Cardiovascular system Flashcards

1
Q

What is the upper body?

A

Supracardium

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2
Q

What is the lower body?

A

Infracardium

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3
Q

Why is the heart very vascularised?

A

Because it is a highly metabolised organ

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4
Q

What part of the vascular system allows for exchange?

A

Capillaries

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5
Q

Do arteries and veins exchange anything?

A

No they ar just a conduction system

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6
Q

What do the arteries do?

A

Bring blood from heart to capillaries

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7
Q

What do the veins do?

A

Bring blood from capillaries to heart

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8
Q

The two subsystems of the cardiovascular system

A

Systematic circulation (high pressure)
Pulmonary circulation (low pressure)

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9
Q

What substances are absorbed and brought away from the capillaries?

A

Catabolic substances

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10
Q

What substances are brought to and diffuse out of the capillaries?

A

Anabolic substances

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11
Q

What kind of chemical link is oxygenation?

A

Weak

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12
Q

What kind of chemical link is oxidation?

A

Strong

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13
Q

Venous system is low or high pressure?

A

Low

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14
Q

Arterial system is low or high pressure?

A

High

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15
Q

Why do the walls of arteries and veins differ? and the same for veins located in different part of the body?

A

Because they have different functions and serve differen purposes

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16
Q

Which is the biggest artery?

A

Aorta

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17
Q

Which are the biggest veins?

A

Vena cava

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18
Q

Why are there many branches of capillaries?

A

To decrease the pressure to make exchange possible as blood flow much be slow

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19
Q

When is smooth muscle needed in vessels?

A

When we need to regulate vacuolisation

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20
Q

What happens to your heart when you continue training?

A

It becomes more efficient, their stroke volume increases

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21
Q

Q=?

A

Q= HR x SV
Q: volume of blood pumped by heart per min
HR: heart rate
SV: stroke volume

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22
Q

Which is the outermost layer of the heart?

A

Epicardium

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23
Q

Which is the innermost layer of the heart?

A

Endocardium

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24
Q

Which is the muscular layer of the heart?

A

Myocardium

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25
Q

Where is the heart located anatomically?

A

Anterior mediastinum

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26
Q

Main organs in the posterior mediastinum

A

Bifurcation of trachea
Ascending aorta
Lower part of eophagus

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27
Q

What is the closed serous envelope of the heart called?

A

Pericardium

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28
Q

How many layers of the pericardium?

A

2

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29
Q

Where is the pericardium attached?

A

The diaphragm

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30
Q

What holds the heart and pericardium in place?

A

The diaphragm

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31
Q

Where does the epicardium from? (organogenesis)

A

Visceral mesoderm

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32
Q

Where does the parietal pericardium from? (organogenesis)

A

Somatic mesoderm

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33
Q

2 parts of the pericardium

A

Epicardium
Parietal serous layer

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34
Q

Where is the heart located (right left)?

A

It is central but more developed on left side

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35
Q

How much of the heart is on the left side?

A

2/3

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36
Q

Where is the apex of the heart?

A

By the 5th rib

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37
Q

Where do the right cavities look?

A

Anterior

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38
Q
A
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39
Q

What stems from the base of the heart?

A

The vessels

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40
Q

Is the base always the lowest point?

A

No

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41
Q

Is the base of the heart the lowest point?

A

No

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42
Q

What is the lowest part of the heart?

A

The apex

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43
Q

Example of places in the body where the base is not the lowest part?

A

The heart
The uterus (the bottom is the uppermost part)

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44
Q

Which ventricle is larger?

A

The left

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45
Q

Why can you see the left ventricle when looking from the anterior?

A

Because it is larger than the right

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46
Q

What is pericardial effusion?

A

When the pericardium has a built up of fluids which compresses the heart

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47
Q

How can you see the left atrium with an ultrasound?

A

By putting the ultrasound device down the oesophagus and face it anteriorly

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48
Q

What does the ascending aorta turn into?

A

The aortic arch

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49
Q

What side of the oesophagus is the descending aorta located?

A

Left side of the oesophagus

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50
Q

Which is most common: right-dominance, left-dominance or codominance?

A

Right-dominance

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51
Q

Which is the biggest vein of the heart?

A

Coronary sinus

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52
Q

Where is the coronary sinus located?

