Cards Anatomy (exam III) Flashcards

1
Q

Dominance in the heart is determined by what?

A

Which arterty the posterior interventricular artery branches off of. Branching off of the RCA: Right dominant (most common) Branching off of the LCA: Left dominant

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2
Q

An accumulation of cholesterol and triglycerides into a fatty deposit inside of an artery is called_______. This is part of the processes leading to ASCVD

A

Atheroma

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3
Q

Name as many anatomical structures as you can

A
  1. Aorta (Ascedning or arch?)
  2. Superior Vena Cava
  3. Pulmonary Artery
  4. Pulmonary Veins
  5. Right Atrium
  6. Tricuspid Valve
  7. Right Ventricle
  8. Inferioir Vena Cava
  9. Pulmonary Artery
  10. Pulmonary Veins
  11. Left Atrium
  12. Mitral Valve
  13. Aortic Valve
  14. Left Ventricle
  15. Descending aorta
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4
Q

The pericardium has several layers

The outermost layer is called ________

The inner layer is called __________ and is divided into ________ layer and ________layer (that touches the heart )

A

Fibrous

Serous

Parietal

Visceral

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5
Q

You have a patient that presents with Hypotension, muffled heart sounds, and jugular venous distension while on one of your rotations. Your preceptor has you look at the CXR. The medical student that is also on your rotation thinks that this patient simply has cardiomegaly. But given the classic triad of ________ you know that the enlarged appearance of the heart is due to a __________. Once again you are a far superior student.

A

Cardiac tamponade

Pericardial effusion

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6
Q

Parasympathetic innervation to the heart comes from______ nerve

This causes ________ of the heart rate. ________ of the force of contraction and constricts that coronary arteries.

A

Vagus

Decrease

decrease

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7
Q

an increase in heart rate and force of contraction comes from the sympathetic innervation that arises from T__ to T__ to the cervical and upper thoracic sympathetic ganglia to the sympathetic trunk to the _________

A

T1 to T5

Cardiac plexus

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8
Q

The Right coronary artery supplies:

A

Right atrium

Right venticle

SA node

AV node

Atrial Septum

portion of the Left atrium

posteroinferior 1/3 of the interventricular septum

part of posterior left ventricle

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9
Q

The LCA supplies:

A

Left atrium

Interventricular septum

AV bundle and its branches

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10
Q

Pain from the parietal pericardium can be referred where?

a. left arm
b. right arm
c. supraclavicular area
d. upper back

A

C.

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11
Q

what is the mechanism called that causes the L. arm and the neck to feel pain due to myocardial ischemia?

A

Convergence projection mechanism

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12
Q

To listen to the aortic valve you should auscultate where?

A

Right second intercostal space

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13
Q

Mitral Valve disease can lead to increased pulmonary venous pressure? T or F

A

True.

This in turn can cause pulmonary edema and left sided heart failure

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14
Q

Aortic valve disease can lead to right sided heart failure? T or F

A

False. It leads to left ventricular hypertrophy and left sided heart failure

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15
Q

For your viewing pleasure

A
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16
Q

Can you tell whats going on here?

A

Pericardial effusion with cardiac tamponade

17
Q

Again just for looksies

A
18
Q

To orient yourself the right atrium is usually _______

A

Anterior

19
Q

Can you tell what going on here…. something isnt right…

A

Right ventricular hypertrophy