Cardiovascular anatomy Flashcards

1
Q

What is meant by heamopericardium?

A

When the pericardial cavity fills with blood - creates cardiac tamponade, when pressure around the heart prevents contraction

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2
Q

What is the transverse pericardial sinus?

A

The space behind the pulmonary trunk and aorta, and in front of the SVC

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3
Q

Which coronary artery sits in the coronary groove (atrioventricular groove) and which sits in the anterior inter-ventricular groove?

A

RIGHT CORONARY ARTERY
- Coronary groove
LEFT CORONARY ARTERY
- Anterior inter-ventricular groove

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4
Q

What are auricles?

A

Extensions of the atria

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5
Q

Where does the coronary sinus drain into? Where does its deoxygenated blood drain from?

A

Right atrium

The cardiac veins

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6
Q

Which part of the aorta do the coronary arteries arise from?

A

The ascending aorta

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7
Q

Describe the branches of the coronary arteries

A

The right coronary artery branches into the right marginal artery
The left coronary artery branches into the left circumflex, left marginal, lateral branch and the left anterior descending

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8
Q

Describe the locations of the heart valves

A

Tricuspid (RA - RV)
Pulmonary (RV - pulmonary trunk)
Mitral (LA- LV)
Aortic (LV - aorta)

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9
Q

Which heart valves have 3 cusps and which only has 2 cusps?

A

3 cusps - Aortic, Pulmonary, Tricuspid

2 cusps - Mitral

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10
Q

Which structures attached to the heart valves aid them in opening and closing?

A

Tendinous cords linked to papillary muscles

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11
Q

Veins don’t usually pulsate, so why can a pulsating JVP be seen?

A

There are no valves between the RA and the internal jugular vein and so there is transmitted pulsation from the heart to the vein

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12
Q

What is the limit for a normal JVP?

A

JVP should be no more than 3cm above the level of the sternal angle

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13
Q

Between which two parts of which muscle is the internal jugular vein found?

A

The clavicular head of the sternomastoid muscle

The sternal head of the sternomastoid muscle

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14
Q

What are the 3 branches of the arch of the aorta?

A

The brachiocephalic trunk
Left subclavian artery
Left common carotid artery

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15
Q

Where do pre-synaptic sympathetic fibres from the brain exit the spinal cord? which neurotransmitter is involved in the synapse between the pre-synaptic and post-synaptic neurones?

A

T1- L2

acetylcholine

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16
Q

Post-synpatic sympathetic fibres synapse at organs, which neurotransmitter is involved here?

A

Noradrenaline

17
Q

The cardiac plexus is an intertwining of which 3 nerve fibre types?

A

Sympathetics
Parasympathetics
Visceral Afferents

18
Q

With which 4 cranial nerves do parasympathetic signals travel with? which over group of nerves are they also carried by?

A

3,7,9 and 10
sacral spinal nerves

= CRANIOSACRAL OUTFLOW

19
Q

What is the difference between somatic and visceral pain?

A

Somatic pain comes from body wall structures, it is sharp and well-localised
Visceral pain comes from organs, it is dull and poorly-localised

20
Q

Which side of the mediastinum is the venous side and which is the arterial side?

A

Right side = venous side

Left side = arterial side

21
Q

What is the ligamentum arteriosum?

A

The remnant of the ductus arteriosus which connected the pulmonary trunk to the arch of the aorta

22
Q

What is the difference between radiating and referred pain?

A

Radiating pain is felt both at the actual site and at the radiating site
Referred pain is only felt at a site distant from the actual site

23
Q

With coronary atherosclerosis, which vessel is the most common site of blockage? Which other two vessels are also common sites?

A

The left anterior descending branch
Right coronary artery
Circumflex branch

24
Q

Which 3 vessels are most commonly used for coronary artery bypass grafting?

A

The great saphenous vein
Radial artery
Internal thoracic artery

25
Q

What two points is the transverse thoracic plane between?

A

The sternal angle

T4/T5

26
Q

What is the cisterns chyli?

A

The swollen part of the thoracic duct in the abdomen

27
Q

The recurrent laryngeal nerves are branches of the vagus nerve, what structures do they supply?

A

Pharynx

Larynx

28
Q

Describe the pericardiocentesis procedure

A

A needle is inserted via the infrasternal angle/ the 5th intercostal space next to the sternum

29
Q

What structures does the internal thoracic artery (aka mammary) supply?

A

Intercostal spaces

30
Q

What is the crista terminalis?

A

The vertical ridge between the auricle and the smooth part of the atrium

31
Q

Where does the azygous vein drain blood from?

A

Intercostal veins to the SVC

32
Q

Which hiatus do the thoracic duct and azygous vein pass through?

A

The aortic hiatus

33
Q

What are the attachments of the scalenus anterior muscle?

A

Cervical vertebrae

First rib

34
Q

Explain the arterial blood supply to the upper limbs

A
Arch of the aorta
Brachiocephalic trunk to the subclavian artery (right) or Left subclavian artery  
Axillary artery 
Brachial artery 
Radial/ ulnar arteries 
Digital arteries
35
Q

Explain the arterial blood supply to the head and neck

A

Arch of the aorta
Brachiocephalic trunk to the common carotid (right) / The left common carotid
Internal and external carotids

36
Q

Describe the blood supply to the abdomen and lower limbs

A
Abdominal aorta 
Right and left common iliac arteries 
External and internal iliac arteries 
Internal - pelvis 
External - Femoral, Popliteal, Posterior tibial/anterior tibial, dorsalis pedis
37
Q

Describe the locations of the lower limb pulses

A

Femoral - 2- 3cm below the mid-inguinal point
Popliteal
Posterior Tibial - Behind and below the medial ankle
Dorsalis Pedis - Dorsum of the foot