CVS prepractical 1 Flashcards

1
Q

what are the main components of the superior mediastinum?

A

glandular plane-thymus gland
venous plane- brachiocephalic vein, superior vena cava
visceral plane- trachea, oesophagus
lymphatic plane- thoracic duct

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2
Q

what are the main components of the posterior mediastinum?

A
oesophagus
vagus nerve
azygous vein
sympathetic trunk
thoracic duct
descending aorta
splanchnic nerve
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3
Q

describe the course of the cephalic vein

A

travels up the limb on the lateral side, drains into the axillary vein below the clavicle

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4
Q

describe the course of the basilic vein

A

travels up the median side and becomes continuous with the brachial veins (deep veins accompanying the brachial artery

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5
Q

describe the course of the meian cubital vein

A

connects the cephalic and basilic across the cubital fossa

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6
Q

where doe the superficial veins of the lower limb arise?

A

the dorsal arch of the foot

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7
Q

describe the course of the long saphenous vein

A

travels up the lower limb medially to drain into the femoral veinproxi

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8
Q

describe the course of the short saphenous vein

A

travels up the limb posteriorly to drain in to the popliteal vein

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9
Q

what does the popliteal vein become proximally?

A

femoral veinfemoral vein

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10
Q

what does the femoral vein become proximally?

A

the external iliac vein

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11
Q

what does the subclavian artery become at the lateral border of the 1st rib?

A

the axillary artery

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12
Q

what does the axillary artery become at the inferior border of the teres major muscle?

A

brachial artery

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13
Q

where does the brachial artery divide into the radial and ulnar arteries?

A

the cubital fossa

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14
Q

what do the radial and ulnar arteries become in the hands?

A

palmar arches which give off the digital arteries

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15
Q

what does the external iliac artery become in the anterior thigh?

A

the common femoral artery

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16
Q

what does the common femoral artery brach off to give ?

A

the superficial and deep femoral arteries

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17
Q

what does the superficial femoral artery become at the popliteal fossa?

A

the popliteal artery

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18
Q

what does the popliteal artery branch off to give in the leg?

A

the anterior and posterior tibial arteries

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19
Q

what does the posterior tibial artery give off before continuing down the medial side of the leg ?

A

the fibular artery

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20
Q

what does th posterior tibial artery become at the plantar surface of the foot?

A

the medial and lateral plantar arteries

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21
Q

describe the course of the anterior tibial artery?

A

it extends down the anterior of the leg to the dorsum of the foot where it becomes the dorsalis pedis between the 1st and 2nd toes

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22
Q

what are the three layers of the wall of blood vessels?

A

tunica intima
tunica media
tunica adventitia

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23
Q

what is the intima formed of?

A

a single layer of endothelial cells and a small amount of subendothelial connective tissue.

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24
Q

what separates the intima from the media in a blood vessel?

A

the internal elastic lamina

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25
Q

what is the function of the tunica media of blood vessels?

A

structural support, vasoreactivity and elasticity

26
Q

what is the tunica media composed of?

A

smooth muscle, elastic fibres and connective tissue

27
Q

what seperates the tunica media from the tunica adventitia?

A

external elastic lamina- a dense elastic membrane

28
Q

what is the tunica adventitia composed of?

A

connective tissue, nutrient vessels (vasa vasorum) and autonomic nerves (nervi vasorum)

29
Q

what are vasa vasorum?

A

the vessels that supply the very large blood vessels with a blood supply

30
Q

how do arteries differ from veins?

A
  1. they are thicker walled
  2. their lumens are smaller relative to wall size
  3. contain more smooth muscle
31
Q

what is the main characteristic of muscular arteries?

A

thick smooth muscle in wall and few elastic fibres

32
Q

what is the function of muscular arteries?

A

they are the smaller distributing arteries

33
Q

give some examples of muscular arteries?

A

brachial, radial, femoral, posterior tibial, coronary

34
Q

where are elastic arteries found?

A

receiving blood directly from the heart, they are larger conducting arteries

35
Q

what is the main feature of elastic arteries?

A

numerous laminae of dark staining, wavy, elastic fibres in wall amongst smooth muscle fibres

36
Q

give some examples of elastic fibres?

A

aorta, pulmonary

37
Q

what are the two pericardia?

A

serous and fibrous

38
Q

what are the musculi pectinati?

A

the “comb-like” muscles on the wall of the right atrium of the heart

39
Q

how many papillary muscles are there in the right ventricle?

A

three

40
Q

what are the trabeculae carneae?

A

the ciontractile flashy struts in the vetricles

41
Q

what is the function of the moderator band?

A

prevent suction in ventricles which would decrease pumping efficiency

42
Q

what is the moderator band?

A

the band of muscle in the right ventricle that extend for the base of the papillary muscles to the interventricular septum

43
Q

how much thicker is the wall of the left ventricle compared to the right?

A

3x

44
Q

what does the right coronary artery run in?

A

cornory (atrioventricular) sulcus

45
Q

what branches off the right coronary artery at the inferior margin of the heart?

A

the right marginal artery

46
Q

what does the RCA give off in the posterior surface of the heart?

A

the posterior (interventricular) descending artery

47
Q

what does the LCA give off almost immediately?

A

the left anterior descending anterior (interventricular) artery

48
Q

what does the left coronary artery branch off to give?

A

the anterior descending artery and the circumflex artery

49
Q

where are the two anastomoses found in the heart?

A
  1. between the anterior descending artery and the anterior descending artery
  2. between the circumlfex artery and the RCA
50
Q

what are the two major sulci that contain coronary artery branches and which arteries do they contain?

A
  • the coronary sulcus (atrioventricular) sulcus

- the interventricular

51
Q

what are the 4 cardiac veins?

A

great cardiac vein
middle cardiac vein
small cardiac vein
anterior cardiac veins

52
Q

which artery does the great cardiac vein lie along side?

A

the anterior interventricular (descending) artery

53
Q

which artery does the middle cardiac vein lie along side?

A

the posterior interventricular (descending ) artery

54
Q

what does the small cardiac vein lie along side?

A

the right marginal artery

55
Q

what do the great cardiac, middle cardiac and small cardiac vain drain into?

A

the coronary sinus, this drains into the right atrium

56
Q

where does the coronary sinus lie?

A

alongside the circumflex artery

57
Q

where does the anterior cardiac veins drain into?

A

directly into the right atrium

58
Q

what supplies the heart and visceral layer of serous pericardium with sympathetic nerve innervation?

A

sympathetic cardiac fibres from the cervical and upper thoracic sympathetic ganglia

59
Q

what supplies the heart and visceral layer of serous pericardium with parasympathetic nerve supply?

A

the vagus nerve

60
Q

what innervates the parietal layer of the serous pericardium and the fibrous pericardium?

A

the phrenic nerve, only with pain sensation

61
Q

describe the conduction through the heart?

A
  1. signals arise in the sinoatrial node
  2. atria condract and signal travels to atrioventricular node
  3. after a delay the stimulus is conducted through the bundle of his the the left and right bundle branches and Purkinje fibres,
    4, first to the endocardium then to the epicardium