CVS Formative Flashcards

1
Q

What does the right atrium posses?

A

An Opening for the coronary sinus

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2
Q

During embryological development what gives rise to the common carotid arteries?

A

3 aortic arch

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3
Q

Whats is the fate of the fourth arch?

A

Right-Right subclavian

Left- Arch of aorta

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4
Q

The arterioles function as resistance vessels because?

A

They have a relatively narrow lumen and strong muscular wall

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5
Q

In the heart the fast depolarising phase of the cardiac action potential is caused by?

A

INflux of Na+ ions

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6
Q

What is the resting membrane potential due to in cardiac cells?

A

Leaky K+ Channels

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7
Q

In the ECG depolarisation of the atria corresponds to the?

A

P-wave

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8
Q

What is the U wave?

A

Occurs after T wave and is caused by the last part of ventricular repolarising (septum or pap muscles)

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9
Q

A heart rate in excess of 150 bpm is likely to:

A

Decrease preload and therefore decrease stroke volume

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10
Q

Activation of Beta 1 receptors on cardiac myocytes will:

A

Increase contractility and therefore increase stroke volume

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11
Q

What is afterload dependent on?

A

TPR primarily controlled of noradrenaline on alpha 1 -adrenorecpetors

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12
Q

What is the most significant feature of the pulmonary circulation?

A

Pulmonary arteries constrict in hypoxic conditions

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13
Q

During exercise venous pressure (and hence venous return to the heart) may be increased by?

A
  • Increases in systemic filling pressure
  • Contraction of smooth muscle surrounding the veins
  • Increased rate and depth of respiration
  • Rhytmic contraction of skeletal muscle
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14
Q

What can the valsalva manoeurve help?

A

Supraventricular tachycardia

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15
Q

Why does the valsalva manoeuvre cure supraventricular tachycardia?

A

Increases vagal tone and the effect at AV.

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16
Q

What medications are NOT used in acute heart failure?

A

ACEi

Beta-blockers

17
Q

How do you treat heart failure?

A

IV Diuretics

18
Q

What are some signs of heart failure?

A

PND
Elevated JVP
Lung crackles
peripheral oedema

19
Q

What treats symptoms of angina?

A

GTN
Betablockers
CCBs
Ivabradine

20
Q

Pregnant mother with DVT?

A

Anticoagulation
Warfarin is TERATOGENIC in first trimester

= Low molecular weight hep

21
Q

What is associated with the tetrology of fallot?

A

Shpritzen syndrome

22
Q

How do you treat marfans?

A

Antihypertensives
(beta blockers)
Prophylatic aortic root surgery
Lifestyle advice

23
Q

What are three causes of systolic murmur?

A

Aortic stenosis
Mitral regurgitation
Aortic scelorsis

24
Q

How do you find mitral regurgitation in physical?

A

Heard loudests at the apex and radiates to the axilla, pan systolic murmur, maximal on expiration

25
Q

How do you find aortic stenosis?

A

Pulse waveform

low output pulse, radiates to carotid

26
Q

What three basic investigations should be carried out in primary care, prior to hospital refferal?

A
  • FBC
  • ECG
  • CXR