A

In the posterior coronary grove

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53
Q

What kind of vessel is the coronary sinus?

A

Venu vessel

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54
Q

Which vein connects all the veins of the heart?

A

The coronary sinus

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55
Q

Where does the coronary sinus drain into?

A

The right atrium

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56
Q

When do the atrioventricular valves block?

A

During the systolic phase of the heart

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57
Q

When are the pulmonary and aortic valves open?

A

During systole

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58
Q

What are the tendentious cords attached to?

A

The Papillary muscles

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59
Q

Names of the 3 leaflets of the tricuspid valve

A

Anterior
Posterior
Medial/septal

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60
Q

Thickness of the wall of the left ventricle

A

8-12 mm

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61
Q

Thickness of the wall of the right ventricle

A

3-5 mm

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62
Q

What are the valves attached to?

A

The fibrous skeleton of the heart

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63
Q

What produces heart sounds?

A

Closing of the valves

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64
Q

Which phase is quicker? systolic or diastolic phase?

A

Systolic

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65
Q

What do the autorythmic cells do?

A

They initiate action potentials

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66
Q

What kind of influx do autorythmic cells use for rising phase of the action potential? (normal nerve cells: sodium)

A

Calcium

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67
Q

What does the P wave correspond to on the electrocardiogram?

A

The atrial systolic phase (depolarisation of atria)

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68
Q

What does the T wave correspond to on the electrocardiogram?

A

The depolarisation of the ventricles

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69
Q

What stimulates the heart?

A

The sympathetic cardioacceleratory center

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70
Q

What inhibits the heart?

A

The parasympathetic cardioinhibitory center

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71
Q

What is the atrial (bainbridge) reflex?

A

A sympathetic reflex initiated by increased blood in the atria

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72
Q

Which two hormones increase the heart rate?

A

Epinephrine and thyroxine

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73
Q

Which vessels are efferent?

A

Arteries

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74
Q

Which vessels are afferent?

A

Veins

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75
Q

Do veins differ based on their location in reference to the heart?

A

Yes as the veins below the heart have to work against gravity

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76
Q

Where does the systematic circulation originate?

A

Left ventricle

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77
Q

Where does the pulmonary circulation originate?

A

Right ventricle

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78
Q

What does the pulmonary trunk bifurcate into?

A

2 right and 2 left pulmonary arteries

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79
Q

How many pulmonary veins are there?

A

2 right and 2 left

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80
Q

What is the circulatory system that brings blood to the body called?

A

Systematic circulation

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81
Q

What is the circulatory system that brings blood to the lungs called?

A

Pulmonary circulation

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82
Q

Which part of the heart contains venous blood?

A

The right heart

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83
Q

Which part of the heart contains arterial blood?

A

The left heart

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84
Q

Where in the thoracic cavity is the heart?

A

Mediasternum (anterior)

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85
Q

What is the pericardium fixed to?

A

The diaphragm

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86
Q

Average heart beats per min in resting conditions?

A

60-70

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87
Q

Name of the contracting phase

A

Systole

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88
Q

Name of the relaxation phase

A

Diastole

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89
Q

Where in the heart is the myocardium more developed?

A

The ventricles (especially the left one)

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90
Q

What is the apex of the heart made up of?

A

Exclusively the ledt ventricle

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91
Q

When does coronary circulation mainly occur?

A

During diastole

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92
Q

What is dominance in the coronary circulation based off of?

A

Which artery supplies the posterior coronary groove and that area
So where the posterior inter ventricular branches derive from

93
Q

What happens to the right coronary artery in the case of left dominance?

A

It ends before reaching the crux cordis

94
Q

Where does the left coronary artery origante?

A

Left aortic sinus of ascending aorta

95
Q

Where does the right coronary artery origante?

A

Right aortic sinus of ascending aorta

95
Q

2 important branches of the left coronary artery

A

Left anterior descending artery (LAD)
Left circumflex artery (LCX)

96
Q

4 important branches of the right coronary artery

A

Right marginal artery
Posterior descending artery (PDA)
Atrioventricular nodal artery
Sinoatrial nodal artery

97
Q

What innervates the heart?

A

The cardiac plexus

98
Q

Where is the cardiac plexus located?

A

At the base of the heart

99
Q

Which is the thickest layer o the heart wall?

