Anatomy Review Q's (same as above but via subject) Flashcards
the anatomy notes (1-207) anatomy lab 1 (208-230)
When a patient is lying supine, at which vertebral level is the heart situated in?
a. T5-T7
b. T5-T8
c. T6-T8
d. T6-T9
b. T5-T8
Where is the heart located?
a. superior mediastinum
b. middle mediastinum
c. inferior mediastinum
b. middle mediastinum
What two things separate the heart from the lungs?
pericardium and pleura
When a patient is standing, at which vertebral level is the heart situated in?
a. T5-T7
b. T5-T8
c. T6-T8
d. T6-T9
d. T6-T9
What two (main) structures of the heart bring blood to the heart?
superior and inferior vena cava
What two (main) structures take blood away from the heart?
pulmonary trunk and aorta
Which side of the body is the apex of the heart pointing towards?
to the left
What’s found anteriorly to the heart?
sternum, muscles, ribs
What’s found laterally to the heart?
lungs
What’s found posteriorly to the heart?
aorta, esophagus, and the left pulmonary vein
The pericardial cavity is a space between which two structures?
between the parietal pericardium and the visceral pericardium
Which of the following is closest to the heart?
a. fibrous pericardium
b. parietal pericardium
c. visceral pericardium
c. visceral pericardium
Which of the following protects the heart?
a. fibrous pericardium
b. parietal pericardium
c. visceral pericardium
a. fibrous pericardium
Which of the following does the transverse pericardial sinus lie anterior of?
a. aorta
b. vena cava
c. pulmonary trunk
b. vena cava
(it lies behind/posterior to the other two options)
Which of the following is used to perform ligation in surgery?
a. transverse pericardial sinus
b. oblique pericardial sinus
a. transverse pericardial sinus
Where is the oblique pericardial sinus located?
between the pulmonary veins (and the inferior vena cava)
Which of the following provides space for an enlarging heart?
a. transverse pericardial sinus
b. oblique pericardial sinus
b. oblique pericardial sinus
Describe the hearts position in comparison to the midline.
2/3 shift to the left (the rest of 1/3 to the right)
The visceral pericardium is also known as
the epicardium OR (part of the) serous pericardium
Which artery accompanies the phrenic nerve?
pericardiacophrenic artery
the pericardiacophrenic artery is a branch of the
internal thoracic artery
Which vein carries blood from the pericardium to the brachiocephalic veins?
Pericariacophrenic veins
The left phrenic nerve senses pain near the heart, where is this pain referred to?
the skin of the supraclavicular region of the left side
Which of the following borders of the heart are mainly made up of the right atrium? (one or more)
a. left border
b. right border
c. apex
d. superior border
e. inferior border
f. base of heart
b. right border
Which of the following borders of the heart are mainly made up of the left ventricle? (one or more)
a. left border
b. right border
c. apex
d. superior border
e. inferior border
f. base of heart
a. left border
+
c. apex
The outside portion of Crista terminalis is called?
Sulcus terminalis
musculi pectinati originates from which of the following?
a. limbus fossa ovalis
b. Sulcus terminalis
c. fossa ovalis
d. crista terminalis
d. crista terminalis
Which of the following borders of the heart are mainly made up of the left atrium?
a. left border
b. right border
c. apex
d. superior border
e. inferior border
f. base of heart
d. superior border
+
f. base of heart
Which of the following is a muscular groove?
a. sulcus terminalis
b. crista terminalis
a. sulcus terminalis
(crista terminalis is a muscular ridge)
Which of the following borders of the heart are mainly made up of the right ventricle? (one or more)
a. left border
b. right border
c. apex
d. superior border
e. inferior border
f. base of heart
e. inferior border
What three structures bring blood to the right atrium?
IVC, SVC, coronary sinus
Which part of the right atrium is smooth? what is it called?
the posterior part called sinus venarum
posterior= smooth
anterior= rough
Which part of the right ventricle is rough and which is smooth?
posterior= rough
anterior= smooth
What structure allows from communication between atria and ventricles?
atrioventricular orifice
(protected by the tricuspid valve on the left side and the bicuspid valve on the right)
What provides blood to the left atrium?
the four pulmonary veins
How many papillary muscles are in the right ventricle?
three (anterior, posterior and septal)
The smooth outflow part of the right ventricle is called
The smooth outflow part of the left ventricle is called
R-> the infundibulum
L-> Aortic vestibule
The blood is pumped in the right ventricle to go to ___ via ___
the lungs via the pulmonary trunk
What prevents the prolapse of the cusps into atria during systole?
