties assist in repositioning the disc posteriorly during mandibular closing

    superior lamina

  • 82

    Inferior TMJ joint type

    simple hinge

  • 83

    Produces two distinct but highly interdependent articulations

    TMJ

  • 84

    Primary muscles of mastication ate innervates by the mandibular nerve which is the branch of

    trigeminal nerve

  • 85

    Functionally divided into dorsal and ventral segments

    diaphragm

  • 86

    Supported by the radiate ligament that has 3 bands: superior, intermediate, inferior bands

    costovertebral

  • 87

    Arises from sternum and ribs

    costal fibers

  • 88

    Superior TMJ joint type

    gliding joint

  • 89

    Ipsilateral mandibular condyle spins around a vertical axis within the mandibular fossa, while the contralateral mandibular condyle translates anteriorly along the articular eminence

    mandibular lateral excursion

  • 90

    Contains a disc that separates the joint into upper and lower articulations

    TMJ

  • 91

    Also intercostal muscles but are generally found only in the lower rib cage

    subcostal muscles

  • 92

    Easily fatigues and lesser oxidative capacity

    other skeletal muscles

  • 93

    Costal cartilages of ribs 7-10 each articulate with the cartilage immediately above them

    interchondral

  • 94

    The rib cage _______ changes ________ in scoliosis

    volume, asymmetrically

  • 95

    Increase in A-P diameter of the thorax

    pump handle

  • 96

    Increased fatigue resistance wnd greater oxidative capacity

    ventilatory muscles

  • 97

    Assist with mandibular depression

    suprahyoid

  • 98

    Bucket handle motion

    frontal plane

  • 99

    Does not return to midline by the end lf the movement

    deflection

  • 100

    Posterior border

    thoracic vertebra