A

The mmyocardium

100
Q

What is the Koch’s triangle delimitated by?

A

Todaro’s tendon
Septal leaflet of the tricuspid valve
Atrioventricular node

101
Q

What is th moderator band?

A

Flashy strand of the right ventricle that makes a shorter way for the conduction system to reach the papillary muscle

102
Q

What separates the atria?

A

The intertribal septum

103
Q

What is the fossa in the right atrium called?

A

Fossa ovalis

104
Q

What kind of myocardium does the conduction system consist of?

A

Specific myocardium

105
Q

Where is the sinuatrial node located?

A

On the inferior contour of the opening of the superior vena cava (horseshoe shape)

106
Q

Where is the atrioventricular node located in relations to the Koch’s triangle?

A

At the apex

107
Q

Through that kind of junctions does the signal travel from the sinuatrial node to the atrioventricular node?

A

Gap junctions

108
Q

Where do the bundle branches carry the impulse towards?

A

The apex of the heart

109
Q

Where do the purkinje fibers carry the impulse to?

A

The heart apex and ventricular walls

110
Q

What is the sequence of excitation?

A

Sinoatrial node
Atrioventricular node
Atrioventricular bundle (bundle of his)
Bundle branches
Purkinje fibers

111
Q

What is the heart stimulated by?

A

The sympathetic cardioacceleratory center

112
Q

What is the heart inhibited by?

A

The parasympathetic cardioinhibitory center

113
Q

What happens during isovolumetric relaxation of the heart?

A

The ventricles relax
Semilunar valves are closed because of backflow

114
Q

What is cardiac reserve?

A

The difference between resting and maximal CO

115
Q

What is preload?

A

The amount the ventricles are stretched by the contained blood

116
Q

What is contractility?

A

The cardiac cell contractile force due to factors other than EDV

117
Q

What is afterload?

A

The back pressure exerted by blood in the large arteries leaving the heart
The pressure that must be overcome before a semilunar valve can open

118
Q

Which is the critical factor controlling stroke volume?

A

Preload (degree of stretch)

119
Q

What can increase contractility?

A

Increased sympathetic stimuli
Certain hormones
Ca2+ and some drugs

120
Q

What can decrease contractility?

A

Acidosis
Increased extracellular K+
Calcium channel blockers

121
Q

What do positive chronotropic factors do?

A

Increase heart rate

122
Q

What do negative chronotropic factors do?

A

Decrease heart rate

123
Q

Example of a positive chronotropic factor

A

Caffeine

124
Q

Example of a negative chronotropic factor

A

Sedatives

125
Q

What is the atrial (brainbridge) reflex?

A

A sympathetic reflex initiated by increased blood in the atria

126
Q

What does the atrial (brainbridge) reflex do?

A

Causes stimulation of the SA node
Stimulates baroreceptors in the atria causing increased SNS stimulation

127
Q

2 hormones that increase the heart rate

A

Epinephrine
Tyroxine

128
Q

What are collateral branches of arteries?

A

Branches that originate from the main trunk at an acute angle open towards the periphery and destined to a vascular territory downstream

129
Q

What are recurrent branches of arteries?

A

Branches that originate from the main trunk at a straight or obtuse angle and are destined to a vascular territory upstream

130
Q

What are terminal branches of arteries?

A

Branches which may terminate or continue into another artery

131
Q

What are anastomoses?

A

Connection between arteries

132
Q

Where does the subclavian artery terminate and continue as the axillary artery?

A

When it crosses the space between the clavicle and the first rib

133
Q

Which direction does the arch of the aorta “hook”?

A

From anterior to posterior

134
Q

What does the thoracic (depending) aorta continue as at the inferior margin of T12 (aortic hiatus of the diaphragm)?

A

The abdominal aorta

135
Q

At what vertebral level does the inferior vena cava pass?

A

T9

136
Q

At what vertebral level does the oesophagus pass?

A

T10-T11

137
Q

Does the azygos vein system connect to the inferior vena cava?

A

No it only articulates with the superior vena cava

138
Q

What is the venous collection of the intercostal veins?

A

The azygos vein system

139
Q

What does the azygos vein system consist of?

A

The azygos vein
Hemizygos vein
Accessory hemizygos vein

140
Q

Is the azygos vein system symmetrical?