chordae tendinae
Where is the left auricle found? What is its function?
on the left atrium, it provides extra space for blood
What is the oval depression with a margin that is found on the left atria called?
fossa lunata
(indicates fossa ovalis on the right atria)
Which cusp of the mitral valve has more surface area?
a. anterior
b. posterior
c. septal
b. posterior
Which part of the left ventricle is rough and which is smooth? explain.
posterior= rough
anterior= smooth
(the posterior part is rough because it has to diffuse the pressure that’s exerted by the blood pooling in from the atria)
What are three functions of the fibrous skeleton of the heart?
keeps orifices/valves intact (no dilation or contraction)
provides attachment of muscles
separates atria from ventricles
Describe the shape of the heart muscle fibers?
in spirals resembling the number 8
Which of the following has two cusps?
a. aortic valve
b. pulmonary valve
c. both
d. neither
d. neither
Which of the following has two anterior cusps
a. aortic valve
b. pulmonary valve
c. both
d. neither
a. aortic valve
When does blood enter arteries? What is the exception to the rule? explain.
blood enter arteries during systole, except the coronary arteries, which get blood during diastole. This is because the (right and left) coronary arteries are branches of the aorta, and during systole, blood rushes through it at a very high pressure and speed, so it doesn’t have time to turn perpendicularly and go to the branches of the aorta. When the aortic valve closes, the pressure decreases, allowing blood to go to the coronary arteries.
Which of the following occurs when the aortic and pulmonary valves are open?
a. systole
b. diastole
a. systole
Which of the following has two posterior cusps
a. aortic valve
b. pulmonary valve
c. both
d. neither
b. pulmonary valve
Which of the following sounds are classically heard in diastole?
a. S1
b. S2
c. S3
d. S4
b. S2
Which of the following occurs when the mitral valve is open?
a. systole
b. diastole
b. diastole
Which of the following leads to hypertrophy?
a. valve incompetence
b. valve stenosis
b. valve stenosis
Which of the following is more likely to be caused by rheumatic fever?
a. pulmonary valve stenosis
b. aortic valve stenosis
b. aortic valve stenosis
Which of the following sounds is heard when both the mitral and tricuspid valves are closed?
a. S1
b. S2
c. S3
d. S4
a. S1
(at systole)
Where does blood flow during arterial septal defects? Why?
flows from left to right (at the beginning) because the left has higher pressure
Which part of the interventricular septum is more likely to be defective?
membranous part (not muscular part)
How do you locate the superior border of the heart on a patient?
it’s from the second costal cartilage of the left side to the third costal cartilage of the right side
How do you locate the inferior border of the heart on a patient?
from the fifth intercostal space of the left side to the sixth costal cartilage
identify
right coronary artery
Where is the crux of the heart?
“crux” meaning “cross”; it is the area on the lower back side of the heart where the coronary sulcus (the groove separating the atria from the ventricles) and the posterior interventricular sulcus (the groove separating the left from the right ventricle) meet.
identify the black arrow
Right marginal artery
(aka acute marginal artery)
What artery goes around the pulmonary trunk?
right conus artery
aka annulus of vieussens
identify
sinoatrial nodal artery
identify the artery. Which artery does it arise from?
PDA posterior descending artery (aka posterior interventricular artery)
its a branch of the right coronary artery
Which artery is the yellow arrow pointing at?
left coronary artery
identify
left anterior descending artery (LAD)
(aka anterior interventricular artery)
identify
left circumflex artery (LCX)
identify (black arrow)
left diagonal artery (branch of LAD)
identify (blue circle)
Left conus artery
(goes around the pulmonary trunk along with right conus artery)
What’s a branch of the circumflex artery?
left marginal artery (or obtuse marginal artery)
Where does the right coronary artery (RCA) originate?
Above the right cusp of the aortic valve
What artery supplies the posterior third of the interventricular septum?
PDA posterior descending artery
The left coronary artery splits into
LAD (left anterior descending artery)
+
LCX (left circumflex artery)
Where is the coronary sinus?
Describe the location of the small cardiac vein. What is it adjacent to?
between the right atrium and ventricle
Find the Oblique vein of the left atrium
Find the Posterior vein of the left ventricle
What supplies the anterior 2/3rd of the interventricular septum?
The anterior interventricular artery (LAD artery)
What supplies blood to the left branch of the AV bundle?
Left coronary artery