Basic and Clinical Sciences (BCSE) Practice Exam

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Which direction do the external intercostal muscles pull the ribs?

  1. Pull ribs downwards

  2. Pull ribs upwards and outward

  3. Stabilize the rib cage

  4. Compress the rib cage

The correct answer is: Pull ribs upwards and outward

The external intercostal muscles play a crucial role in the mechanics of breathing. During inhalation, these muscles contract and elevate the ribs. Because of their orientation, they pull the ribs upwards and outward, effectively increasing the volume of the thoracic cavity. This action decreases the pressure within the cavity, allowing air to flow into the lungs. The structure of the external intercostal muscles facilitates this movement; they are positioned diagonally and run from the lower margin of one rib to the upper margin of the rib below, leading to this upwards and outward motion when they contract. This mechanism is essential for normal respiratory function, especially during forced inhalation, when greater lung expansion is required.