Cardiovascular Flashcards

1
Q

where do we find the heart

A

T5-8 behind the sternum

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2
Q

where is the apex beat

A

left 5th intercostal space in the midclavicular line

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3
Q

what side of the vein is an artery found on

A

right

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4
Q

what is different about the layers in the arterioles

A

no tunica adventitia

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5
Q

what layers do the veins have

A

thin Tmedia and T. intima but thick T. adventitia

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6
Q

what is T adventitia composed of

A

cartiligenou tissue

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7
Q

layers of the capilleries

A

only the tunica intimacy- an endothelium on a basement membrane

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8
Q

what are pericytes

A

incomplete layer of cells surrounding the basement membrane that have a contractile function helping squeeze the blood out of the capillaries

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9
Q

where do we find the superior mediastinum

A

T1-T4 and up towards the neck

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10
Q

what is found in the superior mediastinum

A

Glands- thymus
veins
arteries- arch of the aorta
organs- oesophagus and trachea

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11
Q

where is the inferior mediastinum

A

from T4 down to the diaphragm

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12
Q

what is the inferior mediastinum further divided into

A

anterior part - very small cleft between the sternum and pericardium- thymus
Middle
Posterior part- where the vertebral column and oesophagus and azygous ect are

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13
Q

what are the layers of the heart

A

endocardium
myocardium
epicardium
pericardium

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14
Q

what Is the endocardium

A

innermost layer which is very thin and lines the chambers of the heart

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15
Q

what cells is the endocardium composed of

A

simple squamous epithelium on a basement membrane

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16
Q

what is myocardium composed of

A

many layers of cardiac muscle and myocytes connected by intercalated discs
also has a rich capillary bed

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17
Q

what is the epicardium

A

the outermost layer also known as the visceral layer of the pericardium

18
Q

what cells is the epicardium made of

A

simple squamous epithelium sitting on a basement membrane and connective tissue

19
Q

in what layer do we find the branches of the coronary artery

A

epicardium

20
Q

how is the heart held in place

A

central tendon of the diaphragm

sternum roots of great vessels

21
Q

what are the two components of the pericardium

A

fibrous and serous

22
Q

what is the serous pericardium

A

lines the heart

has visceral and parietal layers

23
Q

role of the serous pericardium

A

secrete pericardial fluid that can act as a lubricant

24
Q

what is the fibrous pericardium

A

most superficial layer and attached to the parietal layer

25
role of the fibrous pericardium
prevents the heart overfilling with blood
26
what is the innervation of the visceral pericardium
T1-T4 nerves and the vagus nerve via the cardiac plexus
27
what is the innervation of the parietal and fibrous pericardium
phrenic nerve
28
which layers of the heart can feel pain
parietal and fibrous
29
role of papillary muscles
prevent inversion of valves
30
where do the coronary arteries arise from
aortic sinus of the ascending aorta - one of the cusps in the aortic valve
31
in which layer is the aortic sinus present
epicardium
32
what are the lymphs that help drain the chest
parasternal phrenic nodes intercostal nodes
33
where are the parasternal lymph nodes found and where do they receive lymph from
along the internal thoracic artery | medial part of breast, intercostal spaces, costal pleura and diaphragm
34
where are the phrenic nodes situated and where do they receive from
thoracic surface of diaphragm | pericardium, diaphragm, liver
35
where do the phrenic nodes drain to
parasternal nodes
36
where are the intercostal nodes found
vertebral end of the intercostal space
37
where does lymph drainage from the heart occur
goes to the right inferior tracheobronchial nodes and the mediastinal bronchopulmonary nodes
38
what nerves help control heart rate
phrenic- sympathetic | vagus- parasympathetic
39
where do we find the sinoatrial node
near the opening of the SVC in the right atrium
40
where is the AVN
inferior part of the interventricular septum
41
what are the 4 corners/ borders of the heart
upper left rib 2 upper right rib 3 lower left rib 5 lower right rib 6
42
to which corner do the heart valves radiate to
pulmonary- 2nd left aortic valve- 2nd right mitral valve- 5th left tricuspid- 6th right