A

No, the azygos vein is on the right and drains the right side and the hemizygos and accessory hemizygos drains the left

141
Q

At what level does the carotid artery bifurcate?

A

The superior margin of the thyroid cartilage of the larynx

142
Q

Where does the internal carotid artery go?

A

The brain

143
Q

Where does the external carotid artery go?

A

The face

144
Q

Where does the carotid artery enter the brain?

A

Through the carotid carotid canal in the temporal bone

145
Q

What forms the neuromuscular bundle of the neck?

A

The common carotid artery
Internal jugular vein
Vagus nerve

146
Q

What does the carotid body function as?

A

A chemoreceptor (detects reduction in partial pressire of O2 and in pH and an increase in the partial pressure of CO2

147
Q

What part of the brain does the internal carotid arteries vascularise?

A

The anterior and middle

148
Q

What vascularises the posterior part of the brain?

A

The vertebral arteries (main branches of subclavian arteries)

149
Q

With what direction does the internal carotid artery make a 90 degree turn after entering through the carotid canal?

A

Anteriorly and medially

150
Q

What are the 2 systems that vascularise the brain?

A

The internal carotid artery system
The vertebral system

151
Q

Do the two systems that vascularise the brain work independently?

A

No, they connect in the Willis circle

152
Q

What is the point of the Willis circle?

A

To ensure that no parts of the brain goes without receiving oxygenated blood (safety system)

153
Q

What kind of circle is the Willis circle?

A

An anastomic circle

154
Q

Where is the Willis circle found?

A

In the inferior aspect of the brain

155
Q

What does the Willis circle connect?

A

The 2 internal carotid arteries and the basilar artery

156
Q

What does the Willis circle surround?

A

The optic chiasm and pituitary stalk

157
Q

Where does the external carotid artery divide?

A

At the angle of the mandible

158
Q

Terminal branches of the external carotid artery?

A

The superficial temporal and maxillary artery

159
Q

Where does the maxillary artery disappear and reappear ?

A

It disappears behind the angle of the mandible

160
Q

What passes through the parotid gland?

A

The external carotid artery
The facial nerve
Retromandibular veins

161
Q

Medial/deep branch of the external carotid artery

A

Ascending pharyngeal artery

162
Q

2 posterior branches of the external carotid artery

A

Occipital
Posterior auricular

163
Q

3 ventral branches of the external carotid artery

A

Superior thyroid
Lingual
Facial

164
Q

3 parts of the maxillary artery

A

Mandibular
Pterygoid
Pterygopalatine

165
Q

Where does the mandibular artery have its origin?

A

Behind the ramus of the mandible

166
Q

What vein drains from the brain

A

Internal jugular vein

167
Q

3 arteries which vascularises the thyroid gland

A

Inferior thyroid artery
Superior thyroid artery
Inconstant lowest thyroid artery

168
Q

What does the axillary artery turn into and where?

A

Brachial artery
Inferior margin of the pectorals major

169
Q

What does the racial artery divide into at the level of the elbow?

A

Ulnar artery
Radial artery

170
Q

Is the cephalic vein deep or superficial?

A

Superficial

171
Q

What is the cephalic vein called in the dorsal and medial part?

A

The basilic vein

172
Q

Where do the unpaired branches of the abdominal aorta originate?

A

The anterior part

173
Q

Where do the paired branches of the abdominal aorta originate?

A

Lateral

174
Q

What do the unpaired branches of the abdominal aorta vascularise?

A

The digestive tract

175
Q

What do the paired branches of the abdominal aorta vascularise?

A

The urogenital tract and endocrine organs

176
Q

3 unpaired unpaired branches of the abdominal aorta

A

Celiac artery
Superior mesenteric artery
Inferior mesenteric artery

177
Q

2 paired branches of the abdominal aorta

A

Renal arteries
Gonadal arteries

178
Q

Different name for the internal iliac artery

A

Hypogastric artery

179
Q

Which mesenteric artery is the largest?

A

The superior

180
Q

Where is the inferior vena cava located with relations to the abdominal aorta?

A

To the right

181
Q

Difference between he right and left gastric artery

A

The left articulates from the celiac trunk
The right articulates from the common hepatic artery

182
Q

Difference between the rich and left gonadal veins

A

The left tributes to the left renal vein
The right tributes to the inferior vena cava

183
Q

Are the veins and the arteries the same in the abdomen?

A

Yes but they behave differently

184
Q

2 cardiovascular systems of the liver

A

Arterial circulatory system,
Portal system

185
Q

What is the pancreas mainly vascularised by?

A

The splenic artery

186
Q

Where does the abdominal aorta bifurcate?

A

At the level of L4

187
Q

What vascularises the superior part of the rectum?

A

Superior rectal artery

188
Q

What is the superior rectal artery a branch of?

A

The inferior mesenteric artery

189
Q

What vascularises the middle and lower part of the rectum?

A

The hypogastric artery

190
Q

When does the eternal iliac artery become the femoral artery?

A

When it passes below the inguinal ligament

191
Q

When does the femoral artery change name to the popliteal artery?

A

When it emerges in the back of the knee (adductor canal)

192
Q

What does the popliteal artery divide into?

A

Tibial artery
Fibular artery

193
Q

What vascularises the plantar part of the foot?

A

The posterior tibial artery

194
Q

What vascularises the dorsal part of the foot?

A

The anterior tibial artery

195
Q

2 types of superficial veins in the lower limbs

A

Smaller saphenous veins
Greater saphenous veins

196
Q

What doe the smaller saphenous veins open into?

A

The popliteal vein

197
Q

What do the greater saphenous veins open into?

A

The femoral vein

198
Q

What does the superior mesenteric artery vascularise?

A

The ascending and transverse colon

199
Q

What does the inferior mesenteric artery vascularises?

A

The descending colon
Sigmoid colon
Superior part of the rectum

200
Q

What do the inferior phrenic artery branch into?

A

The superior suprarenal arteries

201
Q

What does the celiac trunk branch into?

A

Left gastric artery
Splenic artery
Common hepatic artery

202
Q

What does the common hepatic artery branch into?

A

The hepatic artery proper
The Right gastric artery

203
Q

What branches from the renal arteries?

A

The inferior suprarenal arteries

204
Q

What happens to the veins that drain the inferior GI tract (nutrient rich)?

A

It will go to the liver to deliver the nutrients

205
Q

Through which vein is the poorly oxygenated but nutrient rich blood brought to the liver?

A

The portal veins

206
Q

Where does the splenic artery pass?

A

Above the upper margin of the pancreas

207
Q

What vascularises the body and tail of the pancreas?

A

The splenic artery

208
Q

What vascularises the head of the pancreas?

A

Right gastro epiploic artery

209
Q

What is the posterior face of the stomach vascularised by?

A

Splenic artery

210
Q

What is the greater curvature of the stomach vascularised by?

A

Left and right gastro epiploic artery

211
Q

Which branch of the internal iliac artery enters the pelvic floor?

A

Internal pudendal artery

212
Q

Which branch of the internal iliac artery vascularises the head of the femur?

A

The obturator

213
Q

What is the name of the artery branch that branches from the vaginal artery? (in females)

A

Inferior vesical branch

214
Q

What does the inferior vesical artery branch into? (in males)

A

Seminal vesicles
Prostate artery

215
Q

What branches from the umbilical artery in males?

A

Superior vesicles
Ductus deferens artery

216
Q

What branches from the umbilical artery in females?

A

Superior vesicles

217
Q

Is the femoral artery deep or superficial?

A

It starts out superficial and then gets deeper and deeper

218
Q

What does the brachiocephalic census trunk emerge from?

A

The anastomosis of the internal jugular vein and subclavian vein

219
Q

Which brachiocephalic vein is longer?

A

Left because the SVC is on the right so it has a longer way

220
Q

Where do the intercostal arteries arise from?

A

The thoracic artery

221
Q

What is the third venous inlet inside the right atrium?

A

Coronary sinus

222
Q

How many papillary muscles in the right ventricle?

A

3

223
Q

How many papillary muscles in the left ventricle?

A

2

224
Q

Where does the coronary artery branch from?

A

The ascending aorta

225
Q

2 branches from the left coronary artery

A

Anterior interventricular artery
Circumflex artery

226
Q

What does the marginal artery branch off of cardiac vascularisation)

A

The right coronary artery

227
Q

What are the fat filled grooves of the heart called?

A

The sulcus